Convert the below dictated lines into Chart Note transcription with ap.docx
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Convert the below dictated lines into Chart Note transcription with appropriate format of chart note including headings and all the rules of chart note transcription history of present illness (HPI) it presents the day of evaluation of dyspnea the patient has a chronic complaint of dyspnea and chest pain she feels but she is slightly more short of breath today she states that she has had urinary tract infection (UTI) symptoms for the last several days she is noted for increasing shortness of breath she has not had lower extremity edema no erythema P and D she had dysmenorrhea physical examination vital signs blood pressure one hundred and forty over eighty pulse seventy two respiration eighteen weight was one hundred and fifty four neck no jugular venous distension (JVD) noted is equal to bilaterally bruises chest course left baseline ralf cardiac the rhythm is regular S1 & S2 are normal no gallop presents extremities have no edema assessments plan dyspnea chronic complaints are currently being evaluated with no significant findings a typical chest pain was partially negative cardiac evaluation done hyperlipidemia the patient is refused treatment in the past hypertension the patient has refused treatment in the past multiple medical allergies disposition follow up in one year .
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- 2. hypertension the patient has refused treatment in the past multiple medical allergies disposition follow up in one year