- Praegender Schweregrund
- Rash
- Hospital-Tage
- -
- Labordaten
- covid 19 testing referral to Dermatology
- Aktuelle Erkrankungen
- chronic dry eye anxiety HTN hyperlipidemia obesity former smoker
- Vorgeschichte
- Hematology and Oncology Dietary iron deficiency Edit Overview Unprioritized Change Dx Resolve -2 mo , MD Overview Improved with better diet May reduce iron supplement to QOD 1/26/2022 Cardiovascular and Mediastinum Hypertensive disorder (From Hx) Essential hypertension Edit Overview Unprioritized Change Dx Resolve -2 mo , MD Overview Essential hypertension At goal on current regimen Renal function normal Respiratory Allergic rhinitis (From Hx) Acute non-recurrent maxillary sinusitis (Resolved) Create Overview Unprioritized Change Dx 04/03/2020 -2 yr , MD Endocrine Obesity (From Hx) Hyperlipidemia Edit Overview Unprioritized Change Dx Resolve -2 mo , MD Overview At goal well on a atorvastatin Obesity (BMI 30-39.9) (Resolved) Create Overview Unprioritized Change Dx 01/21/2022 -2 mo , MD Severe obesity (BMI >= 40) Edit Overview Unprioritized Change Dx Resolve -2 mo , MD Overview 226 pounds BMI 40.03 on 1/21/2022 Weight gain after quitting smoking 11/30/2021 Declines nutritional counseling for now Reduce portions, increase activity planned Vitamin D deficiency Edit Overview Unprioritized Change Dx Resolve -2 mo , MD Overview Vitamin D replaced well Vitamin B 12 deficiency Create Overview Unprioritized Change Dx Resolve -2 mo , MD Hyperkalemia Create Overview Unprioritized Change Dx Resolve -2 mo , MD Rheumatology Rotator cuff syndrome, right (Resolved) Create Overview Unprioritized Change Dx 01/21/2022 -2 mo , MD Osteoarthritis of both knees Edit Overview Unprioritized Change Dx Resolve -2 mo , MD Overview Osteoarthritis bilateral knees responded to cortisone injections Currently asymptomatic Walking program underway Quadricep strengthening recommended, exercises to be sent over Orthopedic surgeon is Dr. as needed Hives of unknown origin Edit Overview Unprioritized Change Dx Resolve -2 mo , MD Overview Hives on clear cause possibilities include Shingrix vaccination, salmon, possible reactivation with shrimp eaten Prednisone response noted Topical therapy is helpful Zyrtec, Pepcid likely helpful Slow improvement Neuro and EENT Dry eye (Resolved) Edit Overview Unprioritized Change Dx 01/09/2018 -4 yr Terminology, Conversion Overview dry eye Nuclear senile cataract (Resolved) Edit Overview Unprioritized Change Dx 01/09/2018 -4 yr , MD Overview senile cataract nuclear Chronic dryness of both eyes Create Overview Unprioritized Change Dx Resolve -3 mo , MD Age-related nuclear cataract of both eyes Create Overview Unprioritized Change Dx Resolve -3 mo , MD Posterior vitreous detachment of right eye Create Overview Unprioritized Change Dx Resolve -3 mo , MD Carpal tunnel syndrome (Resolved) Edit Overview Unprioritized Change Dx 01/21/2022 -2 mo , MD Overview Carpal tunnel syndrome; right hand Oral herpes simplex infection (Resolved) Create Overview Unprioritized Change Dx 01/21/2022 -2 mo , MD Insomnia Edit Overview Unprioritized Change Dx Resolve -2 mo , MD Overview Insomnia multifactorial Xanax at bedtime working well without side effects Consider taper over time after stress reduction occurs in 2022 2023 as her sister moved to assisted living Gastrointestinal Rectal bleeding Edit Overview Unprioritized Change Dx Resolve -2 mo , MD Overview Superficial abrasion may have been accidental/self-inflicted by fingernail with cleaning or wiping, nonbleeding external hemorrhoid noted Gentle cleansing, soaking in sitz bath, Vaseline, nonstick dressing until resolution Avoid constipation, reinjury Genitourinary Left nephrolithiasis Edit Overview Unprioritized Change Dx Resolve -2 mo , MD Overview History of left nephrolithiasis And a 8.22 mm posterolateral upper pole left renal cortical cyst On CT