Chief complaint: “I have back pain.” HPI: The patient states he was moving furniture two

Chief complaint: “I have back pain.” HPI: The patient states he was moving furniture two days ago when he felt sudden lower back pain, which has been present since the initial incident. He states it is worse in the morning and with flexion. While the pain is present throughout his lower back, it is prominent on his right side with numbness and tingling radiating down into the right leg. He denies any fever, chills, unilateral weakness or changes to bowel or bladder. Allergies: NKA Current Mediations: Albuterol MDI, 90 mcg/actuation, 1-2 inhalations every 4-6 hours PRN Alprazolam, 1 mg, BID Aspirin, 81 mg, daily Atorvastatin, 40 mg, daily Fluoxetine, 20 mg, daily Furosemide, 20 mg, daily Lisinopril, 20 mg, daily Metoprolol XL, 50 mg, daily Potassium chloride, 10mEq, BID Tiotropium 2.5 mcg/olodaterol 2.5 mcg per actuation, 2 inhalations daily Zolpidem, 10 mg, daily Pertinent History: Anxiety, chronic obstructive pulmonary disease, congestive heart failure, hypertension, hyperlipidemia, insomnia Health Maintenance/Immunizations: Immunizations and pertinent screening up-to-date Family History: Father – Myocardial infarction (deceased age 52) Mother – Atrial fibrillation (deceased age 79) Social History: Patient lives with his wife. He smokes one pack per day and drinks, on average, 12 beers a week;

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