Suggest investigations for uncontrolled hypertension
Patient: my mother is a hypertensive patient currently taking the hypertension medication. recently her bp has been fluctuating from 140/85 to 220/12 in matter of hours. what tests should she do? the family physician is asking her to do CT scan, blood work, and etc. unfortunately, with no insurance, it is hard to get these done.. which one is most vital test that should be done first? Doctor: Hello and Welcome to ‘Ask A Doctor’ service.I have reviewed your query and here is my advice.You should start with Renal Artery Angiography as Renal artery stenosis. This may happen as a complication of longstanding hypertension and elevates the blood pressure to these numbers especially on standing up. It is very common.Hope I have answered your query. Let me know if I can assist you further.Regards,      Dr. Mario Aiad