T2-1B CLINIC PROGRESS NOTE

question 6

Essay

T2-1B CLINIC PROGRESS NOTE
This patient presents to the physician's office for an examination after a C-section the previous week.
SUBJECTIVE: Beth came in today for a postoperative exam. She underwent a C-section last week along with a tubal ligation. She was discharged on Monday of this week and is back in for a staple removal. Her blood pressure is still up, and today it is 170/102. Dr. Naraquist has been following this. She says her blood sugars have been okay. Dr. Naraquist is following her blood sugars.
CURRENT MEDICATIONS:
1. Prenatal vitamins once a day.
2. Peri-Colace 1 b.i.d. (twice a day).
3. Darvocet p.r.n. (as needed).
4. Labetalol 600 mg (milligram) q.a.m. (every morning), 200 mg at 3 PM, and 600 mg at bedtime.
ALLERGIES: None
OBJECTIVE: Her wound is healing okay. The staples are removed. I told her not to do any heavy lifting over 20 pounds for the next 5 weeks, also no intercourse. She is to see us back again in 5 weeks.
T2-1B:
SERVICE CODE(S): ___________________________________________________
ICD-10-CM DX CODE(S): _______________________________________________

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Definitions:

Tardive Dyskinesia

A neurological disorder characterized by involuntary, repetitive body movements, often resulting from long-term use of antipsychotic medication.

Risperidone

An antipsychotic medication commonly used to treat schizophrenia and bipolar disorder, and it can also be used to treat irritability in people with autism.

Schizophrenia

A chronic and severe mental disorder affecting a person's ability to think, feel, and behave clearly, often resulting in delusions, hallucinations, and disordered thinking.

Meta-analysis

A statistical technique that combines the results of multiple studies to identify patterns, effects, or relationships in the data more effectively than in individual studies.