Cynthia Francis i-Human Case Study:
Evaluation and Management of
Hypertension and Cardiovascular Risk
in a 56-Year-Old Obese Female
## PATIENT DEMOGRAPHICS
| Category | Details |
|----------|---------|
| **Name** | Cynthia Francis |
| **Age** | 56 years old |
,| **Gender** | Female |
| **Ethnicity** | African American |
| **Height** | 5'5" (165 cm) |
| **Weight** | 188 lbs (85.5 kg) |
| **BMI** | 31.4 kg/m² (Class I Obesity) |
| **Occupation** | Administrative/office desk job |
| **Setting** | Outpatient primary care clinic |
---
## SUBJECTIVE DATA
### Chief Complaint
*"I had high blood pressure at a work event a few weeks ago and I
wanted to get it checked again properly."*
### History of Present Illness (HPI)
Cynthia is a 56-year-old obese female with a PMH of hypothyroidism
who presents for a blood pressure recheck after attending a workplace
health fair 3 weeks ago. Her blood pressure reading at the health fair
ranged from **132/74** to **156/94** mmHg depending on the case
, version . The nurse advised her to follow up with primary care within 4
weeks for re-evaluation.
She recently moved to the area approximately 5 months ago and has
not yet established care with a PCP. She has **not been monitoring her
blood pressure at home**.
**Associated Symptoms:**
- Reports occasional dull headaches, typically at the back of the head in
the evenings, resolving with rest
- Occasional mild dyspnea when climbing 2+ flights of stairs (new onset
over past 3-4 months)
- Fatigue that has gradually worsened over the past 2 months -
described as low-energy state, worse in afternoons
- Reports feeling "tired" easily; cold intolerance (consistent with
hypothyroidism)
**Denies:** Chest pain, palpitations, shortness of breath at rest, visual
changes, syncope, leg swelling, polyuria, polydipsia, polyphagia,
numbness, tingling, fever, or night sweats
### Past Medical History
- **Hypothyroidism** - diagnosed 8 years ago, on levothyroxine
- **Obesity** - gradual 35 lb weight gain over 10 years
Evaluation and Management of
Hypertension and Cardiovascular Risk
in a 56-Year-Old Obese Female
## PATIENT DEMOGRAPHICS
| Category | Details |
|----------|---------|
| **Name** | Cynthia Francis |
| **Age** | 56 years old |
,| **Gender** | Female |
| **Ethnicity** | African American |
| **Height** | 5'5" (165 cm) |
| **Weight** | 188 lbs (85.5 kg) |
| **BMI** | 31.4 kg/m² (Class I Obesity) |
| **Occupation** | Administrative/office desk job |
| **Setting** | Outpatient primary care clinic |
---
## SUBJECTIVE DATA
### Chief Complaint
*"I had high blood pressure at a work event a few weeks ago and I
wanted to get it checked again properly."*
### History of Present Illness (HPI)
Cynthia is a 56-year-old obese female with a PMH of hypothyroidism
who presents for a blood pressure recheck after attending a workplace
health fair 3 weeks ago. Her blood pressure reading at the health fair
ranged from **132/74** to **156/94** mmHg depending on the case
, version . The nurse advised her to follow up with primary care within 4
weeks for re-evaluation.
She recently moved to the area approximately 5 months ago and has
not yet established care with a PCP. She has **not been monitoring her
blood pressure at home**.
**Associated Symptoms:**
- Reports occasional dull headaches, typically at the back of the head in
the evenings, resolving with rest
- Occasional mild dyspnea when climbing 2+ flights of stairs (new onset
over past 3-4 months)
- Fatigue that has gradually worsened over the past 2 months -
described as low-energy state, worse in afternoons
- Reports feeling "tired" easily; cold intolerance (consistent with
hypothyroidism)
**Denies:** Chest pain, palpitations, shortness of breath at rest, visual
changes, syncope, leg swelling, polyuria, polydipsia, polyphagia,
numbness, tingling, fever, or night sweats
### Past Medical History
- **Hypothyroidism** - diagnosed 8 years ago, on levothyroxine
- **Obesity** - gradual 35 lb weight gain over 10 years
