Case Study of Hypertension
During my experience in volunteering, I chose a patient for the case study assignment. The subject I chose was identified as GKM. The patient’s chief complaint upon her visit to the clinic was for a follow-up on her hypertension and for more medication for this disease. GKM is a 56-year-old Caucasian female with the date of birth on 12-14-43.
Her past medical and surgical history consisted of childhood diseases, heart and cardiovascular problems, and cancer. The childhood diseases she had were chicken pox, mumps, and scarlet fever. Regarding to her heart and cardiovascular problems, she has had high blood pressure, ankle swelling, and dizziness. She had cervical cancer as well, which was removed by a complete hysterectomy in 1987. She has not undergone any radiation or chemotherapy. She further indicated that she has had pain in her right hip and leg, and both ankles for approximately a year. She indicated that the pain and discomfort occurs immediately after she rises from a seating position. It was concluded that she has degenerative joint disease in both knees. Also, she has osteoarthritis and had fibrocystic breast disease.
Her social history is excellent. She has never smoked, consumed alcohol, and has no known drug allergies. Her occupation was working at a Walmart warehouse for several years. Her significant family history includes cervical cancer, which she personally had, and breast cancer that her mother had. Referring to her nutrition history, she is classified as obese and has been on a non-nutritional, high fat diet. She has been consuming red meats and too much saturated fat. She is also inactive. No dental history was recorded.
The history of her present illness, hypertension, has been occurring on and off for the last year and was indicated in January 2000. She had previously visited the clinic for the same illness and the medical practitioner kept her on Diovan HCT, a diuretic. On her current visit, she complained about dizziness and how she was stressed. Her husband had a myocardial infarction 2 weeks prior to her visit and she was concerned about her blood pressure. She also had run out her prescription for Diovan HCT for hypertension, but resumed taking it the day of the exam. She also has gained excessive weight after January 2000 when she was 163 pounds. She has gained 13 pounds since then and currently weighs 176 pounds. She has had normal cholesterol, high and low-density lipoproteins, and triglycerides on her last visit. Her blood glucose has been normal.
Significant Hospital and Clinic Events
I. 1987-hysterectomy for cervical cancer
II. Jan. 25, 2000- Mammogram abnormality indicated in left breast
III. Feb. 4, 2000-Left breast biopsy done as same day surgery
IV. Feb. 20, 2000-Indicated as fibrocystic disease breast disease (benign)
V. June 20, 2000- Orthopedist concluded a whole body scan needed due to multiple areas of tenderness; exact etiology...