Medfags report in 28 y/o woman with familial history of arterial

/sci/ used to be full of decent tier medfags... it's now an autistic STEM meme board I see

>>8614693
What did the Endo actually do? PRA results? Any abnormals on the CMP?

Take a creatinine and electrolytes. Also ask about licorice consumption. Ultrasound renal arteries for fibromuscular dysplasia.

220? Doesn't that mean she's just about dead?

>>8614772
220 is definively possible, seen it multiple times. Some people dont even have symptoms with that blood pressure.

>>8614776
It's definitely enough to cause severe damage all over, though, right?

(We wikipedia MD now)

>>8614693
have the pt see cardio asap. she probably has persistent ischemia

>>8614781
Yes, it will cause kidney failure in a few months/years.

>>8614756

Electrolytes are normal, serum creatinine is 1.1 and clearence is normal

>>8614789
And how about her renal arteries?

>>8614782

No excertional dyspnea or any clinical/ECG indication for that you dumb cuck

>>8614792

No bruits, no stenosis, nada

>>8614693
>the diagnosis of essential hypertension
restating the symptoms basically
lmao

medfags are pathetic

>>8614693
why does she have protein in the urine
is it because of the hypertension

>>8614797
How about drugs and alcohol?
>>8614806
Yes

>>8614806

That's what I'm trying to figure out

>>8614809
>Yes
how does that mess her filtration up exactly

is it because the pressure is so high in the glomeural vessels that proteins just get pushed through even though it's technically not permeable for them

>>8614819
Probably this.

>>8614809

Non-smoker, occasional alcohol, no drugs, liver function and enzymes are normal, nothing abnormal on physical exam

Well, since persistent ischemia is ruled out, renal arteries are normal and there's no history of smoking and drug use, I'd agree with the diagnosis.

>>8614693
Have you tried wearing a different colored coat

I hope you fix her OP

>>8614693
>28 y/o woman

My diagnosis is:
You are either too fat
or you were too slutty
or your vagina has been invaded by terrorists
or the guy you friendzoned casted a curse on you.

Can't you drain some of the blood out of her to lower the pressure

>>8614748
This guy knows something.
Redo the plasma renin activity:
Primary hyperaldosteronism.

>>8614944
you can make her pee more

>>8614806
Because it's not being properly digested in her small intestine and is being pushed through her kidneys.

Black?

>>8614693
I would prescribe a dose of Tits or GTFO

>>8614795
it happens where it is very intermittent . at least have them run a pharmacological stress test with myocardial perfusion imaging

Haematology and blood biochemistry?

File: 1413177305289.jpg (39KB, 366x480px) Image search: [Google]

39KB, 366x480px

Man I really would not like to be in the position of that woman. If even my doctor has to go to /sci/ for medical advice, things must be very bad.

RIP

>>8614959
But he said her electrolytes were normal.

>>8615013
just because you have high bp doesn't mean you'll have protein in the urine
at some point it happens, and im guessing you know at what values of bp the gradient is enough and you know those values by heart

im asian

>"med fags"
>no one asks about the anti hypertensive drugs
>no one asks about diagnoses in other members of the family
>no one asks about onset of symptoms
HAEMATOLOGY AND BLOOD BIOCHEMISTRY REEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEEE

>>8614959
lmao

>>8614693
It's lupus.

>>8615066
THATS WHAT ATTENDINGS DO.

>>8615066
>Wants full chart
>never heard of HIPAA

RRRRREEEEEEEEEEEEEEEEEEEEEEEEEEEEEEE

>>8615155

Turned out to be lupus

>>8615797
SLE?

I see, I was wondering where the homework threads were. Looks like you graduated.

>>8614800
Laughed a bit.

If you have no primary cause for the hypertension it's marked essential.

>>8615268
>>8615216
I have seen two cases were similar symptoms were due to haemoconcentration

>>8614693
Positive for cardiac enzymes or just creatinine

>tfw your doctor is so shit at his job he has to ask an anonymous anime imageboard to help him out

>>8616386
LMAO

>>8616584
?