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1 <!DOCTYPE html> 2 <html lang="en"> 3 <head> 4 <link rel="stylesheet" href="/style.css" type="text/css"> 5 <meta charset="utf-8"> 6 <meta http-equiv="Content-Type" content="text/html; charset=utf-8"> 7 <meta name="viewport" content="width=device-width, initial-scale=1.0"> 8 <link rel="stylesheet" type="text/css" href="/style.css"> 9 <link rel="icon" href="data:image/svg+xml,%3Csvg xmlns='http://www.w3.org/2000/svg' viewBox='0 0 100 100'%3E%3Cstyle%3E %23m %7B opacity:0; %7D%0A@media (prefers-color-scheme: dark) %7B %23m %7B opacity:1; %7D %23e %7B opacity:0 %7D%0A%7D %3C/style%3E%3Ctext id='m' y='.9em' font-size='90'%3E🏕️%3C/text%3E%3Ctext id='e' y='.9em' font-size='90'%3E🌞%3C/text%3E%3C/svg%3E"> 10 <title></title> 11 </head> 12 <body> 13 <div id="page-wrapper"> 14 <div id="header" role="banner"> 15 <header class="banner"> 16 <div id="banner-text"> 17 <span class="banner-title"><a href="/">beauhilton</a></span> 18 </div> 19 </header> 20 <nav> 21 <a href="/about">about</a> 22 <a href="/now">now</a> 23 <a class="nav-active" href="/posts">posts</a> 24 <a href="https://notes.beauhilton.com">notes</a> 25 <a href="https://talks.beauhilton.com">talks</a> 26 <a href="https://git.beauhilton.com">git</a> 27 <a href="/contact">contact</a> 28 <a href="/feed.xml">rss</a> 29 </nav> 30 </div> 31 <main> 32 <h1> 33 intake 34 </h1> 35 <p> 36 <time id="post-date">2022-03-25</time> 37 </p> 38 <h2> 39 cc: trouble swallowing and weight loss 40 </h2> 41 <p> 42 28M w few weeks of trouble swallowing (gets stuck “right here,” 43 points to mid-sternum), solid/liquids same, gradual over months-weeks, 44 some vomiting w/o specific timing. Sometimes has pain when not eating. 45 20lb weight loss over months. No skin lesions. ?thrush. 46 </p> 47 <h2> 48 PMHx/PSHx 49 </h2> 50 <p> 51 dx BPD, no other dx or procedures 52 </p> 53 <h2> 54 SHx 55 </h2> 56 <ul> 57 <li> 58 MSM w occasional use of protection, no PrEP 59 </li> 60 <li> 61 occ MJ use, no other substances 62 </li> 63 <li> 64 unemployed, lives w mom 65 </li> 66 <li> 67 no unusual hobbies or travel 68 </li> 69 </ul> 70 <h2> 71 PE 72 </h2> 73 <p> 74 HR 100, SBP 80 -> 100 w 500mL LR, AF cachectic (temporal, 75 hypothenar wasting) +skin tenting diffuse abd tenderness 76 </p> 77 <h2> 78 w/u 79 </h2> 80 <p> 81 Hgb 10, MCV 88, WBC ~4, ANC 1500 BMP wnl Alb 3.4 HIV+, VL 15k, rest 82 of STI -ve 83 </p> 84 <p> 85 CXR wnl (AP and lateral) 86 </p> 87 <h2> 88 dx 89 </h2> 90 <p id="post-excerpt"> 91 candidal esophagitis, achalasia, H Pylori PUD 92 </p> 93 </main> 94 <div id="footnotes"></div> 95 <footer></footer> 96 </div> 97 </body> 98 </html>