prescribed diet he still consume food high in fat and salt. Immunization History: His immunization is up to date. He received his last flu shot and pneumonia vaccines in 2017 Significant Family History: Father- Father is deceased, age 70, complications of type 2 diabetes Mother- mother is deceased, 64, from hemorrhagic stroke Siblings- two brothers with history of hypertension. Children-2 children alive and well no significant medical issues. Lifestyle: He currently works in the construction industry and has worked for in constructions for the past 20 years. He has been married once but currently is divorced and has 2 children with his wife. He lives in a middle-class neighborhood in the suburbs. He enjoys barbequing during his free time. He has a strong support
system through his family and friends. Patient get a yearly physical check up but not vision and dental. 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: Mr. Brown is well-developed, well nourished Caucasian male who is alert and cooperative. He is negative for recent changes in weight, fever, chills or night sweats. Respiratory: He denies SOB or exposure to tuberculosis. Cardiovascular/Peripheral Vascular: Mr. Brown denies chest pain, palpitation or irregular rhythm. No history of edema, exercise intolerance and claudication.
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- Summer '15
- Rash, Medical diagnosis, Mr. Brown, Joe Brown