Name: NR509 Week 5 iHuman Case: Anselmo Lopez - Scholarly Freelancers
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NR509 Week 5 iHuman Case: Anselmo Lopez

History Feedback – Patient Interview with Anselmo Lopez

Ask problem-focused questions to create a differential diagnosis list.
Pivotal Concepts: ✅ Performed | ❌ Missed

✅ Concept	Category	Question	Patient Response
✅	HPI	How can I help you today?	I was recently at a health fair and was told my blood pressure is too high (around 170/92). My wife was concerned and made the appointment.
✅	HPI	Do you have any other symptoms or concerns we should discuss?	No, not really.
✅	HPI	When did your high blood pressure start?	Not sure. A doctor once said I should watch my diet. That was years ago. I felt fine so I didn’t pay much attention.
✅	HPI	How severe is your high blood pressure?	High enough that the nurse urged me to come in.
✅	HPI	Does anything make your high blood pressure better or worse?	I don’t know. I haven’t been paying any attention.
✅	HPI	What treatments have you had for your high blood pressure?	I don’t have a regular doctor. This is my first visit.
✅	HPI	What treatments have you had for the pain in your knee(s)?	I take ibuprofen.
✅	HPI	Does anything make the pain in your knee(s) better or worse?	Ibuprofen helps. Makes it better.
✅	PMH	Can you tell me about any current or past medical problems you’ve had?	Other than high BP, maybe a bit of acid stomach, was told I had gastritis. Also have achy knees. Don’t see a doctor regularly.
✅	PMH	Do you have high cholesterol?	I don’t know.
✅	PMH	Any previous medical, surgical, or dental procedures?	Had ACL repair in right knee. Nothing else.
✅	PMH	Are your immunizations up to date?	Got all childhood shots. Nothing since.
✅	PMH	Have you had a flu shot this year?	No.