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Posted: May 15th, 2023
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Insulin Lantus 100 u/ml: 15 units in the morning and at bedtime Metformin 500 mg: 1 tablet PO once a day Atorvastatin 20 mg: 1 tablet PO at bedtime PMH: Diabetes mellitus type II Hyperlipidemia Varicella (Chickenpox) at the age of 20 years Immunizations: Flu vaccine in 2020, COVID-19 (Pfizer) in 2021 Preventive Care: Wellness exam on 03/2021 Surgical History: Appendectomy 20 years ago Family History: Daughter, 48 years old, hyperlipidemia Social History: Widow, lives with daughter, Catholic religion. No alcohol or smoking. No history of drug use, sedentary lifestyle. Does not work. Sexual Orientation: Straight Nutrition History: Regular diet, low in carbohydrates and fat. Subjective Data: Chief Complaint: "I have been feeling itching and pain on my right lower back" started 3 days ago. Symptom analysis/HPI: Ms. GP, a 78-year-old Hispanic woman, is complaining about itching, pain, or tingling on her right lower back. The symptoms started 3 days ago and have worsened. She feels discomfort when anything touches the affected area. She denies fever but reports fatigue, chills, and a mild headache. Today, she noticed redness in the area, prompting her to seek evaluation by her primary care provider. Review of Systems (ROS) CONSTITUTIONAL: Fatigue, chills. Denies weakness, thirst, or weight loss. No fever. NEUROLOGIC: Mild headache. No dizziness, changes in LOC, or weakness in extremities. No history of tremors or seizures. HEENT: Denies head injury or pain.Yes, our proofreading service catches errors, improves clarity, and ensures your paper is polished and ready for submission. We enhance your work while keeping your voice intact. Our editors focus on grammar, punctuation, and flow to elevate your academic writing. Upload your draft to get started today. Essay helper professionals refine your writing while maintaining your authentic academic voice.
Eyes: Denies blurred vision or diplopia. Uses reading glasses. Ears: Denies tinnitus, ear pain, or ear drainage. Nose: No nasal obstruction, discharge, or bleeding (epistaxis). Throat: No sore throat, hoarse voice, or difficulty swallowing. RESPIRATORY: Denies shortness of breath, cough, expectoration, or hemoptysis. CARDIOVASCULAR: Denies chest pain or tachycardia. No orthopnea or paroxysmal nocturnal dyspnea. GASTROINTESTINAL: Denies abdominal pain, discomfort, flatulence, nausea, vomiting, or diarrhea. Bowel movement every other day, with the last one today. No visible rectal bleeding. GENITOURINARY: Denies polyuria, dysuria, burning urination, hematuria, lumbar pain, or urinary incontinence. MUSCULOSKELETAL: Denies falls or pain. No clicking or snapping sound in joints. SKIN: Reports itching, pain, or tingling sensation on her right lower back. HEMO/LYMPH/ENDOCRINE: No swelling of glands in the groin. Denies bruising or abnormal bleeding. PSYCHIATRIC: Denies anxiety, depression, hallucinations, delusions, or mood changes. Objective Data: VITAL SIGNS: Temperature: 98.4 °F Pulse: 82 bpm Blood Pressure: 122/71 mmH Vital Signs (continued): Respiratory Rate: 19 breaths per minute Pulse Oximetry (room air): 97% Height: 5'3" Weight: 164 lb BMI: 30.2 (obese) Pain Level: 6/10 GENERAL APPEARANCE: Ms. GP is an alert and oriented adult female. NEUROLOGIC:We guarantee on-time delivery, but if we miss a deadline, you are eligible for a partial refund or free revisions as compensation. Your time is valuable, and we take deadlines seriously. Our tracking system monitors every order to prevent delays and ensure punctual delivery. Contact support if you have concerns. My assignment help includes strict deadline management to protect your academic schedule.
Alert and oriented to person, place, and time. Cranial nerves from I to XII intact. Sensation intact in bilateral upper and lower extremities. Bilateral upper and lower extremity strength is 5/5. Pupils are normal in size and equal. Deep tendon reflexes present. HEENT: Head: Normocephalic, atraumatic, symmetric, and non-tender. No tenderness in the maxillary sinuses. Eyes: No conjunctival injection or icterus. Visual acuity and extraocular eye movements intact. No nystagmus observed. Patient wears glasses. Ears: Bilateral external canals are patent, without redness or drainage. Tympanic membranes are intact with a pearly gray color and sharp cone of light. No pain or edema noted. Nose: Nasal mucosa appears normal without irritations. Mouth: Oral mucosa is pink. The tongue is central, with normal distributed papillae and no lesions detected. The patient has upper and lower dentures that fit properly. Lips show no lesions. Neck: No lymphadenopathy noted. No jugular vein distention. No swelling or masses in the thyroid gland. No thrills detected on auscultation. CARDIOVASCULAR: S1S2 heart sounds are regular in rate and rhythm. No murmurs or gallops detected. Capillary refill is less than 2 seconds. Peripheral pulses are present and symmetric. No edema observed in the lower extremities. RESPIRATORY: Lungs: Clear breath sounds auscultated bilaterally. Chest wall is symmetric with no deformities or intercostal retractions. No dyspnea or orthopnea reported. No egophony, pectoriloquy, fremitus, or signs of consolidation noted on palpation. Resonance is equal in both hemithoraces. No rales, wheezing, or rhonchi heard. GASTROINTESTINAL: Abdomen is soft and non-tender. Bowel sounds are present in all four quadrants. No bruits detected over aortic or renal arteries. Last bowel movement occurred today. GENITOURINARY:From biology to philosophy, our writers specialize in diverse fields, ensuring your paper is handled by an expert in your subject. We match expertise to your topic for top results. Each discipline requires unique methodologies and terminology that our specialized writers master. Share your discipline details in the order form. Research study bay connects you with subject specialists across all academic disciplines.
Costovertebral angles are non-tender, and kidneys are not palpable. External genitalia appears normal without enlargement or palpable tumors. Redness noted in the groin area. MUSCULOSKELETAL: No pain elicited upon palpation. Active and passive range of motion is within normal limits. No stiffness observed. INTEGUMENTARY: Ms. GP has a painful red rash with crops of vesicles on an erythematous base. The lesions are in a linear distribution and do not cross the midline. Some blisters are filled with purulent fluid, while others are crusted. The affected area appears swollen and red. ASSESSMENT: Ms. GP, a 78-year-old Hispanic woman with a history of Diabetes Mellitus Type II and Hyperlipidemia, presents with itching, pain, and tingling on her right lower back for the past 3 days. Physical examination reveals a characteristic rash with vesicles and erythema in a linear distribution. Based on clinical evaluation, history,College students want the best grades in their courses and that’s our FOCUS
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