CC: Im here to discuss my cut line canvas results, view my refills, and I have a business concern for the historical couple of days. SUBJECTIVE: HPI: A 59y/o whiteness staminate w/ HTN and diabetes mellitus (type 2) presents for f/u on his kind test and medicament refills. He was diagnosed with DM2 in 2009 and states that he has been in uprightness compliant with his nonchalant forage and exercise, accu checks, medications, and wound checks. He in either case states my dayspring glucose has been between 90 and 130. longanimous admits to maintaining a humbled carb/sodium/fat diet, doing daily salt mine exercises for about 30 minutes, checking his glucose q AM and throughout the day (at least 5 time patient states), taking his medication Metformin 500mg 2 halts PO BID, and doing daily foot check for wounds. patient role denies both incident of hypoglycaemic reactions such as confusion, freakish behavior, visual changes, tremor, sweating, dizziness or any episode of syncope. persevering also denies any modern polyuria, polydipsia, or nocturia. His in the end dilated shopping center exam was 2 months past and was told to have normal results. uncomplaining denies report of renal diseases. His close serum creatinine was done ~6mos ago and was told to be in malice of appearance normal limits as well.
Patient also denies history of CAD, PAD, transient ischemic approach shot/CVA, dyslipidemia, peripheral neuropathy, or freq infections/nonhealing wounds. Regarding his HTN, he was diagnosed in Jan 2006 after 3 visits of consecutive elevated set and was immediately put on Lisinopril 10mg 1 tab PO QD. Patient states that his BP has been beneath control. He measures his have BP both day (BID, AM and PM) and keeps his bear record (shown to me, values from last month up to yesterday ranges from 104-138 mmHg systolic/62-83 mmHg diastolic.) Again, patient denies any episodes of syncope, lightheadedness, vertigo, tinnitus or altered vision. The unaccompanied new problem is an lively headache, frontal and bilateral x2 days, and unless occurs in the morning. Patient describes the pain as a hoi polloi of pressure and range the pain...If you want to get a copious essay, order it on our website:
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