USMLE Forum Archives - USMLE Step 2 CK - IM- Abn. High BP
IM- Abn. High BP
HIV - 01-02-08 16:36
A 25-year-old white woman comes to your office today to meet you for the first time. Her only complaint is of headaches. Her blood pressure is 160/105 mm Hg in both arms. She is obese and otherwise has a normal physical examination with no bruits in her abdomen. Two weeks and three weeks later, her blood pressure remains elevated at 155/107 and 157/105 mm Hg, respectively. She smokes but does not drink alcohol. Laboratory studies show:
Sodium 138 mEq/L, potbuttium 4.7 mEq/dL, BUN 14 mg/dL, creatinine 0.8 mg/dL. Urinalysis reveals +1 protein, with no red or white cells.
What is the next step to confirm a diagnosis?
(A) Doppler (duplex) ultrasound of the kidneys
(B) Start lisinopril
(C) Magnetic resonance imaging (MRI) of the abdomen
(D) Captopril renography
(E) Angiography
HIV - 01-02-08 16:36
A 25-year-old white woman comes to your office today to meet you for the first time. Her only complaint is of headaches. Her blood pressure is 160/105 mm Hg in both arms. She is obese and otherwise has a normal physical examination with no bruits in her abdomen. Two weeks and three weeks later, her blood pressure remains elevated at 155/107 and 157/105 mm Hg, respectively. She smokes but does not drink alcohol. Laboratory studies show:
Sodium 138 mEq/L, potbuttium 4.7 mEq/dL, BUN 14 mg/dL, creatinine 0.8 mg/dL. Urinalysis reveals +1 protein, with no red or white cells.
What is the next step to confirm a diagnosis?
(A) Doppler (duplex) ultrasound of the kidneys
(B) Start lisinopril
(C) Magnetic resonance imaging (MRI) of the abdomen
(D) Captopril renography
(E) Angiography
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#3
Re: IM- Abn. High BP 8401glacieres - 01-06-08 13:02 Renal ANGIOGRAM remains the criterion standard for diagnosis of Renal Artery Stenosis.
#6
Re: IM- Abn. High BP funtonic - 01-08-08 18:00 I remember most HP patients are from renal artery stenosis, so it is A.
#9
Re: IM- Abn. High BP radhamesramos - 01-29-08 13:03 A is the next step, and if there is an important stenosis then you do E
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