23    years old female pt 
he  went  to do    nose s Surgery and he  found to have  bp  190/110 
and then his operation was Cancelled and  then he was transferred   to alia  for  further  work up  
for  secondary   hypertension 
  renal doppler  was done   unclear   then he had  renal ct angio
   he  found to have   mild Congenital Abnormalities 


labs  were   done   as  on the attached picture 
medication 
norvasc   5 mg once 
concor   5 mg once 


impression 
white  coat  hypertension 

plan 
add    prozac 
add  concor   5 mg once 


plan 
add   concor   5 mg once 