I present S.K a 67 year old patient known hypertensive who presented to the accident and emergency Ward with bilateral leg swelling of two months duration, abdominal swelling of two weeks duration, difficulty in breathing (dyspnea)of One direction and hiccup of one day Duration. he was diagnosed of hypertension 25 years ago and has Poorly been compliant with medications. on cardiovascular examination his pulse rate was 80 beats per minute, irregularly regular, normal volume and there was the presence of arterial wall thickness. His blood pressure was 110/80 mmHg, locomotor brachialis present, jugular venous pressure was present and measures 3.5 mmH2O apex beat was felt at the 6th left intercostal space at the midclavicular line, S1 S2 heart sound was present and there was also S3 gallop. Presence of chronic pedal edema extending to the thighs.
The patient is currently being managed in our facility.

If you're a known hypertensive who was diagnosed before now kindly be complaint with medication and try to meet up with your cardiologist appointments. To the rest of Us try to check your blood pressure on a regular.