Blood, semen, and an innocent man

The patient's blood pressure was lowered gradually, over several days, with amlodipine, ramipril, and intravenous glyceryl trinitrate; meanwhile, we took three 24-h urine collections: after the collections were done, we started treatment with atenolol, having stopped the glyceryl trinitrate. Ha...

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Bibliographic Details
Published in:The Lancet (British edition) 2008-03, Vol.371 (9616), p.958-958
Main Authors: Fleming, John David, Dr, McSorley, Amanda, MB, Bates, Kersten Morgan, MB
Format: Article
Language:English
Subjects:
Adult
Antihypertensive Agents - therapeutic use
Biological and medical sciences
Blood pressure
Cysts
Family physicians
General aspects
Hematuria - etiology
Hemospermia - etiology
Humans
Hypertension
Hypertension, Malignant - complications
Hypertension, Malignant - diagnosis
Hypertension, Malignant - drug therapy
Internal Medicine
Male
Medical sciences
Physical examinations
Urine
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Summary:The patient's blood pressure was lowered gradually, over several days, with amlodipine, ramipril, and intravenous glyceryl trinitrate; meanwhile, we took three 24-h urine collections: after the collections were done, we started treatment with atenolol, having stopped the glyceryl trinitrate. Haematospermia is most commonly caused by infection or injury-including iatrogenic injury from taking biopsy samples of the prostate.1 Other causes include stones, cysts, vascular abnormalities-and severe hypertension,1 which causes an estimated 5% of cases.2 Malignant hypertension is defined as blood pressure over 180/100 mm Hg, with papilloedema or retinal haemorrhage.3 Although malignant hypertension can occur in essential hypertension, causes of secondary hypertension should always be sought.
ISSN:0140-6736
1474-547X
DOI:10.1016/S0140-6736(08)60421-3