56 year old African American male -hypertensive man is being evaluated as new patient. His BP is 170/95. His fundoscopic exam reveals hypertensive retinopathy.
â€¢PMH: HTN and Hyperlipidemia
â€¢PE: BP 170/95- 82 BMI 32, negative thyromegaly or carotid bruits
â€¢Social: smokes 1 ppd since age 15; wine 2 glasses / day
1.What are three differential diagnoses?
2.What is the end organ damage?
3.How would you treat this patient identify (1) pharmacological and (1) non-pharmacological treatment?
4.According to JNC8 what stage of HTN is this patient
5.Identify initial labs and diagnostic tests for HTN