Where she had x rays that were negative and she does

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where she had x-rays that were negative, and she does not know her labs results. S he was prescribed tramadol for pain. She has been cleansing the site twice a day with Neosporin and bandages . She reports that he has right ankle swelling and pain have resolved but that the bottom of the foot is increasingly painful. The pain is described as “throbbing” and “sharp” with weight bearing. She states her ankle “ached” but is resolved. Pain is rated 7 out of 10 after a recent dose of tramadol. She reports that over the past two days the ball of the foot has become swollen and increasingly red; yesterday she noted discharge oozing from the wound is clear . She denies any odor from the wound. She also reported that she had a fever around 102 F. Her past medical history indicated diabetes and asthma. She does not monitor her blood sugar and does not take any medications to control her diabetes currently . She reports that her asthma is triggered when exposed to cats, dust, or running upstairs. Her blood pressure is also high 142/82mmhg. Medications: She uses a Proventil (Albuterol 90mcg/spray MDI) inhaler for asthma. She is not using on regular bases . She needs inhaler 2 to 3 times a week especially when she come close to cats. Ms Jones also take tramadol 50 mg 2 tab by mouth two to three times a day. She also take s Advil as needed for headache . She denies taking any vitamins or herbal supplements. Allergies:
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Ms. Jones is allergic to cats and penicillin. Cats trigger her asthma. Her Penicillin allergy causes rash and hives. Medical History: Ms. Jones has uncontrolled and unmonitored type II diabetes. She has a open right foot wound that she sustained one week ago will stepping on a stool barefoot. She has asthma and was last hospitalized for asthma when she was in high school. She has experienced an unexpected weight loss of ten pounds. She states that she has been excessively thirsty. She is experiencing nocturia.
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  • Fall '19
  • Left-wing politics, Tramadol, percussed

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