Question

Dr. Ally, a 49-year-old professor, was diagnosed with essential hypertension 12 years ago and was on antihypertensive drugs. However, he did not take his medications last year because he was feeling just fine. In addition, he was very busy with work. Nevertheless, he felt tired after work and developed dyspnea while climbing the stairs. Recently, he had a bout of epistaxis (severe nose bleed) with dizziness and blurred vision. He went to the doctor for a checkup. His blood pressure was 180/110, and the doctor found rales or crackles on his chest upon auscultation. The doctor ordered rest and asked him to start his medication again. What are the patient's problems?

Answer 1

Dr. Ally's problems stem from poor management of his essential hypertension, leading to high blood pressure and signs of cardiovascular complications.

Step-by-step explanation:

Dr. Ally, diagnosed with essential hypertension 12 years ago, is experiencing complications from not adhering to prescribed antihypertensive medication. Hypertension is a condition with chronically elevated blood pressure, often symptomless and known as the "silent killer" because it can lead to serious health issues, such as heart attacks, strokes, chronic kidney disease, or heart failure, if left untreated. Dr. Ally's symptoms including tiredness, dyspnea, epistaxis, dizziness, and blurred vision indicate that his hypertension is poorly controlled, contributing to his high blood pressure reading of 180/110 and potential cardiovascular complications, as evidenced by the presence of rales upon chest auscultation.