preview

Follow Up Vertigo Case Studies

Decent Essays

CC
Follow up elevated blood pressures.
Follow up vertigo.

New spot on left leg.

S
The patient is a 64-year-old female who was noted to have elevated blood pressures. She had been on atenolol in the past, but got some hair thinning with it. She was willing to try it again, from her physical appointment in April 2015. This time however, she felt very fatigued and groggy on it. We, therefore, switched her to losartan 50 mg, which she was taking a half a tablet per day. With taking this, however, she states she started feeling more anxious and had more difficult time sleeping. She stopped it on her own. She has been checking her blood pressures at home and they have ranged in the 120's/60s to 80s.

The patient was seen on June 1, 2015 secondary to vertigo. These symptoms did resolve completely.

The patient does state she has a lesion on her left calf that gets red and scaly. Sometimes it is there and sometimes it looks like it is almost gone away. It does not bleed.

Objective
Vital Signs
Blood pressure 122/68. Pulse is 66. Respiratory is 124.

General
The patient is alert, …show more content…

There is no pigment associated with it.

A/P
Elevated blood pressure, blood pressures at home, however, have been excellent. She has had side effects on both atenolol as well as losartan. Given that her blood pressures are so well controlled at home and it is good today, we will hold on starting her on any blood pressure medications. She will continue to monitor her blood pressure.

Left calf skin lesion, likely actinic keratosis versus seborrheic keratosis. This was treated with a liquid nitrogen x2 treatments today. I did discuss this might be some scarring, if the lesion, does come back it will need to be rechecked, it might blister. We discussed care of it. If this is the case, this could lead to infection. The patient demonstrated understanding of all of

Get Access