CERMSGR|0|379924:21080220902;2096886:21080221101,1||1|| CERMSGR|0|379924:21080220902;2096886:21080221101,1||1|| CERMSGR|0|2108023043:21080230405;2108023042:21080230404,1||1||" CERMSGR|0|2108023043:21080230405;2108023042:21080230404,1||1|| Assessment and Plan: ASSESSNOHEADERBEGIN|1|||0||MR_COMSUM^``^#`BEGIN^``^#`Assessment^``^#`2^``^#`6851144.556751^``^#`0^``^#`3^``^#`MR_COMSUM^``^#`BEGIN^``^#`Assessment^``^#`2^``^#`6851144.556751^``^#`0^``^#`3^``^#` SECTION_BOOKMARK_END^``^#`MR_COMSUM^``^#`BEGIN^``^#`Assessment^``^#`2^``^#`6851144.556751^``^#`0^``^#`3^``^#`SECTION_BOOKMARK_END^``^#`MR_COMSUM^``^#`BEGIN^``^#`Assessment^``^#`2^``^#`6851144.556751^``^#`0^``^#`3^``^#` ASSESSNOHEADERBEGIN|1|||0||ASSESSPLAN1|1|||1||Acute cough Comments: restart advair albu, sent out zpac jic for travel and steroid pack call for any worsening or concerns Other orders - brompheniramine-pseudoeph-DM (BROMFED DM) 2-30-10 mg/5 mL suspension; Take 5 mLs by mouth every 4 (four) hours as needed. - fluticasone propion-salmeteroL (ADVAIR DISKUS) 250-50 mcg/dose diskus inhaler; Inhale 1 puff into the lungs 2 (two) times daily. - azithromycin (ZITHROMAX) 250 MG tablet; Take 500 mg by mouth daily for 1 day, THEN 250 mg daily for 4 days. Take 2 tablets by mouth today, then 1 tablet by mouth daily for 4 more days.. - albuterol HFA inhaler 90 mcg/actuation; Inhale 2 puffs into the lungs every 6 (six) hours as needed for Wheezing. - methylPREDNISolone (MEDROL DOSEPACK) 4 mg tablet; Take 21 tablets (84 mg total) by mouth As directed Follow package directions.. ASSESSPLAN1|1|||1||Followup: FOLLOWUP|1|||0|| No follow-ups on file. FOLLOWUP|1|||0||" HISTORYHEADERBEGIN|1|||0||MR_COMSUM^``^#`BEGIN^``^#`History^``^#`0^``^#`6851144.56128^``^#`0^``^#`1001^``^#`MR_COMSUM^``^#`BEGIN^``^#`History^``^#`0^``^#`6851144.56128^``^#`0^``^#`1001^``^#`History SECTION_BOOKMARK_END^``^#`MR_COMSUM^``^#`BEGIN^``^#`History^``^#`0^``^#`6851144.56128^``^#`0^``^#`1001^``^#`SECTION_BOOKMARK_END^``^#`MR_COMSUM^``^#`BEGIN^``^#`History^``^#`0^``^#`6851144.56128^``^#`0^``^#`1001^``^#` HISTORYHEADERBEGIN|1|||0||NAME|0|||0||Devin SlickNAME|0|||0||is a AGE|0|||0||36 y.o.AGE|0|||0||SEX|0|||0||maleSEX|0|||0||who is seen today for CCN|1|||1||Sinusitis (Pt is here c/o Cold, sinuses, scratchy throat. Pt is Leaving to go to Sweden/Norway on 6/30 and need to make sure this doesn't turn into something more serious.) CCN|1|||1||BLOCKBEGIN|HTPNROSBYAGE|BLOCKBEGIN|HTPNROSBYAGE|1000423__75002_BEGIN1000423__75002_BEGIN1000423__75002_END1000423__75002_END1000423__1000431_BEGIN1000423__1000431_BEGIN 1000423__1000431_END1000423__1000431_END1000423__75641_BEGIN1000423__75641_BEGIN1000423__75641_END1000423__75641_END1000423__1016313_BEGIN1000423__1016313_BEGIN 1000423__1016313_END1000423__1016313_END1000423__1016315_BEGIN1000423__1016315_BEGIN1000423__1016315_END1000423__1016315_END1000423__1000461_BEGIN1000423__1000461_BEGIN 1000423__1000461_END1000423__1000461_END1000423__1000427_BEGIN1000423__1000427_BEGIN1000423__1000427_END1000423__1000427_END1000423__1016321_BEGIN1000423__1016321_BEGIN 1000423__1016321_END1000423__1016321_END1000423__1000459_BEGIN1000423__1000459_BEGIN1000423__1000459_END1000423__1000459_ENDReview of Systems 1000423__1016317_BEGIN1000423__1016317_BEGIN Respiratory: Positive for cough. 