Year Patient With Question & Answer Guide (With Explanation)
Understanding this question requires applying core subject principles.
What This Question Is About
This question relates to year patient with and requires a structured academic response.
How to Approach This Question
Break the problem into smaller parts and analyze each logically.
Key Explanation
This topic involves year patient with. A strong answer should include explanation, application, and examples.
Original Question
A 67-year-old patient with a history of poorly controlled hypertension presents to the office for follow up. He has chronic swelling in his legs. He now gets fatigued when walking his dog after two blocks, which is unusual. He denies vision changes, palpitations, headaches, and chest pain. He reports a chronic mild cough. His current medications include hydrochlorothiazide 25 mg daily, metformin 10 mg daily, and lisinopril 40 mg daily. On exam his temperature is 37 C (98.6 F) [Normal: 37 C (98.6 F)], pulse is 90 beats/minute [Normal: 78-132 beats/minute], respiratory rate is 14 breaths/minute [Normal 12-18 breaths/minute], blood pressure is 155/90 mmHg [Normal: 133/69 mmHg], weight is 99.8 kg (220 lbs), height is 180.34 cm (71 in), body mass index is 30.6 kg/m2 [Normal: 18.5-24.9 kg/m]. Eye exam reveals cataracts bilaterally. Ear, nose, and throat exam is normal. Carotids are without bruits. Heart exam reveals normal $1/S2, regular rhythm, and no murmur. Lungs are clear to auscultation. Abdomen is soft with a ventral hernia, but no hepatomegaly is noted. There is no tenderness. Extremities have 2+ pulses throughout; ankles have trace edema bilaterally. The skin on his fingers and on the arches of his feet has some peeling and erythema. Which one of the signs or symptoms listed below is concerning for end-organ disease related to his hypertension? O Cataracts Cough S Exertional fatigue S Skin changes S O Ventral hernia S
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