Medications and to review labs and diagnostics

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Reference no: EM133796015

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Janis, a 59 year old female, here for yearly follow-up and refills on her medications and to review labs and diagnostics. She presents with complains of increasing shortness of breath. She has an 20 pack year history of smoking. She has decreased her number of cigarettes to 10 per day. The shortness of breath began a few months ago but seems to be worsening with activity. She is only able to walk around the block without shortness of breath. She also is no longer able to walk 18 holes when playing golf. Past Medical History: Janis has COPD. In the past year, she has had 1 exacerbation of her COPD and no hospitalizations. She has attempted to stop smoking, using nicotine gum replacement unsuccessfully. She has decreased the number to 10 cigarettes per day and would like to quit. She has osteoarthritis in the hands and knees. She has HTN well controlled with Olmesartan. Hyperlipidemia, well controlled with Rosuvastatin. She has not had most recent COVID vaccination. She has had Shingrix vaccine. She has not had flu shot this year and she has not had pneumonia vaccine.

Reference no: EM133796015

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