Reference no: EM133661090

Medical History

He tells one that he went to the ER three days ago for evaluation. The ER diagnosed him with sinusitis and treated him with an antibiotic and sent him home. He tells one that he was at the gym earlier today and had to sit down because he got "lightheaded" and thought he was going to pass out while walking on the treadmill. After a short rest, the "dizziness went away." When asked, he told one that he had similar episodes in the past when his "medications were adjusted." Patient is also concerned with peripheral edema that worsened when his meds were adjusted by his cardiologist; he denies shortness of breath. Patient states feeling constipated and since being treated for the sinus infection has been having trouble urinating, telling one he feels like he "has to go but it just won't come out." During his review of systems, patient tells one that he is "not sleeping well" for the past three months and thinks this is about when his Wellbutrin was increased. He has no appetite and feels "jittery at times."

Surgical History

Appendectomy in 1979
Right knee Total Knee Replacement 2019
Social History

The patient lives with his wife and manages his own medications. He used to be a schoolteacher and retired at age 65.

Family History

Mother (deceased at age 85 MI)

Father (deceased at age 91 Stroke)

Brother (Age 71; DM2 and HTN)

Please Dictate this Patient Problem List SubmitMedications

Ramipril 10mg po bid
MVI 1 po qd
Benadryl 50mg po q 6 hrs prn
Norvasc 10mg po qd
Flomax 0.4mg po qd
Wellbutrin XL 300mg po qhs
HCTZ 50mg po qhs
Augmentin 875mg po bid x 10 days
Pseudoephedrine 60mg po q 4-6 hrs
Levoxyl 100mcg po qd
ES APAP 1000mg po q 4 hrs
Elavil 100mg po qhs

Review the medication list. Name ten issues noted on review. What would one do as the provider to rectify each of the above issues?