A 48-year-old man with long-standing hypertension presents with a blood pressure of 210/120 mmHg and bilateral retinal haemorrhages and papilloedema o...

Question

A 48-year-old man with long-standing hypertension presents with a blood pressure of 210/120 mmHg and bilateral retinal haemorrhages and papilloedema on fundoscopy. He has headache but no focal neurology. What is the most appropriate management?

Accepted Answer

Immediate hospital admission for management of accelerated (malignant) hypertension

Answer

Start oral antihypertensives in the community and review in 1 week

Answer

Urgent same-day GP review only

Answer

Discharge with advice to monitor blood pressure at home

Answer

No treatment required if asymptomatic

uk-plab-1 MCQ (SBA): Accelerated (malignant) hypertension

A 48-year-old man with long-standing hypertension presents with a blood pressure of 210/120 mmHg and bilateral retinal haemorrhages and papilloedema on fundoscopy. He has headache but no focal neurology. What is the most appropriate management?