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CASE 3.1 ANSWER KEY

CASE 3.1 ANSWER KEY

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I Appendectomy 1967
A Hypertension 1993
TP Sore throat 4/4/94
A Obesity 1990
I Positive PPD 1981 (INH prophylaxis completed 2/82)
TP Ankle sprain 2/10/99
I Open reduction L Humerus FX 7/79
TP Cellulitis L hand 9/89
A Congestive heart failure—mild 6/99
TP Constipation 5/55
TP Diaper rash (monilial) 7/50
A Childhood immunizations completed 7/54
A Penicillin allergy (hives) 10/60
I Elevated liver function tests 5/91
I Headache, vascular 1990
A Diabetes mellitus 1999
A Proteinuria 7/2003

PROBLEM LIST

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Date of Onset/Number. Active Problems Inactive/Resolved Problems Date Resolved
00 HEALTH MAINTENANCE
  1954 Immunizations complete
         
         
  1960 1 PENICILLIN ALLERGY
Hives
         
  1967 2 APPENDECTOMY 10/67
         
         
         
  7/79 3 OPEN REDUCTION L HUMEROUS FX 1980
         
         
         
  1981 4 Positive PPD
INH prophylaxis completed 2/82
         
         
  1990 5 OBESITY
         
         
  1990 6 VASCULAR HEADACHE
         
         
         
  1993 7 HYPERTENSION
         
         
         
         
  NAME Barnaby Jones
  DOB 6/18/49
  SS/REG#

PROBLEM LIST

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Date of Onset/Number. Active Problems Inactive/Resolved Problems Date Resolved
1999 8 DIABETES MELLITUS
  2003 Proteinuria
         
         
  1999 9 CONGESTIVE HEART FAILURE
         
         
         
         
         
         
         
         
         
         
         
         
         
         
         
         
         
         
         
         
         
         
         
         
         
         
         
  NAME Barnaby Jones
  DOB 6/18/49
  SS/REG#

CASE 3.2 ANSWER KEY

CASE 3.2 ANSWER KEY

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TP Runny nose/bad cold
S- Patient presents with 7 to 10 days of runny nose, and dull frontal headache, only partially relieved by ibuprofen. ...

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