Use template – if not listed here, make up the rest of the information!
Use template – if not listed here, make up the rest of the information!
Age/Gender – 63 year old Female
Chief Complaint – “Ive been feeling very tired lately and noticed I am very sensitive when its cold”
Working Diagnosis should be Hypothyroidism E03.9
HPI should be in paragraph form
PMH – Hypertension, Anxiety, Osteoarthritis, Hyperlipidemia
Past Surgical History – Denies
Allergies – None
Family History – Make it up for father, mother and brother. (including if alive or deceased)
Medications – Lisinopril 20 mg PO QD, Celexa 20mg PO QD, Atorvastatin 25mg PO QD, Ibuprofen 400mg PO TID.
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