Hello, please follow the instructions and make sure each question is answered. I have attached other feedback from other papers graded poorly due to lack of answering the questions. Patient below has hypertension and diabetes. However, damage hasnt occured yet. Please also see attached my original submission of this cardiac case study graded as a 60%.
A 53 year old African American man is in for follow up of his elevated blood pressure. He was seen last week in your office for a Department of Transportation commercial driverâ€s examination where his blood pressure was 176/92. Subjective questioning is negative. BP today is 174/94.
His physical exam is remarkable for a loud S2, sustained PMI at 5icslmcl, an S4 gallop is present. The remainder of his physical exam is unremarkable.
Family history is remarkable for high blood pressure.
Self describes his lifestyle as pretty sedentary due to driving long hours every day. Diet is often fast food with many cups of coffee.
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