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<GIV V="Sarah">
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<body><section>
<paragraph><content>DIALYSIS PROGRESS NOTE</content>
</paragraph>
<paragraph><content>MEDICAL PROBLEMS:</content>
</paragraph>
<list>
<item><content>1. ESRD on CAPD.</content>
</item>
<item><content>2. Hypertension.</content>
</item>
</list>
<paragraph><content>The patient is doing great. She continues to thrive. Her weight has been stable and her appetite it good. There is no fever or chills, abdominal pain, nausea or vomiting. No shortness of breath or chest pain. Blood pressure has been slightly elevated at home, typically 150/110. PD fluid has been clear without fibrin and exit site has no drainage.</content>
</paragraph>
<paragraph><content>PHYSICAL EXAMINATION:</content>
</paragraph>
<paragraph><content>GENERAL:</content>
</paragraph>
<paragraph><content>The patient is no distress and is alert.</content>
</paragraph>
<paragraph><content>VITAL SIGNS:</content>
</paragraph>
<paragraph><content>150/100.</content>
</paragraph>
<paragraph><content>HEENT:</content>
</paragraph>
<paragraph><content>No JVD.</content>
</paragraph>
<paragraph><content>LUNGS:</content>
</paragraph>
<paragraph><content>Clear.</content>
</paragraph>
<paragraph><content>CARDIAC:</content>
</paragraph>
<paragraph><content>Without rub.</content>
</paragraph>
<paragraph><content>ABDOMEN:</content>
</paragraph>
<paragraph><content>Soft, nontender.</content>
</paragraph>
<paragraph><content>TUNNEL:</content>
</paragraph>
<paragraph><content>Without erythema or tenderness.</content>
</paragraph>
<paragraph><content>EXTREMITIES:</content>
</paragraph>
<paragraph><content>No edema.</content>
</paragraph>
<paragraph><content>LABORATORY: Pending.</content>
</paragraph>
<paragraph><content>ASSESSMENT AND PLAN:</content>
</paragraph>
<list><item><content>1. ESRD, stable on CAPD. Will check labs, which will be drawn tomorrow. Continue current prescription for now. Patient to have a referral for the transplant office as soon as possible.</content>
</item>
</list>
<paragraph><content>Hypertension, will increase Diovan to 160 mg daily. Continue all other medications. Followup in 1 month and p.r.n.</content>
</paragraph>
<paragraph><content>THIS REPORT WAS ELECTRONICALLY SIGNED</content>
</paragraph>
<paragraph><content>Doctor Dictating, M.D.</content>
</paragraph>
<paragraph><content>DD/dt</content>
</paragraph>
<paragraph><content>D: 1/30/2001</content>
</paragraph>
<paragraph><content>T: 1/30/2001</content>
</paragraph>
</section>
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