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Week 4 Ihuman case study analysis Reason for Encounter: Blood pressure recheck History of Present llness: This patient is a 56-year-old obese female with a PMH of hypothyroidism who presents for a blood pressure recheck after attending a workplace health fair 3Wweeks ago Her blood pressure reading at the health fair was 132/74 and the nurse asked her to follow up with primary care within 4 weeks for re-evaluation She häs not been taking her blood home and recently moved to the area about 5 months ago. but has not established care with a pressure at PCP. She reports consuming a high-fat high šalt diet. physical inactivity anda famil heart disease. She is asymptomatic and denies chest pain, shortness of breath, leg swelling. a family history of polyuria, polydipsia, polyphagia, weakness, numbness, tingling, and fatigue. Review of Systems: General: Denies fever, chils, weight loss, or night sweats HEENTINeck: No new blurry vision, heaing loss, sore throat or swollen ymph nodes Cardiovascular: As per HPl, denies syncope, presyncope, or palpitations Respiratory: Denies cough or wheezing Gastrointestinal: Denies vomiting, constipation, or diarrhea Genitourinary: Denies nocturia, dysuria, or hematuria MusculoskeletalOsteopathic Structural Examination: Denies muscle pain or joint swelling Neurologic: As per HPI, Denies syncope or lightheadedness Integumentary / Breast: No rashes, ecchymoses, or lesions Psychiatric: Reports slight stress due work and watching grandchildren denies depression. need differential diagnosis and labs to order

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