TAILIEUCHUNG - Ebook Hypertension and organ damage - A case based guide to management: Part 2

(BQ) Part 2 book "Hypertension and organ damage - A case based guide to management" presents the following contents: Patient with essential hypertension and microalbuminuria, patient with essential hypertension and proteinuria, patient with essential hypertension and atherosclerosis, patient with essential hypertension and high pulse pressure. | Clinical Case 3 Patient with Essential Hypertension and Microalbuminuria Clinical Case Presentation A 45-year-old Caucasian female postal employee presented to the Outpatient Clinic for recently uncontrolled hypertension. She has history of essential hypertension and tachycardia by the age of 38 years. She was treated with monotherapy based on beta-blocker atenololo 100 mg with initially effective BP control. By about 3 months she reported uncontrolled diastolic BP levels measured at work. For this reason her referring physician prescribed felodipine 10 mg daily in addition to the current pharmacological therapy. However the patient was not disposed to adding another pill and asked for thorough assessment of her hypertension. Family History She has maternal history of hypertension and diabetes. G. Tocci Hypertension and Organ Damage A Case-Based 43 Guide to Management Practical Case Studies in Hypertension Management Doi 978-3-319-25097-7_3 Springer International Publishing Switzerland 2016 44 Clinical Case 3. Patient with Essential Hypertension Clinical History She is a smoker about 10 cigarettes daily for about 15 years without other additional cardiovascular risk factors associated clinical conditions or non-cardiovascular diseases. Physical Examination Weight 58 kg Height 170 cm Body mass index BMI kg m2 Waist circumference 88 cm Respiration normal Heart sounds S1-S2 regular normal systolic murmur at cardiac apex Resting pulse regular rhythm with normal heart rate 65 beats min Carotid arteries no murmurs Femoral and foot arteries palpable Haematological Profile Haemoglobin g dL Haematocrit Fasting plasma glucose 88 mg dL Fasting lipids total cholesterol TOT-C 164 mg dl low-density lipoprotein cholesterol LDL-C 84 mg dl high-density lipoprotein cholesterol HDL-C 65 mg dl triglycerides TG 78 mg dl Electrolytes sodium 145 mEq L potassium mEq L Serum uric acid mg dL Renal function urea 22 mg dl creatinine mg dL creatinine .

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