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5 years later he returns to see you in surgery complaining of headaches which are not relieved by simple analgesics.

His blood pressure is found to be elevated and averages 189/120 mmHg having been checked on 3 separate occasions. He has reduced his alcohol intake to 30 units/week and has lost 1/2 stone in weight.

  1. Would you diagnose and treat him for hypertension?
  2. Would your practice follow him up in an in-house clinic?
  3. How might this clinic be organised?
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