Joseph camella shortness of breath
Health Care / Exam
JOSEPH CAMELLA "SHORTNESS OF BREATH" 65 Years old male patient came to the clinic with the complaint of: • Chief complaints: Shortness of breath, • HPI: 65 years old male presents with acute on chronic shortness of breath. Patient endorses 1.5 weeks of shortness of breath. Other associated symptoms include chronic productive sputum (yellow), chills, nausea, upper abdominal pain related to coughing, chest pain with coughing. Denies emesis, diarrhea, headache, dysphagia, myalgia 65 Years old male patient came to the clinic with the complaint of: • • • • • • • • Chief complaints: Shortness of breath, HPI: 65 years old male presents with acute on chronic shortness of breath. Patient endorses 1.5 weeks of shortness of breath. Other associated symptoms include chronic productive sputum (yellow), chills, nausea, upper abdominal pain related to coughing, , chest pain with coughing. Denies emesis, diarrhea, headache, dysphagia, myalgia Past Medical History: Patient have the history of COPD on O2 at 2 LPM, Hypertension, Hyperlipidemia. No history of surgeries in the past. Allergy Identification: Patient denies any food, drug, seasonal or latex allergies. Medication Reconciliation: Patient Takes Albuterol 90MCG oral inhale 2 puffs every four hours as needed for SOB, Olodaterol/Tiotropium 2.5mcg/actuat 60 D 2 puffs daily for COPD. Guaifenesin 100mg/5ml takes 10 ml Q 6 hours as needed for cough. Atorvastatin Calcium 40 mg tab once a day in the evening for hyperl ...
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