Case of a well man Flashcards
What does the patient tell the GP?
Alright More measured pace at work Brother was recently diagnosed with CML Not a smoker Drinks occasionally Nocturia Weight gain Increased waist circumference BMI 29
What does he say about his diet?
Lots of meat
High Salt
What does the GP recommend?
Food diary
Blood tests
ECG
Blood pressure
What does he say about his exercise?
Not much exercise
Occasional walks in the park
What does the patient say about his family?
Would like his kids to settle down as he would like grandchildren
Just him and his wife at home
What blood test does the GP recommend?
FBC
Kidney/Liver tests
Prostate
What can the health check identify what you are at risk of?
Heart disease Diabetes Kidney disease Stroke Dementia
What happens at a health check?
20-30 mins Lifestyle Family history Height Weight Blood pressure Blood test
Where can you have a health check?
GP Surgery
Local Pharmacy
Local Library or Leisure centre
How can you arrange for a health check?
Every 5 years if between 40-74
Call up and ask for an appointment
What are some of the effects of hypertension?
TIA Storke Retinopathy Optic neuropahty Coronary artery disease Left ventricular hypertrophy Glomeruloscelrosis Kidney failure Atheroscerlosis Aneurysm
What is the course of management for hypertension?
Recheck BP 24 hr ambulatory BP monitoring Lifestyle advice Recheck BP Start medication
What is white coat hypertension?
Higher BP when a healthcare professional is taking their BP
What are some recommended lifestyle changes for hypertension?
Losing weigh
Stoping smoking
Reduced salt intake
What should you do to look for evidence of target organ damage?
heart- 12 lead ECG
REVISE ECG stages
LEADS AND ELECTRODES
