WALTER SOBCHAK (RENAL GU) COMPLETE EXPERT FEEDBACK(ANSWERS)

WALTER SOBCHAK (RENAL GU) COMPLETE EXPERT FEEDBACK(ANSWERS)
Walter Sobchak
48 y.o.
5’6”
165 lb
BMI 26.6
C/O SOB
Progressive SOB x 2 weeks – MSAP
Fatigue – related
Poor appetite – related
Pruritus - related
Hx of untreated HTN – related
Hx of elevated creatinine – related
Chronic NSAID use – related
Hx of ulcer – unknown
Alcohol use – unknown
30+ yr 1 pk/day smoker – related
Family Hx of HTN and stroke – unknown
Elevated BP – related
AV-nicking and cotton woolspots perfundoscopy – related
Fine crackles (rales) at lung bases – related
Peripheral edema – related
Bilateral gynecomastia – related
/ How can I help you today?
/ Do you have any other symptoms or concerns we should discuss?
/ Do you have any pain? If so, where?
/ Are you short of breath?
/ Do you have difficulty breathing?
/ When did your difficulty breathing start?
/ What are the events surrounding the start of your difficulty breathing?
/ Does anything make your difficulty breather better or worse?
/ Is it hard to get a deep breath or exhale?
/ Do you wheeze?
/ Are you short of breath at rest?
/ Do you become short of breath with exertion?
/ Does your breathing only get heavy with exertion?
/ Are you short of breath when laying down?
/ Are you short of breath at rest?
/ How much can you exercise before being short of breath?
/ Do you have any pain or other symptoms associated with your difficulty breathing?

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