Mr. Raymond Jackson is a 68-year-old who is in the office today, on Monday, complaining of right eye pain. He states this started rather suddenly over the weekend. He has redness, itching, burning along the edge of his right eye lid. He reports no trauma, he thinks it started while he was sleeping Saturday night. Otherwise, he is in fair health, he has a history of Diabetes type 2, hypertension, hyperlipidemia and seborrheic dermatitis which he has seen a dermatologist for in the past. He still works part time as a school crossing guard at the neighborhood elementary school. He has been a widower for 2 years and he has 3 children who live out of the area. He worked for many years in construction, until the work became more physically demanding. He has social security, and his medical coverage is through a Medicare Advantage plan, he does not qualify for Medicaid in his state. VS: BP 138/84 Pulse 88 Resp 18 Temp 97.8 02 Sat 96% Ht 70 inches Wt 190 lbs PMH: As stated in case presentation, also history of chronic low back pain. Allergies: NKDA Medications: Glucophage 500mg 1 po BID Metoprolol 25mg po daily Lisinopril 10mg
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