Case study and history of hypertension

Case theatre and annals of high blood pressure biography of limn Illness Mr. AS is an 85 year old egg white male with a past bill of high blood pressure and pectus trouble who currently presents to us with alienation and complaints of non perspicacious how he got here. Our forbearing was diagnosed with hypertension at the be on of 40 and developed chest of drawers ache at the bestride of 45 when he was told he affected a measure maker. The pace maker was set(p) and he has had no heart complications since then. At the advance of 55 our affected role was diagnosed with mania which he lived with severally at crime syndicate until two old epoch ago when he had a stroke. He was admitted to ALF on April 28, 2009 where he was told that he had a stroke and could not head. Mr. AS has been staying at the facility since admission. Our forbearing currently denies any(prenominal) chest pain, headaches or vision changes. Mr. AS does complain of a cough that becomes ample at quantify with clear sputum. He stopped dope 20 long time ago and has a 160 cluster year history. He also states that he thinks he hears himself wheeze at times. Mr. AS states that his legs dont allow him to walk anymore and that the exercises that are done with the baby carriage hurt his arms. He states that he has relish in his legs only that movement is the problem. Mr. AS utter during the interrogate that he has sure the fact that he will not be adequate to walk once more and that he is subject field with his life as long as he nates breathe and talk. Our long-suffering also stated that he has problems take to be recent events and is let out at memory board events that occurred during his childhood. Past aesculapian History hypertension at the age of 40 which is controlled with medication. dresser pain at the age of 45 which was fixed with the transcription of a pacemaker. frenzy was diagnosed at the age of 55 crack at the age of 83 app endicectomy at the age of 10 referable to an appendicitis Inguinal herniation repair at the age of 10 Current Medications Mirtazapine 15mg PO QD for depression Namenda 10mg PO urge for manipulation of alzheimers symptoms allopurinol 300mg PO QD for hyperuricemia aspirin 81mg PO QD for everyday health and succour of minor pain Certavite antioxidant 18mg PO QD to proceed vitamin deficiency and undernutrion Loratadine 10mg PO QD for allergies Nifedipine 90mg PO QD for manipulation of hypertension and angina pectoris metoprolol tartrate 25mg PO QD for treatment of hypertension and angina Nasal decongestant 0.05% SP 2 sprays for each nostril Bid for allergies omeprazole 20mg PO Bid for gastroesophageal ebbing Aricept 10mg PO QD for alienation associated with alzheimers Tamsulosin HCl 0.4mg PO QD for benign prostate hyperplasia Zolpidem Tartrate 5mg PO QD for serve up sleeping Acetaminopen 500mg PO every 6 hours for high temperature Allergies N o known allergies Family History Grandma had TB, forbearing could not remember nominate or time of end and chart did not contain any information. data more or less the m early(a) and return could not be obtained by the affected role or the chart. Information about siblings could not be obtained by the patient or the chart. patient role states that he has one son who has back pain and is overweight. No other information could be provided by the patient or the chart. Patient states that he has no grandchildren Married twice and both deceased, cause unknown by patient and not stated in chart. Family members will need to be contacted to obtain more information on history of cancer, hypertension, heart disease, diabetes mellitus, or psychological illnesses. friendly