Primary Hypertension



A 47-year-old woman presents for establishment of primary care. She has not seen a physician in over 20 years and has been urged to seek medical attention for check up by her children. She is unaware of any medical problems and takes no medications. Her history is notable for four pregnancies, two of which were complicated by hypertension. Her family history is notable for diabetes mellitus, hypertension, and coronary artery disease. She has worked as a data entry technician for the past 25 years, generally eats packaged foods for all meals, and participates in no exercise program. Physical examination shows an overweight woman with BMI 26, BP 150/97, pulse 70/min, respiratory rate 18/min, and temperature 98.6 °F. Her general physical examination is unremarkable. Screening labwork, EKG, and chest radiograph are all unremarkable.


Chronic Kidney Disease Resistant Hypertension Chronic Hypertension Peripheral Vascular Resistance Home Blood Pressure 
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Copyright information

© Springer Science+Business Media New York 2013

Authors and Affiliations

  1. 1.Department of Medicine/NephrologyUniversity of LouisvilleLouisvilleUSA
  2. 2.Robley Rex VA Medical CenterLouisvilleUSA

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