case continues: A
55 year old white male with a history of hypertension for
15 years comes for a second opinion. He indicates that
his blood pressure always runs about 100 mm Hg diastolic.
He also tells you he has a history of gout in his left
knee. He denies any shortness of breath, chest pain, or
edema, but does admit to nocturia about twice nightly. He
denied taking medication presently.
He was started on 50 mg hydrochlorothiazide (HCTZ, Esidrix, HydroDIURIL)/75 mg triamterene (Dyrenium). He returned 2 weeks later. BP now 168/100. BUN 60, Creatinine 6.2, K 6.8. |
What treatment would you suggest for this man's elevated lipids? Is any other evaluation of this man's hypertension warranted?