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Date: 04/26/2021
The following is a summary of your visit today. If you have any questions, please contact our office.
Sincerely,
Reason f or Visit
DM2;HTN
Assessment and Plan
The following list includes any diagnoses that were discussed at your visit.
1. Type 2 diabetes mellitus in obese
• Basaglar KwikPen U- 100 Insulin 100 unit/mL (3 mL) subcutaneous
• Levemir FlexTouch U- 100 Insulin 100 unit/mL (3 mL) subcutaneous pen
2. Essential hypertension
Plan of Care
Re m inde rs Pro vide r
Appointments Return 15 on or around 05/26/2021 R Chase Thebault, MD
Banophen 25 mg capsule
Take 50 mg every day by oral route in the evening.
fluoxetine 20 mg capsule
Take 1 capsule every day by oral route.
Levemir FlexTouch U- 100 Insulin 100 unit/mL (3 mL) subcutaneous pen 04/26/2021
Inject 30 units twice a day by subcutaneous route.
lisinopril 5 mg tablet
Take 1 tablet every day by oral route.
loratadine 10 mg tablet
Take 1 tablet every day by oral route.
megestrol 40 mg tablet
montelukast 10 mg tablet
Take 1 tablet every day by oral route.
rosuvastatin 10 mg tablet
Take 1 tablet every day by oral route in the evening.
tacrolimus 0.1 % topical ointment
Vit als
He ight We ight BMI Blo o d Pre ssure O2 Sat urat io n T e m pe rat ure He art Bo dy Surf ace
Rat e Are a
5 ft 2.89 329 lbs 5 58.5 (1) 160/90 98% Room Air at 98.5 F° oral (1) 112 2.57 m²
in oz kg/m2 mm[Hg] Rest (2) 96
(2) 146/76
mm[Hg]
Result s
Lab Re sult s
None recorded.
Allergies
Please review your allergy list for accuracy. Contact your provider if this list needs to be updated.
Co de Co de Syst e m Nam e Re act io n Se ve rit y Onse t
253157 RxNorm Bee Pollen
Grass Pollen
Pollen Extracts
Notes: Some allergies listed in Documents: #1224339, #715065 could not be added to this patient's chart. Please
review these documents and add these allergies to the patient's chart manually as needed.
Problems
Nam e St at us Onse t Dat e So urce
Gout Active 11/08/2019
Atypical Squamous Cells of Undetermined Significance on Cervical Papanicolaou Smear Active 12/06/2019
Procedures
Dat e Nam e Pe rf o rm e d by
02/15/2021 Hysteroscopy Remove Myoma Information not available
Notes: Dr. Annmarie Vilkins, MD at Henry Ford Hospital
Tobacco Smoking St at us
Tobacco Smoking Status Never Smoker
Contact: 4059 N Campbell St, Detroit, MI 48210, Ph. tel:+1- 313- 3209661
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