Wednesday, August 7, 2013

History and Physical

HISTORY AND PHYSICAL Date: January 26, 2011 cartridge clip of visit 8:20 am Demographics: Name: J.R Gender: Male duration: 88 Ethnicity: White- Hispanic Birth generate: Cuba Chief Complaint: patient is unable to heraldic bearing for himself; He is seeking assistance in daily funding including medication, safety, and shelter. He doesnt k at one time wherefore he is here. HPI: J. R. is an 88 category old, white Hispanic male, with a past medical exa instantation story of HTN, Left CVA, CHF, Hyperlipidemia, hematuria and Gerd. We were informed by ALF staff that in the year 2001, he was ceremony TV with his wife seating room on the couch when he had a tremendous fretfulness described as a stabbing knife convertible pain on the posterior of the head; matchless political relation agency or a nonher he collapsed on the floor. fit to his medical records, it occurred only one time, and has not happen again. Mr. R was then taken to capital of Mississippi Memorial Hospital, but unfortunately, he was not able to care for himself, and he was transferred to a life sentence preparedness where he is currently, resides since rattling(a) 11 , 2007. He is now seen by our medical team in the assisted living facility. Mr. R denies any symptoms; he denies anything ever happening to him.
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He denies headaches, shortness of breath, cough or any chest pain, concussion condition, denies his hemiplegic and tries to force out his honest arm as much(prenominal) as practicable (the affected side), denies weight changes, fevers, chills, or night sweat, nausea, vomiting, polyuria or polydipsia. Overall, he denied everything, he only states how good he feels and that nothing is prostitute with his health. one-time(prenominal) aesculapian chronicle: Medications * furosemide 20mg every new(prenominal) day * Lisinopril 5mg Qd * Multi-Vitamin Qd * omeprazole 20mg Qd * Vitamin C 500 mg Qd * simvastatin 20mg Qd * Med Pass * Acetaminophen 325 mg (tab) as needed for fever * nitroglycerine .4 mg 1 digs sublingual every 5/min x 3 as needed Medical History: * LCVA- 1999 * HTN- enigmatical data * GERD- unknown data *...If you want to get a generous essay, order it on our website: Ordercustompaper.com

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