Case No. 6

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Case No. 6


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Chief Complaint:


Published: April 19, 2017
Author: jason.lopez

A 55 year old male presents to your family practice for a routine check-up. The patient has no past medical history, feels well, and currently has no complaints. He is not taking any medications and has no family history of significant cardiac disease. The patient exercises daily and has no toxic habits. You notice that on his intake vitals the patient has a blood pressure of 159/91. The patient is concerned about his blood pressure and states he has a friend who was recently started on medication for hypertension. He asks if he should be started on a medication.


What is the appropriate action to take?

  • Start the patient on a low dose antihypertensive
  • Repeat the blood pressure in the office and start the patient on an antihypertensive if his blood pressure is elevated
  • Repeat the blood pressure in the office, tell the patient to follow-up for a repeat blood pressure check in 3-4 weeks, and address the blood pressure if it is still elevated
  • Tell the patient he has hypertension and tell him to incorporate more cardio into his workout
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