Answer Happy

ALLENTOWN, PA 18103-6202 Date: 10/29/14 Name DOB: jex: F Age: 95 yrs Acct#: Office Visit Reason: Follow-Up Visit Chest Pain: Yes No Shortness of Breath: Yes No Dizziness: Yes No Comments: Edema: Yes No Palpitations: Yes No Venous Disease: Yes No Date: 10/29/2014 Was the patient queried about smoking behavior? Yes No Does the patient currently smoke? Smoking: Patient has never smoked. CC: Patient presents for cardiovascular evaluation. HPI: Routine office visit and follow-up. 95 yo F with SSS sp DC PPM 2006 presented for PPM evaluation due to ERI reached. At visit 3/14 noted fatigue and DOE. Biotronik DDDp 2006 set DDD 50-120 and histogram showed little rate variation. Programmed to DDDR and moderate improvement. She felt better with rate response ON. Her PPM check today showed ERI reached 8/26/14 with 12 episodes of mode switched from 16 min to 5.2 hr. She had PPM gen change on 10/8/14 by last visit 10/14/14 she had small area of erythematous at lateral end of incision; cluamycin PO for 3 days. Less swelling now but itching, no CP, no SOB. Denies angina, chest pain, claudication, dyspnea on exertion, lightheadedness, orthopnea, palpitations, PND, shortness of breath, swelling of legs and near syncope. Meds Prior to Visit: Metoprolol Tartrate 25 mg 1 twice a day Aspirin 81 mg 1 po qd Omeprazole 20 mg 1 po qd Lasix 40 mg 1 tab po am. 1 tab prn Melatonin 5 mg Aldactone 25 mg 1 by mouth every day Allergies: Penicillins PMH: Problem List: Sinus node dysfunction, Cardiac pacemaker in situ, Benign essential hypertension, Dyspnea, Chronic kidney disease stage 3, Chronic diastolic heart failure, Complete atrioventricular block, Essential hypertension, Cardiomegaly, Mitral valve disorder, Tricuspid valve disorder, non-rheumatic, First degree atrioventricular block