Case 39 Introduction

Case Published: October 2019

History of Present Illness (HPI)


A 29 year-old man is referred to nephrology clinic for hypertension. He recently established care with a primary physician and was found to have a blood pressure of 180/105 mmHg.

He is overweight, but he has no other known past medical history and takes no medications. He denies supplement use or over the counter medications.

He does not have chest pain, shortness of breath, edema, headache, vision changes, nausea, or vomiting. He does note intermittent muscle cramping, particularly of his calf muscles. He denies weakness, numbness, tingling, syncope. Denies snoring, daytime sleepiness, or observed apnea episodes. He also denies fever, chills, change in appetite or weight, GI symptoms, or urinary symptoms. He has a family history of hypertension in his father, diagnosed at age 50, and type 2 diabetes mellitus in his mother, diagnosed at age 54.

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