Mark Reynolds
Elevated office BP; substantial lifestyle-change opportunities
Why this case: Contrast with Daniel using the same office repeat BP, not assumed identical usual BP.
Measured at this visit
- Office, initial: 162/98
- Office, repeat after rest: 158/96
- Pulse 78 bpm
Individual office observations, not a multi-day baseline or treatment outcome. No mean precomputed.
Outside this visit
Usually around 150/90 when I check; I do not keep a log.
No saved home readings.
Recalled description only; no individual readings or calculated average available.
Office measurements available; home BP is approximate recall only. Long-term usual BP not established by these data.
Brought to the visit
No laboratory report at this visit.
Pilot recalls being told his sugar was borderline; exact results and kidney/electrolyte values are unavailable.
Frequent airport sandwiches, restaurant dinners, and packaged snacks.
Frequent salty/convenience foods by interview; intake not quantified.
About 8-10 drinks per week.
Little scheduled exercise; a short walk once or twice most weeks.
CPAP-treated OSA reported
Says he uses CPAP most nights; no download reviewed.
- Hypertension
- Obesity
- Prediabetes reported by primary care
- Obstructive sleep apnea treated with CPAP
- Knee osteoarthritis
Current medications
- amlodipine 5 mg, once daily — hypertension. Same dose for about 6 months, according to the pilot.
- ibuprofen 400 mg, As needed, a few days most weeks, according to the pilot — knee pain. Intermittent use; exact start date not recalled. Not a BP medication.
Authored notes for this case
- Do not invent a sodium dose or adherence percentage.
- Current amlodipine and reported CPAP use are baseline exposures, not new interventions.
- No treatment-effect or safety guarantee from missing labs.
No forecast is stored for this case.