Question

Subject Hypertension patient: Please make to have it as a actual scernio of a patient going into to the hopstial and for section B give rationales. A.Health History – age, gender, ethnicity, past and current medical history, chief complaint, and history of present illness on admission.B.Laboratory/Diagnostic Testing – describe the diagnostic tests ordered/completed, pertinent results (including normal and abnormal ranges), and rationales for the use of each diagnostic test.

Answer 1

Michael 50 year old an African American working as teacher was brought to casualty with severe headache.On examination his ht-5.5 i nches,weight-210 pound,temperature 37.2,pulse 78,BP 190/90.he never engages in regular walk.afterwork hours he used to sit and watch television.He is a chain smoker too .daily 4-5 packets. By dietary habits he is a nonvegetarian. He has a family history of mother having history of coronary artery disease and died with stroke 6months back.Following investigation are done.

TSH	2.5uLu/ml	0.25-4	hyperthyrodism or hypothyroidsm
Creatinine	0.75mg/dl	0.5-1.3
GFR	85ml/mt	>90	reduced.check for kiney function
Uric acid	3.5mg/dl	0.9to1.5	high levels indicate kidney dysfunction.
Cholesterol	214mg/ml	130-220	high cholestrol
Triglycerides	60mg	35-165	increased
Se Na,, Ca	137	137-147	increased in hypertension
HbA1C	3.69	70-110	long term control of glucose

several risk factors like smoking,lack of exercise, family history present.