@drbeatricemuthuimutua: 🚨 HYPERTENSION AWARENESS CASE CHALLENGE 3 56 with BP 168/102 mmHg despite 3 drugs . Has obesity, poor sleep, and frequent NSAID use potassium (3.3 mmol/L) + mild renal impairment ❓ Is this true resistant hypertension or pseudo-resistance/hidden triggers? ❓ What is the likely secondary cause ❓ next best step investigate or add a drug? 💬 Let’s discuss in the comment section! ✍🏽 Dr Beatrice Muthui-Mutua Saving Lives One Heart At A Time #DrBeatriceMuthuiMutua #SavingLivesOneHeartAtATime #CardioWholenessWithDrB #ResistantHypertension #HypertensionAwareness
Dr. Beatrice Muthui-Mutua
Region: KE
Wednesday 15 April 2026 04:18:02 GMT
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kahokonderitu :
where is your clinic
2026-05-09 12:51:52
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bankiranki :
i would initiate her on DOT, to be sure on her drug adherence
do lipid panal profile, to add or not to add a statin, do HbA1c, do LFTS and RFTS.
2026-04-15 05:09:53
1
Dr. Beatrice Muthui-Mutua :
Lets keep the discussion going. We see these patients every day.
2026-04-15 14:33:38
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Muller :
investigate atherosclerosis, renal stenosis , hyperaldosteronism
2026-04-30 10:12:05
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Martin Munene :
Hello doc. I have been taking a combination of the 3 but my BP and pulse rate remain very high. 190/103/118.
please help me
2026-04-15 07:44:25
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Hassan Salah7405 :
investigate
2026-04-15 04:36:21
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bankiranki :
before adding spironolactone, i would first rule out others secondary causes, ABCD, adipose based chronic disease could be one of the secondary cause
2026-04-15 05:17:35
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bankiranki :
contn, then advise her on different modalities to reduce weight after getting her BMI because fatigue, kneel pain and sleep disturbance point to ABCD
2026-04-15 05:14:36
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M.R :
find out which pain killer
2026-04-15 12:22:55
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cysie🥰 :
investigate first especially kidney function likelyhood of AKI/CKD due to probably use of nsaids
2026-04-15 04:59:52
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Doctor Joseph :
hyperaldosteronism given fatigue, hypokalemia, ruling out cons syndrome and adding spironolactone
2026-04-15 13:29:11
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Munyua 💫 BScMRH :
Investigate first...Rule out renal as cause.? renal impairment
2026-04-15 15:06:03
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aggie :
investigated first.
2026-05-08 19:24:44
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silver :
evaluate for hyperlipidemia,
2026-05-15 06:09:34
0
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