Clinical Visit Summary - Sara Ahmed (ADHD Evaluation)

Vocabulary-style flashcards covering patient demographics, clinical assessment findings, medical history, and the treatment plan for an ADHD evaluation session.

Sara Ahmed

A 56-year-old female patient (DOB: 11/01/1969) undergoing her second ADHD evaluation via video connection on January 11, 2026.

Kendall Lubatti, PA

The healthcare provider (Physician Assistant) who conducted the ADHD evaluation and reviewed the Prescription Monitoring Program (PDMP) data.

ASRS Question 8 (Attention)

The patient reported that she has difficulty keeping her attention when doing boring or repetitive work "VERY OFTEN".

ASRS Question 10 (Organization)

The patient reported that she misplaces or has difficulty finding things at home or at work "OFTEN".

ASRS Question 9 (Concentration)

The patient reported that she has difficulty concentrating on what people say to her even when speaking directly "OFTEN".

BMI

Body Mass Index calculated as $31.9$ based on a height of $67.0\,\text{in}$ and weight of $204.0\,\text{lbs}$.

Medical History (Sara Ahmed)

History includes colon polyps, family history of colon cancer, obesity, prediabetes, and mild asthma.

Maternal Family History

Mother is alive and has medical conditions including diabetes, HTN (hypertension), and colon cancer.

Other Family Medical History

Father has diabetes and HTN; one brother has colon cancer; MGF (maternal grandfather) has histories of CVA and A FIB.

tirzepatide (weight loss)

The patient's current medication, administered as a $10\,\text{mg}/0.5\,\text{mL}$ subcutaneous pen injector.

PDMP (Prescription Drug Monitoring Program)

Reviewed on 1/11/26 with no reportable irregularities, red flags, or multiple early fills.

ICD10 Code F90.0

Attention-deficit hyperactivity disorder, predominantly inattentive type.

Clinical Plan Summary

Requires further evaluation with a psychiatrist for diagnosis; recommendation to see a life coach for coping mechanisms and strategies.

Hospitalist

The current occupation of the patient, Sara Ahmed.