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Mrs. Susan Derrick 77-year-old female Subjective: Mrs. Susan Derrick presents with increasing symptoms over the past 6 months, including lethargy, fever, night sweats, a 15 lb. weight loss, bleeding gums, purplish skin patches, and shortness of breath. She reports deep bone and joint pain, worse than her usual arthritis pain. She mentions a history of working at a dry-cleaning shop for 15 years with exposure to dry cleaning chemicals. Currently lives with son, daughter-in-law, and teenage grandson. She has Medicare, a supplement plan, and modest social security payment. Generally in good health, treated for hypertension, occasional gastric reflux, and osteoarthritis.
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