Abstract and Introduction
Introduction
Ms. Horatio is a 76-year-old patient who has been coming to your practice for more than 10 years. She has Type 2 diabetes with stage-3 chronic renal disease and painful diabetic neuropathy of bilateral lower extremities, chronic obstructive pulmonary disease, stable coronary artery disease, and hypertension. She has seen a cardiologist, pulmonologist, and neurologist for additional care. At today's visit with you, her family physician, she has brought a brown paper bag filled with all her medications per your request. Her medications include amitriptyline, atenolol, atorvastatin, low-dose aspirin, diphenhydramine hydrochloride, clopidogrel, conjugated estrogen tablets, ferrous sulfate, glyburide, isosorbide dinitrate, lisinopril, nifedipine extended release, omeprazole, paroxetine, pregabalin, tolterodine, tiotropium inhaler, and zolpidem. Where do you begin?
Fam Pract Manag. 2018;25(3):28-32. © 2018 American Academy of Family Physicians