I Human Case Week #7 56 Year Old Female Reason For
Encounter: Blood Pressure Recheck Class 6512 I Human
Case Week #7
,🩺 Case Overview and Clinical Presentation
Patient Information:
, Value
Characteristic
Age 56 years old
Gender Female
Race/Ethnicity African American (varies by version)
Height 5'5" (165 cm)
Weight 188.0 lb (85.5 kg)
BMI ~31.3 (Obese Class I)
Reason for Encounter Blood Pressure Recheck
Setting Outpatient clinic with laboratory capabilities
Chief Complaint
"I'm here to follow up on my blood pressure" or "I'm here to have my blood
pressure checked."
History of Present Illness (HPI)
The patient is a 56-year-old female presenting for a scheduled follow-up visit to
reassess blood pressure control. Initial elevated blood pressure was discovered
during a routine health fair or community screening approximately 2 weeks ago,
, where her blood pressure reading was approximately 170/92 mmHg. She was
advised to seek medical follow-up.
• Onset: Initial high blood pressure reading identified 2 weeks ago; patient
reports intermittent elevated readings over the past few months
• Location: Generalized; no specific localized symptoms
• Duration: Ongoing; has been aware of "borderline high" blood pressure for
several years but did not pursue regular treatment
• Character: Asymptomatic – denies headaches, chest pain, shortness of
breath, vision changes, dizziness, or palpitations
• Aggravating Factors: Reports poor adherence to dietary changes; continues
to consume salty foods; sedentary lifestyle
• Mitigating Factors: None consistently applied
• Treatments: Previously prescribed lisinopril 10 mg daily (2 years ago) but
admits to inconsistent adherence
• Associated Symptoms: Denies any concerning symptoms
Past Medical History (PMH)
• Hypertension – diagnosed approximately 2 years ago, poorly controlled due
to non-adherence
• Hyperlipidemia – diagnosed; currently on statin therapy
• Gastritis – history of acid stomach, no active treatment
• Knee osteoarthritis – history of achy knees; prior ACL repair on right knee
• No diabetes, kidney disease, stroke, or heart disease
• No known drug allergies (NKDA)
Past Surgical History (PSH)
• Appendectomy (remote, uncomplicated)
• ACL repair, right knee
Encounter: Blood Pressure Recheck Class 6512 I Human
Case Week #7
,🩺 Case Overview and Clinical Presentation
Patient Information:
, Value
Characteristic
Age 56 years old
Gender Female
Race/Ethnicity African American (varies by version)
Height 5'5" (165 cm)
Weight 188.0 lb (85.5 kg)
BMI ~31.3 (Obese Class I)
Reason for Encounter Blood Pressure Recheck
Setting Outpatient clinic with laboratory capabilities
Chief Complaint
"I'm here to follow up on my blood pressure" or "I'm here to have my blood
pressure checked."
History of Present Illness (HPI)
The patient is a 56-year-old female presenting for a scheduled follow-up visit to
reassess blood pressure control. Initial elevated blood pressure was discovered
during a routine health fair or community screening approximately 2 weeks ago,
, where her blood pressure reading was approximately 170/92 mmHg. She was
advised to seek medical follow-up.
• Onset: Initial high blood pressure reading identified 2 weeks ago; patient
reports intermittent elevated readings over the past few months
• Location: Generalized; no specific localized symptoms
• Duration: Ongoing; has been aware of "borderline high" blood pressure for
several years but did not pursue regular treatment
• Character: Asymptomatic – denies headaches, chest pain, shortness of
breath, vision changes, dizziness, or palpitations
• Aggravating Factors: Reports poor adherence to dietary changes; continues
to consume salty foods; sedentary lifestyle
• Mitigating Factors: None consistently applied
• Treatments: Previously prescribed lisinopril 10 mg daily (2 years ago) but
admits to inconsistent adherence
• Associated Symptoms: Denies any concerning symptoms
Past Medical History (PMH)
• Hypertension – diagnosed approximately 2 years ago, poorly controlled due
to non-adherence
• Hyperlipidemia – diagnosed; currently on statin therapy
• Gastritis – history of acid stomach, no active treatment
• Knee osteoarthritis – history of achy knees; prior ACL repair on right knee
• No diabetes, kidney disease, stroke, or heart disease
• No known drug allergies (NKDA)
Past Surgical History (PSH)
• Appendectomy (remote, uncomplicated)
• ACL repair, right knee
