Name
Sarah Johnson
Date of Birth
8/21/1992
Gender
Female
Contact
sarah.johnson@email.com
+1 (555) 234-5678
History
3 consultations
Last visit: 2/15/2024
Levothyroxine
50mcgFollow-up Consultation
Insights
Current Medication
Patient is on Lisinopril which may cause dizziness as a side effect
Stress Factors
Recent work-related stress reported, potentially contributing to symptoms
Sleep Pattern
Irregular sleep schedule noted - averaging 5-6 hours per night
Symptoms
Persistent headache
Frontal area pain
Throbbing sensation
Worse in morning
Diagnosis
Tension headache - Primary diagnosis
Possible migraine - Secondary consideration
Recommendations
Prescription-strength pain relief
Keep headache diary
Stress management techniques
Follow-up
Schedule follow-up in 2 weeks if symptoms persist
Name
Dr. Robert Chen
Specialty
Internal Medicine
Qualifications
MD, FACP
robert.chen@hospital.com
Phone
+1 (555) 987-6543
Basic Metabolic Panel
Blood test measuring glucose, calcium, electrolytes, and kidney function
Comprehensive Physical Examination
A thorough physical examination including vital signs, body systems review, and health assessment
Ultrasound of Abdomen
Imaging of abdominal organs including liver, kidneys, and gallbladder
Chest X-Ray
Radiographic examination of the chest to evaluate heart, lungs, and other structures