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FOLLOWUP VISIT

HISTORY: Ms. Angela is here for a followup after upper endoscopy a few months ago when she was found to have a large duodenal ulcer. H. pylori was positive. She was given Triple therapy. She was compliant with her medications.

Followup blood test showed she had high titer of H. pylori. The patient is symptomatic at times but she is well compliant with her medications. No dysphagia or dysphonia.  No weight loss or early satiety. The patient has been told to have re-endoscopy and biopsy.  If biopsy is positive, she is going to go on RAP therapy (rifabutin, amoxicillin, and pantoprazole).

PHYSICAL EXAMINATION: 
Vital signs: Blood pressure is 126/82.
HEENT: Within normal limits. 
Heart: Clear.
Lungs: Clear. 
Abdomen: Soft, mildly tender.

PLAN: Nexium p.o., followed by upper endoscopy. Avoid NSAIDs.