509 Week 5 | Reason for Encounter: High Blood Pressure
| Comprehensive Medical Analysis with HPI, PE,
Differential Diagnosis & Treatment Plan
, ❢¨
ˆ58 58Patient58Information
Age:585758years
Sex:58Male
Occupation:58Full-time58worker,58married,58has58adult58son
Lifestyle:58Sedentary,58smoking58~158pack/day58f
or583558years,58occasional58weekend58alcohol,
high-
salt/processed58diet,58regular58coffee,58nightly58snoring
8 8 5 8 5 8 History58of58Present58Illness58(HPI)
,’‘f5)˙
5
Chief58complaint:58Elevated58blood58pressure58
documented58after58health58fair58screening;58wi
fe58prompted58follow-up
Symptoms:58Frequent58headaches,58mild58dizzines
s,58fatigue,58possible58sleep58apnea58signs58(snoring
,58tiredness)
Medication/history:58Previously58advised58lifestyle58
modifications58and58BP58monitoring58but58non-
adherent;58occasional58ibuprofen58&58omeprazole58for
58gastritis;58no58diabetes58or58CKD
, .58 58Past58Medical58&58Family58History
±
n
PMH:58Mild58gastritis,58recurring58headaches
Medications:58Over-the-
counter58ibuprofen,58omeprazole
Family58history:58Father58had58hypertension58and58died58of
stroke58at58age5862;58mother58diabetic58with58hypertension
•¸?58 8 5 8 5 8 Review58of58Systems
Ç
5
HEENT:58Headaches,58dizziness
Cardiovascular/Respiratory:58No58chest58pain58
or58dyspnea
Genitourinary:58Possible58nocturia58(frequency58every58
1–58258hrs)
Neurologic:58No58visual58changes,58syncope,58or58fo
cal58deficits
sfi
5
5
8 85858 Physical58Exam
Vitals:58BP58~178/9858mmHg58(right58arm);58BMI58~28.8
(overweight)58(docsity.com)