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Bacterial overgrowth can be treated with Ciprofloxacin and Metronidazole. Rifaximin is another treatment. After the treatment, patients can undergo another breath test to determine if the bacteria have been decreased. http://emedicine.medscape.com/article/212861-treatment
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Linzess dose for chronic idiopathic constipation is 145 mcg by mouth once a day. A lower dose is 72 mcg per day, and a higher dose is 288 mcg per day. Other prescription medications for constipation include Amitiza and Trulance.
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Enter your health infomration by copying and pasting the form below. Entries are permanent. HPI: Enter your main current problems including length of time, location, alleviating and exacerbating factors PMH: Enter your past medical history including prior diagnosis such as hypertension and surgeries. Medications: Enter your current list of medications Allergies: Family History: medical history in your family Social History: Tobacco, Drugs, Alcohol ROS: any other symptoms Labs, Radiology, Procedures: Enter prior labs, x-rays, CT scans, endoscopies, or other procedures. Physical: Enter any physical findings you've noticed Assessment/Plan: Enter working assessments and what you would like to gain from posting this information.
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HPI: 57 year old female presented with epigastric abdominal pain, nausea and vomiting.
Past Medical History: Diabetes mellitus
Medications: Lantus
Allergies:
Family History: No history of colon cancer
Social History: 1 pack of cigarettes per day
Review of Systems: heartburn, constipation
Physical Exam: Epigastric tenderness
Labs/Radiology/Procedures: Normal abdominal x-ray
Assessment/Plan: EGD
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<p>HPI: 57 year old female presented with epigastric abdominal pain, nausea and vomiting. <p>Past Medical History: Diabetes mellitus<p>Medications: Lantus<p>Allergies: <p>Family History: No history of colon cancer<p>Social History: 1 pack of cigarettes per day<p>Review of Systems: heartburn, constipation<p>Physical Exam: Epigastric tenderness<p>Labs/Radiology/Procedures: Normal abdominal x-ray<p>Assessment/Plan: EGD to evaluate for gastric outlet obstruction. If no gastric outlet obstruction, then gastric emptying study to evaluate for diabetic gastroparesis.
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HPI: 58 year old male with intermittent chest pain
Past Medical History: Diabetes mellitus, high cholesterol, obesity, hypertension, cholecystectomy
Medications: Lantus, lisinopril, lipitor
Allergies:
Family History: Brother with colon cancer
Social History: 1 pack of tobacco per day
Review of Systems: intermittent dyspnea
Physical Exam: normal
Labs/Radiology/Procedures: Total cholesterol 230
Assessment/Plan: EKG, troponin, stress test, possible cardiac cath. Consult cardiologist.
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HPI: 54 year old male with black stools
Past Medical History: Hypertension
Medications: Lisinopril
Allergies:
Family History: Sister with ovarian cancer
Social History: 3 beers a week
Review of Systems: Difficulty breathing
Physical Exam: Non-tender abdomen
Labs/Radiology/Procedures: Hemoglobin 7
Assessment/Plan: EGD to evaluate for peptic ulcer
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Medical management as deemed appropriate. IVF.
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Claims made versus Occurrence coverage for medical malpractice insurance for a private practice
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Starting a medical practice - Medicare provider enrollment form PDF
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