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NR 508 Grand Rounds Presentation

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NR 508 Grand Rounds Presentation • David a 54 yo Caucasian male went to his primary care providers office for his yearly physical. The nurse came in and took Davids vitals. His blood pressure was 150/92, HR 75, RR 16, 98 kg. His blood pressure was repeated 2 times five minutes apart and the systolic pressure remained 150 and diastolic 90. While discussing the elevated blood pressure, David mentioned to the practitioner that he has been having dizzy spells and headaches off and on for the past 5 months. David works three jobs to support his family. He is a non smoker but admits to having other bad habits like eating fast food on a daily basis and avoiding the gym. Upon assessment the provider notices bilateral lower extremity +1 pitting edema. Davids routine lab work (CBC, CMP, urinalysis) shows all values are within normal limits. There is no past medical history and Davids surgical history includes a tonsillectomy at the age of 4.


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