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Patient Aana Test
D.O.B February 5, 1983 Gender Female

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Table of Contents

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  • Reason for visit

    • Post Procedure Follow-Up
      • The patient is doing well with no complaints.
    • Bilateral Lower Extremity Complaints
      • The symptoms have been occuring for 3 weeks.
    • Right Lower Extremity Complaints
      • The patient does not complain of any ulcers in the right lower extremity.
      • She describes the severity of the symptoms in the right lower extremity as being non-noticeable.

    Plan of care

    Information is not available

    Instructions

    • Recommended Patient Decision Aids
      1. Ambulatory Microphlebectomy Consent Form
      2. After Surgery for Varicose Veins

    Allergies

    Date Onset Allergy Code Reaction Status Type
    04/28/2017 Imatinib Analogues anemia active 416098002 - Drug Allergy
    04/28/2017 Pan-2400 active 416098002 - Drug Allergy
    3

    Problems

    Date Onset Problem Desc Code Condition Status
    09/06/2013 Cramp in limb (finding) 424647005 Active
    04/28/2017 Type II diabetes mellitus without complication (disorder) 313436004 Active
    04/28/2017 Benign hypertension (disorder) 10725009 Active
    10/13/2015 Low back pain (finding) 279039007 Active
    10/13/2015 Ischemic heart disease (disorder) 414545008 Active
    10/13/2015 Type II diabetes mellitus without complication (disorder) 313436004 Active
    10/13/2015 Benign hypertension (disorder) 10725009 Active
    02/01/2017 Non-neoplastic nevus (disorder) 195381005 Active
    04/28/2017 Phlebitis and thrombophlebitis of lower extremities, unsp I80.3 Active
    04/28/2017 Vulval varices (disorder) 48868008 Active
    04/28/2017 Postphlebitic syndrome (disorder) 20427003 Active
    04/28/2017 Peripheral venous insufficiency (disorder) 20696009 Active
    04/28/2017 Lymphedema (disorder) 234097001 Active
    04/28/2017 Other specified soft tissue disorders M79.89 Active
    09/06/2013 Cramp in limb (finding) 424647005 Active
    04/28/2017 Bleeding (finding) 131148009 Active
    10/13/2015 Peripheral vascular disease (disorder) 400047006 Active
    04/28/2017 Thrombosis of the popliteal vein (disorder) 427776007 Active
    04/28/2017 Thrombosis of the popliteal vein (disorder) 427776007 Active
    04/28/2017 Thrombosis of superficial vein of lower limb (disorder) 429434005 Active
    04/28/2017 Varicose veins of lower extremity with ulcer AND inflammation (disorder) 69352009 Active
    04/28/2017 Varicose veins of lower extremity with ulcer AND inflammation (disorder) 69352009 Active
    04/28/2017 Varicose veins of right lower extremities with pain I83.811 Active
    04/28/2017 Varicose veins of left lower extremities with pain I83.812 Active
    08/30/2016 Asymptomatic varicose veins of right lower extremity I83.91 Active
    08/30/2016 Asymptomatic varicose veins of left lower extremity I83.92 Active
    04/28/2017 Venous hypertension (disorder) 234072000 Active
    04/28/2017 Venous hypertension (disorder) 234072000 Active
    04/28/2017 Peripheral venous insufficiency (disorder) 20696009 Active
    04/28/2017 Peripheral venous insufficiency (disorder) 20696009 Active
    04/28/2017 Peripheral venous insufficiency (disorder) 20696009 Active
    04/28/2017 Peripheral venous insufficiency (disorder) 20696009 Active
    04/28/2017 Venous hypertension (disorder) 234072000 Active
    04/28/2017 Venous hypertension (disorder) 234072000 Active
    04/28/2017 Low back pain (disorder) 279039007 Active
    04/28/2017 Pain in right leg (finding) 287048003 Active
    04/28/2017 Pain in left leg (finding) 287047008 Active
    04/28/2017 Edema (finding) 267038008 Active
    1

    Medications

    Medication Administered During Visit

    Start Date Medication Code Sig Status
    04/28/2017 Compression Stockings, Knee-High 30-40 mmHg To be worn as directed Active

    Current Medication

    Start Date Medication Code Sig Status
    Para-Hist 12-15-15 mg tablet extended release 1423964 Take 1 Tablets oral Active

    Vital

    Date/Time Vital Name Loinc Code Value Unit
    2017/04/28 02:12:00 Temperature 8310-5 99 Farenheit
    2017/04/28 02:12:00 BP Sitting Systolic 8480-6 120/77 mmHg
    2017/04/28 02:12:00 Breath Rate 9279-1 20 Breaths/Min
    2017/04/28 02:12:00 Pulse Rate 8867-4 20 Beats/Min
    2017/04/28 02:12:00 O2 Saturation 2710-2 10 %

    Results

    Information is not available

    Immunizations

    Information is not available

    Procedures

    Date Procedure Code
    04/28/2017 ANES VEINS OF UPPER LEG INCLUDING EXPLORATIO 01260
    04/28/2017 ANESTHESIA VEINS KNEE & POPLITEAL AREA 01430

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