i-Human Week #4 Full Case File for a 56-Year-Old Female Presenting for a Blood Pressure Recheck

I-HUMAN WEEK #4 FULL CASE FILE i i i i i i




FOR A 56-YEAR-OLD FEMALE
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PRESENTING FOR A BLOOD PRESSURE i i i i i




RECHECK IN AN OUTPATIENT CLINICi i i i i




CLINICAL DOCUMENTATION i i




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i-Human Patient Case File
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Case:i Weeki #4i –i Hypertensioni Follow-Upi

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Patient Identification
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Age:i 56i yearsi
Sex:i Femalei
Height:i 5'5"i (165i cm)i

, Weight:i 188i lbi (85.5i kg)i
BMI:i 31.3i (Obesei Classi I)i

Setting:i Outpatienti clinici withi laboratoryi capabilitiesi

Chiefi Complaint:i
“I'mi herei fori ai bloodi pressurei recheck.”i

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History of Present Illness (HPI)
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Thei patienti isi ai 56-year-oldi femalei presentingi toi thei outpatienti clinici fori evaluationi andi rechecki
ofi previouslyi elevatedi bloodi pressurei readings.i

Shei reportsi thati duringi ai routinei clinici visiti severali weeksi agoi heri bloodi pressurei wasi elevatedi
andi shei wasi advisedi toi returni fori reassessment.i

Thei patienti statesi thati shei occasionallyi checksi heri bloodi pressurei ati homei andi readingsi typicallyi
rangei betweeni 145–155i systolici andi 90–95i diastolic.i

Shei reportsi intermittenti mildi headaches,i especiallyi afteri stressfuli daysi ori poori sleep,i buti deniesi
severei headaches.i

Shei denies:i

• Chesti paini
• Shortnessi ofi breathi
• Palpitationsi
• Dizzinessi
• Syncopei
• Visioni changesi
• Neurologici symptomsi

Shei reportsi ai sedentaryi lifestylei andi admitsi thati heri dieti containsi moderatei toi highi sodiumi
intake.i

Symptomsi havei beeni graduali andi persistenti overi thei pasti severali months.i

Noi recenti illnessesi ori hospitalizationsi reported.i

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