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ELIAS LEON AGE: 57 YEARS OLD HEIGHT: 5'9" (175 CM) WEIGHT: 195.0 LBS (88.6 KG) REASON FOR ENCOUNTER: HIGH BLOOD PRESSURE LOCATION: OUTPATIENT CLINIC WITH X-RAY, ECG, AND LABORATORY CAPABILITIES $10.79   Add to cart

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ELIAS LEON AGE: 57 YEARS OLD HEIGHT: 5'9" (175 CM) WEIGHT: 195.0 LBS (88.6 KG) REASON FOR ENCOUNTER: HIGH BLOOD PRESSURE LOCATION: OUTPATIENT CLINIC WITH X-RAY, ECG, AND LABORATORY CAPABILITIES

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ELIAS LEON AGE: 57 YEARS OLD HEIGHT: 5'9" (175 CM) WEIGHT: 195.0 LBS (88.6 KG) REASON FOR ENCOUNTER: HIGH BLOOD PRESSURE LOCATION: OUTPATIENT CLINIC WITH X-RAY, ECG, AND LABORATORY CAPABILITIES

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  • August 6, 2024
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  • 2024/2025
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ELIAS LEON AGE: 57 YEARS OLD HEIGHT: 5'9" (175 CM)
WEIGHT: 195.0 LBS (88.6 KG) REASON FOR ENCOUNTER:
HIGH BLOOD PRESSURE LOCATION: OUTPATIENT CLINIC
WITH X-RAY, ECG, AND LABORATORY CAPABILITIES




Patient Information

Name: Elias Leon

Age: 57 years old

Height: 5'9" (175 cm)

Weight: 195.0 lbs (88.6 kg)

Reason for Encounter: High blood pressure

Location: Outpatient clinic with x-ray, ECG, and laboratory capabilities




Clinical Approach

History Taking

a. Chief Complaint:

-Document the patient's main concern in his own words (e.g., "I've been having high blood pressure
readings at home.")

b. History of Present Illness:

-Onset, duration, and pattern of high blood pressure readings.

-Any associated symptoms (e.g., headaches, dizziness, chest pain).

-Previous treatments or interventions and their outcomes.

-Any recent changes in lifestyle, medication, or health status.

, c. Past Medical History:

-Known hypertension or other cardiovascular diseases.

-History of diabetes, kidney disease, or other relevant conditions.

-Previous surgeries or hospitalizations.

d. Medications:

-Current medications, including dosages and compliance.

-Over-the-counter medications and supplements.

e. Family History:

-Family history of hypertension, heart disease, stroke, or other relevant conditions.

f. Social History:

-Smoking, alcohol, and drug use.

-Dietary habits, physical activity, and stress levels.

-Occupation and living situation.

g. Review of Systems:

-Conduct a comprehensive review of systems to identify any additional symptoms or concerns.

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