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.