fredcpc
Guru
Can you look at this Encounter, it is baffling me. Here it is:
Pain location: Headache
Pain Scale: 1
Follow up on Headache and HTN.
Allergies: Adhesive, Metformin, Ace Inhibitors
He tried increasing metoproiol to 150mg bid with increase in HA noted. He called me by phone and I advised tapering metroproil down to current dosage of 50mg bid, which he has noted has helpd his HA to about 30 percent of prior severity. He said at it worst the HA feels like "a whack on the head." He does note that metropriol was also helpful in PVC Tx.
His glycemic index is poor. Fasting glucose is is around 140, pm glucose is 120-140.
Meds: Cozaar, Actos, Metroproli
Phys Exam:
GEn: Obese man in no distress
HEENT: Temporal arteries nontender; Oropharnyx is benign.
Lungs: Clear to asculation and percussion.
IMpression: 1) Headache -- He is improved with with reduction of metroilol. Will continue to taper metroprioil by 50% every 10 days. Reacessment in a month.
2) HTN -- See recommendations to taper off metroprioil. Reexam in a month.
Initially, I got 99214. Det, exp, Moderate. What do you think?
Pain location: Headache
Pain Scale: 1
Follow up on Headache and HTN.
Allergies: Adhesive, Metformin, Ace Inhibitors
He tried increasing metoproiol to 150mg bid with increase in HA noted. He called me by phone and I advised tapering metroproil down to current dosage of 50mg bid, which he has noted has helpd his HA to about 30 percent of prior severity. He said at it worst the HA feels like "a whack on the head." He does note that metropriol was also helpful in PVC Tx.
His glycemic index is poor. Fasting glucose is is around 140, pm glucose is 120-140.
Meds: Cozaar, Actos, Metroproli
Phys Exam:
GEn: Obese man in no distress
HEENT: Temporal arteries nontender; Oropharnyx is benign.
Lungs: Clear to asculation and percussion.
IMpression: 1) Headache -- He is improved with with reduction of metroilol. Will continue to taper metroprioil by 50% every 10 days. Reacessment in a month.
2) HTN -- See recommendations to taper off metroprioil. Reexam in a month.
Initially, I got 99214. Det, exp, Moderate. What do you think?