H&P 1 LTC Name: S.R Sex: Male DOB: xx/xx/1938 Date & Time: Sept 12, 2023, 1:00 pm Location: St Albans VA Religion: Unspecified Source of Information: Self Reliability: Reliable Mode of transportation: Ambulette via Manhattan VA Chief Complaint: “I fell” x 8 days ago. History of Present Illness: S.R is a 85 y/o non-smoker male ADL independent IADL dependent, ambulatory with walker at baseline with a PMH of HTN, HLD, CAD, NSTEMI, DES to LAD (1/12/16), CABG (11/2007), cardiac catheterization  (9/2012), carotid stenosis s/p CEA 7/2002, HFrEF (LVEF 40%), DM2, gout, osteoarthritis, glaucoma, BPH, chronic low back pain, depression, and diminished hearing  presented to Manhattan VA 8 days ago c/o a fall … Continue reading H & P Rotation 7 LTC