SUBJECTIVE: Routine Follow up/Chronic Condition Chief Complain:

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SUBJECTIVE: Routine Follow up/Chronic Condition Chief Complain:  Symptoms analysis/HPI:  PMH:  Immunization:  Surgical History: Family History:  Social Hx: CONSTITUTIONAL:  Neurologic:  HEENT: Head:  Eyes: . Ear:  Nose: . Throat:  Respiratory:  Cardiovascular:  describe above Gastrointestinal:  Genitourinary:  Musculoskeletal Skin:  Objective data: CONSTITUTIONAL: Vital Signs T: °F (Oral), HR:  bpm, regular, RR: , BP: , SpO2:  % on room air, Weight: , Height in BMI . Report pain 0/10. General appearance:  NEUROLOGIC: HEENT: Head: . Eyes: PERRLA, sclera white, no discharge noted. Ears:  Nose/Sinus:  Mouth:  Throat:  Neck:  Respiratory:  Cardiovascular Gastrointestinal:  Genitourinary: Musculoskeletal:  Integumentary:  Assessment: Differential diagnosis: is based in secondary causes of diabetes  • These basic laboratory tests are:   Pharmacologic treatment: Non-Pharmacologic treatment:  Education Non-Pharmacologic treatment:  •  Office procedures: Follow-ups/referrals: in one week for evaluation follows up. References: Less 5 years ago. APA format, 5

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