Abdominal Sounds

75 year old woman with marked elevation of blood pressure.

Patient Chart

A 75 year old woman is admitted to the hospital with a diagnosis of marked elevation of blood pressure. Patient takes no medication.

Physical Exam

High blood pressure (200/110). Pulse rate 70. Swollen ankles.

Chest x-ray normal. EKG shows left ventricular hypertrophy. Increased rennin levels. Abnormal abdominal renal arterial angiogram.

What is the diagnosis?

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