A 57-year-old African-American woman is seen by her PCP clinic for a headache not relieved by acetaminophen or ibuprofen. Physical examination reveals an overweight woman BP 152/98, HR 100, R18, afebrile, BMI 36. Her fingers are puffy with tight rings that she is unable to remove. She is in no acute distress.
PMH: HTN, hyperlipidemia, DMT2
PSH: chole
NKDA
Meds - not currently taking any that she's been rx'd in the past.
What other questions do you have for her at this time (subjective)?
What medications would you consider starting at this visit? Why?
Are there any labs indicated now, provide evidence to support them.