Welcome to the American Family Physician podcast for the April 15th, 2017 issue.

I'm Steve.

I'm Brett.

And I'm Evan.

We are residents and faculty, mostly residents from the

University of Arizona College of Medicine Phoenix Family Medicine residency. This time on the podcast,

we're going to discuss severe asymptomatic hypertension, iron deficiency in heart failure,

U.S. Preventive Services Task Force breastfeeding,

peritonsular abscess, and Zika virus. We'll also have our favorite tweets.

The opinions expressed in the podcast are our own and do not represent the opinions of the American

Academy of Family Physicians, the Editor of American Family Physician, or Banner Health.

Do not use this podcast for medical advice. Instead, see your own family doctor for medical care.

Our first feature article is severe asymptomatic hypertension, evaluation, and treatment from Dr. Gower at Fort Bragg, North Carolina.

We're all familiar with hypertensive emergency, which is defined as a systolic blood pressure of 180 or more and a diastolic blood pressure of

110 or more with evidence of acute target organ injury with symptoms like encephalopathy,

cardiovascular, cardiovascular events, pulmonary edema, renal injury, or aortic dissection.

As the name implies, this condition requires emergent treatment.

But what about patients with blood pressure over 180, over 110, without evidence of organ injury?

Does this severe asymptomatic hypertension, commonly known as hypertensive urgency,

actually require urgent treatment? The answer is probably not.

Let's walk through a common scenario. So you're in clinic. Your next patient is a 56-year-old

male with a history of hypertension who's been off of all his anti-hypertensives for several

...