Essential Hypertension and Cardiovascular Risk
in a 57-Year-Old Hispanic Male: A
Comprehensive i-Human Case Study of Felipe
Garcia
, i-Human Case Study: Felipe Garcia (57-Year-Old Male)
Essential Hypertension and Cardiovascular Risk Assessment
1. Patient Demographics & Reason for Encounter
• Name: Felipe Garcia
• Age/Sex: 57-year-old male
• Ethnicity: Hispanic
• Reason for encounter: Elevated blood pressure identified at a community health fair
(reported BP ~170/92); wife concerned and prompted clinic visit.
2. History of Present Illness (HPI)
Felipe is a 57-year-old Hispanic male presenting for evaluation of newly recognized but likely
chronic hypertension after a health fair screening showed BP 170/92 mmHg. He reports being
told years ago that his BP was elevated and that he should change his diet, but he has not
followed up or made sustained lifestyle changes. He denies headache, palpitations, chest pain,
shortness of breath, vision changes, dizziness, or neurologic symptoms. He does report
intermittent “stomach burning” (consistent with gastritis/acid reflux) and “achy knees” that
worsen with activity.
Using OLDCARTS for key symptoms:
• Onset: Unknown for HTN; gastritis symptoms for ~2 years; knee pain chronic.
• Location: Epigastric (burning); bilateral knees (aching).
• Character: Burning stomach; aching joints.
• Aggravating/Relieving: Spicy foods aggravate stomach; ibuprofen helps knees; no
specific relief for HTN.
• Timing: Intermittent GI symptoms; knee pain with activity; HTN asymptomatic.
• Severity: Mild epigastric discomfort; knee pain not quantified; BP markedly elevated.
• Treatments: Omeprazole PRN; ibuprofen PRN; no antihypertensives.
in a 57-Year-Old Hispanic Male: A
Comprehensive i-Human Case Study of Felipe
Garcia
, i-Human Case Study: Felipe Garcia (57-Year-Old Male)
Essential Hypertension and Cardiovascular Risk Assessment
1. Patient Demographics & Reason for Encounter
• Name: Felipe Garcia
• Age/Sex: 57-year-old male
• Ethnicity: Hispanic
• Reason for encounter: Elevated blood pressure identified at a community health fair
(reported BP ~170/92); wife concerned and prompted clinic visit.
2. History of Present Illness (HPI)
Felipe is a 57-year-old Hispanic male presenting for evaluation of newly recognized but likely
chronic hypertension after a health fair screening showed BP 170/92 mmHg. He reports being
told years ago that his BP was elevated and that he should change his diet, but he has not
followed up or made sustained lifestyle changes. He denies headache, palpitations, chest pain,
shortness of breath, vision changes, dizziness, or neurologic symptoms. He does report
intermittent “stomach burning” (consistent with gastritis/acid reflux) and “achy knees” that
worsen with activity.
Using OLDCARTS for key symptoms:
• Onset: Unknown for HTN; gastritis symptoms for ~2 years; knee pain chronic.
• Location: Epigastric (burning); bilateral knees (aching).
• Character: Burning stomach; aching joints.
• Aggravating/Relieving: Spicy foods aggravate stomach; ibuprofen helps knees; no
specific relief for HTN.
• Timing: Intermittent GI symptoms; knee pain with activity; HTN asymptomatic.
• Severity: Mild epigastric discomfort; knee pain not quantified; BP markedly elevated.
• Treatments: Omeprazole PRN; ibuprofen PRN; no antihypertensives.
