Hello I can only get an Expanded problem focused from this E&m Due to HPI Can anyone see anything I am missing.
thx
CC: As per your request, I saw your patient, in consultation on September 15, 2009. As you know, she is a 58-year-old female who is asymptomatic.
HPI: The patient is a 58 year old female who had a CT scan to evaluate her aorta, because her siblings and mother had abdominal aortic aneurysms. She was found to have a dilated ascending aorta on CT scan.
PMH: Past medical history reveals breast cancer and asthma.
PSH: Past surgical history reveals she had a breast lumpectomy.
MEDICATIONS: Medications include Arimidex.
FH: Family history reveals a history of aneurysms. Mother and father had heart disease. Brother had AAA. Sister has scoliosis and hepatitis C.
SH: Social history reveals she is unemployed. She is married and lives with her husband. She is a former smoker and she has 14 drinks per week.
ROS: Review of systems revealed she complains of weight gain, seasonal allergies, arthralgia and stiffness. She has not had a blood transfusion. Remainder of the review of systems was negative
thx
CC: As per your request, I saw your patient, in consultation on September 15, 2009. As you know, she is a 58-year-old female who is asymptomatic.
HPI: The patient is a 58 year old female who had a CT scan to evaluate her aorta, because her siblings and mother had abdominal aortic aneurysms. She was found to have a dilated ascending aorta on CT scan.
PMH: Past medical history reveals breast cancer and asthma.
PSH: Past surgical history reveals she had a breast lumpectomy.
MEDICATIONS: Medications include Arimidex.
FH: Family history reveals a history of aneurysms. Mother and father had heart disease. Brother had AAA. Sister has scoliosis and hepatitis C.
SH: Social history reveals she is unemployed. She is married and lives with her husband. She is a former smoker and she has 14 drinks per week.
ROS: Review of systems revealed she complains of weight gain, seasonal allergies, arthralgia and stiffness. She has not had a blood transfusion. Remainder of the review of systems was negative