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Mrs.Judy is 64 years old female presenting with nausea, vomiting,…

 

Mrs.Judy is 64 years old female presenting with nausea, vomiting, and weakness. Recently she lost 42 lb within 2weeksMrs. Judy and her daughter have recently moved here from Montreal . she brought her here because her father is also in Toronto. And not doing well. Her daughter has noticed a decline in memory, and a memory test was done by a physician at a walking clinic. He told her that she has dementia. She has a history of depression and restless leg syndrome. They do not have many supports in Toronto. And her daughter is also looking after 2 autistic children. She is on multiple medications from Montreal.

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Past Medical History

Alzheimer disease

Depression

Restless leg syndrome

Present History

Restless leg syndrome

Alzheimer

Depression

Seizure

Wheelchair-bound

Admitting dx Failure to thrive

Social history

Smoking half a pack of cigarettes per day

Presently quit smoking

Sexual Activity

Yes

Physical Exam

Alert, oriented, no jaundice, no asterixis, JVP, peripheral edema.

CVS- normal s1s2 heart sounds, no murmurs or extra heart sounds

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