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SGD 3 HYPERTENSION
E.P. 70/F, a retired government employee, widow, came to
your clinic for elevation of blood pressures.
History of Present Illness
She is currently under physical therapy for a left hip
replacement for three months now. During sessions, her initial
BP would be as high as 175/80 mmHg, and 155/70 mmHg
after the therapy. She would be experiencing headaches in the
morning, but other than that, no other symptoms were noted.
She has no previous elevations of BP prior to her surgery.
Review of Systems
(+) slight pain on left hip relieved by indomethacin cream
Rest of the ROS unremarkable
Past Medical History: unremarkable
PE: BP 186/75, HR 72 regular, RR 16. She has essentially
normal head and neck findings, lung and chest PE were
normal as well. Her heart is not enlarged and no adventitious
sounds were appreciated. Abdominal PE was normal. She has
no bipedal edema and her pulses were full and equal.
Neurologic exam were normal. However, fundoscopy finding
showed (+) copper wiring.
Labs: Crea 1.0 mg/dl, BUN 6.0, K 4.2 mg/dl, Na 143, Cl
110, HCO3 24, lipid profile normal, 12 L ECG regular
sinus rhythm, normal axis