Valerie Armstrong

  
 03-02-2023 11:00:10 AM 
 Assumption Primary Care 9857447323 
 5/11 
 Valerie Armstrong (MRN 470368) D.O.B: 09-12-1985 
 Encounter Date: 23-08-2015 
 MRN: 70368 
 Valerie Armstrong 
 Office Visit 16-07-2022 
 Provider: Jacobs, April, NP (Family Medicine) 
 Assumption Primary Care 
 Primary diagnosis: Acute bilateral low back pain without sciatica 
 Reason for Visit: Back Pain; Referred by Paille, Nicole, NP 
 HPI: 
 Nadine A Buggage is a 63 y.o. female who presents to the clinic today with Back Pain 
 (Patient here today for follow up back pain from a fall 1 week ago. 
 Review of Systems: 
 Review of Systems 
 Constitutional: Negative for chills, fatigue and fever, 
 HENT: Negative for congestion, ear discharge, ear pain, postnasal drip, rhinorrhea, sinus 
 pressure, sinus pain, sneezing, sore throat and voice change. 
 Objective: 
 Physical Exam 
 Vitals reviewed. 
 HENT: 
 Head: Normocephalic. 
 Neck:
