While performing an office visit for your patient, you notice

While performing an office visit for your patient, you notice an elevated blood pressure of 160/92. Recent visits in the electronic health record reflect similarly elevated readings, yet nothing has been done to treat this at this time. The patient then states the last time he was started on blood pressure medication, his “kidney function became poor so the physician discontinued the medicine” You decide to evaluate further for renal artery stenosis. AIl of the following are conditions suspicious for renal artery disease except which one? Hypertension controlled on 2 medications. An unexplained small kidney or size discrepancy between the two kidneys. Severe, sudden hypertension or poorly controlled hypertension in a patient 55 years or older, Onset of hypertension at an early age (Onset at age 30 or earlier).

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