Today
Venipuncture — Blood Draw
Diagnostic · CO Muthoni · Completed
Today, 09:15 AM
Done
- CBC, BMP, and HbA1c samples collected from left antecubital fossa
- Patient tolerated procedure well; no bleeding, haematoma, or adverse reaction
- Samples labelled and sent to lab
Direct Ophthalmoscopy
Diagnostic · CO Muthoni · Completed
Today, 10:10 AM
Done
- Bilateral fundoscopy performed with handheld ophthalmoscope
- No papilledema, no haemorrhages, no exudates
- Cup-to-disc ratio normal bilaterally. Retinal vessels unremarkable
- Findings consistent with normal fundoscopic exam; no signs of hypertensive retinopathy
Serial BP Measurement
Monitoring · CO Muthoni · Completed
Today, 10:20 AM
Done
- Three serial readings taken at 5-minute intervals (right arm, seated, appropriate cuff size)
- Reading 1: 154/96 mmHg · Reading 2: 152/94 mmHg · Reading 3: 150/92 mmHg
- Average: 152/94 mmHg — confirmed elevated above target (<140/90)
Previous (This Encounter)
Random Blood Glucose (POCT)
Point-of-Care · CO Muthoni
10 Feb, 08:45 AM
Done
- Fingerstick glucose using glucometer: 156 mg/dL (non-fasting)
- Confirmed with subsequent fasting glucose order (BMP panel)