Question: Write an Initial PSYCH VISIT, chief complaint, , Psychiatric visit HPI, current Psych meds, exam, social history,, screening tools and results MSE, diagnosis and recommended
Write an Initial PSYCH VISIT, chief complaint, , Psychiatric visit HPI, current Psych meds, exam, social history,, screening tools and results MSE, diagnosis and recommended Plan (medication and dosages), rationale for using the medications for 70 years years old male referred to be seen for initial psychiatric evaluation . she is here post hospitalization of encephalopathy unspecified. She has psych diagnosis of Delirium due to know physiological condition (this has resolved), altered mental status (improved), Post traumatic stress seizures, vertigo and anorexia. Meds: Levetiracetam oral 1000mg Post traumatic stress seizures. She said she just feels trapped here. She has rapid speech. She said her fried is coming to take her out for a cruise so she is excited. She said at home she lives alone and her friend lives upstairs. She just got a hard time remembering many things. She said she does not like taking medications. The patient was educated on the need for compliance with her seizure medications to prevent seizures. She said when she tries getting out of bed too quick she gets vertigo. What medications and doses can be be prescribed for the patient
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