MKSAP: 25-year-old woman comes for a preconception evaluation

Test your medicine knowledge with the MKSAP challenge, in partnership with the American College of Physicians. A 25-year-old woman comes for a preconception evaluation. She has a history of hypertension that is well controlled with lisinopril. Medical history is otherwise unremarkable. On physical examination, blood pressure is 134/86 mm Hg in both upper extremities; other vital signs are normal. Results of the cardiovascular examination are unremarkable. There is no edema, cyanosis, digital clubbing, or radial artery-femoral artery pulse delay. Laboratory studies reveal normal electrolytes, complete blood count, thyroid-stimulating hormone level, kidney function, and urinalysis. An electrocardiogram is normal. In addition to starting a prenatal vitamin, which of the following medication adjustments should be made before this patient proceeds with pregnancy? A: Discontinue lisinopril B: Substitute labetalol for lisinopril C: Substitute losartan for lisinopril D: Substitute spironolactone for lisinopril Continue reading ... Your patients are rating you online: How to respond. Manage your online reputation: A social media guide. Find out how.
Source: Kevin, M.D. - Medical Weblog - Category: Journals (General) Authors: Tags: Conditions Heart Source Type: blogs