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FOLLOWUP NOTE

HISTORY: Ms. Maria is a young, African-American female with a history of malignant hypertension, possible hyperaldosteronism with hypokalemia.  She has a history of chronic hepatitis C, failed with interferon, and is awaiting PEG interferon.  She had a history of hypercholesterolemia.  The patient’s BMI is over 44% and is trying to control her weight.  The patient, otherwise, is feeling fine.  No fatigue.  No icterus.

PHYSICAL EXAMINATION:
HEENT:  Within normal limits.
VITAL SIGNS:  Blood pressure is 160/98 mm Hg.  Heart rate is 84.
HEART:  Clear.
LUNGS:  Clear.
ABDOMEN:  Soft, no organomegaly.
NEUROLOGICAL:  Gait intact.  No cranial nerve deficits.

PLAN:  Control weight, control diet, control sodium intake, and PEG interferon.