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52 yo Female NKA Sign language (Possible NDX: (Acute pain r/t surgical…
52 yo
Female
NKA
Sign language
Medical DX:
Asthma, Diabetes, Dyslipidemia, Hypertension, Malignant Tumor of Breast (Atypical ductal hyperplasia with DCIS), Deaf and Mute
Images
No recent labs
Left Breast US: 12/29/16
No cystic or solid mass identified.
Mammogram: 12/15/17
No lesion currently suspicious for malignancy on right. New group of suspicious calcifications in the upper outer quadrant of the left breast.
Fenofibrate
145 mg cap po daily
Dyslipidemia
PULMONARY EMBOLISM, arrhythmias,
rhabdomyolysis, HA
Metformin
500mg tab PO daily
Diabetes
LACTIC ACIDOSIS
decreased vitamin B12 levels
Tamoxifen
20 mg tab po daily
Breast CA
Stroke, Thromoembolism
uterine malignancies,
hypercalcemia, leukopenia,
thrombocytopenia
Lisinopril
20mg tab po daily
Dyslipidemia
Dry cough, hyperkalemia,
angioedema.
Fluticase/Salmete
(Advair diskus)
1 puff inhl. BID
Asthma
Oral thrush, diarrhea,
URI, decrease bone mineral
density, muscle pain
Lisinopril
20 mg po QHS
Dyslipidemia
Rhabdo, hyperglycemia
Insulin regular
(humuLIN R)
Sliding scale
Diabetes
Hypoglycemia,
hypokalemia
Possible NDX:
Acute pain
r/t surgical procedure aeb
mastectomy
Disturbed body image
r/t breast cancer, loss of
sexually significant body
part, and surgical procedure
Impaired tissue integrity
r/t surgical procedure
SCD's bilat. extremeties
Up ad. lib.
Diabetic diet