The patient **, is a **-year-old, un/married fe/male presenting to physical therapy (PT) to address **
HPI: Onset **. Treatment thus far has included ** with ** benefit
PMH: Reports/Denied,dizziness, double vision, difficulty swallowing, speaking, wakes with tingling in hands, loss of strength in hands, recent infection,
recent changes in bladder, denied unexpected/unintended weight loss in the past 3 months, ** difficulty walking, and ** falls. ** history of cancer reported.
Patient is ** referred **, with a prescription from **
Pre-morbid Activity included **
Current activity includes **
Functional Limitations include ** Pain description:
Worse with
Better with
Pain in the morning
Pain int he evening
Pain with activity
Radiating pain