Reference no: EM133749373
Problem: Health & Medical Case
Case I
A male patient is a 42-year-old with a 5-year history of hypertension first diagnosed during pre-employment. Her family history is positive for hypertension. He is complaining of headache, has been taking lisinopril 20mg /daily. In spite of regular taking this antihypertensive regimen, his blood pressure remains elevated, ranging from 150 to 160/95 to 110 mm Hg. Physical assessment was unremarkable except for the presence of obesity. Serum sodium 138 rnEq/L (135 to 147 rnEq/L); potassium 4.1 rnEq/L (3.5 to 5 rnEq/L); BUN 19 mg/dL (10 to 20 mg/dL), creatinine 0.9 mg/dL (0.35 to 0.93 mg/dL), total cholesterol 268 mg/dL ( <245 mg/dL), triglycerides 120 mg/dL (<160 mg/dL), and fasting glucose 105 mg/dL (70 to 100 mg/dL).
• What is the treatment plan for this patient?
Case II
A 52-year old woman, housewife, has 5 children. Her BP repeatedly is 160/105. She refused to take antihypertensive drugs as she feels fine and has no complaint. Few days, she starts to complain of chest pain when she climbs 3 floors. This pain disappears without medication.
• What is the most likely diagnosis of this patient?
• What are the important points in history you need to ask about?
• Enumerate essential investigations
• What are the drugs used in the treatment of these conditions?
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