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Hypertension: Pathology review

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Notes

Pathology

Cardiovascular system

Vascular disorders
Congenital heart defects
Cardiac arrhythmias
Valvular disorders
Cardiomyopathies
Heart failure
Cardiac infections
Pericardial disorders
Cardiac tumors
Cardiovascular system pathology review

Assessments
Hypertension: Pathology review

Questions

1 / 3 complete
Questions

USMLE® Step 1 style questions USMLE

3 questions
Preview

A 60-year-old man comes to the physician office due decreased vision, progressive fatigue and swelling around the ankles for the past 4 weeks. Medical history is significant for myocardial infarction 2 years ago, diabetes mellitus type 2 and hypertension. Current medications include aspirin, captopril, metformin and lovastatin. Temperature is 36.4°C (97.5°F), pulse is 80/min, and blood pressure is 144/90 mmHg.  Physical examination shows 2+ edema around the ankles bilaterally. Fundoscopic examination reveals retinal arteriolar narrowing, arteriovenous nicking, and flame-shaped hemorrhages. Laboratories studies are shown: 




Which of the following is likely responsible for this patient’s eye examination findings?

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