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Patient ID
Past History
Past Medical History
Hypertension
Diabetes
Hyperlipidemia
Chronic kidney disease
ESRD
Collagen vascular disease
Atrial fibrillation
Social History
dose not not smoke, does not use alcohol, no illegal drug
ex smoker, alcohol social, no ellegal drug
unable to obtain
Family History
Unremarkable
Diabetes
Mother had Hypertension
Mother had Hypertension, diabees
Father had hypertension
Father unknown
Early stroke
Early heart attack
unable to obtain
ROS General
No fever, weight loss
No mood change
No rhinorrhea
No SOB, cough
No palpitation, chest pain
No Abdominal pain, diarrhea
No Joint swelling
No Skin rash
No recent trauma
ROS Neuro
No loss of consciousness
No seizure
No headache
No change in vision
No speech problem
No facial droop
No focal weakness
No numbness
No incontinence
No gait problem
ROS Other
Some difficulty sleep
Fatigue
Notes