He has remained in remission. We do not detect any inspiratory stridor nor see that he has any difficulty breathing in. Skin, hair and nails: No abnormal pigmentation, scars, bruises, or skin turgor. A sore throat that comes and goes throughout the day. I will hold off on any steroids inhaled or systemic at this time. He does not have any Q waves. I will place him on oxygen at 2 liters nasal cannula to keep his saturations greater than 92% Obesity: This has been a long standing problem.
He has not been eating much for the last few days and his glucose is likely not to poorly controlled. Genitourinary: The patient denies flank pain, dysuria, stranguria, hematuria, or pyuria. She had some stomach pain earlier, now feels better after having bowel movement this evening. Wears upper and lower dentures. He may also have sleep apnea and obesity hypoventilation syndrome. He has no known diabetic retinopathy but has not seen any eye doctor. For now I will place a foley to insure adequate drainage.
The oropharynx is free of any erythema or exudates. He has a brother that died at the age of 73 from lung cancer. Anemia: Likely secondary to marrow suppression for the alcohol abuse given the macrocytosis. It became difficult to wear any shoes and he has been wearing sandals or slippers for the last two weeks. There is no nausea, vomiting, constipation, diarrhea, melena, peptic ulcer disease, gastrointestinal problems or kidney or liver problems.
It is difficult to assess, at this time, whether he meets the diagnostic criteria of cough and sputum production greater than 3 months per year for two or more years. Chest: He does have a post thoracotomy scar that is well healed. Axis is normal around 70. No recent changes in vision. Endocrine: No heat or cold intolerance, excessive sweating. No abdominal pain or blood. T K is an 80-year-old male with hypertension, dyslipidemia, a history of aortic stenosis status post valve replacement with a bioprostethic valve, impaired fasting glucose and obesity.
He will be given Bactrim suspension. Mouth and throat: Complains of dry mouth. Patients may find this pain experienced in virtually numb areas In much the same way as your lip can feel odd after a dental. She complained of a sore throat once today and has a brother who was diagnosed and treated for streptococcus a week ago. Most likely related to cirrhosis but cardiac ascites from acute right-sided heart failure is also a possibility. He does not weigh himself but all his cloths are much tighter and difficult to put on.
Ears: No changes in hearing. Chief Complaint The patient is an 80-year-old Japanese gentleman with a history of severe aortic stenosis status post aortic valve replacement, atrial fibrillation with a history of congestive heart failure from diastolic dysfunction, and alcohol abuse with a history of varices who comes in with a chief complaint of, problems breathing and catching my breath associated with swelling of my legs of several weeks duration and more recently intermittent confusion which is related by his son. Reports feeling run down for several months. No history of thyroid disease. She has had difficulty going to sleep and staying asleep, and she has been very fatigued and tired.
The dyspnea and orthopnea are caused by the effusions and mild pulmonary congestion. Neurologic: Mental Status: Alert; normal memory, judgement, mood. He has a foley catheter in place. He has no carotid bruits. The last time he was seen by Dr.
I will specifically also ask for assessment of his pulmonary artery pressures. Positive polyuria, hesitancy and post void dribbling and intermittency. I will hold the Atacand if his pressure drops below 100 systolic or he becomes symptomatic. Infectious mononucleosis, also known as mono, is a viral illness that almost always starts with a sore throat. Last night, she was a little fussy from 8:00 at night to 11:00, almost midnight. We will also do her 12-month shots as she has not had these done.
Social history: No history of substance abuse or addiction. I will place a foley for accurate monitoring and patient comfort. When his wife woke him from sleep this morning around 7:30 am, she noticed the right side of his face to be drooping, along with slurred speech and difficulty with his balance. He did not have any fever. I have no recent values. No murmurs, rubs or gallops.
Gynecologic: Her last Pap was about 1 year ago; it was normal. There are no red, swollen, warm joints. I agree, however, with not using coumadin on this patient due to his non-compliance. His hemodynamic profile appears to be wet and warm suggesting only backward failure. Anything new or different about their symptoms today How long ago the similar symptoms occurred If they sought treatment at that time Any result or diagnosis from previous evaluations If the patient has experienced similar symptoms in the past, it is very likely that their current symptoms are related. There appears to be no repeat.