SHADOW HEALTH COMPREHENSIVE ASSESSMENT

Asked about current health problems? Denies current acute health problems Reports diabetes Reports asthma Asked about last visit to a healthcare provider? Reports last visit to a healthcare provider was 4 months ago Reports reason for last visit was annual gynecological exam Reports last general physical examination was 5 months ago Asked about current prescription medications? Reports taking diabetes medication Reports having an inhaler Reports taking prescription birth control pills Followed up about diabetes medication? Reports diabetes medication is metformin Reports starting taking diabetes medication 5 months ago Reports that side effects of diabetes medication abated over time Reports taking diabetes medication twice daily Reports diabetes medication dose is 850 mg Denies adverse effects of diabetes medication Asked about asthma medication? Reports asthma medication has not changed Reports inhaler is albuterol (Proventil) Reports using inhaler no more than 2 times per week Reports recommended dose is 1-3 puffs as needed Reports typically taking 2 puffs Reports sometimes needing 3 puffs to control symptoms Denies adverse effects of asthma medication All the best from Dr. A Dr. Assessments Page 2 of 6 Followed up about birth control prescription? Reports starting birth control 4 months ago Reports reason for birth control was to manage PCOS symptoms Reports birth control is drospirenone and ethinyl estradiol (Yaz) Reports taking birth control pill daily Reports taking birth control pill at the same time every day Denies adverse side effects from birth control Asked about current non-prescription medications? Reports occasional ibuprofen use Denies OTC herbals Denies OTC supplements Followed up on ibuprofen (Advil)? Reports taking ibuprofen for cramps Reports ibuprofen is regular strength Reports ibuprofen is effective Reports last use of ibuprofen was six weeks ago Asked about allergies? Reports allergies have not changed Reports penicillin allergy Reports cat allergy Reports dust allergy Asked about diabetes management through lifestyle? Reports recently beginning dieting to manage diabetes Reports recently beginning exercising to manage diabetes Asked about blood glucose monitoring? Reports checking blood sugar once a day Reports checking sugar in the morning