You start your shift on Monday morning with a 52-year-old woman referred by her primary care physician’s office for a blood pressure of 190/120 mm Hg. She had been previously diagnosed with hypertension and presented for her regular physical that day. When you see her, she has a blood pressure of 160/100 mm Hg and denies headache, chest pain, shortness of breath, or any vision changes. Her physical exam is normal. She confesses that she has been poorly compliant with her hydrochlorothiazide. You wonder why she was sent to the ED, but now that she is here, what should you do?
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