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Question 74 hpi comments this is an 86 year old aaf

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Question 74HPI Comments: This is an 86-year-old AAF with medical hx remarkablefor Alzheimer’s with dementia, HTN, depression and DM presenting viaEMS from his nursing home for PEG tube replacement. Peg has beenreplaced three times in past three days because patient repeatedlyremoves it at nursing home. History is limited secondary to patient'smental status.a. G30.9, I63.9, I10, F32.9, E11.9, Z43.1b.G30.9, F02.80, I10, F32.9, E11.9, Z43.1c. G30.9, I10, F32.9, E11.9, Z43.1d.I10, E11.9, Z43.1
Question 75ASSESSMENT1.Coronary Artery Disease: status post CABG2.Benign essential hypertension: Blood pressure would normally beadequately controlled on his current regimen except that we arefinding a mildly enlarged aortic root on his most recent echo (4.234
4.Hyperlipidemia: He has reached his target LDL reduction below 70with his current therapy.
Question 76SUBJECTIVE:An 86-year-old male here in the office in follow up. Having troubleswith neuropathic symptoms, numbness, tingling, burning in his feet. Hetried Nortriptyline. It did not seem to help much at all. Still on35
simvastatin 20 for hyperlipidemia, aspirin for his history of old MI, andCOPD. Patient having no coughing, or shortness of breath right nowcontinue with Symbicort. No chest pain or palpitations. No back pain.OBJECTIVE:He is afebrile. Blood Pressure is 128/74. LUNGS: Clear. CARDIACEXAM: Regular rate and rhythm.ASSESSMENT AND PLAN:1. Peripheral neuropathy. Nonresponsive to Nortriptyline. TryLyrica 50 mg. If causes dizziness advised him to stop. The only otheroption would be to try Cymbalta or Neurotin.2. Hyperlipidemia. Continue Simvastatin.3. Gastroesophageal Reflux disease. Continue Rantidine.4. Healthcare maintenance. Flu shot given. Follow up two weeks.a. G62.9, E78.5, K21.9, Z79.82b.G58.9, E78.5, K21.9, J44.9, Z79.82c. G62.9, E78.5, K21.9, I25.2, J44.9, Z79.82d.G58.9, E78.00, K21.9, I25.2, J44.9, Z79.82Question 77HPI: 65-year-old female in for follow up of CHF, controlled on meds,diabetes, stable/controlled and HTN.Vials: BP 140/80 left arm sitting, P 86 R16 T 98.7 BMI 50.6Exam unchanged form visit one month ago:Heart sounds wnl, Resp clear no wheeze, bowel sounds wnl, capillaryrefill of toes wnl. No numbness or tingling or pain complaints.Assessment/ Plan:1. CHF- continue meds, diuretic and potassium replacementworking well for her2. DM – continue Metformin36
3. HTN- no change in beta blocker4. Morbid obesity- referred to dietary 5 months ago- but patient hasnot kept appointmenta. I11.0, I50.9, E11.9, E66.9, Z79.84b.I11.0, E11.9, E66.9, Z68.43, Z79.84c. I50.9, E11.9, I11.0, E66.01, Z68.43, Z79.84d.I50.9, E11.9, I11.0, E66.9, Z68.43, Z79.84Question 78Oncology CenterDiagnosis: MS. F is a 68-year-old female with a diagnosis of recurrent,poorly differentiated, papillary carcinoma of the thyroid gland, initialstage unclear. The patient completed 3,000 cGy in 10 treatments fivemonths ago with significant improvement, due to the patient’s conditionand performance status, split-course radiotherapy was offered. Thepatient will continue to be treated with chemotherapy.

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