History: Date & time: 10/16/23 10:00 am Full Name: KA DOB: 01/23/2000 Address: Jamaica, NY Age: 23 y/o Sex: male Race: African American Religion: Christian Source: Pt himself Transportation: Pt himself Reliability: Reliable Location: Middle Village, NY Chief Complaint: “I have had a cough” x 2 days History of Present Illness: 23 y/o male with PMH of asthma presents c/o cough for 2 days. Pt states that his cough has gotten gradually worse over the past 2 days and has a productive sputum with a clear color. He denies taking any medications to try and alleviate his cough and but does … Continue reading H & P Rotation 8 AM
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