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Case Summary: You are a new provider in a primary care practice, and this is the first time you are meeting A.G. A.G. is a 55-year-old woman seen in your practice every 3-4 months for management of her HTN, Type 2 D.M., CKD, Dyslipidemia, Morbid obesity, and Depression. A.G. states that she takes her medications as prescribed, and her pharmacy records support her statement. Chief Complaint: "My appointment is to review lab work and medications, and I am worried about my increased weight." Vital Signs Today: BP 150/84, H.R. 76 reg, Resp. 16, Temp 98.7, BMI 38 Fasting Labs: drawn one week before the visit. HbA1c = 9.8 Total cholesterol: 180 mg/dL. High-density lipoprotein (HDL) cholesterol: 52 mg/dL. Low-density lipoprotein (LDL) cholesterol: 122 mg/dL Triglycerides: Below 190 mg/dL. eGFR: 41 Medication List: Valsartan (Diovan), 160mg daily HCTZ 12.5 mg daily Metformin XR 1000mg, BID Sitagliptin (Januvia) 50mg daily Rosuvastatin (Crestor) 10mg daily Sertraline (Zoloft) 100mg daily Enteric-coated Aspirin 81mg daily Centrum Silver for Women, one tablet daily Same as above: Risk Factor Assessment and Treatment Prioritization and timeline Medication management that aligns with evidence-based guidelines Lifestyle modifications to augment medication management.
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In this study the temporal and spatial variation of heat content in the upper 70m layer of the Arabian Sea was for a period of 1991 to 2008 have been attempted.
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