Hypertension case proforma general medicine
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Your Hypertension Case Proforma PDF is ready:
Hypertension Case Proforma
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Here is what the proforma covers across 17 sections + Appendix:
| Section | Content |
|---|---|
| 1 | Patient Particulars (demographics, IP/OP No., socioeconomic status) |
| 2 | Chief Complaints (tabulated with duration) |
| 3 | History of Present Illness - onset, symptoms checklist, drug history, compliance |
| 4 | Past History (DM, CAD, MI, stroke, CKD, phaeochromocytoma, etc.) |
| 5 | Family History (6-generation table for HTN, DM, heart disease, stroke, renal) |
| 6 | Personal / Social History (smoking, alcohol, diet, exercise, stress) |
| 7 | General Physical Examination - vital signs (both arms BP), BMI, waist-hip ratio |
| 8 | Systemic Examination - CVS, respiratory, abdomen, full neurological, fundoscopy |
| 9 | Investigations - baseline labs (20 parameters), cardiac/imaging, secondary HTN workup |
| 10 | BP Classification table (ACC/AHA 2017 - Normal to Hypertensive Crisis) |
| 11 | Target Organ Damage (heart, brain, kidney, eye, peripheral vessels) |
| 12 | CV Risk Stratification (Low / Moderate / High / Very High) |
| 13 | Diagnosis block with ICD-10 space |
| 14 | Management - lifestyle modifications, drug table, target BP goals by comorbidity |
| 15 | Daily Progress Notes table |
| 16 | Discharge Summary + discharge medications + follow-up plan |
| 17 | Signatures (student, resident, consultant, unit chief) |
| Appendix | Antihypertensive drug class quick reference + Keith-Wagener-Barker grading |
Guidelines referenced: ACC/AHA 2017, ESC/ESH 2018, KDIGO 2021, ADA 2024, JNC 8, WHO/ISH 2020.
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