Problem:
The patient, a 56 year old obese female with a past medical history of hypothyroidism who presents for a blood pressure recheck after attending a workplace health fair three weeks ago (BP reading was 132/74). She reports consuming a high fat diet, high salt diet, physical inactivity, slight stress due to work and watching grandchildren, a family history of heart disease and consuming alcohol one day per week. She is asymptomatic and denies chest pain, shortness of breath, leg swelling, polyuria, polydipsia, polyphagia, weakness, numbness, tingling and fatigue. Physical examination reveals vital signs within normal limits with blood pressure 118/72, obese BMI, xanthoma, and arcus senilis. The remaining physical exams is unremarkable. Mangement plan Medications, nonpharmacological treatment, ancillary tests, and referrals. Need Assignment Help?