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T.B. a 68-year-old African American male presents to the clinic with the complaint of consistent aching lower back pain for several weeks. The patient states the pain does not radiate but occurs in the lower back section. The patient rated the pain as 7/10, rest and pain medication sometimes helped to relieve the pain. The pain is aggravated by sitting longer in one spot, which disrupts her ADLs as he is unable to do a lot of bending down activity.
PMH of chronic lower back pain, Hypertension, Anxiety, HLD, Degenerative Disc Disease, Anemia, Gout, and Asthma
Social hX: Denies smoking cigarettes or drinking alcohol, The patient lives alone and he is a pastor.
Current medication: Oxycodone 10mg Q 6hrs as needed, Losartan 50mg, Aspirin 81mg, and Xanax 0.5mg. Iron 325mg Supplement, Allopurinol 200mg, Bio freeze ointment.
vital signs: , BP 132/97, P 60, R 19, T 97.7, Wt. 174 Ibs.
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