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    HISTORY AND PHYSICAL EXAMINATION Patient Name:   Adela Torres Patient ID:   132463 Date of Admission:   6/22/2013 Admitting Physician:   Leon Medina‚ MD‚ Internal Medicine Admitting Diagnoses:   Stomatitis‚ possibly methotrexate related. Chief Complaint:   Swelling of lips causing difficulty swallowing. HISTORY OF PRESENT ILLNESS:   This patient is a 57-year-old Cuban woman with a long history of rheumatoid arthritis. She has received methotrexate on a weekly basis as an outpatient

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    Case 4- Discharge Summary

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    DISCHARGE SUMMARY Patient Name: Adela Torres Patient ID: 132463 Date of Admission: 6/22/---- Date of Discharge: 6/25/---- Admitting Physician: Leon Medina‚ MD‚ Internal Medicine Consultations: Sachi Kato‚ MD‚ Dermatology Procedures Performed: Intravenous Hydration. Complications: None. Admitting Diagnosis: Stomatitis possibly methotrexate related. HOSPITAL COURSE: This 57-year-old Cuban female was admitted from my office for treatment of severe stomatitis

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    History and Physical

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    HISTORY AND PHYSICAL Patient Name: Adela Torres Patient ID: 132463 Room No.: 541 Date of Admission: 06/22/---- Admitting Physician: Leon Medina‚ MD Admitting Diagnosis: Stomatitis‚ possibly methotrexate related. CHIEF COMPLAINT: Swelling of lips causing difficulty swallowing. HISTORY OF PRESENT ILLNESS: This patient is a 57-year-old Cuban woman with a long history of rheumatoid arthritis. She has received methotrexate on a weekly basis as an outpatient for many

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    HISTORY AND PHYSICAL EXAMINATION Patient Name: Adela Torres Patient ID: 132463 Room No.: 541 Date of Admission: 06/22/---- Admitting Physician: Leon Medina‚ MD‚ Internal Medicine Admitting Diagnosis: Stomatitis‚ possibly methotrexate related. Chief Complaint: Swelling of lips causing difficulty swallowing. HISTORY OF PRESENT ILLNESS: This patient is a 57-year-old Cuban woman with a long history of rheumatoid arthritis. She has received methotrexate on a weekly basis

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    DISCHARGE SUMMARY Patient Name: Adela Torres Patient ID: 132463 Date Admitted: 06/22/2013 Date Discharged: 06/25/2013 Admitting Physician: Leon Medina‚ MD‚ Internal Medicine Consultations: Sachi Kato‚ MD‚ Dermatology Procedures: Intravenous hydration. Complications: None. Admitting Diagnosis: Stomatitis‚ possibly methotrexate related. HOSPITAL COURSE: This 57-year-old Cuban female was admitted from my office for treatment of severe stomatitis and mild volume

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    Consultation

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    CONSULTATION Patient Name: Adela Torres Patient ID: 132463 Consultant: Sachi Kato‚ MD‚ Dermatology Requesting Physician: Leon Medina‚ MD Internal Medicine Date of Consult: 06/23/12 Reason for Consult: Previous evaluated stomatitis‚ possibly methotrexate related. HISTORY OF PRESENT ILLNESS: The patient is a very pleasant 57-year-old female‚ a native of Cuba‚ being seen for evaluation and treatment for sores in her mouth that she had for the last 10 to 12 days. The patient

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    Patient Name: Adela Torres Patient ID: 132463 Room No: 541 Date of Admission: 06/22/…. Admitting Physician: Leon Medina‚ MD Internal Medicine Admitting Diagnosis: Stomatitis possibly methotrexate related. Chief Complaint: Swelling of lips causing difficulty swallowing. HISTORY OF PRESENT ILLNESS: This patient is a 57-year-old Cuban woman with a long history of rheumatoid arthritis. She has received methotrexate on a weekly basis as an outpatient for many years. Approximately two weeks

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    DISCHARGE SUMMARY

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    DISCHARGE SUMMARY Patient Name: Adela Torres Patient ID: 132463 DOB: Age: 57 Sex: Female Date of Admission: 6/22/---- Date of Discharge: 6/25/---- Admitting Physician: Liam Medina‚ MD Consultations: Sachi Kto‚ MD‚ Dermatology Procedures Performed: Intravenis Hydration Complications: None Discharge Diagnosis: 1. Methotrexate related dermatitis. 2. Rheumatoid arthritis class 3 stage 4 3. Osteoporosis

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    CONSULTATION At

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    CONSULTATION Patient Name: Adela Torres Patient ID: 132463 DOB: 9/5/1958 Age: 57 Sex: F Room No.: 541 Consultant: Sachi Kato‚ M.D.‚ Dermatology Requesting Physician: Leon Medella‚ M.D.‚ Internal Medicine Date of Consult: 6/23/15 Reason for Consultation: presalvalute stomatitis‚ possibly methotrexate related. History of present illness: The patient is a very pleasant 57 year old female‚ a native of Cuba‚ being seen for evaluation and treatment for sores her in mouth that she has had

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    desire to expand her worldview. Ronnie‚ on the other hand‚ is very unlike his mother. He is a strict follower of the rules set by his government and his society. He is also very emotionally detached‚ as he so demonstrates through his attitude toward Adela. Ronnie represents the viewpoints of the majority of the English during the time of Imperialism. He finds the Indians inferior to himself and acts towards them accordingly. Ronnie is motivated by his need to uphold his image and position in society

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