1. what brings you in today: reports needing an annual physical
2. what medical conditions do you have: denies medical conditions
3. what meds do you take: reports taking occasional ibuprofen
4. do you take any prescription meds: denies taking prescription
medication
5. do you take any OTC meds: only OTC medication is ibuprofen
6. why do you take advil: takes ibuprofen to relieve menstrual cramps
7. how often do you take advil: takes ibuprofen monthly
8. how many advil do you take at a time: takes 2 ibuprofen at a time
9. how many days do you take advil: typically takes 2 doses on first day of
period
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, 10.what dosage of advil do you take: unsure of the dosage, but reports
they are regular strength
11.when did you last take advil: last dose was 2 weeks ago
12.do you take vitamins or herbal supplements: denies vitamins and
herbal supplements
13.what allergies do you have: reports allergy to peanuts
14.how old were you when you had your first reaction to peanuts:
discovered at age 4
15.what are your symptoms to your peanut allergy: itchy mouth and
throat symptoms
16.how severe is your peanut allergy: allergy not severe
17.do you experience breathing problems when you eat peanuts:
denies breathing problems after exposure
18.have you ever been hospitalized for a reaction to peanuts: denies
hospi- talization for reaction to peanuts
19.how do you treat your peanut allergy: treated with Benadryl
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