MICA · General Practice & Urgent Care
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FICTIONAL CASE · SELF-REFLECTION WITHOUT A SCORE
A 58-year-old man has markedly elevated office blood pressure after missing follow-up. He reports chest pain beginning this morning with breathlessness. He offers to double his tablets himself.
Which finding determines referral?
Pain and breathlessness raise concern for acute injury and require urgent assessment, including cardiac evaluation. This is more than a chronic blood pressure control problem. Arrange appropriate transfer and communicate symptoms, readings and regular treatment. An improvised extra dose cannot replace assessment and may complicate care.