i-Human Case Anselmo Lopez
57-Year-Old High Blood
Pressure | Hypertension Case
i-Human Case: Anselmo Lopez — High Blood Pressure
1. Patient Information
Name: Anselmo Lopez
Age: 57 years
Sex: Male
Setting: Outpatient/primary-care clinic
Reason for encounter: High blood pressure
Reported health-fair BP: approximately 170/92 mmHg
, Clinic BP reported in versions of the case: approximately
170/98–174/96 mmHg
Height: 5'9" (175 cm)
Weight: approximately 195 lb (88.6 kg) in one commonly
circulated version; other versions report 220 lb.
2. Chief Complaint
“High blood pressure.”
The patient comes to the clinic after attending a community health fair
where a nurse told him that his blood pressure was high and
recommended that he see a healthcare provider.
3. History of Present Illness
Anselmo Lopez is a 57-year-old male who presents for evaluation of
elevated blood pressure.
He reports that his blood pressure was checked at a community/church
health fair and was approximately 170/92 mmHg. He was advised to
obtain medical follow-up.
He recalls being told in the past that his blood pressure was elevated but
has not pursued regular medical care or antihypertensive treatment.
In the commonly documented version, he does not report acute
symptoms associated with the elevated BP. He denies chest pain,
shortness of breath, dizziness, palpitations, or significant visual
complaints. Some versions mention intermittent headaches, while others
specifically document denial of headache, so this is one area where the
circulating case versions differ.
, He also reports chronic “acid stomach”/heartburn and intermittent
achy knee pain.
4. Important History Questions
For the i-Human history portion, important questions include:
Hypertension
Have you ever been diagnosed with high blood pressure?
When was the elevated BP first noticed?
What was your previous BP?
Have you ever taken medication for hypertension?
Do you monitor your BP at home?
Does anything make it better or worse?
Have you changed your diet?
How much salt do you consume?
Do you exercise regularly?
Cardiovascular symptoms
Ask about:
Chest pain
Shortness of breath
Palpitations
Syncope
Dizziness
Exercise intolerance
Leg swelling
Neurologic symptoms
Ask about:
57-Year-Old High Blood
Pressure | Hypertension Case
i-Human Case: Anselmo Lopez — High Blood Pressure
1. Patient Information
Name: Anselmo Lopez
Age: 57 years
Sex: Male
Setting: Outpatient/primary-care clinic
Reason for encounter: High blood pressure
Reported health-fair BP: approximately 170/92 mmHg
, Clinic BP reported in versions of the case: approximately
170/98–174/96 mmHg
Height: 5'9" (175 cm)
Weight: approximately 195 lb (88.6 kg) in one commonly
circulated version; other versions report 220 lb.
2. Chief Complaint
“High blood pressure.”
The patient comes to the clinic after attending a community health fair
where a nurse told him that his blood pressure was high and
recommended that he see a healthcare provider.
3. History of Present Illness
Anselmo Lopez is a 57-year-old male who presents for evaluation of
elevated blood pressure.
He reports that his blood pressure was checked at a community/church
health fair and was approximately 170/92 mmHg. He was advised to
obtain medical follow-up.
He recalls being told in the past that his blood pressure was elevated but
has not pursued regular medical care or antihypertensive treatment.
In the commonly documented version, he does not report acute
symptoms associated with the elevated BP. He denies chest pain,
shortness of breath, dizziness, palpitations, or significant visual
complaints. Some versions mention intermittent headaches, while others
specifically document denial of headache, so this is one area where the
circulating case versions differ.
, He also reports chronic “acid stomach”/heartburn and intermittent
achy knee pain.
4. Important History Questions
For the i-Human history portion, important questions include:
Hypertension
Have you ever been diagnosed with high blood pressure?
When was the elevated BP first noticed?
What was your previous BP?
Have you ever taken medication for hypertension?
Do you monitor your BP at home?
Does anything make it better or worse?
Have you changed your diet?
How much salt do you consume?
Do you exercise regularly?
Cardiovascular symptoms
Ask about:
Chest pain
Shortness of breath
Palpitations
Syncope
Dizziness
Exercise intolerance
Leg swelling
Neurologic symptoms
Ask about:
