Hypertension with a Twist

A 35-year-old man presents with asymptomatic hypertension. Discover the classic signs, including a significant Blood Pressure difference between arms and legs.

Continuous murmur


A 35-year-old man presented to his primary care physician for evaluation of previously unknown asymptomatic hypertension. The blood pressure was 146/89 mm Hg in the left arm, 146/99 mm Hg in the right arm, 104/83 mm Hg in the left leg, and 109/90 mm Hg in the right leg. Radiograph of the chest is shown. Which of the following findings would not be typical of this condition?

What is the most likely diagnosis?

Collateral arterial circulation
Continuous murmur
Left ventricular hypertrophy
Radial-femoral delay
Rib notching

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