I noticed that you have grade 1 obesity (attachment removed to protect patient identity). You will need to give more history, for example, do you have a family history of hypertension. The neck swelling needs to be evaluated to rule out a thyrotoxicosis.
Investigations to be done:
1.Urinalysis.
2.Serum electrolyte urea and creatinine.
3.Fasting lipid profile.
4.Fasting blood glucose.
5.Chest radiograph.
6.Urine VMA (vanillylmandelic acid).
7.Neck scan.
Differential diagnosis:
Rule out substance use disorder.
Probable diagnosis:
Endocrine cause of hypertension.
Treatment plan:
See a doctor to prescribe antihypertensives.
Preventive measures:
1.Reduce salt intake.
2.Lifestyle modifications like weight loss, exercise, alcohol reduction, smoking cessation.
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.. that you have grade 1 obesity (attachment removed to protect patient identity). You will need to give more history, for example, do you have a family history of hypertension. The neck swelling needs to be evaluated to rule out a thyrotoxicosis . Read full
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