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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Suggest treatment for hyper tension and polyuria

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? 2. What should this individual s ideal body weight be? (Assume he is of medium body frame.) 3. Explain the sites of action for the three pharmacologic agents prescribed for this individual. Oral diuretic: Beta-blocker: Vasodilator: 4. Why was the vasodilator not used before the other drugs were added? 5. Outline the usual steps in the medical treatment of hypertension. 6. What was the cause of the retinal hemorrhages? 7. Define and indicate the causes of the cardiac hypertrophy and polyuria. 8. Write the formulas for determining mean arterial blood pressure, blood pressure, and pulse pressure. MABP = BP = PP =
Mon, 3 Jun 2019
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Internal Medicine Specialist 's  Response
Hello,

Your question is too long sir, this is not a medical condition you are asking, please be short and to the point.

Hope I have answered your query. Let me know if I can assist you further.

Take care

Regards,
Dr Salah Saad Shoman, Internal Medicine Specialist
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Suggest treatment for hyper tension and polyuria

Hello, Your question is too long sir, this is not a medical condition you are asking, please be short and to the point. Hope I have answered your query. Let me know if I can assist you further. Take care Regards, Dr Salah Saad Shoman, Internal Medicine Specialist