Pre-Consultation: J. van der Berg
Next: 09:30 • Hypertension follow-up
Patient completed digital intake via SMS. Reports good medication compliance. Main concern: occasional morning dizziness. Home BP monitoring ongoing. Diet improvements - reducing salt. Exercise limited due to knee pain.
Clinical Consultation Assistant
AI-powered support for consultations and documentation
Post-Consultation Report
Subjective
52-year-old male presents for routine hypertension follow-up. Reports good compliance with Lisinopril 10mg and HCT 12.5mg. Denies headaches, visual disturbances, or chest pain. Reports occasional dizziness when standing quickly in the morning. Diet modifications ongoing - reducing sodium. Exercise limited due to knee arthritis.
Objective
Cardiac: RRR, no murmurs. Lungs clear. No peripheral edema. Orthostatic test: BP drop 15mmHg on standing.
Assessment
Primary: Essential hypertension (I10) - suboptimally controlled
Secondary: Orthostatic hypotension symptoms, Overweight (BMI 28.4), Elevated fasting glucose
Plan
Based on NHG-CVRM guidelines: Consider increasing Lisinopril from 10mg to 20mg daily. Target BP <130/80 given CV risk factors. Monitor for worsening orthostatic symptoms. Recommend HbA1c test given glucose 6.8 mmol/L.
Clinical Dashboard
Today's overview — Monday, 27 January 2026
Patient Intake Form
AI-assisted registration and assessment
Practice Assistant
AI support for scheduling and patient queries
Practice Overview
AI Practice metrics — January 2026