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Chief Complaint: “I think I am shrinking in height” HPI: IF is a 65-year-old Caucasian female who presents today with a history of COPD, hypothyroidism, and GERD. She is here today for her yearly physical and to discuss the results of her recent labs and DXA scan. She also states that she thinks she is not as tall as she use to be. She was measuring herself at home and thinks she may have “shrunk by 2 inches”. Denies any trauma recently. In an effort to become more active, she recently started walking around her block every day. She does report having to stop after 15 minutes due to “being winded and short of breath”. Prior to this, she did minimal activity. She does state that she cannot recall the last time she took her medications regularly. She states she uses her Combivent inhaler approximately twice a day and takes her medications “most days”. PMH: Hypothyroidism x 10 years COPD (GOLD 2) diagnosed 3 years; no reported hospitalizations or exacerbations Breast cancer with bilateral mastectomy and radiation therapy at age 52 Menopause at age 51 GERD FH: Paternal HTN and DM; father died of MI at age 76 Maternal stroke
SCIENCE
HEALTH SCIENCE
NURSING

 
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