Significant for hypertension-gout and hypercalcemia

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Reference no: EM133844129

PSYCHOLOGICAL EVALUATION

HISTORY: Mr. Meyer is a 48-year-old, divorced, white male who was admitted after he was found lying on the floor in his apartment. Evidently, he had taken a fall, and he had some bruises on his face and tongue. Later, during the hospitalization, he developed delirium tremens and was required to go on the ventilator. Earlier this week, I also came to see this patient, but at that time, he was given a dose of Haldol, and he was quite drowsy and sleepy.

PAST MEDICAL HISTORY: Significant for hypertension, gout, hypercalcemia, and now general debility. His previous coronary angiogram was negative.

1. Psychotic disorder, NOS. It does seem functional, especially with such a long history, and possibly, there is worsening of the symptoms with underlying delirium earlier.

CPT Code(s):

ICD Code(s):

Reference no: EM133844129

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