18 yo with hypertension in for routine exam....upper ext more muscular than lower. Radial pulses good...femoral post tibial, dorsalis pedis pulses decreased. 2/6 systolic murmur over precordium, ant chest and back. ECG-LVH. Most appropriate next step?
A) limit physical act
B) repeat bp in 1 month
c)initate low sodium
d)pharm management
e) surgery
Correct answer- E....anyone wanna explain why? I picked D because I figured that would be most "appropriate NEXT" and see how the patient does.
A) limit physical act
B) repeat bp in 1 month
c)initate low sodium
d)pharm management
e) surgery
Correct answer- E....anyone wanna explain why? I picked D because I figured that would be most "appropriate NEXT" and see how the patient does.