Patio at Hog Heaven Islamorada 2020 #food
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Patio at Hog Heaven Islamorada 2020 #food
But when a long train of abuses and usurpations, pursuing invariably the same Object evinces a design to reduce them under absolute Despotism, it is their right, it is their duty, to throw off such Government, and to provide new Guards for their future security.--Such has been the patient sufferance of these Colonies; and such is now the necessity which constrains them to alter their former Systems of Government.
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Linzess dose for chronic idiopathic constipation is 145 mcg by mouth once a day
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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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Patient denies jaundice, scleral icterus, pale stools, dark urine. No reports of hematochezia or melena. No recent trauma or falls. When asked, patient denies any recent weight loss or gain. No dizziness, SOB, or chest pain reported. No recent diarrhea or constipation. Denies hx of hemorrhoids.
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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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Paris. Trocadero fountains, a good view of the Eiffel Tower. Walk to the right to get to the Louvre, which is a nice flat running path along the Seine River. Trocadero Circle on the other side has several nice Cafes. Cafe de L’Homme is inside the museum and has a patio with a nice view of the Eiffel Tower.
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Lost and Found El Paso on Robinson Street. Dogs welcome inside. Food available next door. Two patios in the front and back.
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Elisabetta’s Patio
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Seafood platter at River Rocks Dockside Dining. Outdoor patio. #food Rockledge, Florida. Scallops and shrimp.
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