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this tape contains dictations from the medical specialty of cardiology dictation number one is a chart note this 45 year old woman went in four years ago because of a bad virus infection at that time serum cholesterol was 292. she was given niacin in doses of two thousand milligrams daily and it dropped only to 262 with hd dl of 62 has a 10 year history of reactive hypoglycemia which has improved with diet and supplements has six month history of insomnia gets would we be unquote premenstrually allergies codeine reviews systems has some bloating after meals and excess flatus has urinary frequency and has extreme cold extremities where she has to wear gloves in the house during the winter [Music] family history mother had valvular heart disease colitis and gall stones father had heart attack and kidney stones brother stomach problems mother has gluten sensitivity habits drinks coffee and rare alcohol diet is balanced assessment number one borderline hypercholesterolemia with adequate h
