Name: Vanshika Gupta Age: 38 Marital Status: Married, No Kids Profession: Pathologist CC: Hoarseness of Voice, Irritability, Racing Heart Signs/Symptoms: Elevated blood pressure, Anxiety, Suspected Goiter Social History: Has dinner regularly with close group of friends. Occasionally goes out with colleagues after work. Non-smoker Alcohol: Occasionally Exercise: Not regularly Medical History: Appendectomy 2013 CRP 0.70 <5.0 mg/L Ferritin 77.4 20-150 ug/L TSH L0.01 0.27-4.20 mIU/L T4 Total 126.0 64.5-142.0 nmol/L Free T4 H 26.40 12-22 pmol/L Anti-Thyroidperoxidase abs 33.5 <34 kIU/L Anti-Thyroglobulin abs 25 <115 kU/L Vitamin D(25 OH) 50 deficient <25 insufficient 25-50 consider reducing does > 175 nmol/L Vitamin B12 443 Deficient <140 Insufficient 140-250 consider reducing does > 725 Serum Folate 13.80 8.83-60.8 nmol/L Medications: Lisinopril 10mg 2tab BID Advil 400mg As needed Xanax 5mg 1 cap PRN PLEASE CREATE A DETAILED SOAP NOTE WITH THIS INFORMATION. (SUBJECTIVE,OBJECTIVE,ASSESSMENT,PLAN)