A 40-year-old woman with a 16-year history of diabetes mellitus was seen in the emergency department with a blood pressure of 270/110 mm Hg. She had her blood pressure measured many times in the past and had never been noted to be hypertensive. She also complains of gradually progressive pedal edema. She denies polyuria, polydipsia, or symptoms of hypoglycemia. Her insulin regimen is Humulin, 20 units in the morning and 10 units in the afternoon. Laboratory tests revealed the following values (range of normal values in parentheses): $$\begin{array} { l l }
\text { BUN: : } & 33 ( 9 - 20 \mathrm { mg } / \mathrm { dl } ) \
\text { Creatinine: } & 2.7 ( 0.7 - 1.4 \mathrm { mg } / \mathrm { dl } ) \
\text { Glucose: } & 296 ( 74 - 106 \mathrm { mg } / \mathrm { dl } ) \
\text { Total protein: } & 6.2 ( 6.3 - 8.2 \mathrm {~g} / \mathrm { dl } ) \
\text { Albumin: } & 3.0 ( 3.5 - 5.1 \mathrm {~g} / \mathrm { dl } ) \
\text { Cholesterol: } & 320 ( 120 - 199 \mathrm { mg } / \mathrm { dl } ) \
\text { Urinalysis: } & 3 + \text { proteinuria }
\end{array}$$
-A 55-year-old man with a history of normal health visits his physician for a checkup. His blood pressure was 170/98 mm Hg. Further tests indicated that he had renovascular hypertension as a result of a stenosis in the left kidney. Which of the following set of findings would be most likely expected in this man with renovascular hypertension?

Question

A 40-year-old woman with a 16-year history of diabetes mellitus was seen in the emergency department with a blood pressure of 270/110 mm Hg. She had her blood pressure measured many times in the past and had never been noted to be hypertensive. She also complains of gradually progressive pedal edema. She denies polyuria, polydipsia, or symptoms of hypoglycemia. Her insulin regimen is Humulin, 20 units in the morning and 10 units in the afternoon. Laboratory tests revealed the following values (range of normal values in parentheses): $$\begin{array} { l l } 
\text { BUN: : } & 33 ( 9 - 20 \mathrm { mg } / \mathrm { dl } ) \
\text { Creatinine: } & 2.7 ( 0.7 - 1.4 \mathrm { mg } / \mathrm { dl } ) \
\text { Glucose: } & 296 ( 74 - 106 \mathrm { mg } / \mathrm { dl } ) \
\text { Total protein: } & 6.2 ( 6.3 - 8.2 \mathrm {~g} / \mathrm { dl } ) \
\text { Albumin: } & 3.0 ( 3.5 - 5.1 \mathrm {~g} / \mathrm { dl } ) \
\text { Cholesterol: } & 320 ( 120 - 199 \mathrm { mg } / \mathrm { dl } ) \
\text { Urinalysis: } & 3 + \text { proteinuria }
\end{array}$$
-A 55-year-old man with a history of normal health visits his physician for a checkup. His blood pressure was 170/98 mm Hg. Further tests indicated that he had renovascular hypertension as a result of a stenosis in the left kidney. Which of the following set of findings would be most likely expected in this man with renovascular hypertension?

Quizplus · Accepted Answer

The Answer of A 40-year-old woman with a 16-year history of diabetes mellitus was seen in the emergency department with a blood pressure of 270/110 mm Hg. She had her blood pressure measured many times in the past and had never been noted to be hypertensive. She also complains of gradually progressive pedal edema. She denies polyuria, polydipsia, or symptoms of hypoglycemia. Her insulin regimen is Humulin, 20 units in the morning and 10 units in the afternoon. Laboratory tests revealed the following values (range of normal values in parentheses): $$\begin{array} { l l } 
\text { BUN: : } & 33 ( 9 - 20 \mathrm { mg } / \mathrm { dl } ) \
\text { Creatinine: } & 2.7 ( 0.7 - 1.4 \mathrm { mg } / \mathrm { dl } ) \
\text { Glucose: } & 296 ( 74 - 106 \mathrm { mg } / \mathrm { dl } ) \
\text { Total protein: } & 6.2 ( 6.3 - 8.2 \mathrm {~g} / \mathrm { dl } ) \
\text { Albumin: } & 3.0 ( 3.5 - 5.1 \mathrm {~g} / \mathrm { dl } ) \
\text { Cholesterol: } & 320 ( 120 - 199 \mathrm { mg } / \mathrm { dl } ) \
\text { Urinalysis: } & 3 + \text { proteinuria }
\end{array}$$
-A 55-year-old man with a history of normal health visits his physician for a checkup. His blood pressure was 170/98 mm Hg. Further tests indicated that he had renovascular hypertension as a result of a stenosis in the left kidney. Which of the following set of findings would be most likely expected in this man with renovascular hypertension?

A 40-Year-Old Woman with a 16-Year History of Diabetes Mellitus