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Mini Board Review: March 2013 Edition

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#6

QUESTION: A 49-year-old man with a history of hypertension presents to the ED with one day of vomiting and diarrhea. The patient states that his whole family is sick with the same illness. You administer an antiemetic and orally rehydrate the patient. He feels much better and is ready to be discharged. The nurse obtains vital signs prior to discharge that reveals a blood pressure of 175/95 mm Hg.  Which of the following is the most appropriate next steps in management?

A. Discharge the patient
B. Obtain an ECG
C. Order a CBC
D. Order a urine drug screen

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4 Comments

  1. Thanks for your effort. Nice to review uncommon diseases to keep us up to speed. It is amazing how many diseases, pathogens etc… have had their names changed : Granulomatosis with Polyangiitis (GPA) (formerly referred to as Wegener’s granulomatosis).

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