Cardiovascular

Case Study Cardiovascular System History and material mental testing uncomplaining role Name: Nancy MacronDate: 8-8-04 Ref. Phys.: lee Wong, M.D. History: Nancy Macron is a 53-year-old effeminate who states she was doing well until about iodine month ago, when she developed dyspnoea on exertion as well as nocturnal dyspnea and orthopnea. She also complained of encircling(prenominal) edema over that plosive speech sound of time. The patient gives a story of atypical chest tenderness laid over the left breast, described as a dim ache. This has no relationship to exertion and is not improve by rest. She denies a prior history of coronary arterial blood vessel disease or prior history of myocardial infarction in the past. Her risk factors are prohibit for high blood pressure or diabetes mellitus. She does admit to tobacco use, about one adopt per day over the past five geezerhood, down from ii packs a day the preceding twenty years. Family History: Her family history is negative for coronary artery disease. Allergies: None. Medications: Medications include Lanoxin 0.125 mg daily, Slow-K 8 mEq t.i.d., Lasix 40 mg a day. sherlock History: She gives a history of cholecystectomy 5 years ago. Carcinoma of the colon was discovered and treated 10 years ago.

strong-arm Examination: General: She is a well-nourished, well-developed, obese female in no acute distress. BP was 130/80, P was 100 and regular. Her exercising weight was 213 pounds and apex 53. HEENT: Head is atraumatic, normocephalic. Eyes: pupils equal, round and reactive to light, the sclera was clear, th e conjunctiva was pink. write out: Supple! . There is a good carotid upstroke noted bilaterally. The thyroid gland was noted to be midline. No bruits were appreciated. Chest and Lungs: Clear to A & P (auscultation and percussion) without rales, rhonchi, or wheezes appreciated. Cardiac: S1 and S2 were heard, no S3 (first through third heart sounds). No murmurs were appreciated. Abdomen: Bowel sounds were sounding and felt to be normal. I was unable to...If you want to grow a full essay, methodicalness it on our website: OrderCustomPaper.com

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