Mary Smith Year Question & Answer Guide (With Explanation)
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What This Question Is About
This question relates to mary smith year and requires a structured academic response.
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Break the problem into smaller parts and analyze each logically.
Key Explanation
This topic involves mary smith year. A strong answer should include explanation, application, and examples.
Original Question
Mary Smith is a 59-year-old female with high blood pressure who comes in for a recheck. Her previous doctor retired. She has been on BP meds for years [prescribed by her previous provider and her son in law, who is a nephrologist]. She says he feels well, but her BP has been running high. She shows you her BP log—systolic 160s-170 and diastolic 88-98. She denies CP, SOB or edema. She still works part time in the technology company that she founded 25 years ago. She does not smoke or drink. She has no allergies. Past Medical History—CAD [stent in right coronary at the age of 40]; Proteinuria; HTN; Dyslipidemia, Obstructive Sleep Apnea [on CPAP] Current Medications—Hydralazine 50 mg BID; HCTZ 25 mg each AM; Crestor 40 mg each evening; ASA 81 mg [she says he only takes it on the days that the top number on her BP is less than 160 mm Hg]. On exam today, you see a 59 y/o Caucasian female who is 5’4″ 200 pounds. • VS: 98-60-18 164/94 • CBC, CMP normal; TSH normal; Urine analysis normal except 1+ proteinuria • BS 110 mg/dL; creatinine 1.0 mg/dL What will you prescribe for Mary’s BP? Please note, do not stop her current medications.
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