EF is a 40 YO AA female that presents on a return visit to your primary care clinic for continued back and shoulder pain
Posted: Tue Sep 07, 2021 8:16 am
EF is a 40 YO AA female that presents on a return visit to your
primary care clinic for continued back and shoulder pain x 3 weeks.
EF is a truck driver and loads/unloads trucks on a daily basis and
delivers nationally often. Patient currently is uninsured.
Vitals 8/29/2020: wt 230lbs, Ht 71 inches, T 97.8, BP 218/108,
HR 83, RR 14
PMH: HTN, T2DM, Scoliosis, migraine, angioedema
SH: ETOH (+) Tobacco ½ ppd recently stopped, h/o of cocaine
use
FH: HTN mother and sister Cancer: mother and father
Medication: Amlodipine 10mg 1 po q day Hydrochlorothiazide 25mg
1 po q day Lisinopril 10 mg 1 po q day Simvastatin 40mg 1 po qhs
Metformin 500mg 1 tablet po bid Propranolol 20mg 1 po q day On Call
Plus Meter and Strips
Labs 06/18/2020: Glucose 101 Cl 103 ALT 25 BUN 11 CO2 23
Micro/Creat 40 Scr 1.4 Ca 9.8 A1c 6.4 Na 142 Alb 4.5 K 5.0 AST
18
1) What would your initial step(s) be for EF to help his BP?
primary care clinic for continued back and shoulder pain x 3 weeks.
EF is a truck driver and loads/unloads trucks on a daily basis and
delivers nationally often. Patient currently is uninsured.
Vitals 8/29/2020: wt 230lbs, Ht 71 inches, T 97.8, BP 218/108,
HR 83, RR 14
PMH: HTN, T2DM, Scoliosis, migraine, angioedema
SH: ETOH (+) Tobacco ½ ppd recently stopped, h/o of cocaine
use
FH: HTN mother and sister Cancer: mother and father
Medication: Amlodipine 10mg 1 po q day Hydrochlorothiazide 25mg
1 po q day Lisinopril 10 mg 1 po q day Simvastatin 40mg 1 po qhs
Metformin 500mg 1 tablet po bid Propranolol 20mg 1 po q day On Call
Plus Meter and Strips
Labs 06/18/2020: Glucose 101 Cl 103 ALT 25 BUN 11 CO2 23
Micro/Creat 40 Scr 1.4 Ca 9.8 A1c 6.4 Na 142 Alb 4.5 K 5.0 AST
18
1) What would your initial step(s) be for EF to help his BP?