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A 33 year old African American male was admitted to the University of Missouri I.M. Service, referred from a community hospital for uncontrolled hypertension. He was initially diagnosed with hypertension approximately ten years ago; the condition had been worsening over the past 2-3 months despite escalating doses of antihypertensive agents. In the office on the day of admission, his blood pressure was 210/110 and he was "not feeling good."
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