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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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How To Treat Hypertension?

looking for prognosis of ftd pt is 64 diagnosed 3/10 with neurocortical varient Has increased productive cough with probable aspiration

weight loss over last several months comorbidities include dm type 11 and hypertension He is no longer able to process what is going on personel hygiene is poor He is continet most of the time sleeps 18-20 hours /day He was a professional and worked in his practice until 2/10

He is a dnr per his request prior to onset of his illness
Tue, 24 Jan 2017
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Internal Medicine Specialist 's  Response
Hi,
patients with diabetes and hypertension, weight loss, productive cough with suspicion of aspiration.
First of all BP profile reading should be provided to consider hypertension stage. Chest x ray along with biochemistry, ECG and Complete blood count should be ordered without any further delay as in this scenario risk of aspirational pnemonia is high. Excessive sleep could be due to underlying depression or hypertension related encepalopathy.
Weight loss in elderly with comorbidities should be interpreted as potential risk of Onco! complete history and clinical examination should be performed as neccessary. DM II type should be controlled with HB1AC level no more than 6.7%, prognosis is hard to pridict without further investigation.

Dr.Uppal
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How To Treat Hypertension?

Hi, patients with diabetes and hypertension, weight loss, productive cough with suspicion of aspiration. First of all BP profile reading should be provided to consider hypertension stage. Chest x ray along with biochemistry, ECG and Complete blood count should be ordered without any further delay as in this scenario risk of aspirational pnemonia is high. Excessive sleep could be due to underlying depression or hypertension related encepalopathy. Weight loss in elderly with comorbidities should be interpreted as potential risk of Onco! complete history and clinical examination should be performed as neccessary. DM II type should be controlled with HB1AC level no more than 6.7%, prognosis is hard to pridict without further investigation. Dr.Uppal