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MBA, Ph.D in Management
Harvard university
Feb-1997 - Aug-2003
Professor
Strayer University
Jan-2007 - Present
PATIENT: ALICIA LUJAN
DOB: SEPTEMBER 10, 1972
AGE: 44
SEX: FEMALE
INSURANCE: BC/BS of SENECA Reason for Visit
HPI
Allergies Presented to the Urgent Care with a fever and a cough. States “I have a
cough that won’t go away and sometimes it is hard to breathe.” “I’m tired all
the time and just don’t want to eat anything.”
Right-sided breast cancer
History of lumpectomy of right breast six months ago
History of mild depression
No Known Allergies Initial Visit Purpose: To meet the patient and establish a working relationship
BP: 130/86
Temperature 101.2 Fahrenheit
Pulse 82 beats per minutes
Respirations 20
Weight: 225 pounds
Height: 5’4”
Patient reports that she is compliant in taking her medication. X-Ray Chest X-ray suspicious for metastasis in the right middle lobe Tamoxifen Setraline
OTC Tamoxifen 20 mg po qd Sertraline HCL 50 mg po qd
Patient takes one St. John’s Wort capsule po for sleep when needed
Patient takes Excedrin 2 tabs po as needed.
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