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This is an 89 yo M patient with PMHx of CAD s/p stents, CHFrEF 2/2 ischemic cardiomyopathy, severe AS, sick sinus syndrome s/p pacemaker, OSA, Colon CA s/p R hemicolectomy, COPD, Skin CA, HTN, HLD, Afib not on AC, Hx of GI bleed, Prostate CA s/p radiation 20-30 years ago, and CKD stage Ill, presents to the ED with increasing weakness. Patient reports that prognosis of CA was 1-2 years, and he has lasted longer than this time span. Patient report recent fall 2 weeks ago with progressive weakness. He was using a walking and his legs gave out. He is now primarily restricted to a wheelchair. PROS: Positive: abdominal pain, constipation Last BM 2 days ago, Denies any HA, blurred or double vision, change in hearing, chest pain, constipation or diarrhea, dyspnea, dysuria, РМН: All: Chlorohexidine topical Surg: RKAx4, B/L inguinal hernia repairs, R Hemicolectomy (09/2016) Soc: 30 pack years history, 1 glass of wine daily, Denies Illicit, Lives at home with wife and son, wheelchair dependent FHx:Father: MI Code Status: DNR Labs: CBC: unremarkable Sodium 136 mmol/L Potassium 6.2 mmol/L Chloride 102 mmol/L CO2 22 mmolL Glucose 96 mg/dL BUN 12 mg/dL Creatinine Calcium pBNP 0.73 mg/dL 8.8
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NURSING

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