Brian Foster Focused Note Updated 2026

Brian Foster Focused Note Updated 2025 Subjective: Patient Name or initials: Brian Foster Informant:The informant is the patient who is a reliable historian. Chief Complaint (CC): Chest pain History of present illness (HPI):Mr. Foster notes intermittent pain for a month, felt like heartburn, and lasted only a couple of minutes. He notes when the pain occurs it is mostly midsternum. The sensation is tightness of the chest. Mr. Foster notes the pain presents during physical activity. He states, “The first time it happened He notes lying still, or rest helps to alleviate the pain. Allergies:Codeine. Codeine causes nausea and vomiting. Medications:Metoprolol 100mg PO daily which he takes for his high blood pressure. Atorvastatin 20mg PO daily at bedtime, last dose 10pm at bedtime yesterday, and Omega-3 fish oil 1200 mg PO BID, last dose 8am, which he is on for his high cholesterol. Past History: Mr. Foster denies any surgical history. Past medical history include stage II high blood pressure diagnosed one year ago, and high cholesterol also diagnosed one year ago. Family History:Mr. Foster’s father passed away at the age of 75 from colon cancer. His PMH included hypertension, hyperlipidemia, colon CA, and obesity. Mr. Foster’s mother is still living. She is 80 years of age, and her PMH include type-2 diabetes, and hypertension.Mr. Foster’s brother passed away at the age of 24 from a motor vehicle accident. His sister is still living, and is 52 years of age. Her PMH include type-2 diabetes, and hypertension. Mr. Fosters’ son is living, is 26 years old, and relatively healthy. His daughter is 19 years of age, still living, and has asthma. Personal and Social History: Mr. Foster does not have a past or present history of tobacco use, however he does acknowledge drinking 2-3 alcoholic beverages a week. Mr. Foster also denies a history of illicit drug use. Health Promotion/Maintenance Activities:Mr. Foster was told to cut out red meat from his diet. He was also instructed to continue to take his medications as prescribed, and was told to weigh himself at the same time wearing the same clothing daily. Mr. Foster was also instructed to do some light exercises at least 3 to 4 days per week. He was told to eat fresh fruits and vegetables. Mr. Foster was instructed to follow up with his PCP and cardiologist. Tobacco Use: Mr. Foster does not currently smoke and does not require health promotion teaching regarding tobacco use. Alcohol and Drug use:Mr. Foster has no history of recreational drug use, however he was urged to reduce his alcohol intake to 1-2 drinks per week.