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  1. #1
    rd100 is offline Junior Member
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    150/ 95 integrated

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    Again 150 / 95 deserves treatment and investigation. THis man is young 2nd cause should be ruled out in so far as management it is not wrong to treat 150/95,nor is it wrong to f/u qmonthly with life style mod.. More info is need for a definitve answer.

    ie.

    Low TSH in a patient 35 y/o M with a history of status epilepticus and reccurent fungal infections of his big toe treated with miconazole , presents w routine physical bp 150/95 now what do you use ? to control bp acutely or do you want to wait, treat the thyroid and than f/u bp (this is the wrong answer !) so now what do you do ? how about if bp wa 180/90 is management the same ? or what if bp is 190/90 ? is mangament the same for all three scenarios? Say yes? Why ? bc you want to pass step II! so what do you do , no other info is provided in this vignette so dont ask for more infor remeber computers cant talk back?
    "Leadership is seldom of much efficacy, except to those happy dispositions where it is already superflous" - R.Feyman

  2. #2
    ifeoha is offline Newbie 510 points
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    If USMLE wants you to have the right answer, they have to give you adequate information that will lead to the right answer. Lifestyle is the first line of therapy in the absence of comorbid disease unless it is hpertensive urgency. Some experts prefer early pharmacologic therapy + lifestyle modification in stage II HTN.
    For this case, lifestyle modification and follow-up will be my preferred choice.

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