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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Suggest Treatment For Hyper Tension

20 year old son. 6th tall 170lbs. Blood pressure at rest ok. Up and around it shoots up to around 154/109. Pulse goes up to 120ish. Chlostorol 240. Had CBC, showed high: WBC, RBC, Hgb, Hct, Plt, and Lymphs. Low: MCV and grans. Other tests showed low K and high ALT.
Any suggestions or advice appreciated.
Mon, 19 Dec 2016
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Internal Medicine Specialist,  's  Response
DEAR USER,
THANKS FOR CONSULTING WITH HCM

YOU HAVE PROVIDED INCOMPLETE INFORMATION OF THE INVESTIGATION VALUES

AS HIGH WBC, RBC AND PLATELET CAN BE SEEN IN DISEASEE CALLED POLYCYTHEMIA VERA AND THESE PATIENTS CAN ALSO SUFFER FROM HYPERTENSION

AS SUCH BP OF 154/110 IN SUCH A YOUNG BOY IS A POINT OF URGENT CONCERN

I WOULD SUGGEST YOU TO CONSULT A HEMATOLOGIST FOR ANY UNDERLYING BLOOD DISORDER

IT WOULD ALSO BE BETTER IF AN RENAL DOPPLER AND ECHOCARDIOGRAPHY IS DONE

YOU CAN MESSAGE ME THE REPORTS SO THAT I CAN HELP YOU

HOPE I ANSWERED YOUR QUERY. YOU CAN MESSAGE ME FOR ANY FURTHER CONCERNS
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Suggest Treatment For Hyper Tension

DEAR USER, THANKS FOR CONSULTING WITH HCM YOU HAVE PROVIDED INCOMPLETE INFORMATION OF THE INVESTIGATION VALUES AS HIGH WBC, RBC AND PLATELET CAN BE SEEN IN DISEASEE CALLED POLYCYTHEMIA VERA AND THESE PATIENTS CAN ALSO SUFFER FROM HYPERTENSION AS SUCH BP OF 154/110 IN SUCH A YOUNG BOY IS A POINT OF URGENT CONCERN I WOULD SUGGEST YOU TO CONSULT A HEMATOLOGIST FOR ANY UNDERLYING BLOOD DISORDER IT WOULD ALSO BE BETTER IF AN RENAL DOPPLER AND ECHOCARDIOGRAPHY IS DONE YOU CAN MESSAGE ME THE REPORTS SO THAT I CAN HELP YOU HOPE I ANSWERED YOUR QUERY. YOU CAN MESSAGE ME FOR ANY FURTHER CONCERNS