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[Expert Solution]: Chief Complaint “I feel like a truck ran…

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Chief Complaint “I feel like a truck ran over me. Every muscle and bone hurts, and I am burning up.” History of Present Illness (HPI) Vladimir Kharitonov, 57-year-old male, presents with a 1-day history of fever (up to 39°C/102.2°F), muscle and bone aches, fatigue, and headache. He has not eaten in 12 hours due to loss of appetite and missed his morning dose of glyburide. Reports exposure to coworkers with flu symptoms. Past Medical History (PMH) Type 2 Diabetes Mellitus for 14 years, Hyperlipidemia, Hypertension Social History (SH) Lives at home with wife, works full-time, quit smoking 10 years ago, occasional smoking when stressed or socially, drinks alcohol (vodka) in social settings. Medications Aspirin 81 mg daily, HCTZ 25 mg daily, Glyburide 5 mg daily, Metformin 1 g twice daily, Lantus 35 units SC at bedtime, Lipitor 10 mg daily, Centrum Silver daily. Allergies No known drug allergies (NKDA). Review of Systems (ROS) Complains of fatigue, body aches, alternating between feeling too cold or sweating, sore throat, non-productive cough, and headache. Denies nasal congestion, nausea, vomiting, or diarrhea. Physical Examination Overweight male, in no acute distress (NAD). Vital Signs (VS) BP: 145/85, P: 95, RR: 18, T: 38.5°C (101.3°F), Weight: 95.5 kg, Height: 5’10”. Skin Warm, moist from diaphoresis, no lesions. HEENT PERRLA, EOMI, TMs intact, wears dentures, mild pharyngeal erythema with no exudates. Neck/Lymph Nodes Neck supple with no adenopathy, no JVD. Lungs/Thorax Clear to auscultation (CTA), no crackles or wheezing. Cardiovascular (CV) Regular rate and rhythm (RRR), normal S1, S2, no murmurs. Abdomen (Abd) Soft, slightly obese, non-tender/non-distended, normal bowel sounds. Musculoskeletal/Extremities (MS/Ext) Muscle strength and tone 4–5/5, no cyanosis, clubbing, or edema (CCE). Neurological (Neuro) Alert and oriented × 3, cranial nerves II–XII intact, decreased sensation to light touch in both feet. Diagnostic Tests QuickVue Influenza test—positive. Assessment 57-year-old male with diabetes, hypertension, and hyperlipidemia presents with symptoms of influenza confirmed by positive QuickVue influenza test. 1.a. Create a list of patient’s drug therapy problems.

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