Patient Case

This document presents a simulated patient case study of Harvey Hoya, a 57-year-old Hispanic male with newly diagnosed hypertension, along with detailed clinical reasoning and physical examination findings. The case includes vital signs (BP 158/94 mmHg), review of systems (headaches, daytime fatigue, snoring, nocturia, NSAID use), physical exam components (funduscopic exam for hypertensive retinopathy – A-V nicking, neck exam for carotid bruits and thyroid, JVP measurement, cardiac auscultatio...

Finding: Asked about orientation Finding: Oriented to own person (Available) Pro Tip: You should ask patients, especially geriatric ones or those on a potentially mind-altering medication, to state their name so you can determine their cognitive functioning. Example Question: Can you tell me who you are? Finding: Oriented to place (Available) Pro Tip: You should ask patients, especially geriatric ones or those on a potentially mind-altering medication, to identify where they are so ...

Finding: Asked about orientation Finding: Oriented to own person (Available) Pro Tip: You should ask patients, especially geriatric ones or those on a potentially mind-altering medication, to state their name so you can determine their cognitive functioning. Example Question: Can you tell me who you are? Finding: Oriented to place (Available) Pro Tip: You should ask patients, especially geriatric ones or those on a potentially mind-altering medication, to identify where they are so ...