Dyslipidemia F/U

OVERALL_INSTRUCTIONS

Chief Complaint

Dyslipidemia F/U

Template

Thank you for referring [name], a [age] year old [gender], who was seen on [date] for follow up of dyslipidemia. The patient was seen [in person or via telemedicine]. We spoke in [English or Mandarin]. [They were accompanied by]. Consent: I obtained consent from the patient for use of an AI scribe software. I explained that Empathia saves a copy of our conversation on their website for the purpose of generating a note, and that this software is FDA approved. Impression and Plan: [Impression with etiology of dyslipidemia, duration of dyslipidemia, current therapy for dyslipidemia, pattern of progression of dyslipidemia, and further workup] 1. Dyslipidemia: [definite or probably or possible or unlikely] familial hypercholesterolemia, [at target or not at target] of LDL <2 or nonHDL <2.6 - (List recommendations in first person, using language such as "I have...") [- I have ordered [an Lp(a) and/or coronary artery calcium and/or carotid ultrasound] for further risk stratification] 2. Follow-up - I have arranged for follow-up [after above investigations or in certain months] Interval history: Current lipid medications: [drug_name] (List numerically with each having its own line) Other medications: [drug_name] (List numerically with each having its own line) Exam: [weight, height, vitals] Xanthomas: [present or absent] Xanthelasmas: [present or absent] Corneal arcus: [present or absent] [general exam, cardiac exam, pulmonary exam, pedal edema] (Give each exam finding its own line) Investigations: [Date of investigation] [investigations] (Give each lab value finding its own line but do not list it numerically) Dr. Leo Hu, MD, FRCPC [clinic]