п»їCARDIOLOGY CLINIC CONSULT
Patient Term: Murray Ur. Abbell
Patient ID: 001987DOB: 01/15/2014AGE: 87SEX: M
Consultant: Dr . J. T. McLain, Cardiology
Asking for Physician: Martha C. Eden, MD, Geriatrics
Date of Consult: seventeen September
Cause of Consult: Emphysema and congestive heart failure.
RECORD: This 87 year old Black male individual, has been diagnosed as having emphysema and congestive heart failure. He can referred to get cardiac analysis and 2-D echo. In January with this year, he had an exercise test out, which the relatives understands was negative. He has no good myocardial misdemeanor. His only other heart failure testing has become exercise testing. He has not had a cardiovascular cath. He previously atrial fibrillation, diagnosed years ago, and is still followed with Coumadin. He refuses chest pain. This individual has significant dyspnea, uses O2.
MEDICINES: Niacin, warfarin, diltiazem, Lanoxin, Singulair, potassium, Lasix, Atrovent, and Pulmicort.
RISK FACTORS: The patient quit smoking at 68, he does not know about hypertension. He denies diabetes. He will not know in the event he posseses an elevated cholesterol level.
PREVIOUS MEDICAL/SURGICAL RECORD: Allergies, penicillin, from which he goes into anaphylactic shock.
OPERATIONS: Disturbing left wonderful toe degradation.
SERIOUS ILLNESSES: CUSHION and COPD.
REVIEW OF DEVICES: This is negative, except as outlined previously mentioned.
PERSONAL/SOCIAL BACKGROUND: The patient can be described as widower who lives only. He is a heavy drinker and smoker who recently quit. He is retired military and is brought right here today by simply his little girl.
PHYSICAL EXAM: BP, 146 over 70. P-60 and frequent. In general, this can be a most pleasant Caucasian man patient who also appears to be in no severe distress. HEENT, one eye not visualized. He is hard of hearing and would wear bilateral about hearing aids. The main jugular vein pressure is normal. Carotids are 3 plus bilaterally without bruit. Chest symmetrical. Lungs will be clear to osculation and procussion...
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