DSC 55 Year Old Male Patient with Lightheadedness Discussion

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A 55-year-old male patient presented to the nurse practitioner with complains of “lightheadedness” x 6 months.

He confirms headache, blurry vision, and intermittent eye pain. He denies chest pain, new onset upper or lower extremity weakness, dyspnea, palpitations, tachycardia, tachypnea, or hemoptysis.   His past medical history includes Diabetes Mellitus 2, Peripheral Arterial Disease, and Hyperlipidemia. He reports 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 does not take any medications for blood pressure currently because he has not been diagnosed with Hypertension in the past. His family history is significant for CAD, HTN, and Thyroid diseases. 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. 

What type of questions would you ask this patient to obtain a detailed history (Think past history, demographics, and family history).

What aspect of his demographics, age, and past medical history are important to note as the nurse practitioner while formulating a diagnosis?

1. From your readings from module 2, explain how L.A symptoms are important in formulating an accurate diagnosis?
2. List four differential diagnosis for this patient, start with your priority diagnosis. Priority diagnosis are crucial diagnosis that you want to ensure that you include in your list of diagnosis because failure to include them can lead to severe harm to the patient. ( Hint: A priority diagnosis is a  differential until it becomes an  actual diagnosis. A detailed history, physical, and diagnostic examination will ensure that a priority diagnosis is thoroughly investigated before being excluded as a differential).
3. Analyze the clinical decision-making process that led to an actual diagnosis.