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