Case and Plan:

33-year-old male referred for resistant hypertension complicated by multiple hypertensive crises despite guideline-directed antihypertensive therapy.

PMHx: Resistant HTN, HLD, NIDDMII, obesity s/p bariatric surgery, CKD Stage II 2/2 diabetic nephropathy

Social Hx: Never smoker

Medications: Hydralazine, Carvedilol, Lisinopril, HCTZ, Atorvastatin, Pantoprazole

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