Father has history of hypertension Maternal grandfather has history of

Father has history of hypertension maternal

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Father has history of hypertension. Maternal grandfather has history of rheumatoid arthritis and diabetes. Sister has history of lupus. Lifestyle : Patient is a married male, and father of 3 currently working as a manager at a local restaurant (60-70hours a week) ; high school graduate; current income is 40,000 annually . Lives in the city in a high crime area. His wife is a stay at home mother, so he admits to additional stress related to finances. Mr. Cook’s religion is nondenominational, and he admits he can only attend church once a month, due to having to work overtime. Mr Cook is currently compliant with his routine provider visits and takes prescribed medication as ordered: he has health insurance at this time. He admits to having supportive family and friends, however doesn’t spend a lot of time with them, due to his long hours at work. Review of Systems: From head-to-toe, include each system that covers the Chief Complaint, History of Present Illness, and History (this includes the systems that address any previous diagnoses). Remember that the information you include in this section is based on what the patient tells you so ensure that you include all essentials in your case (refer to Chapter 2 of the Sullivan text). General: Recent weight loss of 10lbs in the past month. Joint pain bilateral. He denies symptoms of weakness, fatigue, or fever, HEENT: No visual or hearing complaints or changes, last eye exam 2 years ago, does not wear eye glasses or contacts. Patient denies infections or abnormal conditions to eye bilat; Patient denies infections or abnormal conditions to ear bilat; sense of smell is intact; No infections or polyps to nasal cavity and patient denies allergic rhinitis; Last dental cleaning and exam 05/2016; He denies any history of dental infection or foreign dental equipment; He has no complications related to chewing or swallowing food or fluids. Neck: No pain, swelling, discoloration, or injury noted Breasts: Denies current and past abnormal findings to breast bilat. Breast is free of mass, lesions or rashes.
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  • Summer '15
  • History, Laureate Education, Medical diagnosis, James Cook

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