2:ShadowHeal
th-
FocusedExam:Hypert
ensi
onandType2
Diabetes
Pat
ient
:Ar
unPat
el
DOB:10/
06/
1981
Hei
ght
:5’
9
Wei
ght
:233l
bs
Al
ler
gy:NKDA
Di
agn
osi
s:Hy
per
ten
sion(
Dia
gnos
ed1y
eara
go)&Di
abe
tesMe
ll
it
usTy
pe2(
Dia
gno
sed5
y
ear
sago
)
Sc
ena
rio
:Ar
unPa
tel
isa3
8-y
ear
-ol
dIn
dia
nAme
ric
anma
lewh
oca
met
oth
ecl
i
nict
oda
yforaf
oll
ow-
up
a
ppoi
ntme
nti
nre
gar
dst
ohi
str
eat
men
tfo
rhy
per
ten
siona
ndd
iab
ete
sty
pe2
.
Homeme
dic
ati
ons
:
Hy
dro
chl
orot
hia
zid
e50mgPOd
ail
y(St
art
ed1y
eara
go)
Me
tfo
rmi
n850mgPO3xd
aywi
thme
als(
Sta
rte
d5y
ear
sago
)
E
sci
tal
opr
am20mgPOd
ail
y(St
art
ed13y
ear
sago
)
Vi
tal
s:Te
mp3
7C(
Temp
ora
l),
Bloodp
res
sur
e14
6/9
4(Au
toma
tic
),He
artr
ate7
5(NSR)
,O2s
at
9
8%(
rooma
ir)
,Re
spi
rat
oryr
ate2
3.
As
ses
sme
nt:
Mr.
Pat
elc
amet
oth
ecl
i
nicf
oraf
oll
ow-
upa
ppoi
ntme
ntf
ort
het
rea
tme
ntofh
ish
ype
rte
nsi
ona
nd
t
ype2d
iab
ete
s.Hes
tat
esh
eha
sbe
eng
rowi
ngmor
ewor
ri
eda
nda
nxi
ousa
bou
tli
fe.
Hei
scu
rre
ntl
yas
tude
nt
a
ndt
eac
hesf
il
matt
hel
oca
lun
ive
rsi
tywh
ichi
shi
sma
ins
our
ceofi
ncome
.Hed
oesh
avel
i
mit
edf
und
sal
thou
gh
h
edoe
sha
veh
eal
thi
nsu
ran
cet
hrou
ghh
ise
mpl
oye
ran
dca
naf
for
dpr
esc
ri
pti
onme
dic
ati
onsa
tar
eas
ona
blet
o
i
nex
pen
siv
ecos
t.Th
epa
tie
nts
tat
esh
ewa
sdi
agn
ose
dwi
thg
ene
ral
i
zeda
nxi
et
ydi
sor
der1
3ye
arsa
goa
ndh
as
, b
eenonEs
cit
alop
rame
vers
inc
e.Hed
eni
esa
nyd
epr
ess
ives
ymp
tomsb
utd
oesh
avep
ani
cat
tac
kson