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Life Threatening? No
Write-up: Heart palpations, dizziness, headache, nausea, SOB - hurt to breathe, fever 3/30/09-records received-office visit 10/26/07-follow up of asthma since prior visit 1 year ago. No asthma flares has had significant exercise induced bronchospasm sysmptoms, exercise pretreatment is inconsistent. Office visit 2/12/08-C/O headche comes and goes, some blurring of vision mostly right eye, light sensitivity and sound sensitivity with nausea. Cheecks feel hot with headache. Currently menstrating. Family history of migraine. ER visit for headace pain. Now with neck pain on right side with right arm felt weak.New glasses Rx makes vision blurry and not helping her eye sight. Old rib injury in December. Assessment: headache, cervical subluxation. 4/11/08-follow-up for asthma, episode of shortness of breath. Intermittent abdominal pain into right lower quadrant especially when nauseated. Similar to reflux symptoms. 4/23/08-3 week history of abdominal pain, nausea vomiting and bloody emesis. Pain in epigastric region and right upper quadrant mid area. Assessment:epigastric pain secondary to gastritis or gastric ulcer disease. 1/10/09-evaluation for headaches, dizziness and syncopal episodes. Behavior started in 9/08 with dizziness and passing out episodes. Second episode in December with dizziness and collapsed and unresponsive and confused. C/O pain behind right eye, numbness and inability to move left leg for 30 minutes. Assessment: migraine headache. Vertigo. Functional component in patient''s behavior.1/17/09- C/O dizziness and nausea and not feeling well. 2/20/09 presented to ED with altered LOC, can not remember events of day. Diagnosis:migraine variant. Office visit 2/23/09-follow up for C/O right upper quadrant abdominal pain with multiple vague complaints. Assessment:psychological and panic attacks.
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