Get Answer: Established Patient History Question Guide

This type of question evaluates analytical and critical thinking skills.

What This Question Is About

This question relates to established patient history and requires a structured academic response.

How to Approach This Question

Use appropriate theories and support your answer with clear reasoning.

Key Explanation

This topic involves established patient history. A strong answer should include explanation, application, and examples.

Original Question

ESTABLISHED PATIENT HISTORY OF PRESENT ILLNESS: Patient is a man who has a past medical history of hypertension for 15 years, elevated PSA, malignant neoplasm of colon, hearing loss and glaucoma who presented for evaluation of recent worsening of hypertension. According to the patient, he had stable blood pressure for the past 12-15 years on 10 mg of lisinopril. A few months ago, his blood pressure started to go up to over 200s. His lisinopril was increased to 40 mg daily. He was also given metoprolol and HCTZ two weeks ago, after he visited the emergency room with increased systolic blood pressure. Denies any physical complaints at the present time. Denies having any renal problems in the past. PAST MEDICAL HISTORY: As above. No smoking or alcohol use and lives alone. FAMILY HISTORY: Unremarkable. PRESENT MEDICATIONS: As above. REVIEW OF SYSTEMS: Cardiovascular: No chest pain. No palpitations. Pulmonary: No shortness of breath, cough, or wheezing. Gastrointestinal: No nausea, vomiting, or diarrhea. GU: No nocturia. Denies having gross hematuria. Salt intake is minimal. Neurological: Unremarkable, except for history of old CVA. PHYSICAL EXAMINATION: Blood pressure today is 182/78. Examination of the head is unremarkable. Neck is supple with no JVD. Lungs are clear. There is no abdominal bruit. Extremities 1+ edema bilaterally. LABORATORY DATA: Urinalysis done in the office shows 1+ proteinuria; same is shown by urinalysis done at Hospital. The creatinine is 0.8.

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