62-year-old male who has been smoking 10 cigarettes a day for nearly 20 years presents with headache and failing vision and a history of hypertension

CASE 2:

  1. 62-year-old male who has been smoking 10 cigarettes a day for nearly 20 years presents with headache and failing vision and a history of hypertension. On examination his BP was 180/105, he was dyspneic with some basal crepitation on both lower lung lobes, elevated JVP and some tenderness in the RHC region was noticed on palpation. There was mild oedema in both lower limbs with some pitting sign. His blood test reveals his total cholesterol level of 7.2 mmol/Lit, LDL 4.8, HDL 2.4 mmol/L, HbA1c 9%, Lymphocytes count of 48%.

What are the key points in the history and examination that may assist you to identify her problem and why?

What is the main diagnosis?

List 3 most possible differential diagnosis and explain how to differentiate them from your most possible diagnosis.

Interpret the laboratory findings.

List at least one pharmaceutical agent that can be used for the condition and identify at least 2 most common adverse effects and any contra indications

Explain the pathology of the condition

Consider and note any contraindications to your health assessment findings.

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