MRN: M002245400 | Provider: Romero, Gabriel (Medical Student, Orthopedics) | Encounter: 06/30/26 | HPI: Right thumb pain years duration, aching, below thumb, 6/10, diclofenac helps, fine motor worsens pain, denies weakness/tingling/numbness | PMH: Anxiety, Arthritis, Bilateral Sciatica, Fracture of hand, Hypertension, Lumbosacral disc disease (2000) | PSH: Back Surgery, Joint Replacement 1/15/21, Lumbar Discectomy, Rib Biopsy, Spine Surgery, Total Hip Arthroplasty | Social: Former smoker 1ppd x10yr quit 1984 | Referral to Orthopaedic Surgery for right thumb evaluation

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