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Patient #6: Mrs. Jones is Ginger’s mother.

Patient #6: Mrs. Jones is Ginger’s mother. She is a 76 y/o White female. Presents today with chills, fever of 102.5 F, fatigue, general aches and pains for 3 days, worsening. States spit up some blood last night when she was coughing. PMH: HTN, Hyperlipidemia, Psoriasis, and HIV, Stage 3 Breast Cancer, Bipolar disorder. Medications: Lisinopril/HCTZ 20/25 qd, Simvastatin 20 mg qd, Humira 40 mg SQ every 2 weeks, Viracept 1250 mg pd bid, Tamoxifen 20 mg qd, Lamictal 200 mg qd, Valproate 100 mg qd. Vitals: B/P 102/58. HR 110. RR 24. Allergies: PCN (itching) and reports being lactose intolerant. BMI 17. Impressions/Concerns: Health Promotions Recommendations: Growth and Development: Nutrition Recommendations: Exercise Recommendations: Immunizations: Medication Concerns:

 
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