The case study presents a 55-year-old African American male, C.D., with a history of hypertension, presenting to his doctor with headaches and chest pressure. His medical and social history indicates multiple risk factors including obesity, smoking, and poor dietary habits. The document outlines the need for a comprehensive management plan, including diagnostics, patient education, and follow-up care.

1. Hypertension Case Study
C.D is a 55-year-old African American male who presents to his
primary care provider with a 2-day history of a headache and
chest pressure.
PMH
Allergic RhinitisDepressionHypothyroidism
Family History
Father died at age 49 from AMI: had HTNMother has DM and
HTNBrother died at age 20 from complications of CFTwo
younger sisters are A&W
Social History
The patient has been married for 25 years and lives with his
wife and two children. The patient is an air traffic controller at
the local airport. He has smoked a pack of cigarettes a day for
the past 15 years. He drinks several beers every evening after
work to relax. He does not pay particular attention to sodium,
fat, or carbohydrates in the foods he eats. He admits to “salting
almost everything he eats, sometimes even before tasting it.” He
denies ever having dieted or exercised.
Medications
Zyrtec 10 mg daily
Allergies
Penicillin
ROS
States that his overall health has been fair to good during the
past year.Weight has increased by approximately 30 pounds in
the last 12 months.States he has been having some occasional
chest pressure and headaches for the past 2 days. Shortness of
breath at rest, headaches, nocturia, nosebleeds, and
hemoptysis.Reports some shortness of breath with activity,
especially when climbing stairs and that breathing difficulties
are getting worse.Denies any nausea, vomiting, diarrhea, or
blood in stool.Self treats for occasional right knee pain with
OTC Ibuprofen.Denies any genitourinary symptoms.
Vital Signs

2. B/P 190/120, HR 73, RR 18, T. 98.8 F., Ht 6’1”, Wt 240 lbs.
HEENT
TMs intact and clear throughoutNo nasal drainageNo exudates
or erythema in oropharynxPERRLAFunduscopy reveals mild
arteriolar narrowing without nicking, hemorrhages, exudates, or
papilledema
Neck
Supple without masses or bruitsThyroid normalNo
lymphadenopathy
Lungs
Mild basilar crackles bilaterallyNo wheezes
Heart
RRRNo murmurs or rubs
Abdomen
Soft and non-distendedNo masses, bruits, or
organomegalyNormal bowel sounds
Ext
Moves all extremities well
Neuro
No sensory or motor abnormalitiesCN’s II-XII intactDTR’s =
2+Muscle tone=5/5 throughout
What you should do:
Develop an evidence-based management plan.Include any
pertinent diagnostics.Describe the patient education
plan.Include cultural and lifespan considerations.Provide
information on health promotion or health care maintenance
needs.Describe the follow-up and referral for this
patient.Prepare a 3–5-page paper (not including the title page or
reference page).
Assignment Requirements:
Before finalizing your work, you should:be sure to
read the Assignment description carefully
(as displayed above);
consult the Grading Rubric
to make sure you have included everything necessary;
andutilize

3. spelling
and
grammar check
to minimize errors.Your writing Assignment should:follow the
conventions of
Standard English
(correct grammar, punctuation, etc.);be
well ordered
,
logical
, and
unified
, as well as
original and insightful
;display
superior content, organization, style,
and
mechanics
; anduse
APA 6th Edition
format as outlined in the
APA Progression Ladder
.