You note that the patient’s blood pressure is elevated and she is overweight. Which of the following might you do?
Don’t bring it up because you might offend her if you remark on her weight and her primary care physician should be managing her blood pressure.
Counsel that patient’s with PsA have a proclivity to the metabolic syndrome, which includes obesity and hypertension, and that this should be addressed, which will be taken up at the follow-up visit since you are already running behind today.
Counsel about the association of PsA and metabolic syndrome and make a point of calling her primary care physician to discuss management of this.
Prescribe lisinopril for the hypertension, have a nurse specialist in your office talk to her about obesity, draw blood to check lipids and plan to manage all of these going forward since she expresses more trust in you than her primary care clinician, who is always changing at the clinic she attends.
Counsel about the association of PsA and metabolic syndrome and make a point of calling her primary care physician to discuss management of this OR prescribe lisinopril for the hypertension, have a nurse specialist in your office talk to her about obesity, draw blood to check lipids and plan to manage all of these going forward since she expresses more trust in you than her primary care clinician, who is always changing at the clinic she attends.
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