Ernest Kouwen-Hoven Memorial Bridge Melbourne Florida 2020 #travel Panoramic

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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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