20th June 2026

A 65-year-old African man presents to the emergency department with a headache. Initial observations reveal a blood pressure of 250/130.

A 65-year-old African man presents to the emergency department with a headache. Initial observations reveal a blood pressure of 250/130. The rest of his vitals are okay. Examination reveals no significant findings, and his routine bloods are normal. He is then taken for a CT head, which comes back negative for any acute event. He does not have a past medical history of hypertension, but has said that it runs in his family. You are the medical registrar on call, taking this referral from the A&E doctor. How will you proceed?

Select the SINGLE most appropriate option from the list below. Select ONE option only.