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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Need diagnostic explanation based on symptoms

A 5'6", 210 lb., 64-year-old male business executive had a physical exam prior to his retirement from corporate work. His blood pressure was >180/115 on three separate days. Further examination showed normal to low plasma renin activity, elevated total peripheral resistance (TPR), cardiac output (CO) of 7.2 L/min, x-ray evidence of left ventricular hypertrophy, retinal hemorrhages, and mild polyuria. Recommended therapy was weight reduction to his ideal level, a low-salt diet (
1.     What is the diagnosis for this individual?
Fri, 5 Sep 2014
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Geriatrics Specialist 's  Response
Hi,
Thanks for asking.
Based on your clinical history and query, my opinion is as follows:
1. Its severe hypertension. Stage 2
2. He will first require, immediate control of blood pressure. Need to bring it down to 3. Regular checkup with anti-hypertensive medication is necessary. Along with that he has to follow the above recommended therapy.
Hope it helps.
Any further queries, happy to help again.
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