SU_NSG6420_W10_A4_Dukes_Y.docx - Name R.M Pt Encounter Number 2757-20151116-001 Date Age 53 Sex M SUBJECTIVE CC “My urologist told me to see you about

SU_NSG6420_W10_A4_Dukes_Y.docx - Name R.M Pt Encounter...

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Name: R.M. Pt. Encounter Number: 2757-20151116-001 Date: 11/16/15 Age: 53 Sex: M SUBJECTIVE CC: My urologist told me to see you about my labs” HPI: The patient is a 53 year old male who recently underwent a penectomy for penile cancer. He was following up post operatively with his urologist when they noticed abnormalities with his lab studies, in particular his HgbA1C. He was advised to follow up with primary care to discuss the results. Medications: Percocet 5/325mg on tab po TID PRN for POST OPRATIVE PAIN PMH Allergies: The patient has no know drug or environmental allergies Medication Intolerances: The patient denies any medication intolerances Chronic Illnesses/Major traumas Penile cancer diagnosed October 2015 Hospitalizations/Surgeries Penectomy 11/10/15 Family History Non contributory Social History The patient is a divorced ex Marine with one child living in Puerto Rico. The patient is currently single and works for the post office. He drinks occasional alcohol and has never smoked. ROS General Denies fever, chills. Has lost 8 pounds in the last month Cardiovascular Denies any chest pain, or palpitations Skin
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