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* q15. 43y man blurred vision and HTN
 #626462  
  monicab - 10/29/11 21:34
 
  15. A 43-year-old man comes to the physician because of headache, blurred vision, and confusion for 2 days. He has not had weakness or numbness, difficulty walking, chest pain or discomfort, diplopia, or vertigo. He has hypertension treated with propranolol but says that he does not take his medication regularly. His temperature is 36.4C (97.5F), pulse is 74/min, respirations are 14/min, and blood pressure is 190/120 mm Hg. The neck is supple. Funduscopic examination shows enlargement of the optic discs with indistinct borders. Blood vessels near the discs are indistinct. The lungs are clear to auscultation. There is an S4 with no murmur. Neurologic examination shows no abnormalities. Which of the following is the most likely diagnosis?

A) Cerebral infarction
B) Malignant hypertension
C) Retinal detachment
D) Subarachnoid hemorrhage
E) Transient ischemic attack
 
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* Re:q15. 43y man blurred vision and HTN
#2513339
  4usmlee - 10/29/11 21:52
 
  (B)  
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* Re:q15. 43y man blurred vision and HTN
#2513341
  bassreal - 10/29/11 21:55
 
  B is d answer  
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* Re:q15. 43y man blurred vision and HTN
#2513387
  monicab - 10/29/11 23:40
 
  please explain your answer  
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* Re:q15. 43y man blurred vision and HTN
#2513394
  chicagodoc - 10/29/11 23:53
 
  B is the answer! supported by fundoscopic exam of Papillodema and indistinct optic disc margins  
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* Re:q15. 43y man blurred vision and HTN
#2513417
  angeldust1 - 10/30/11 00:31
 
  yup guys! B is the answer..
papilloedema is enough to diagnose sumone with known HTN for malignant htn...
plus he has encephalopathy as well..which is good add on
 
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* Re:q15. 43y man blurred vision and HTN
#2761568
  grazie - 10/22/12 12:02
 
  plus they say is the right answer on my feedback from the exam :)  
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