Hypertensive Urgency, Patient A- Hypertensive Urgency:

Hypertensive Urgency

Reference no: EM133708335

Question

Patient A- Hypertensive Urgency: Joseph is a 68-year-old man with 20 yr. hx of HTN, in for a sick visit, admits that he has not taken his 3 HTN meds for the past 3 months. BP 210/122 mm Hg, denies visual change, chest pain, shortness of breath, and states he feels well. Physical examination WNL except for grade 1 HTN retinopathy. Patient B- Hypertensive Emergency: Samuel is a 68-year-old man with 20 yr. of HTN, in for a sick visit, admits that he has not taken his 3 HTN meds for the past 3 months. BP= 210/122 mm Hg, complains of a 3-day history of increasingly severe visual changes, shortness of breath; Physical examination=Grade 3 HTN retinopathy, +S3 with resting heart rate=120 BPM, distended neck veins and bibasilar crackles.

Reference no: EM133708335

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