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Grace Karimu #14002
Patient Summary
Patient Grace Karimu
Age / Gender 34 / Female
MRN #14002
Chief Complaint Persistent headaches, fatigue
Current Medications Metformin 500mg
Differential Diagnosis
Hypertensive Crisis 87%
Tension-type Headache 62%
Iron Deficiency Anemia 41%
Thyroid Dysfunction 23%
AI Reasoning
Symptom Correlation

Persistent headaches combined with fatigue strongly correlate with hypertensive crisis (r=0.87). The pattern of bilateral, pressure-type headaches with associated dizziness supports this primary diagnosis.

Lab Analysis

Elevated BP readings (168/102 mmHg) with mildly elevated creatinine (1.3 mg/dL) indicate end-organ stress. HbA1c at 7.2% suggests suboptimal glycemic control on current Metformin regimen.

Risk Factors
  • Type 2 Diabetes (on Metformin)
  • Family history of hypertension
  • Sedentary lifestyle pattern
  • BMI 28.4 (overweight)
Recommended Next Steps
  • 24-hour ambulatory BP monitoring
  • Complete metabolic panel
  • Thyroid function tests (TSH, T3, T4)
  • Iron studies and CBC