1000423__1016317_END1000423__1016317_END1000423__1016323_BEGIN 1000423__1016323_BEGIN1000423__1016323_END1000423__1016323_END1000423__1000429_BEGIN1000423__1000429_BEGIN1000423__1000429_END1000423__1000429_END1000423__1016319_BEGIN 1000423__1016319_BEGIN1000423__1016319_END1000423__1016319_END1000423__1016326_BEGIN1000423__1016326_BEGIN1000423__1016326_END1000423__1016326_END1000423__1000433_BEGIN 1000423__1000433_BEGIN1000423__1000433_END1000423__1000433_END1000423__1000424_BEGIN1000423__1000424_BEGIN1000423__1000424_END1000423__1000424_END BLOCKEND|HTPNROSBYAGE|BLOCKEND|HTPNROSBYAGE|HISTORYHEADEREND|1|||0||MR_COMSUM^``^#`END^``^#`History^``^#`0^``^#`6851144.580434^``^#`0^``^#`1001^``^#`MR_COMSUM^``^#`END^``^#`History^``^#`0^``^#`6851144.580434^``^#`0^``^#`1001^``^#` HISTORYHEADEREND|1|||0||OBSERVHEADERBEGIN|1|||0||MR_COMSUM^``^#`BEGIN^``^#`Observations^``^#`0^``^#`6851144.581861^``^#`0^``^#`1002^``^#`MR_COMSUM^``^#`BEGIN^``^#`Observations^``^#`0^``^#`6851144.581861^``^#`0^``^#`1002^``^#`Observations SECTION_BOOKMARK_END^``^#`MR_COMSUM^``^#`BEGIN^``^#`Observations^``^#`0^``^#`6851144.581861^``^#`0^``^#`1002^``^#`SECTION_BOOKMARK_END^``^#`MR_COMSUM^``^#`BEGIN^``^#`Observations^``^#`0^``^#`6851144.581861^``^#`0^``^#`1002^``^#` OBSERVHEADERBEGIN|1|||0||CERMSGR|0|2099019:20831,1||1||CERMSGR|0|2099019:20831,1||1|| VS|1|||0||BP 120/82 (BP Location: Right Arm, Patient Position: Sitting, Cuff size: LAd) | Pulse 77 | Temp 98.1 F (36.7 C) (Temporal) | Resp 16 | Wt 95.7 kg (211 lb) | SpO2 98% | BMI 29.43 kg/m VS|1|||0||BLOCKBEGIN|HTPNPHYEXAMBYAGE|BLOCKBEGIN|HTPNPHYEXAMBYAGE|Physical Exam 1011192__1011193_BEGIN1011192__1011193_BEGIN Constitutional: He is well-developed and well-nourished. 1011192__1011193_END1011192__1011193_END1011192__1000446_BEGIN1011192__1000446_BEGIN HENT: Head: Normocephalic and atraumatic. Right Ear: Tympanic membrane normal. Left Ear: Tympanic membrane normal. 1011192__1000446_END1011192__1000446_END1011192__75105_BEGIN1011192__75105_BEGIN Eyes: Pupils are equal, round, and reactive to light. 1011192__75105_END1011192__75105_END1011192__1016336_BEGIN1011192__1016336_BEGIN Neck: Trachea normal, phonation normal, normal range of motion and neck supple. No JVD present. 1011192__1016336_END1011192__1016336_END1011192__1000604_BEGIN 1011192__1000604_BEGIN Cardiovascular: Normal rate, regular rhythm, S1 normal, S2 normal and normal heart sounds. Exam reveals no gallop and no friction rub. No murmur heard.1011192__1000604_END1011192__1000604_END1011192__1017310_BEGIN1011192__1017310_BEGIN Pulmonary/Chest: Effort normal and breath sounds normal. No accessory muscle usage or stridor. No apnea, no tachypnea and no bradypnea. No respiratory distress. He has no wheezes. He has no rales . He exhibits no tenderness. 1011192__1017310_END1011192__1017310_END1011192__1018171_BEGIN1011192__1018171_BEGIN Abdominal: Soft. Bowel sounds are normal. 1011192__1018171_END1011192__1018171_END1011192__1000417_BEGIN1011192__1000417_BEGIN1011192__1000417_END1011192__1000417_END 1011192__1011198_BEGIN1011192__1011198_BEGIN Musculoskeletal: Normal range of motion. 1011192__1011198_END1011192__1011198_END1011192__1000235_BEGIN1011192__1000235_BEGIN1011192__1000235_END1011192__1000235_END 1011192__75383_BEGIN1011192__75383_BEGIN Lymphadenopathy: He has no cervical adenopathy. 1011192__75383_END1011192__75383_END1011192__1018174_BEGIN1011192__1018174_BEGIN Neurological: He is alert. 1011192__1018174_END1011192__1018174_END1011192__1000420_BEGIN1011192__1000420_BEGIN Skin: Skin is warm and dry. 1011192__1000420_END1011192__1000420_END1011192__75442_BEGIN1011192__75442_BEGIN1011192__75442_END1011192__75442_END1011192__75063_BEGIN 1011192__75063_BEGIN1011192__75063_END1011192__75063_END BLOCKEND|HTPNPHYEXAMBYAGE|BLOCKEND|HTPNPHYEXAMBYAGE|OBSERVHEADEREND|1|||0||MR_COMSUM^``^#`END^``^#`Observations^``^#`0^``^#`6851144.595882^``^#`0^``^#`1002^``^#`MR_COMSUM^``^#`END^``^#`Observations^``^#`0^``^#`6851144.595882^``^#`0^``^#`1002^``^#` OBSERVHEADEREND|1|||0||CERMSGREFRESH|0|2108023041:CERMSGREFRESH|0|2108023041:CERMSGR|0|379924:21080220902;2096886:21080221101,1||1|| CERMSGR|0|379924:21080220902;2096886:21080221101,1||1|| CERMSGR|0|2108023043:21080230405;2108023042:21080230404,1||1||" CERMSGR|0|2108023043:21080230405;2108023042:21080230404,1||1||