,**Patient:** Patricia "Patty" Nelson, 56-year-old Caucasian female
**Reason for Encounter:** Blood pressure recheck
**Chief Complaint:** "My doctor asked me to come back today to
check my blood pressure. It was high last week."
**Setting:** Outpatient primary care clinic with laboratory
capabilities
**Vital Statistics:**
- Height: 5'5" (165 cm)
- Weight: 188.0 lb (85.5 kg)
- BMI: 31.2-31.3 kg/m² (Class I Obesity)
- Waist Circumference: 92 cm (elevated; ≥88 cm indicates abdominal
obesity)
---
## History of Present Illness (HPI)
Patricia Nelson is a 56-year-old female with a 5-year history of
hypertension presenting for a scheduled blood pressure recheck.
One week ago, during a routine health maintenance visit, her blood
pressure was noted to be 152/94 mmHg (taken twice, 5 minutes
apart). She was advised to return today for repeat measurement and
further evaluation .
, **Medication Adherence:** Reports taking antihypertensive
medication intermittently, missing doses due to forgetfulness and
work commitments
**Home BP Monitoring:** Occasional; readings elevated (~150/90
mmHg range)
**Associated Symptoms - All Denied:**
- Headaches
- Dizziness
- Vision changes
- Chest pain
- Palpitations
- Shortness of breath
- Fatigue
- Lower extremity swelling
---
## Past Medical History (PMH)
**Active Conditions:**
- Hypertension (diagnosed 5 years ago)
- No known diabetes mellitus
**Reason for Encounter:** Blood pressure recheck
**Chief Complaint:** "My doctor asked me to come back today to
check my blood pressure. It was high last week."
**Setting:** Outpatient primary care clinic with laboratory
capabilities
**Vital Statistics:**
- Height: 5'5" (165 cm)
- Weight: 188.0 lb (85.5 kg)
- BMI: 31.2-31.3 kg/m² (Class I Obesity)
- Waist Circumference: 92 cm (elevated; ≥88 cm indicates abdominal
obesity)
---
## History of Present Illness (HPI)
Patricia Nelson is a 56-year-old female with a 5-year history of
hypertension presenting for a scheduled blood pressure recheck.
One week ago, during a routine health maintenance visit, her blood
pressure was noted to be 152/94 mmHg (taken twice, 5 minutes
apart). She was advised to return today for repeat measurement and
further evaluation .
, **Medication Adherence:** Reports taking antihypertensive
medication intermittently, missing doses due to forgetfulness and
work commitments
**Home BP Monitoring:** Occasional; readings elevated (~150/90
mmHg range)
**Associated Symptoms - All Denied:**
- Headaches
- Dizziness
- Vision changes
- Chest pain
- Palpitations
- Shortness of breath
- Fatigue
- Lower extremity swelling
---
## Past Medical History (PMH)
**Active Conditions:**
- Hypertension (diagnosed 5 years ago)
- No known diabetes mellitus
