Seasonal allergies-hypertension and hyperlipidemia

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Reference no: EM133713422

Question

68-year-old who describes himself as an Asian male with a PMH: seasonal allergies, hypertension, hyperlipidemia, and peripheral arterial insufficiency presented to the clinic with complaints of changes to both of his eyes over the last 3 days with painless visual loss. Denies history of eye trauma. Wears glasses for hyperopia. His father died at the age 78 y.o. from coronary artery disease and had macular degeneration. His mother is alive at 91 y.o. with dementia and diabetes. Tim lives alone in a ranch-style house and works at a local pharmacy about a 15-minute drive from his home. He has smoked about 1 pack of cigarettes per day for the last 50 years and drinks about 1 to 2 beers a night, around 4-5 times a week. No preauricular lymph nodes on the exam. PERRLA, EOMs intact. Allergic to PCN (Hives). He takes lisinopril, atorvastatin, diphenhydramine (seasonal allergies), ranitidine (sometimes as needed for reflux), and hydroxyzine (sometimes taken for itching). Denies falls, appetite changes, weight, polyuria, polydipsia, polyphagia, weakness, numbness, and dizziness.

Reference no: EM133713422

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