Cardiovascular

Case Study Cardiovascular System History and visible mental testing patient of role Name: Nancy MacronDate: 8-8-04 Ref. Phys.: lee(prenominal) Wong, M.D. History: Nancy Macron is a 53-year-old effeminate who states she was doing well until about wizard month ago, when she developed dyspnoea on exertion as well as nocturnal dyspnea and orthopnea. She also complained of marginal edema over that plosive speech sound of time. The patient gives a news report of atypical chest tenderness set over the left breast, described as a moisten ache. This has no relationship to exertion and is not improve by rest. She denies a prior history of coronary arterial air 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 bunch up per day over the past five years, down from two 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. forcible 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 encumbrance was 213 pounds and apex 53. HEENT: Head is atraumatic, normocephalic. Eyes: pupils equal, round and reactive to light, the sclera was clear, the 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 appr eciated. Abdomen: Bowel sounds were sound! ing and felt to be normal. I was unable to...If you want to grow a full essay, say it on our website: OrderCustomPaper.com

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