Assignment 10.2: Shadow Health-Focused Exam: Hypertension and Type 2 Diabetes

Patient: Arun Patel DOB: 10/06/1981 Height: 5’9 Weight: 233lbs Allergy: NKDA Diagnosis: Hypertension (Diagnosed 1 year ago) & Diabetes Mellitus Type 2 (Diagnosed 5 years ago) Scenario: Arun Patel is a 38-year-old Indian American male who came to the clinic today for a follow-up appointment in regards to his treatment for hypertension and diabetes type 2. Home medications:  Hydrochlorothiazide 50mg PO daily (Started 1 year ago)  Metformin 850mg PO 3x day with meals (Started 5 years ago)  Escitalopram 20mg PO daily (Started 13 years ago) Vitals: Temp 37C (Temporal), Blood pressure 146/94 (Automatic), Heart rate 75 (NSR), O2 sat 98% (room air), Respiratory rate 23. Assessment: Mr. Patel came to the clinic for a follow-up appointment for the treatment of his hypertension and type 2 diabetes. He states he has been growing more worried and anxious about life. He is currently a student and teaches film at the local university which is his main source of income. He does have limited funds although he does have health insurance through his employer and can afford prescription medications at a reasonable to inexpensive cost. The patient states he was diagnosed with generalized anxiety disorder 13 years ago and has been on Escitalopram ever since. He denies any depressive symptoms but does have panic attacks on