MSN 610

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MSN 610 H & P Example-1.

A 68 year- old female returns for a follow up at the primary care clinic. She has a known history of Paroxysmal Atrial Fibrillation. She states she has felt her heart “go out of rhythm” several times since her last appointment 3 months ago. She has not seen her cardiologist in over a year. The irregular rhythm has been occurring 2-3 x/week for the last 2 months lasting 1-5 minutes., PMH: Paroxysmal A Fib, DM II, HTN, CHF Medications: Coreg 25 mg BID Metformin 1000 mg BID Sacubitril/...

J. B is a 17 year old male who present with his father (who is main historian) to your clinic for recurrent vomiting and abdominal pain. His father states that he has missed a lot of school and to prevent truancy allegations, he is required to present a physician’s excuse to justify the frequent absences. When you ask him how often this occurs, J.B. tells you that he experiences nausea and vomiting that comes and goes, and has abdominal pain “most all the time”. He wakes with abdominal...