Solved

A 53-Year-Old Caucasian Man Comes to the Office for Intermittent

question 390

Multiple Choice

A 53-year-old Caucasian man comes to the office for intermittent generalized headaches 8 months after deceased donor kidney transplantation. The patient's post-transplantation course was complicated by an episode of acute rejection at 2 months that was treated effectively with high-dose corticosteroids. He has diabetes mellitus and hypertension. His medications include insulin, atenolol, cyclosporine, mycophenolate mofetil, and vitamin D. No changes were made to his medications recently and his immunosuppressants are at therapeutic levels. The kidney donor had no personal or family history of hypertension. The patient's temperature is 36.1 C (97 F) , blood pressure is 180/110 mm Hg, and heart rate is 90/min. Examination shows no abnormalities. His serum laboratory values are: The patient is started on sodium restriction, amlodipine, and enalapril to control the hypertension. One week later, he returns with a blood pressure of 138/86 mm Hg. His serum creatinine level is 2.4 mg/dL. Which of the following is the most likely underlying cause of this patient's hypertension?

Definitions:

Social Goals

Social goals refer to objectives that benefit society as a whole, including improving public welfare, enhancing social cohesion, reducing inequality, and promoting sustainable development.

Historical Sociological Approaches

Methods in sociology that emphasize the importance of historical context and processes in understanding social phenomena.

Law

A system of rules created and enforced through social or governmental institutions to regulate behavior, with its precise definition a matter of longstanding debate.

Socially Constructed

A concept or perception that has been created and accepted by the people in a society through cultural and social practice.