Assessment аnd Plаn: HPI: Ursulа Vanderlun is a 69-year-оld female patient whо presents with the cоmplaint of “coughing for 4 weeks”. She notes this all began after she was exposed to one of her grandchildren who had an upper respiratory infection. That occurred about one month ago. Within a week, she reports that she developed a cough which has not resolved since. The cough has recently worsened over the last 2-3 days. The cough is reported to be productive of green sputum with occasional flecks of bright red blood. Over the past 2-3 days she feels that she has had a fever, which she finally measured last night to be 101.8°F. She admits to chills. She reports mild chest discomfort diffusely when coughing but denies chest pain. She admits to feeling short of breath when climbing more than a few stairs and feels more fatigued than usual. The patient denies previous respiratory problems such as chronic cough, sputum production, or shortness of breath. She denies a history of recent travel or other sick contacts. Medications: HCTZ 25mg, one tablet taken PO daily Lisinopril 10mg, one tablet taken PO daily Metformin 500mg, one tablet taken PO twice daily Glipizide XL 2.5mg, one tablet taken 30 mins prior to first meal Tylenol 500mg (OTC), taken as 1-2 tablets q8 hrs PRN fever Allergies: Ciprofloxacin (anaphylaxis suspected, by patient report of throat swelling, rash, and itching) Past Medical History: Chronic conditions: Diabetes Mellitus Type 2 (diagnosed 10 years ago) Primary Hypertension (diagnosed 15 years ago) Surgeries: Total hysterectomy due to uterine fibroids (8 years ago) R shoulder rotator cuff repair (5 years ago) Distal large intestine polypectomy with negative biopsy results (3 years ago) Immunizations: Up-to-date on recommended, age-appropriate vaccines including COVID, influenza, Tdap, and shingles. OB-GYN Hx: G2P2 – No hx of STI/STD. Last mammogram completed was 8 years ago. Pt reports she is post-menopausal s/p total hysterectomy 8 years ago due to uterine fibroids. No hx of abnormal paps. Family History: Father: alive, 89 years old. Known hx of hypertension, diabetes Mother: alive, 88 years old. Known hx of obesity, breast cancer s/p surgical resection and chemotherapy, also has a hx of hypothyroidism Sister 1: alive, age 65, no reported medical problems Sister 2: deceased, age 54, death related to drug (opiate) overdose Children: two, both alive and well Child 1 (male): Age 41, healthy, with two children of his own Child 2 (female): Age 39, healthy, with two children of her own Social History: Tobacco/Vape: Denies Alcohol: One glass of red wine on Friday nights each week. Illicit drugs: Denies drug use Marital/Sexual: Pt is married, only sexually active with her husband of 30 years. Living situation: Lives with her husband in their long-term home in Ocean Beach Job: Retired city council member and administrator Hobbies: Gardening, painting, visiting her local parks and museums. Diet: Vegetarian Religion: Presbyterian Sleep: Averages 6 hours of sleep per night ROS: Constitutional: See HPI. Additionally, positive for chills. Denies night sweats, weight loss, or weight gain recently. Skin: Denies hair loss, nail pitting, rashes, lesions, or skin discoloration. HEENT: Positive for sore throat after coughing. Denies rhinitis, congestion, ear pain or discharge, eye pain or change in vision, headache. Denies hearing loss, tinnitus, or nasal discharge. No lymph node or gland swelling reported. CV: See HPI. No palpitations, swelling or edema of lower legs. No syncope or presyncope reported. Pulmonary: See HPI. No orthopnea noted. GI: Denies constipation, diarrhea, abdominal pain or distention, heartburn. No blood in stool reported. GU: Denies dysuria, urinary frequency, urgency, or hematuria. Denies urinary incontinence. No unusual vaginal bleeding or discharge. MSK: Denies trauma, joint swelling or joint pain, arthralgias or myalgias. Neuro: Denies dizziness or lightheadedness, dysarthria, slurred speech, or weakness. Denies seizures, tremors, or confusion. No other weakness observed. Psych: Denies depression, mania, suicidal ideation, homicidal ideation or hallucinations. Endocrine: Denies heat or cold intolerance, polyuria, polydipsia, or polyphagia. Heme/Lymph: Denies easy bruising or bleeding. Physical Exam Findings: VITAL SIGNS: Temperature: 38.3°C (100.9°F) Pulse rate: 90 