Problem List

Active (3)

Essential Hypertension

ICD-10: I10 · Priority: High

Currently poorly controlled (BP 152/94). Losartan increased to 100mg today. Target BP <140/90. Concurrent Amlodipine 5mg. Home BP monitoring recommended.

Onset: June 2022 Diagnosed by: Dr. Ochieng Last reviewed: Today

Active

Type 2 Diabetes Mellitus

ICD-10: E11.9 · Priority: High

HbA1c 7.2% (above target). Fasting glucose 142 mg/dL. Currently on Metformin 500mg BID. Consider dose increase or adding second agent at follow-up.

Onset: January 2024 Diagnosed by: Dr. Ochieng Last reviewed: Today

Active

Tension-type Headache

ICD-10: G44.2 · Priority: Moderate

3-day history of progressive frontal headache, 7/10 severity. Likely stress-related with some migraine features. Sumatriptan 50mg PRN prescribed. Headache diary recommended.

Onset: 14 Feb 2025 Diagnosed by: Dr. Ochieng Last reviewed: Today

Active

Resolved (2)

Acute Bronchitis

ICD-10: J20.9

Resolved with antibiotics. No recurrence.

Onset: Nov 2024 Resolved: Dec 2024

Resolved

Urinary Tract Infection

ICD-10: N39.0

Treated with Nitrofurantoin. Culture confirmed E. coli sensitive. Follow-up UA normal.

Onset: Aug 2024 Resolved: Sep 2024

Resolved