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Chief
Complaint
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Patient
presents with
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•
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Follow-up
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Pt
here today for possible Eligard
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Gary
Shelton is
a 77 y.o. male
patient
of Dr. Noble. h/o prostate cancer - one core of Gleason 4+5=9,
one core of Gleason 4+3=7, one area of ASAP
underwent
radiation which he completed July 2022. Currently undergoing
ADT (1st Eligard 03/04/2022) he will get 2 years ADT
PSA
0.015
Testo
19
Osteoporosis
- currently receiving Prolia
-
also on calcium plus D
Presents
today for Eligard. He
reports having some ongoing fatigue. He has to stop
periodically to rest when he is walking. He states he only has
not set a few minutes and then he regains his strength. No
longer having hot flashes.
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Past
Medical History:
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Diagnosis
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Date
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Adenocarcinoma
of prostate
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Complication
due to secondary diabetes mellitus
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COVID-19
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Dysuria
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Incomplete
emptying of bladder
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Raised
prostate specific antigen
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Stroke
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Past
Surgical History:
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Procedure
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Laterality
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Date
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COLONOSCOPY
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FOOT
FRACTURE SURGERY
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04/2017
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PROSTATE
BIOPSY
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02/24/2022
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TOE
AMPUTATION
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Great
Toe
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Family
History
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Problem
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Relation
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Age
of Onset
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Parkinsonism
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Mother
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•
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Diabetes
Mellitus
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Sister
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•
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Stroke
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Maternal
Grandmother
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Tobacco
Use
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•
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Smoking
status:
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Never
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•
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Smokeless
tobacco:
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Never
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Substance
Use Topics
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•
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Alcohol
use:
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Never
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Review
of patient's allergies indicates:
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Allergen
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Reactions
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•
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Vancomycin
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Shortness
Of Breath
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Medication
List with Changes/Refills
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Current
Medications
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ACCU-CHEK
AVIVA PLUS TEST STRP STRP
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3
(three) times daily. Use to test blood glucose
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AMLODIPINE
(NORVASC) 5 MG TABLET
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CLOPIDOGREL
(PLAVIX) 75 MG TABLET
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DOXYCYCLINE
(VIBRAMYCIN) 100 MG CAP
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Take
100 mg by mouth 2 (two) times daily.
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GLIMEPIRIDE
(AMARYL) 4 MG TABLET
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HYDROCHLOROTHIAZIDE
(HYDRODIURIL) 12.5 MG TAB
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INSULIN
DETEMIR (LEVEMIR FLEXPEN SUBQ)
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Inject
into the skin.
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LEVEMIR
FLEXTOUCH U-100 INSULN 100 UNIT/ML (3 ML) INPN PEN
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LOSARTAN
(COZAAR) 100 MG TABLET
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METFORMIN
(GLUCOPHAGE) 500 MG TABLET
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METHEN-HYOSC-M.BLUE-SAL-NAPHOS
(URIMAR-T) 120-0.12-10.8 MG TAB
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Take
by mouth.
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METHEN-SOD
PHOS-METH BLUE-HYOS (UROGESIC-BLUE/URYL) 81.6-40.8-0.12 MG
TAB
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Take
1 tablet by mouth every 8 (eight) hours.
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METOPROLOL
SUCCINATE (TOPROL-XL) 50 MG 24 HR TABLET
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SIMVASTATIN
(ZOCOR) 20 MG TABLET
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Vitals:
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03/03/23
1023
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Weight:
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93
kg (205 lb)
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Height:
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6'
2" (1.88 m)
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No
visits with results within 1 Day(s) from this visit.
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Latest
known visit with results is:
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Office
Visit on 12/09/2022
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Component
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Date
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Value
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Ref
Range
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Status
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•
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Color,
UA
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12/09/2022
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Yellow
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Final
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Spec
Grav UA
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12/09/2022
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1.025
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Final
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pH,
UA
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12/09/2022
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6.5
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Final
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WBC,
UA
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12/09/2022
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neg
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Final
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Nitrite,
UA
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12/09/2022
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neg
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Final
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Protein,
POC
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12/09/2022
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neg
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Final
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Glucose,
UA
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12/09/2022
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100
(A)
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Final
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Ketones,
UA
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12/09/2022
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neg
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Final
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Bilirubin,
POC
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12/09/2022
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neg
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Final
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Urobilinogen,
UA
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12/09/2022
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0.2
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Final
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Blood,
UA
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12/09/2022
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neg
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Final
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PSA
Diagnostic
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Date
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Value
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Ref
Range
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Status
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12/09/2022
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SEE
COMMENT
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0.00
- 4.00 ng/mL
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Final
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Comment:
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The
testing method is a chemiluminescent microparticle
immunoassay
manufactured
by Abbott Diagnostics Inc and performed on the Architect
or
Alinity
system. Values obtained with different assay manufacturers
for
methods
may be different and cannot be used interchangeably.
See
scanned report
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1.
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CA
prostate, adenoca
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2.
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Osteoporosis
due to androgen therapy
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Problem
List Items Addressed This Visit
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Oncology
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CA
prostate, adenoca - Primary
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Orthopedic
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Osteoporosis
due to androgen therapy
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PSA
0.015
- castrate
Eligard
administered today without difficulty
Return to clinic 3
months with PSA, testosterone, i-STAT pre cert for Eligard and
Prolia
Discussion
today about Eligard side effects. This was significant and
separate to his visit today.
He
did have a cardiac eval which was normal
Rachel
Sitter, NP
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