MediDash

Clinical Notes:

Patient presented with consistently elevated blood pressure readings over 3 months. Readings averaging 135/88 mmHg. No secondary causes identified. Family history of hypertension (father and paternal grandfather). Initial management with lifestyle modifications; pharmacotherapy initiated May 2020.

Clinical Notes:

Lipid panel showed elevated LDL (145 mg/dL) and total cholesterol (220 mg/dL). HDL within normal range (42 mg/dL). Triglycerides slightly elevated (165 mg/dL). Risk factors include hypertension, sedentary lifestyle, and family history. Initially managed with therapeutic lifestyle changes; statin therapy considered if no improvement in 3 months.

Clinical Notes:

HbA1c level of 6.2% (normal < 5.7%, diabetes ≥ 6.5%). Fasting plasma glucose of 112 mg/dL (normal < 100 mg/dL, diabetes ≥ 126 mg/dL). Risk factors include BMI of 27.5, family history, and sedentary lifestyle. Patient educated on lifestyle modifications with emphasis on weight loss, dietary changes, and increased physical activity.

Clinical Notes:

Patient presented with 5-day history of nasal congestion, sore throat, cough, and low-grade fever (100.8°F). Physical examination showed erythematous pharynx, clear rhinorrhea, and mild cervical lymphadenopathy. Lungs clear to auscultation. Rapid strep test negative. Diagnosed with viral URI. Managed with supportive care, rest, and increased fluid intake.

Clinical Notes:

Patient reported acute onset of lower back pain after lifting heavy furniture. Pain localized to lumbar region without radiation to lower extremities. No neurological deficits. MRI showed mild disc bulging at L4-L5 without herniation or nerve compression. Diagnosed with lumbar strain. Managed with NSAIDs, muscle relaxants, and physical therapy.