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B.A. is a 52-year-old obese female coming to clinic with a chief complaint of increased thirst and increased urination over the past few months. Her vision has been more blurry than usual, as well, but she has not seen an eye doctor in the past two to three years. She states that she has been trying to lose weight without success and admits to a mostly sedentary lifestyle. She tells you that she does not eat as healthy as she should because it is just easier to grab fast food after work. While she stopped smoking in 2016, she does report having an occasional cigarette to calm her nerves and curb her appetite. Vitals • BP: 162/94 • P: 84 • R: 16 • T: 97.8 • Weight: 246 • Height: 5′ 8″ Exams • General: Well-appearing, obese female patient, pleasant affect, dressed appropriately for climate. • HEENT: Normocephalic, PERRLA, no retinopathy, oral mucosa pink/moist, teeth in good repair, no thyromegaly, no JVD, no bruits • Cardiac/peripheral: RRR without murmurs or gallops, S1, S2 audible, no heaves or thrills, no edema • Resp: BS clear bilaterally in all quadrants, no adventitious sounds • Abd: Slightly rounded, nontender, no masses or
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