Endocrinology HPI and Exam
Posted: Thu Oct 11, 2018 2:10 pm
Can someone help me with the HPI Level:
1. Secondary Hyperparathyroidism. due to Vit D insufficiency. He has been taking vitamin d 50,000 units twice per week. He denies any compressive symptoms, no broken bones, no kidney stones, no abd pain.
2. Impaired fasting glucose - A1c 5.6
2. MNG noted with recent ultrasound. normal thyroid function test.
3. Fat Malabsorption - unclear reason with fatty greasy floating stool persisting no discomfort. On Creon 36,000 2 pills with each meal. too expensive (Digest Gold - nutrition store)
4. Back fusion recent surgery march 2018 and "has all fused" wearing a back brace no current back pain. Last DEXA was October 2017 with Osteopenia.
Also, would anyone give any credit for this Physicial Exam:
Vitals taken xx/xx/xx 00:00
rbs-100
BP sitting 128/73
BP cuff size regular
Pulse rate sitting 54 bpm
Height 70.5 in.
Weight 169lbs 8 oz
BMI 24.0 kg/m2
Body Surface Area 1.96 m2
(This is exactly like the chart including punctuation and misspellings)
1. Secondary Hyperparathyroidism. due to Vit D insufficiency. He has been taking vitamin d 50,000 units twice per week. He denies any compressive symptoms, no broken bones, no kidney stones, no abd pain.
2. Impaired fasting glucose - A1c 5.6
2. MNG noted with recent ultrasound. normal thyroid function test.
3. Fat Malabsorption - unclear reason with fatty greasy floating stool persisting no discomfort. On Creon 36,000 2 pills with each meal. too expensive (Digest Gold - nutrition store)
4. Back fusion recent surgery march 2018 and "has all fused" wearing a back brace no current back pain. Last DEXA was October 2017 with Osteopenia.
Also, would anyone give any credit for this Physicial Exam:
Vitals taken xx/xx/xx 00:00
rbs-100
BP sitting 128/73
BP cuff size regular
Pulse rate sitting 54 bpm
Height 70.5 in.
Weight 169lbs 8 oz
BMI 24.0 kg/m2
Body Surface Area 1.96 m2
(This is exactly like the chart including punctuation and misspellings)