Case Study of Hypertension Essay - 2745 Words

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†¦show more content†¦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 norma l 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 difficult to identify. VI. July 15, 2000- Indicated osteoarthritis present and degenerative joint disease. VII. Oct. 16, 2000- Triglyceride, blood pressure, and cholesterol abnormally high; intervention to reduce began. Primary hypertension is of unknown etiology. The hemodynamic and pathophysiologic derangements are unlikely to result from a singleShow MoreRelatedHealth Assessment: Case Study of a Teen Client with Juvenile Hypertension1550 Words   |  6 PagesClient with Juvenile Hypertension BIOGRAPHICAL DATA: Date of Visit: Monday, 12/10/2012, 11:30am Name: Franklin G. Salinas Race/Gender Biracial (Hispanic and African-American) / Male Age: 15 DOB: April 2, 1997 Height: 5ft. 6 in. Weight: 73 kg. Address: 3822 Stony Island Avenue Unit #3 Chicago, IL 60618 Phone: (773) 978-1729 Attending Physician: Dr. C. Hines and Dr. N. McCullough Chief complaint: Blurring of vision Clinical Diagnosis: Primary Juvenile Hypertension REASON FOR VISIT:Read MoreSchema of The Process of Studies1133 Words   |  4 Pageschoosing the studies that were included in the review. The primary Pubmed search recognized 55 articles. We excluded six studies that were about gestational hypertension; eight that defined awareness as† knowledge of the effects of hypertension† rather than† awareness of hypertensive status†; fifteen review papers and guidelines and five studies did not met the criteria. Ultimately 21 studies were included in the systemaic review of the awareness, treatment and control of hypertension in Egypt. Read MoreAlcoholism And Hypertension : The Rising Concerns Of National And Global Health Essay1452 Words   |  6 PagesAlcoholism and Hypertension Introduction Alcohol and hypertension are two rising concerns in national and global health. According to the Substance Abuse and Mental Health Services Administration (2014), 56.9% of adults in the United States have participated in drinking in the last month. Furthermore, 24.7% adults reported to participating in heavy or binge drinking. The World Health Organization (WHO) reports that in 2012, 3.3 million deaths or 5.9% of all global deaths were linked to alcoholRead MoreExploring The Pre Hospital Safety Concerns Within Trauma Patients1633 Words   |  7 PagesFentanyl: Exploring the pre-hospital safety concerns in trauma patients, concerns relating to hypotension, hypoxemia, and isolated cases of refractory intracranial hypertension associated with closed head injury. Fentanyl, a schedule II synthetic opioid analgesic with a 10-20 minute half life, and a potency 75-125 times that of Morphine, is a favorite amongst paramedics in the pre- hospital environment. Fentanyl works as an agonist to the ÃŽ ¼-opioid receptors mostly located presynapticallyRead MoreThe Risk Factors Associated With Hypertension Essay1007 Words   |  5 PagesA cohort study (article 1) and case study (article 2) that focused on the risk factors associated with hypertension were selected to be compared and contrasted. The cohort study was the first article I was able to read and looked at the relation of several sociodemographic, behavioral, and biochemical parameters on the number of hypertensions incidence among the group of subjects from the National Health and Nutrition Examination Survey (Ford Cooper, 1991). The subjects were separated into fourRead MoreA Short Note On Diabetes And Adolescent Adolescents1577 Words   |  7 PagesHypertension in Adolescents I. Case Presentation A 16 year old African American male arrives at his pediatrician’s office for a preparticipation physical evaluation. His history includes asthma as a toddler, tonsillectomy in 2010. His mother, grandmother, and uncle all have hypertension. His grandmother has diabetes as well. He has an older brother and younger sister, both are healthy. His father is a paraplegic due to a MVA, otherwise his father has no health issues. The patient vital signsRead MoreWhat Is The 2016-European Society Of Hypertension996 Words   |  4 PagesType of Research Study This study titled â€Å"2016- European Society of Hypertension Guidelines for the Management of high blood pressure in children and adolescents† (2016) is a consensus document pertaining to the 2016 European guidelines for the treatment of hypertension in children. These guidelines are developed by experts doing a literature review of multiple randomized control trials studies. Level of Evidence According to the Medical College of Wisconsin (2017), the level of evidence-basedRead MorePregnancy Induced Hypertension1243 Words   |  5 PagesMETHYLDOPA IN THE MANAGEMENT OF PREGNANCY INDUCED HYPERTENSION Contents Introduction Risk factors for the development of hypertension in pregnancy Endothelial dysfunction- a key mechanism in pathogenesis of preeclampsia Management of hypertension in pregnancy Methyldopa in management of hypertension in pregnancy Effects of methyldopa for hypertension in pregnancy- evidence based studies Summary References Introduction Pregnancy induced hypertension (PIH) is defined as diastolic blood pressure 90mmRead MoreA Relationship Between Some Neurotransmitter Controlling Enzymes And Essential Hypertension1051 Words   |  5 Pages Hypertension affects about 20 percent of the adult population placing a high burden on health care systems. CholinesterasesEC 3.1.1.7 and 3.1.1.8(ChEs)catalyze the neurotransmitteracetylcholine into choline and acetic acid, allowing a cholinergic neuron to return to resting state after activation. Monoamine oxidase E.C1.4.3.4 (MAO) is responsible for degradation of endogenous monoamine neurotransmitters and dietary amines. Nitric oxide(NO) is a gas produced in endothelial cells andRead MoreDo Calcium Channel Blockers Play A Role For Preventing Hypertensive Encephalopathy?1618 Words   |  7 PagesHypertensive Encephalopathy? A- Study aim To identify the risk factors for hypertensive encephalopathy amongst patients seen in the Emergency Department (ED) and assess whether calcium channel blockers play a role in preventing hypertensive encephalopathy. B- Background and significance Hypertension is a very common problem, affecting 1 billion people worldwide, with 50 million cases in the United States, and one third of cases going undiagnosed. 1% of the cases will experience a hypertensive