An elderly man with stage 2 hypertension is taking valsartan…

An elderly man with stage 2 hypertension is taking valsartan and hydrochlorothiazide. He also takes ibuprofen for his arthritis. He monitors his blood pressure daily, and tells you that his blood pressure is often greater than 140/90. What is likely causing these high blood pressure readings?

Case: A 52-year-old woman with a history of rheumatoid arthr…

Case: A 52-year-old woman with a history of rheumatoid arthritis is in your clinic for a 1-month follow-up after having a knee prosthesis removed secondary to a joint infection and osteomyelitis (Staphylococcal aureus). You obtain a CBC, revealing a WBC 8,000/mm3, Hgb 9.5 g/dL, hematocrit 28%, platelet count 450,000/mm3, and MCV 83 fL (normal). Serum iron levels are low with a normal serum transferrin receptor and increased ferritin. Question: What is the most likely diagnosis?

You are reviewing the discharge instructions of a 52-year-ol…

You are reviewing the discharge instructions of a 52-year-old man who was hospitalized with a mild myocardial infarction. He has recovered well and will be able to return to work next week. Before his hospitalization, he was taking lovastatin, enalapril, and low-dose aspirin. The following drug should be added to these drugs because clinical trials have demonstrated that it will help reduce his risk of death: