COMPREHENSIVE I-HUMAN HYPERTENSION
CASE STUDY: 57-YEAR-OLD MALE WITH HIGH
BLOOD PRESSURE, DIFFERENTIAL DIAGNOSIS,
CLINICAL REASONING, NCLEX QUESTIONS &
MANAGEMENT PLAN
I-Human Week 5 – NUR 2026
,57-Year-Old Male Felipe Garcia Presenting with High Blood Pressure (Outpatient
Visit)
1️.BIODATA
Name: Felipe Garcia
Age: 57 years
Gender: Male
Ethnicity: Hispanic
Marital Status: Married
Occupation: Truck driver
Date of Visit: 02/15/2026
Setting: Outpatient Primary Care Clinic
Source of History: Patient (reliable historian)
2️⃣ CHIEF COMPLAINT (CC)
“My blood pressure has been high for the past few weeks.”
3️⃣ HISTORY OF PRESENT ILLNESS (HPI)
Felipe Garcia is a 57-year-old male presenting for evaluation of elevated blood
pressure readings noted over the past 3 weeks.
He reports checking BP at a pharmacy machine with readings averaging 158–
168/92–98 mmHg.
He reports:
• Occasional mild headaches (3/10)
• Blurred vision intermittently
• Increased stress at work
• Poor sleep
Denies:
, • Chest pain
• Shortness of breath
• Palpitations
• Syncope
• Focal weakness
• Numbness
• Severe headache
• Epistaxis
No recent hospitalizations.
States he was told 2 years ago that his BP was “borderline,” but no treatment was
started.
4️⃣ REVIEW OF SYSTEMS (ROS)
General
✔ Occasional fatigue
✖ Fever
✖ Weight loss
HEENT
✔ Mild headaches
✔ Intermittent blurred vision
✖ Nosebleeds
Cardiovascular
✖ Chest pain
✖ Palpitations
✖ Edema
Respiratory
CASE STUDY: 57-YEAR-OLD MALE WITH HIGH
BLOOD PRESSURE, DIFFERENTIAL DIAGNOSIS,
CLINICAL REASONING, NCLEX QUESTIONS &
MANAGEMENT PLAN
I-Human Week 5 – NUR 2026
,57-Year-Old Male Felipe Garcia Presenting with High Blood Pressure (Outpatient
Visit)
1️.BIODATA
Name: Felipe Garcia
Age: 57 years
Gender: Male
Ethnicity: Hispanic
Marital Status: Married
Occupation: Truck driver
Date of Visit: 02/15/2026
Setting: Outpatient Primary Care Clinic
Source of History: Patient (reliable historian)
2️⃣ CHIEF COMPLAINT (CC)
“My blood pressure has been high for the past few weeks.”
3️⃣ HISTORY OF PRESENT ILLNESS (HPI)
Felipe Garcia is a 57-year-old male presenting for evaluation of elevated blood
pressure readings noted over the past 3 weeks.
He reports checking BP at a pharmacy machine with readings averaging 158–
168/92–98 mmHg.
He reports:
• Occasional mild headaches (3/10)
• Blurred vision intermittently
• Increased stress at work
• Poor sleep
Denies:
, • Chest pain
• Shortness of breath
• Palpitations
• Syncope
• Focal weakness
• Numbness
• Severe headache
• Epistaxis
No recent hospitalizations.
States he was told 2 years ago that his BP was “borderline,” but no treatment was
started.
4️⃣ REVIEW OF SYSTEMS (ROS)
General
✔ Occasional fatigue
✖ Fever
✖ Weight loss
HEENT
✔ Mild headaches
✔ Intermittent blurred vision
✖ Nosebleeds
Cardiovascular
✖ Chest pain
✖ Palpitations
✖ Edema
Respiratory
