Felipe Garcia, 57-Year-Old Male with Uncontrolled Hypertension:
A Comprehensive Case Study & Evidence-Based Management – I-
Human Study Assessment | Chamberlain University
Case Study: Felipe Garcia
Assessment
Felipe Garcia is a 52-year-old male presenting with symptoms of headache
and dizziness, likely related to newly diagnosed hypertension. His elevated
BP, family history, and lifestyle factors support a diagnosis of primary
hypertension. Initial management will focus on lifestyle modifications and
possibly pharmacologic therapy if BP remains elevated. Patient education
and follow-up are critical to ensure adherence and prevent complications.
,Patient Name: Felipe Garcia
Age: 57
Gender: Male
Chief Complaint: "I’ve been feeling dizzy and have a headache for the
past few days."
HPI (History of Present Illness)
1: "Can you tell me more about your symptoms?"
Felipe Garcia: "Sure. I’ve had a headache for about three days now. It’s
mostly in the back of my head, and it feels like pressure. I’ve also been
feeling dizzy, especially when I stand up quickly. I noticed my vision gets a
little blurry sometimes too."
2: "Have you checked your blood pressure recently?"
Felipe Garcia: "Yes, I checked it at the pharmacy two days ago, and it was
160/95. I was surprised because I’ve never had high blood pressure before."
3: "Do you have any other symptoms, like chest pain, shortness of
breath, or nausea?"
Felipe Garcia: "No, none of that. Just the headache and dizziness."
4: "Have you had any recent stress or changes in your life?"
Felipe Garcia: "Well, I’ve been under a lot of stress at work lately. I’ve
also been eating out more and not exercising as much as I should."
5: "Do you have a family history of high blood pressure or heart
disease?"
Felipe Garcia: "Yes, my father had high blood pressure, and he passed
away from a heart attack when he was 60."
6: "Do you smoke, drink alcohol, or use any recreational drugs?"
Felipe Garcia: "I don’t smoke or use drugs, but I do drink a couple of
beers on the weekends."
7: "Are you taking any medications or supplements?"
Felipe Garcia: "No, I’m not taking anything right now."
, Past Medical History (PMH)
No Known History Of Hypertension, Diabetes, Or Heart Disease.
No Previous Surgeries Or Hospitalizations.
Family History (FH)
Father: Hypertension, Died Of Myocardial Infarction At Age 60.
Mother: Alive, Has Type 2 Diabetes.
Social History (SH)
Works As A Manager At A Manufacturing Plant.
Drinks Alcohol Socially (2-3 Beers Per Week).
Denies Tobacco Or Illicit Drug Use.
Sedentary Lifestyle; Reports Minimal Physical Activity.
Diet High In Processed Foods And Sodium.
A Comprehensive Case Study & Evidence-Based Management – I-
Human Study Assessment | Chamberlain University
Case Study: Felipe Garcia
Assessment
Felipe Garcia is a 52-year-old male presenting with symptoms of headache
and dizziness, likely related to newly diagnosed hypertension. His elevated
BP, family history, and lifestyle factors support a diagnosis of primary
hypertension. Initial management will focus on lifestyle modifications and
possibly pharmacologic therapy if BP remains elevated. Patient education
and follow-up are critical to ensure adherence and prevent complications.
,Patient Name: Felipe Garcia
Age: 57
Gender: Male
Chief Complaint: "I’ve been feeling dizzy and have a headache for the
past few days."
HPI (History of Present Illness)
1: "Can you tell me more about your symptoms?"
Felipe Garcia: "Sure. I’ve had a headache for about three days now. It’s
mostly in the back of my head, and it feels like pressure. I’ve also been
feeling dizzy, especially when I stand up quickly. I noticed my vision gets a
little blurry sometimes too."
2: "Have you checked your blood pressure recently?"
Felipe Garcia: "Yes, I checked it at the pharmacy two days ago, and it was
160/95. I was surprised because I’ve never had high blood pressure before."
3: "Do you have any other symptoms, like chest pain, shortness of
breath, or nausea?"
Felipe Garcia: "No, none of that. Just the headache and dizziness."
4: "Have you had any recent stress or changes in your life?"
Felipe Garcia: "Well, I’ve been under a lot of stress at work lately. I’ve
also been eating out more and not exercising as much as I should."
5: "Do you have a family history of high blood pressure or heart
disease?"
Felipe Garcia: "Yes, my father had high blood pressure, and he passed
away from a heart attack when he was 60."
6: "Do you smoke, drink alcohol, or use any recreational drugs?"
Felipe Garcia: "I don’t smoke or use drugs, but I do drink a couple of
beers on the weekends."
7: "Are you taking any medications or supplements?"
Felipe Garcia: "No, I’m not taking anything right now."
, Past Medical History (PMH)
No Known History Of Hypertension, Diabetes, Or Heart Disease.
No Previous Surgeries Or Hospitalizations.
Family History (FH)
Father: Hypertension, Died Of Myocardial Infarction At Age 60.
Mother: Alive, Has Type 2 Diabetes.
Social History (SH)
Works As A Manager At A Manufacturing Plant.
Drinks Alcohol Socially (2-3 Beers Per Week).
Denies Tobacco Or Illicit Drug Use.
Sedentary Lifestyle; Reports Minimal Physical Activity.
Diet High In Processed Foods And Sodium.
