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SOLVED2520

Location: ONSEE HOSPITAL EMERGENCY DEPARTMENT Date: 02/04/20XX Attending Physician: Oscar R. Prader, MD, Patient: JULIE MYRICK Gender: F Age: 35-year-old Reason for Visit: Loss of memory, difficulty with speech History of Present Illness: This 35-year-old female with history of alcohol dependence has been having periods of memory loss and speech disturbance. She was brought by her husband to be evaluated. Past Medical History: Alcohol dependence, bipolar disorder (on lithium 600 mg/po 3 x q day) Assessment: Alcoholic dementia, depression with bipolar disorder, in remission Plan: We will check her serum lithium level to r/o lithium toxicity. Patient was scheduled for Individual 12-Step Substance Abuse Psychotherapy treatment. ORP/pw D: 02/04/20XX 09:50:16 T: 02/06/20XX 12:55:01
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HEALTH SCIENCE
NURSING

 
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