Anonymous
11-28-2003, 02:15 PM
A 40-year-old african-american man came to the emergency room complaining of severe headache, dizziness, nausea and vomiting. He has been smoking 1 pack of cigarettes every day for 10 years and he has been diagnosed 2 years ago with arterial hypertension for which further questioning reveals treatment noncompliance. Physical examination shows a BMI (body mass index) of 33, focal retinal hemorrhage, papiledema and a BP (blood pressure) of 210/140 mm Hg. Select one of the following most likely to be associated with the clinical picture of this patient.
A- marked hypertrophy of the right ventricle
B- renal changes with "flea-bitten" kidney aspect
C- slow progressive clinical course of essential hypertention
D- marked inhibition of renin-angiotensin system
A- marked hypertrophy of the right ventricle
B- renal changes with "flea-bitten" kidney aspect
C- slow progressive clinical course of essential hypertention
D- marked inhibition of renin-angiotensin system