2. Xanax .25 mg three times a day 3. Celexa 30 mg a daily 4. Coumadin 10 mg daily 5. Protonex 40 mg a day 6. Prinivil 40 mg daily 7. Meclezine DIET: 1,800 ADA, low fat, low salt OTHER THERAPEUTIC MEASURES: The patient reached maximum therapeutic benefit from his hospital admission. He was discharged with his medications and diet as listed. ACTIVITY: As tolerated. HISTORY & PHYSICAL ADMITTED: 1/15/2014 CHIEF COMPLAINT: Dizziness, lightheadedness, and shortness of breath on exertion. HISTORY OF PRESENT ILLNESS: This is 78-year-old gentleman who has a history of multiple medical problems. He came into the emergency room because he was feeling dizzy, lightheaded, woozy, and kind of drunk. He could not be sure of his steps. He has also been complaining of increased shortness of breath on exertion. He does have chronic dyspnea on exertion due to multiple medical problems including obesity and deep venous thrombosis; however, he feels that his symptoms are worse than before. PAST MEDICAL HISTORY: His history is positive for multiple medical problems. He has history of hypertension, diabetes mellitus type 1, deep venous thrombosis. He has been on Coumadin for quite some time because of deep venous thrombosis. SOCIAL HISTORY: He smoked cigarettes, but quit smoking 25 years ago. He does not drink alcohol. He is married and lives with his wife. ALLERGIES: None. REVIEW OF SYSTEMS: As mentioned earlier; other than that, is unremarkable. He does not have any chest pain, denies any shortness of breath on exertion. He has no cough, hemoptysis, fever, or chills. No nausea or vomiting, abdominal pain, diarrhea, or urinary burning or hematuria at this time.
2. Xanax .25 mg three times a day 3. Celexa 30 mg a daily 4. Coumadin 10 mg daily 5. Protonex 40 mg a day 6. Prinivil 40 mg daily 7. Meclezine DIET: 1,800 ADA, low fat, low salt OTHER THERAPEUTIC MEASURES: The patient reached maximum therapeutic benefit from his hospital admission. He was discharged with his medications and diet as listed. ACTIVITY: As tolerated. HISTORY & PHYSICAL ADMITTED: 1/15/2014 CHIEF COMPLAINT: Dizziness, lightheadedness, and shortness of breath on exertion. HISTORY OF PRESENT ILLNESS: This is 78-year-old gentleman who has a history of multiple medical problems. He came into the emergency room because he was feeling dizzy, lightheaded, woozy, and kind of drunk. He could not be sure of his steps. He has also been complaining of increased shortness of breath on exertion. He does have chronic dyspnea on exertion due to multiple medical problems including obesity and deep venous thrombosis; however, he feels that his symptoms are worse than before. PAST MEDICAL HISTORY: His history is positive for multiple medical problems. He has history of hypertension, diabetes mellitus type 1, deep venous thrombosis. He has been on Coumadin for quite some time because of deep venous thrombosis. SOCIAL HISTORY: He smoked cigarettes, but quit smoking 25 years ago. He does not drink alcohol. He is married and lives with his wife. ALLERGIES: None. REVIEW OF SYSTEMS: As mentioned earlier; other than that, is unremarkable. He does not have any chest pain, denies any shortness of breath on exertion. He has no cough, hemoptysis, fever, or chills. No nausea or vomiting, abdominal pain, diarrhea, or urinary burning or hematuria at this time.