Discussions By Condition: I cannot get a diagnosis.

Inter-arm BP discrepancy

Posted In: I cannot get a diagnosis. 3 Replies
  • Posted By: motionben
  • November 18, 2007
  • 04:28 PM

What are the differential diagnoses for a 60-year-old man with long history of hypertension presenting BP of 185/35 mmHg in right arm and 120/35 mmHg at left arm?

It would be nice of you guys to give me some hints on this...

I thought about atherosclerosis at right subclavian artery, but it cannot explain the low diastolic pressure...

Thank you....:(

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3 Replies:

  • Any other symptons presented?? I would have said an embolism but the time length makes it near impossible. Any weight problems?
    Densoman 5 Replies
    • November 18, 2007
    • 07:06 PM
    • 0
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  • there's no weight loss he had severe chest pain radiating to the back when waiting for further assessment, he also presented with bilateral limb weakness
    motionben 1 Replies
    • November 19, 2007
    • 11:36 AM
    • 0
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  • sounds more and more like atherosclerosis...Is a very mysterious case
    Densoman 5 Replies
    • November 19, 2007
    • 04:30 PM
    • 0
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