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FOLLOWUP VISIT

HISTORY:  The patient is a 73-year-old woman with history of significant coagulopathy.  She is on Coumadin, has a history of hypertension, atrial fibrillation, and valvulopathy.  She had multiple fractures in the past from chronic osteoporosis.  The patient is well compliant with medications.  She came in today to check her INR.

PHYSICAL EXAMINATION: 
Vital signs:  Blood pressure is 132/84.  Heart rate is regular.
Cardiovascular:  She has a systolic murmur. 
HEENT:  Within normal limits.
LUNGS:  Clear.
Abdomen:  Soft. 
Neurological:  Gait intact.  No cranial nerve deficits.

PLAN:  Blood test for INR.  Followup visit in 2 months.