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Briefing — read this before starting. The transcript will appear here once the consultation begins.
Doctor Notes
Patient Information
Name: Mr. Marcus Edwards
Age: 52 years
Gender: Male
Occupation: HGV Driver
Ethnicity: Black African/Caribbean
Current Appointment
Routine appointment following an NHS Health Check.
Background
Mr. Edwards attended an NHS Health Check with the practice nurse last week and the nurse was worried about his BP so she advised a GP review after the blood tests were back.
BP Readings / Observations from Nurse
- BP: 162/94 mmHg (Average of 3 readings) — Stage 2 Hypertension
- Pulse: 72 regular
- BMI: 31
- Smoking: Current smoker (10–15/day)
Blood Results (Fasting)
- HbA1c: 41 mmol/mol (Pre-diabetic range / High Normal)
- Total Cholesterol: 6.2 mmol/L
- HDL: 1.1 mmol/L
- LDL: 4.5 mmol/L
- eGFR: >90 (Normal Kidney Function)
QRISK3 Score
22.4% (Elevated due to age, smoking, BP, BMI, and ethnicity)
Smoking History
Current smoker, 10–15 cigarettes/day for ~30 years (~20 pack-years).
Drug History
- No regular medication.
- No known drug allergies.
Family History
- Father — died of stroke aged 60 (in Jamaica).
- Mother — Type 2 diabetes on oral medication.
Occupation
HGV / bus driver — long sedentary shifts; meals largely from takeaways.