Prevention Case Study Mr. Caesar Identifying Data: age 68 yo, WM, HPI: New patient here for to establish his medical care. He has been living as a missionary in Africa and has had very irregular healthcare for years. Just moved back to USA. Current Health Data: Allergies- NKDA Screening tests/last: last physical exam 2005. No recent tests of any kind. Immunizations- none reported that he recalls except annual flu shot in the mission. PMH: Childhood illnesses: none Adult illnesses: none known Hospitalizations/ Surgeries: cholecystectomy 20 years ago. Sexual Hx: sexually active on occasion in Africa with native females. Occasional sex now. Eight lifetime partners. Psych Hx: no screening ever done Family Hx: Father with HTN, Lipids, COPD, prostate cancer; mother with HTN, CVA Personal/Social Hx: quit cigarettes 5 years ago–was a heavy smoker (1 pack/day) for 40 years since age 25, alcohol daily: 3 beers. Retired from his work as a mailman at 60 and began missionary work. Spouse died 3 years ago and lives alone. Has Medicare insurance. PE: VS- P-70, R- 14, BP-142/88, BMI-32.4
