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NR 509 Week 5 iHuman Virtual Patient Encounter Attempt 3564147 - Harvey Hoya.

Chamberlain University Nursing NR 509 Advanced Physical Assessment Laci Peterson 8 pages
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History Notecard by Owla Awada on case Harvey Hoya Use this to collect your thoughts to develop a differential diagnosis list. Step 1: Write symptoms (Sx) you have identified in the appropriate column and row. Step 2: Characterize the symptoms using "OLDCARTS" (ie., Onset, Location, Characteristics...etc) in the HPI section. Step 3: Record your thoughts in the space labeled "What this means". Is the disease acute or chronic? Infectious or other?... Timing/treatments Hx Categories Sx= weight Sx= high blood Sx= knee Sx= Sx= Sx= gain pressure pain CC Provided How can I help you? Any other symptoms? HPI Onset/events a year ago recently Location Duration noticed it 6 a few years ago was months ago told to watch BP Characteristics weight gain high Aggravating eating chips not aware Reliving not aware ibuprofen Severity high What this means Attempt: 3564147 Report generated on 6/8/2025, 3:24:29 PM America/Detroit Management Plan by Owla Awada on case Harvey Hoya Diagnostic tests: 12 lead electrocardiogram (ECG), complete blood count (CBC), comprehensive metabolic panel (CMP), thyroid-stimulating hormone (TSH), urinalysis (UA). Medication and treatment: Hydrochlorothiazide 25 mg PO once daily. Diuretics have been essential in hypertension management for decades, with thiazide diuretics recognized as first-line treatments due to their proven efficacy in reducing cardiovascular risk (Rucker-Joerg et al., 2025). Consult/Referrals: Ophthalmology to monitor AV nicking. Patients with hypertension should be advised to follow up with an ophthalmologist regularly to prevent an increase in the retinopathy severity, which may lead to stroke or even death (Badawi et al., 2022). GI consult to monitor patient's heartburn and omeprazole use. This is particularly important as cardiovascular disease remains the leading cause of mortality worldwide, and a poor diagnosis and management of GERD, a previously unassumed condition, may be contributing to its lethality (Gries et al., 2023). Dietition for education on food choices for weight management, hypertension, and GERD. Irrespective of demographic and socioeconomic characteristics and lifestyle factors, including eating habits, largely non- Mediterranean diet consumption was positively correlated to GERD disease risk, suggesting that adoption of the Mediterranean diet can be beneficial in the management of GERD (Gries et al., 2023). An orthopedic surgeon to evaluate the knee pain the patient is experiencing, especially since the patient had an ACL surgery. ACL injury, the most common ligament injury in the knee, can lead to recurrent knee instability, often resulting in osteoarthritis and meniscal tears (Pontoh et al., 2025). A Cardiologist referral to monitor patient progress. Although traditionally considered a causative agent of noncardiac chest pain, a common imitator of cardiac chest pain, or an incidentally shared comorbidity in patients with CVD, a number of studies have implicated GERD and its therapies as risk factors for CVD (Gries et al., 2023). Education: Discuss smoking cessation. Nevertheless, smoking cessation should be encouraged, especially in those with or at-risk for CVD or GERD (Gries et al., 2023). Educate on lifestyle modifications to control hypertension and GERD, as well as the importance of weight loss. Common lifestyle interventions could include weight loss for overweight

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