Determine which medications would be appropriate

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Question: A 56-year-old man comes into your office as a new patient. Seven years ago, at a work-related health screening, he was diagnosed with hypertension with a blood pressure of 140/90. He saw a physician who prescribed a "medication" and encouraged him to lose some weight, diet, and exercise. Since that time, the patient has not sought medical attention.

What is the probable diagnosis?
What are other possible diagnoses?
At this stage of the case study, what diagnostic studies and basic treatments are most appropriate to order and why?
The diagnosis is going to be essential hypertension and in clinic his blood pressure is 158/93. The patient is not presenting with any complaints, just a "well visit" to establish care.

For this case study I want you to give me a plan of care for three different scenarios.

#1 Hypertension without any associated co-morbidities

#2 Hypertension with lab results showing a creatinine of 2.1

#3 Hypertension with lab results showing a HbA1c of 7.6

Use the guidelines to determine which medications would be appropriate for each scenario and what screening labs you would want to send for each scenario based on risk stratification.

Reference no: EM133511495

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