i-Human Week 5 NUR 2026 Hypertension Case Study: 57-Year-Old Male Already Graded A+
With Soap note.
,📋 SOAP Note – Hypertension (Example)
S: Subjective
Chief Complaint (CC):
“I’ve had headaches and feel dizzy sometimes.”
History of Present Illness (HPI):
57-year-old male presenting with persistent headaches over the past 2 weeks.
Reports episodes of dizziness when standing up quickly.
Notes occasional blurred vision at end of day.
States he has been “stressed at work.”
Denies chest pain, shortness of breath at rest, palpitations.
Reports medication non-adherence – “I sometimes forget to take my pills.”
Past Medical History (PMH):
Hypertension diagnosed 5 years ago
Hyperlipidemia
, Medications:
Lisinopril 20 mg once daily (reports missed doses)
Atorvastatin 40 mg nightly
Allergies:
None known
Family History:
Father died of MI at 62
Mother with Type 2 DM
Social History:
Former smoker (quit 10 years ago)
Occasional alcohol use
Diet high in salt
Review of Systems (ROS):
Cardiovascular: Occasional palpitations; no edema
Neurologic: Headaches, dizziness
With Soap note.
,📋 SOAP Note – Hypertension (Example)
S: Subjective
Chief Complaint (CC):
“I’ve had headaches and feel dizzy sometimes.”
History of Present Illness (HPI):
57-year-old male presenting with persistent headaches over the past 2 weeks.
Reports episodes of dizziness when standing up quickly.
Notes occasional blurred vision at end of day.
States he has been “stressed at work.”
Denies chest pain, shortness of breath at rest, palpitations.
Reports medication non-adherence – “I sometimes forget to take my pills.”
Past Medical History (PMH):
Hypertension diagnosed 5 years ago
Hyperlipidemia
, Medications:
Lisinopril 20 mg once daily (reports missed doses)
Atorvastatin 40 mg nightly
Allergies:
None known
Family History:
Father died of MI at 62
Mother with Type 2 DM
Social History:
Former smoker (quit 10 years ago)
Occasional alcohol use
Diet high in salt
Review of Systems (ROS):
Cardiovascular: Occasional palpitations; no edema
Neurologic: Headaches, dizziness
