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PRADER, BRACKER, & ASSOCIATES A Complete Health Care Facility 159 Healthcare Way • SOMEWHERE, FL 32811 • 407-555-6789 PATIENT: LAO, HANNAH ACCOUNT/EHR #: LAOHAN001 DATE: Attending Physician: Oscar R. Prader, MD Hannah Lao, a 59-year-old female, came to see Dr. Prader with pain, swelling, and erythema in her left foot and ankle. She stated that she was diagnosed with open-angle glaucoma and prescribed acetazolamide (a diuretic) by Dr. Carson, her ophthalmologist. She stated she never mentioned she was using a topical lotion of urea (a diuretic) prescribed by her dermatologist to hydrate her dry skin. Hannah stated she didn’t think a lotion would count when asked about current medications. Dr. Prader realized the combination of the two diuretics lowered her serum uric acid too quickly, causing drug-induced gout.

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