1. PNA 23 (65) (dm, etoh, liver, smoker repeat 65 Zoster (60) HIV (adult)
Social Hx:
Tob-
ETOH-
Drug-
Employment
CC:
HPI:
HCM
Flu q1, high dose>65
Tdap/TDq10
PNA 13 (65)
PNA 23 (65) (dm, etoh, liver, smoker repeat 65
Zoster (60)
HIV (adult)
HCV (‘45-’65)
AAA (ever smoked, 65-75)
Lung Ct (55-80, >30PY unless quit >15year)
C-scope (50)
PSA(50-69)
A1c(40, risk factor)
Lipids(20-80)
Mammogram (50q2)
PAP (21q3, q5)
ROS
CONSTL
Fevers, Chills CV
Chest Pain, Palpitations
PULM
SOB, Cough GI
N, V, D, C, Abd pain
MSK
myalgias, joint pain
NEURO
Numbness, tingling
PMH
Objective
Temp HR BP RR O2sat Ht Wt
General
NAD, AAOx3
HEENT
Anicteric sclera, MMM
NECK
Supple, no LAD
CARDIAC
RRR, S1/2, No m/r/g
PULM
CTAB no w/c, NIE GI
S/NT/ND +BS
MSK
no c/c/e
NEURO
cn 2-12 grossly intact, non-focal
Allergies:
Meds:
Labs/studies
A/P

2. HCM
Flu q1, high dose>65
Tdap/TDq10
PNA 13 (65)
PNA 23 (65) (dm, etoh, liver, smoker repeat 65
Zoster (60)
HIV (adult)
HCV (‘45-’65)
AAA (ever smoked, 65-75)
Lung Ct (55-80, >30PY unless quit >15year)
C-scope (50)
PSA(50-69)
A1c(40, risk factor)
Lipids(20-80)
HCM
Flu q1, high dose>65
Tdap/TDq10
PNA 13 (65)
PNA 23 (65) (dm, etoh, liver, smoker repeat 65
Zoster (60)
HIV (adult)
HCV (‘45-’65)
AAA (ever smoked, 65-75)
Lung Ct (55-80, >30PY unless quit >15year)
C-scope (50)
PSA(50-69)
A1c(40, risk factor)
Lipids(20-80)
HCM
Flu q1, high dose>65
Tdap/TDq10
PNA 13 (65)
PNA 23 (65) (dm, etoh, liver, smoker repeat 65
Zoster (60)
HIV (adult)
HCV (‘45-’65)
AAA (ever smoked, 65-75)
Lung Ct (55-80, >30PY unless quit >15year)
C-scope (50)
PSA(50-69)
A1c(40, risk factor)
Lipids(20-80)