states the discoloration is of 4 weeks duration with no evidence of healing

States the discoloration is of 4 weeks duration with

This preview shows page 32 - 35 out of 39 pages.

states the discoloration is of 4 weeks duration with no evidence of healing despite multiple home remedies and overthe- counter treatments. Pt is a type 1 diabetic for 10 years. O: Wt: 146 lb, Ht: 5′5″ T: 98.6, BP: 131/58; HEENT: unremarkable. Dr. Prader notes premature graying of the right eyelashes and eyebrows and discoloration of the right lower eyelid. Ultraviolet light treatment and micropigmentation are discussed as treatment options. A: Type 1 diabetes; Vitiligo P: RX: 0.1% Tacrolimus ointment, b.d Pt to return in 2 weeks for follow-up E10.628 NOT E10.9: page 523: Diabetes>Type 1>with skin complications H02.732: page 596
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PATIENT: FLOWERS, CATLYNNE ACCOUNT/EHR #: FLOWCA001 DATE: 09/16/18 Attending Physician: Renee O. Bracker, MD S: Catlynne Flowers, a 22-year-old female, presents to the emergency room today with dyspnea and cough. O: Ht: 5’ 3”, Wt: 131 lb., R: 30, T: 101.2, BP: 110/67. Catlynne was diagnosed with sickle- cell disease 3 years ago. Patient appears to be in crisis. Chest x-ray confirms pulmonary infiltration. A broncho-alveolar lavage was performed; specimen was taken for culture, which confirmed the diagnosis. A: Sickle-cell/Hb-C crisis with acute chest syndrome ACS D57.211 R50.81 NOT R91.8: Fever>conditions classified elsewhere PATIENT: CROWDER, CHRISTOPHER ACCOUNT/EHR #: CROWCH001 DATE: 11/04/18 Attending Physician: Oscar R. Prader, MD ADMITTING DIAGNOSES: Deep venous thrombosis (DVT) left leg Urinary tract infection (UTI) Parkinson’s disease FINAL DIAGNOSES: Acute DVT, left UTI Parkinson’s disease HOSPITAL COURSE: The patient presented to the office with left leg pain, and uneasiness as well as cloudy urine. He was evaluated, and Doppler studies of the leg confirmed DVT. Urinalysis reveals infection and the patient was started on Levaquin and Lovenox subcu 1 mg per kg twice a day; after 3 days patient asymptomatic for both with his urinary symptoms and calf pain. Patient’s vital signs are stable. He is afebrile. Lungs clear. Heart rhythm regular. Neurologic examination: Tremors and rigidity secondary to Parkinson’s disease. Rest is unremarkable. His Doppler studies were positive for left popliteal vein thrombosis and flow abnormalities in superficial femoral vein. The results of the pelvic sonogram reveal an enlarged prostate and questionable intraluminal. Right kidney, normal. Left kidney, cyst lower pole.
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