Patient Encounter Part 2 Medical History Physical Exam and Diagnostic Tests

The workup on PT reveals:

PMH: Chronic back pain since motor vehicle accident 3 years ago. PPH: Noncontributory

FH: Mother with diabetes mellitus and MDD; father is alive and well with no medical problems; brother is a recovered alcoholic

SH: Worked for a construction company, but job ended 2 months ago. For the last several months he has been drinking three to four beers per night. He denies smoking cigarettes or using illicit substances

Current Meds: Ranitidine 150 mg twice daily; oxycontin 10 mg twice daily ROS: Decreased energy; decreased sleep; all others noncontributory

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