Jean is your 78-year-old patient with type II diabetes and a history or coronary artery disease. Her physician is worried that she may be developing hypertension. Which of the following vital signs would indicate this?

complaining of excessive urination and constant hunger and thirst. She has no other complaints and no past medical history. Her family history is significant for hypertension, type 2 diabetes mellitus, and hyperlipidemia. She does not smoke but lives a sedentary lifestyle. On examination, she is afebrile with a blood pressure of 134/88 mmHg, heart rate of 84 beats per minute, and respiratory rate of 14 breaths per minute. The rest of her examination is normal. The patient is scheduled for a return visit to have fasting laboratory tests drawn. At her return visit, her blood pressure is 138/86 mmHg. Her fasting glucose is 156 mg/dL, and urine albumin-to-creatinine ratio is 200 mg/g. What is the next step in management for this patient?

A 32-year-old male, who recently moved to the area, presents to clinic for the first time for a routine checkup. PMH is significant for type 2 diabetes. He is 5 ft 9 in and weighs 215 lb. The only medication he takes is metformin. He smokes half a pack of cigarettes a day; does not drink alcohol; and exercises sporadically, approximately once every 2 weeks. His mother died at the age of 62 years due to an MI. His father is 73 years of age and is healthy. Physical examination is normal. Vital signs are: BP 146/95, pulse 73, RR 19, temperature 98.2°F. Which of the following lifestyle modifications has been shown to result in the greatest reduction in blood pressure?Ask StudybuddyGroup of answer choicesDecreasing alcohol consumptionSmoking cessationDietary Approaches to Stop Hypertension (DASH) dietIncreasing exerciseWeight loss

A 30-year-old man comes to the office for follow-up of hypertension. Two weeks ago, his blood pressure was 160/95 mm Hg when taken at a community health fair. He denies chest pain and headache but has experienced some muscle pain and weakness. He has no significant medical history and does not take any medications. Family history is remarkable for coronary artery disease and hypertension. He does not smoke cigarettes or use illicit drugs. He drinks approximately 2-3 alcoholic beverages monthly. Today, his pulse is 84/min and blood pressure is 152/90 mm Hg. BMI is 24 kg/m2. His mucous membranes are moist. Cardiopulmonary examination is normal. There is no papilledema. Laboratory results show:Serum   Na+ 141 mEq/L   K+ 2.6 mEq/L   Ca2+ 9.3 mg/dLGlucose 82 mg/dLCreatinine 0.9 mg/dLThyroid-stimulating hormone 2.0 μU/mLWhich of the following is the most appropriate next step in the evaluation of this patient?

A 43-year-old woman comes to the office due to lower extremity edema that has developed over the last 2 weeks.  She has no cough, shortness of breath, chest pain, or leg pain.  Medical history is significant for diet-controlled type 2 diabetes mellitus and hypertension.  Her antihypertensive regimen was recently adjusted to improve blood pressure control.  Blood pressure is 133/80 mm Hg and BMI is 27 kg/m2.  Physical examination shows bilateral pedal edema but is otherwise unremarkable.  Which of the following is most likely responsible for this patient's symptoms? A.Amlodipine B.Hydrochlorothiazide C.Losartan D.Metoprolol E.Ramipril

A 40-year old male presented with chronic hypertension, headaches, palpitations and excessive diaphoresis. Urine and plasma metanephrines were elevated. What is your primary impression?