Extremities fingerstick blood glucose level

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Reference no: EM133806158

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Progress Notes Date/Time Provider Progress Notes? 02/01/20XX 1015. Client: Russell Wilson, 62 years old Height and Weight: 6'1", 125 kg Allergies: None Chief Complaint: intermittent chest tightness, shortness of breath, and fatigue x 2 weeks. Medical History: hypertension, hyperlipidemia, diabetes mellitus Social History: Walks 10 minutes on the treadmill 3 times a week; Works remote desk job; Smokes a tobacco pipe "occasionally" and drinks alcohol 1-2 times per week; Eats fast food 2-3 times per week; lives alone Family History: hypertension (mother and father); DM, type 1 father; dad died of MI at age 65; mother history of breast cancer (living) Vital Signs: Temperature 98.8 °F (37.1 °C) oral, blood pressure 145/64 mmHg, heart rate 112 bpm, respiratory rate 30 bpm, SpO2 98% RA. General Appearance: Appears fatigued, diaphoretic HEENT: Unremarkable Cardiac: S1 and S2 regular rate and rhythm, no JVD ECG: Sinus rhythm at 112 bpm. Respiratory: Lungs clear to auscultation, tachypneic Musculoskeletal: Ambulates without assistance, no swelling in extremities. Fingerstick blood glucose level: 98 Drag the findings that require immediate follow-up to the box on the right. Findings Require Immediate Follow-Up Vital signs Dyspnea.

Reference no: EM133806158

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