Key facts Hypothesis Learning issues

Trigger 1
 Middle aged female  Has high blood 1. What is the pathogenesis of
 Headache, tiredness, pressure high blood pressure and what
dizziness  Atherosclerosis are the stages of hypertension
 Repeated high blood  Hypoxia
pressure  Anxiety, stress 2. What is the mechanism of
 Not prescribed  Lifestyle regulation of normal blood
antihypertensive  Renal failure pressure
medication  Hormonal imbalance
 Blood pressure is monitored  Heart problem
 Genetic
 Other medications
Trigger 2
 No significant weight gain or  Menopause 3. How does hereditary
loss contribute to high blood
 Both parents suffer from pressure
hypertension 4. What is the relationship
 Father was diabetic and between age and high blood
hyperlipidaemic and died of pressure
myocardial infarction 5. Relationship between
 Patient does not smoke and hyperlipidaemia/MI and
drink alcohol hypertension
 Self-medication
(paracetamol)
 No muscle weakness,
stiffness, and aches
Trigger 3
 High blood pressure  Slightly overweight
 Overweight
 No oedema
Trigger 4 6. How is ambulatory blood
 BMI is slightly high pressure monitored and what is
 High cholesterol (low HDL, its purpose & What is the
high LDL) significance of lab report

7. What is the difference between

primary and secondary
hypertension in terms of their
pathogenesis and aetiology

Trigger 5
 Reducing her blood  Essential 8. Pharmacological and non-
pressure and dietary hypertension pharmacological management
modification/ counselling of hypertension
 High blood pressure after 9. Mechanism of action and
one month adverse effects of
 Prescribed tab hydrochlorothiazide
hydrochlorothiazide 25mg
OD
 Further follow up to assess
the therapeutic response