This is a hospital followup of this 63-year-old gentleman who was recently discharged for congestive heart failure
The patient states that he is feeling better today. He is monitoring his weight daily. He denies any shortness of breath, orthopnea, (1) __________ dyspnea, (2) __________ edema. His energy level is good.
CURRENT MEDICATIONS:
1. Imdur 60 mg daily.
2. Furosemide 40 mg b.i.d.
3. Lanoxin 0.125 mg daily.
4. (3) __________ 10 mg daily.
5. Zestril 15 mg daily.
6. Aspirin once a day.
7. (4) __________ 30 mEq daily.
PHYSICAL EXAMINATION: Alert, oriented, with no acute distress. Blood pressure 110/80. Weight is 207. Heart rate is 60. Neck is supple without jugular venous distention or (5)__________. Lungs are clear, without wheezing, rhonchi, or (6)__________. Heart: Regular rate and rhythm, without murmurs, gallops, or rubs. Abdomen is soft, nontender, without mass or organomegaly. Extremities are without edema.
LABORATORY: EKG: A 100% paced rhythm.
Blood work reveals potassium 4.4, magnesium 1.9. (7) __________ level is 1.27.
IMPRESSION:
1. Congestive heart failure.
2. (8)__________cardiomyopathy.
3. Status post myocardial infarction.
4. Intermittent atrial fibrillation.
5. (9)__________ syndrome.
6. Diabetes mellitus.
7. Hyperthyroidism.
8. Permanent pacemaker.
PLAN: At this point, the patient seems to be doing quite well on his present medical regimen. Will ask him to continue following his daily weights and to call with any recurrent (10)__________ or symptoms. We will ask him to return in approximately 1 month or earlier if needed.
A.
1. paroxysmal nocturnal
2. peripheral
3. Simvastatin
4. K-Dur
5. bruits
6. rales
7. Digoxin
8. Ischemic
9. Nephrotic
10. shortness of breath
B.
1. congestive
2. orthopnea
3. pedal
4. Hytrin
5. Levothyroxine
6. venous
7. hepatosplenomegaly
8. psychosocial
9. anticoagulating
10. prognosis
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