GP notes 2.0

Subjective: - Patient presents with a chief complaint of a persistent headache, described as a dull ache located in the frontal region, which began approximately 2 weeks ago. The headache is intermittent, occurring several times a week, and lasts for several hours each time. Associated symptoms include mild sensitivity to light and occasional nausea. - Patient reports a history of hypertension, diagnosed 5 years ago, which is well-managed with medication. The hypertension does not significantly impact daily activities. - No history of previous TIAs or strokes. - Patient has an upcoming appointment with a cardiologist next month. Objective: - Blood pressure: 130/80 mmHg, Pulse: 78 bpm, Temperature: 37°C. - Neurological examination reveals normal power, sensation, and movements in all extremities and the face. - No joint range of motion limitations or pain reported. Assessment & Plan: 1. Headache - Possible tension headache or migraine. Rule out other causes. - Advised patient to keep a headache diary to track frequency, triggers, and severity. - Discussed over-the-counter pain relief options. - Scheduled a follow-up appointment in 2 weeks. 2. Hypertension - Confirmed diagnosis of hypertension. - Continue current medication regimen. - Advised patient on lifestyle modifications, including diet and exercise. - Monitor blood pressure regularly at home. - Reviewed the importance of medication adherence. - Provided counselling on the risks of uncontrolled hypertension. 3. Past TIA - Not applicable. 4. Upcoming Cataract Surgery - Not applicable. 5. Current Medications - Amlodipine 5mg daily for hypertension.