A 55-year-old female patient presented with complains of “lightheadedness” x 6 months. He confirms headache, blurry vision, and dizziness. His past medical history includes Diabetes Mellitus 2, Peripheral Arterial Disease, and Hyperlipidemia. He reported that he has been taking his blood pressure at home for the past six months and noticed that his systolic pressure has ranged from 160-170s, while the diastolic pressure is between 90-100. He is worried because he does not want to have a Cerebrovascular Accident (Stroke). Using the tools, you learned from diagnostic reasoning in this module. 

  1. What type of questions would you ask this patient to obtain a detailed history (Think past history, demographics, and family history).
  2. explain how symptoms are important in understanding his presenting disease process.
  3. List four differential diagnosis for this patient, start with your priority diagnosis ( do not miss diagnosis)
  4. Analyze the clinical decision-making process.
  5. Identify the critical components of the health history.
  6. Analyze and understand the clinical manifestations or symptoms of different disease processes.