scan clinic February/2020 Good hydration reviewed She remains asymptomatic Behavioral and Developmental Anxiety Edit Overview Unprioritized Change Dx Resolve -2 mo , MD Overview Anxiety Situationally worse episodically, but her current regimen of citalopram and Xanax at bedtime is working Depressive disorder Edit Overview Unprioritized Change Dx Resolve -2 mo , MD Overview Depression; and stress situational with brother and sister family dynamics, resolving estate, selling home issues 2021 2022 Improved on citalopram 40 mg daily EKG 1/2022 normal intervals Smoker (Resolved) Edit Overview Unprioritized Change Dx 01/21/2022 -2 mo , MD Overview Smoking; cessation Tried Chantix in the past Has tried nicotine replacement patches in the past, NicoDerm refilled She promises to at least consider quitting LDCT normal February 2020 clinic repeat yearly as recommended Aggressive former smoker Edit Overview Unprioritized Change Dx Resolve -2 mo , MD Overview 40-pack-year smoking history Quit 11/30/2021! LDCT yearly underway at clinic Dermatology Corns and callosities Edit Overview Unprioritized Change Dx Resolve -2 mo , MD Overview Corn formation right greater than left foot disrupting walking See podiatry for treatment 1/2022 Rash and other nonspecific skin eruption Edit Overview Unprioritized Change Dx Resolve -2 mo , MD Overview Erythema multiforme type rash likely related to Shingrix vaccine improved with prednisone taper, Zyrtec, topical measures Resume prednisone taper, Zyrtec, Pepcid Allergy information updated and she will not receive a second dose of Shingrix Signs and Symptoms Left adrenal mass (Resolved) Edit Overview Unprioritized Change Dx 01/21/2022 -2 mo , MD Overview Stable adreniform fullness of the left adrenal gland; probable hyperplasia with no discrete nodule identified on the post contrast examination. 2/2020 clinic Left knee pain (Resolved) Create Overview Unprioritized Change Dx 01/21/2022 -2 mo , MD Left inguinal pain (Resolved) Edit Overview Unprioritized Change Dx 01/21/2022 -2 mo , MD Overview Left inguinal strain from fall no evidence of hernia, other pathology, observe to resolution she knows to call if not resolving. Other Advice given about COVID-19 virus by telephone (Resolved) Create Overview Unprioritized Change Dx 01/14/2021 -1 yr , MD Routine general medical examination at a health care facility Edit Overview Unprioritized Change Dx Resolve -2 mo , MD Overview Healthy female Smoking cessation congratulated 11/30/2021! Menopause, BMD at age 65 GYN, normal Pap smear 2/2020 Dr. Vaccinations reviewed Laboratories ordered Colonoscopy normal 2010, COVID delay, repeat planned 2022 Menopause Edit Overview Unprioritized Change Dx Resolve -2 mo , MD Overview Menopause, some hot flashes still but less frequently no HRT desired Follow-up GYN Dr. nonurgently Bone density age 65 Laceration of head Edit Overview Unprioritized Change Dx Resolve -2 mo , MD Overview Laceration of head from injury in shower No sequelae Local care reviewed, call/ER for any concussive symptoms or uncontrollable bleeding. Adverse effect of other drugs, medicaments and biological substances, initial encounter Edit Overview Unprioritized Change Dx Resolve -1 mo MD Overview Patient has a history of what sounds like a dermal hypersensitivity reaction following the shingles. This reaction was delayed at least 4 weeks. The rash was described as urticarial but had flaking as well. Of asked her sent photographs of the rash so I can tell them.
- Andere Medikamente
- Disp Refills Start End atorvastatin (LIPITOR) 10 MG tablet 90 tablet 3 8/12/2021 Sig - Route: Take 1 tablet (10 mg total) by mouth nightly at bedtime. - Oral Number of times this order has been changed since signing: 1 Order Audit Trai
- Allergien
- seasonal environmental allergies
- Vorherige Impfungen
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