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blood-test.pdf
WBC: 5.2 x10^9/L RBC: 4.7 x10^12/L Hemoglobin: 13.8 g/dL Platelets: 210 x10^9/L All values within normal range.
medical-record.pdf
Patient: John Doe DOB: 01/15/1980 Allergies: Penicillin History: Hypertension, Asthma Last Visit: 03/12/2024
patient-note.pdf
Subjective: Patient reports mild headache and fatigue. Objective: BP 120/78, HR 72 Assessment: Tension headache Plan: Increase hydration, follow up in 1 week.
prescription.pdf
Rx: Amoxicillin 500mg Sig: Take 1 capsule by mouth every 8 hours for 7 days Refills: 0 Prescriber: Dr. Smith
radiology-report.pdf
Exam: Chest X-Ray Findings: Lungs are clear. No evidence of pneumonia or mass. Impression: Normal chest radiograph.

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**Doctor:** I'm prescribing lisinopril for your blood pressure. Have you taken ACE inhibitors before? **Patient:** No, this is my first time. Are there any side effects I should know about? **Doctor:** The most common side effect is a dry cough, which affects about 10-15% of patients. You might also experience some dizziness or fatigue initially. **Patient:** What should I do if I get the cough? **Doctor:** If it becomes bothersome, we can switch you to an ARB like losartan, which has similar benefits but rarely causes cough. **Patient:** I take ibuprofen sometimes for headaches. Is that okay? **Doctor:** You should avoid regular NSAIDs like ibuprofen as they can reduce the effectiveness of lisinopril and affect your kidneys. Try acetaminophen instead. **Patient:** Got it. When should I take it?

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# Lisinopril Side Effects Lisinopril is an ACE (Angiotensin-Converting Enzyme) inhibitor commonly prescribed for high blood pressure and heart failure. ## Common Side Effects: - **Dry Cough**: This is a very common side effect and can be persistent. - **Dizziness or Lightheadedness**: Especially when standing up quickly, due to a drop in blood pressure. - **Fatigue**: Feeling tired or lacking energy. - **Headache**: Mild to moderate headaches. - **Nausea or Vomiting**: Upset stomach. - **Diarrhea**: Loose stools. - **Rash**: Skin irritation or rash. ## Serious (but less common) Side Effects: - **Angioedema**: Swelling of the face, lips, tongue, throat, or intestines. This is a serious allergic reaction and requires immediate medical attention. - **Kidney Problems**: Lisinopril can affect kidney function, especially in individuals with pre-existing kidney conditions. Symptoms might include changes in urination, swelling in the ankles or feet, or fatigue. - **High Potassium Levels (Hyperkalemia)**: ACE inhibitors can increase potassium levels in the blood, which can be dangerous for the heart. Symptoms might include irregular heartbeat, muscle weakness, or numbness/tingling. - **Low Blood Pressure (Hypotension)**: While intended to lower blood pressure, it can sometimes drop too low, leading to severe dizziness, fainting, or weakness. - **Liver Problems**: Though rare, lisinopril can affect the liver. Symptoms might include yellowing of the skin or eyes (jaundice), dark urine, or persistent nausea/vomiting. - **Blood Disorders**: Very rarely, it can cause a decrease in white blood cells (neutropenia) or red blood cells (anemia). It's crucial to discuss any side effects you experience with your doctor. They can assess whether the medication is suitable for you, adjust the dosage, or consider alternative treatments.

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# SOAP Note **Patient Name:** Jane Doe **Date:** 2025-08-08 **DOB:** 1990-02-14 **MRN:** 123456 **Provider:** Dr. Smith --- ## S – Subjective **Chief Complaint:** "I'm feeling tired all the time and have been getting headaches almost every day." **History of Present Illness:** Jane Doe is a 35-year-old female who presents with complaints of fatigue and recurrent headaches for the past 2 weeks. Headaches are described as dull, bilateral, and located in the frontal region. They typically occur in the late afternoon and are not associated with visual changes, nausea, or vomiting. Fatigue is present throughout the day, despite getting 7–8 hours of sleep nightly. No recent changes in lifestyle, medications, or diet reported.

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