A 57-year-old African-American woman is seen at an urgent care clinic for a head
ID: 139507 • Letter: A
Question
A 57-year-old African-American woman is seen at an urgent care clinic for a headache not relieved by acetaminophen or Ibuprofen. Physical examination reveals an overweight woman who is short of breath from the walk to the examination room. Her fingers are puffy with tight rings that she is unable to remove. The woman reports she has a history of cigarette smoking, primary hypertension, high cholesterol, and type two diabetes. From these risk factors, and the initial impression, the staff fears some form of heart disease, and the woman is transported to a nearby emergency department for further evaluation. Describe the relationship of primary hypertension and high cholesterol and the pathologic changes that occur. Which medication is do you anticipate this patient will receive and why? A 57-year-old African-American woman is seen at an urgent care clinic for a headache not relieved by acetaminophen or Ibuprofen. Physical examination reveals an overweight woman who is short of breath from the walk to the examination room. Her fingers are puffy with tight rings that she is unable to remove. The woman reports she has a history of cigarette smoking, primary hypertension, high cholesterol, and type two diabetes. From these risk factors, and the initial impression, the staff fears some form of heart disease, and the woman is transported to a nearby emergency department for further evaluation. Describe the relationship of primary hypertension and high cholesterol and the pathologic changes that occur. Which medication is do you anticipate this patient will receive and why?Explanation / Answer
The relationship between primary hypertension and high cholesterol and the pathologic changes that occur. Can be seen as due to high the arteries become hardened and narrowed as cholesterol plaque and calcium deposits in arteries i.e. (atherosclerosis), takes place the heart has to strain much harder for pumping the blood through them leading to an abnormally high blood pressure. Medications involve the use of Statins to lower cholesterol, the drug for type two diabetes such as insulin and drug for hypertension such as; hydrochlorothiazide (Hydrodiuril) chlorthalidone
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