Physical Exam
Vitals and nursing note reviewed.
Constitutional:
Appearance: Normal appearance. She is ill-appearing.
HENT:
Nose: Congestion present.
Mouth/Throat:
Mouth: Mucous membranes are moist.
Pharynx: Oropharynx is clear. Posterior oropharyngeal erythema present.
Cardiovascular:
Rate and Rhythm: Normal rate and regular rhythm.
Pulmonary:
Effort: Pulmonary effort is normal.
Breath sounds: Wheezing and rhonchi present.
Musculoskeletal:
Cervical back: Normal range of motion.
Skin:
General: Skin is warm.
Findings: No rash.
Neurological:
Mental Status: She is alert.
No mention of paroxysmal cough.
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Qui Cantat Bis Orat - He who sings prays twice
ingrezza 80 mg
Propranolol 40 mg
Benztropine 1 mg
Vraylar 4.5 mg
Risperdal .5 mg 
Gabapentin 600 mg
Klonopin 1 mg 2x daily
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