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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Suggest Treatment For High Blood Pressure

My wife has had very high blood pressure and meds did not reduce it. Has also found that white cells 10X higher than normal. Ecg was fine and she feels well. She just finished a course of rabies shots could this affect these readings?

Thanks Gordon Allison

Mon, 16 May 2016
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General & Family Physician,  's  Response
Hi thanks for asking question in HCM..

Here your ECG normal ...so no cardiac cause present....

Rabies vaccine not affect wbc count to such a extenct ......
Here you have not mentioned value of wbc count....
Detailed peripheral smear examination needed to differentiating leukemoid reaction from leukemia.....
Take blood in EDTA and send to patho lab for PS examination....
According to report further treatment guided...

And yes for hypertension also rule out....
-renal causes
-psychological causes
-endocrine disorders

For these detail history with investigation needed ...
Ex...for renal causes , urine examination and
USG dobe....

Keeping these in mind consult cardiologist...

Take care ....

Dr.Parth
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Suggest Treatment For High Blood Pressure

Hi thanks for asking question in HCM.. Here your ECG normal ...so no cardiac cause present.... Rabies vaccine not affect wbc count to such a extenct ...... Here you have not mentioned value of wbc count.... Detailed peripheral smear examination needed to differentiating leukemoid reaction from leukemia..... Take blood in EDTA and send to patho lab for PS examination.... According to report further treatment guided... And yes for hypertension also rule out.... -renal causes -psychological causes -endocrine disorders For these detail history with investigation needed ... Ex...for renal causes , urine examination and USG dobe.... Keeping these in mind consult cardiologist... Take care .... Dr.Parth