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Renal Artery Stenosis

Introduction
I can remember the time when I, as a general practitioner, was called to visit a patient with history of episodes of sudden skyrocketing rise in blood pressure in an out-patient setting. He had not had any history of hypertension before the occurrence of these episodes of changes in the blood pressure about four months prior to my visiting him. He was in his 50’s and not a smoker. Admission at CCU for controlling the rise in his blood pressure could be seen in his case record but no evidence of arterial disorder could be found. His BUN was within normal limit and the creatinine was 1.2mg/dl…