Dr. Girish Dahake (Family Medicine) needs a second opinion on this medical case.
24 yrs male patient presented with Left parieto-occipital headache with chest pain/palpitation off n on since last 6 months.ECG normal except sinus tachycardia. B.P .162/100,Pulse 108,SPo2 97. Sometimes c/o low backache,burning micturition.Vision normal. No giddiness, vomiting. Appetite /sleep normal.
How to manage this case medically n what other investigations needed to label this as secondary hypertension as the age of patient is only 24 yrs.???