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PROGRESS NOTE #1 - AAPC

PROGRESS NOTE #1 Steven Perry 2/15/2011 Mr. Perry is here today for extended visit exam, lab results, pt complains today of URI symptoms and colored sputum. HPI: The patient returns reassessment, feeling quite well. He enjoyed his vacation. He relates no HA, syncope, no exertional chest pain. He has a negative nuclear stress test last summer with Dr Freed. Recent office visit there was normal, niacin prescribed. He is been intolerant of simvastin, Vytorin in the past, although he did fairly well on a small, half dosage. He is willing to try again. His cholesterol is 100 points high, unfavorable ratio. NKDA Current meds: Aspirin 81 mg oral 1 tablet dail Viagra 100 mg oral 05 as directed Lovaza 1 gm oral capsule I capsule twice daily Co Q-10 100 mg oral take 1 capsule daily Dexamethasone Sodium Phosphate 4 mg injection solution ml per treatment for 10 treatments Medication list verified DS, MA Active problems: BPH ( ) Bloo

Assessment: Isolated blood pressure was elevated (796.2 Coronary Artery Disease (414.00) BPH (600.00) Hyperlipidemia (272.4) Actinic keratosis (702.0 Tendonitis (726.90) Plan: Medications reviewed Labs reviewed Return to office 4 months 1. …

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