Betty Richmond
Female
27 years
(05/02/1987)
Alias: Bets
PP: (416) 568-3569
20 min
First time mother prenatal intake
There may be religious concerns regarding care
Height:
175cm
BMI:
17.16
Underweight
Weight:
100lbs
Blood Pressure:
150/90
Heart Rate:
98bpm bounding irregular rhythm
Allergies
SEVERE
Anesthetics (Soy Protein)
Active allergy
Reaction: Itching, redness and or dryness of the skin
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Problem List
Chronic
Diabetes Type 2
Onset:
2014
Acute
Chest pain
Onset:
2014
Likely due to MSK possible rib fracture. No xray at this time as will not change management. Deep breathing exercises and to treat pain with Tylenol and heat. F/U if any SOB, worsening cough or increased pain.
Medications
05/20/2014
Diabeta (2.5mg, Tablet, Oral)
Take 1 tablet once daily
Refills:
0
Runs out on:
06/03/2014
05/20/2011
Tetracycline (250mg, Capsule, Oral)
Take 1 capsule every 8 hours
Refills:
2
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Medical and Surgical History
05/20/2014
Appendectomy
Procedure date:
2011
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Family History
Brother
Hypertension
Onset age:
54
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Mother
Diabetes
Onset age:
45
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Social History
Caffeine
Coffee
2 cups a day for 2 years
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Alcohol,
some days
some days
Beer
3 bottles a day for 5 years
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Immmunizations
Aug. 11, 2013
Havrix
(Hepatitis A)
with Pharmalogical reaction
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May. 23, 2013
Hep B, adolescent or pediatric
(Hepatitis B vaccine)
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Injections
Jun. 20, 2013
Vitamin B12 (100mcg/1ml)
Patient Notes
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