Reason For Encounter: Blood Pressure Recheck
Class 6512
,
, Patient Overview
Age/Sex: 56-year-old African American female
Visit Reason: Follow-up for elevated blood pressure (initial:
162/98 mmHg)
Time Since Last Visit: 2 weeks
Current Concerns: No active complaints; following up as advised
Home BP Readings: Ranging 138/86 to 148/90 mmHg
📜 1. Subjective Data (History)
HPI:
Patient was previously found to be hypertensive (BP 162/98
mmHg) during a routine exam.
Was started on Lisinopril 10 mg daily and given lifestyle
modification counseling.
Home readings have improved but still elevated at times.
Denies symptoms like headaches, dizziness, chest pain,
palpitations, or shortness of breath.
PMH:
Hypertension (new)
Hyperlipidemia
Obesity
PSH:
Appendectomy
Tubal ligation
Meds:
Lisinopril 10 mg daily