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George Wilson is a new patient, being seen in a skilled nursing facility for an initial nursing facility assessment. Mr. Wilson recently suffered a cerebral thrombosis with residual dysphagia and paresis of the left extremities. He was transferred from the acute care hospital care hospital to the skilled nursing facility for rehabilitation. The patient also has arteriosclerotic heart disease with a permanent pacemaker, rheumatoid arthritis, urinary incontinence, and macular degeneration in his right eye. The physician does not know Mr. Wilson, therefore, he performs a comprehensive history and physical exam and with the patient's number of diagnosis and lack of data from the hospital, the MDM is of high level of complexity.
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