Respiration Rate: 18/min Blood pressure: 128/80 mmHg. Oxygen saturation: 96% on room air Weight: 56.2 kg (124 lb) Height: 178 cm (70 in) GEN: Well-developed, well-nourished female, appears to feel unwell during visit, coughing frequently. No acute distress noted. HEENT Ear canals clear bilaterally, TMs pearly gray with no bulging or defect noted. Nares patent, septum intact. Lips and gingiva normal in appearance, dentition unremarkable, posterior pharynx without erythema or exudates. PERRLA, EOMI B/L NECK: Neck is supple, no masses, trachea midline, no thyroid nodules, masses. No LAD, lymph node tenderness or enlargement. SKIN: No cyanosis or pigment changes appreciated, without obvious lesions or rashes, nail clubbing. Normal hair pattern and texture. HEART: Regular rate, regular rhythm with normal S1, S2, without rubs, murmurs or gallops auscultated. No peripheral edema noted, peripheral pulses 2+ bilaterally, capillary refill < 2 seconds in all extremities, no JVD, no displacement of PMI; no carotid or abdominal bruits; no enlargement of abdominal aorta. LUNGS: Inspiratory rales in R lung base with occasional expiratory rhonchi in this area. Positive tactile fremitus noted over R lower anterior and posterior chest. R lower chest also noted for positive egophony, greatest over lower R posterior chest. No noted increased respiratory effort or accessory muscle use. No wheezing or stridor noted. PERIPHERAL VASCULAR: Capillary refill brisk throughout extremities, < 2s. No peripheral edema. Pulses 2+ and intact at DP, PT, brachial and radial B/L. No digital clubbing noted. ABD: Normoactive bowel sounds heard throughout all quadrants. Soft abdomen with tenderness noted to light and deep palpation in the epigastric area only. No rebound or guarding noted. No hepatosplenomegaly noted. No abdominal bruits or pulsatile masses. GU/Rectal: Normal sphincter tone. No hemorrhoid, mass, or lesions noted externally. NEURO: Pt alert and oriented x 4, following commands appropriately. Speech clear and without slurring. Gait steady and without limp or need for assistance. Strength 5/5 in all extremities and major muscle groups, equally throughout B/L sides. No facial asymmetry. PSYCH: Judgment and insight intact; no confusion. No homicidal or suicidal ideation. No pressured or tangential speech. Affect appropriate for noted mood No evidence of audio or visual hallucinations. Diagnostic Results: Based on your review of the information provided above: (Q1.) Please report the most likely final top diagnosis that explains the patient's reason for visit. (Q2.) Please provide a disposition for this patient based on your diagnosis. [PLO 2] (Q3.) Please describe the components of the management for the patient’s top final diagnosis and any other acute problems. This must include any applicable pharmacologic and non-pharmacologic treatments. (Note: “Non-pharmacologic” = non-medication based treatments, patient education, referrals, and/or follow up needs). [PLO 4] (Q4.) Please create a comprehensive problem list of any remaining acute and chronic problems for the patient in this case. You do not need to include the top final diagnosis, since that was previously provided. [PLO 5d] (Q5.) Finally, list and describe the components of management for any of the patient’s remaining problem list items not previously addressed. This must include any applicable pharmacologic and non-pharmacologic treatments (Note: “Non-pharmacologic” = non-medication based treatments, patient education, referrals, and/or follow up needs). [PLO 4] For the purposes of this exam: "Acute" is defined as: any immediate management needs or adjustments to the patient’s current plan of care. "Chronic" is defined as: management after the current visit and into the foreseeable future. This could include (but is not limited to): Care for on-going medical problems, follow up, referral(s), additional diagnostics needed for this patient in the future, health maintenance screenings, or other long-term therapeutics.
Weevil Cоrpоrаtiоn hаs 13,000 shаres of 6%, $5 par cumulative preferred stock and 50,000 shares of common stock outstanding. Weevil Corporation declared no dividends in 2024 and had no dividends in arrears prior to 2024. In 2025, Weevil Corporation declares a total dividend of $45,000. How much of the dividends go to the common stockholders?