2000-04-07 Henry Levin Robert Dolin 1950 clinical diagnosis 1950 Asthma clinical diagnosis HTN clinical diagnosis Knee joint Osteoarthritis Knee joint Theodur 200mg BID 12 h mg 200 Proventil inhaler 2puffs QID PRN 6 h 2 Prednisone 20mg qd 24 h mg 20 HCTZ 25mg qd 24 h history taking (procedure) Allergy to penicillin Hives history taking (procedure) history taking (procedure) Allergy to aspirin Wheezing history taking (procedure) history taking (procedure) Adverse reaction to drug Pruritis history taking (procedure) history taking (procedure) Nausea history taking (procedure) 1970 history taking (procedure) 1970 MI history taking (procedure) history taking (procedure) No family history of diabetes Tobacco use and exposure ex-heavy cigarette smoker (20-39/day) Date ceased smoking Alcohol intake Trivial drinker - less than 1/day 2000-04-07T14:30:00 Body height measure 2000-04-07T14:30:00 m 1.77 [in_I] 69.7 2000-04-07T14:30:00 Body weight measure 2000-04-07T14:30:00 [lb_ap] 194.0 kg 88.0 2000-04-07T14:30:00 Body mass index 2000-04-07T14:30:00 2000-04-07T14:30:00 Body surface area 2000-04-07T14:30:00 ar 2.05 2000-04-07T14:30:00 Body temperature 2000-04-07T14:30:00 Cel 36.9 [degF] 98.5 2000-04-07T14:30:00 Heart rate 2000-04-07T14:30:00 2000-04-07T15:30:00 Heart rate 2000-04-07T15:30:00 2000-04-07T14:30:00 Regularity of heart rhythm 2000-04-07T14:30:00 Heart regular 2000-04-07T15:30:00 Regularity of heart rhythm 2000-04-07T15:30:00 Heart regular 2000-04-07T14:30:00 Respiratory rate 2000-04-07T14:30:00 2000-04-07T14:30:00 Respiratory pattern 2000-04-07T14:30:00 Breathing easily 2000-04-07T15:30:00 Respiratory rate 2000-04-07T15:30:00 2000-04-07T14:30:00 Cuff blood pressure 2000-04-07T14:30:00 Left arm Systolic BP mm[Hg] 132 2000-04-07T15:30:00 2000-04-07T15:30:00 Diastolic BP mm[Hg] 86 2000-04-07T15:30:00 2000-04-07T15:30:00 2000-04-07T15:30:00 Cuff blood pressure 2000-04-07T15:30:00 Left arm Systolic BP mm[Hg] 135 2000-04-07T15:30:00 2000-04-07T15:30:00 Diastolic BP mm[Hg] 88 2000-04-07T15:30:00 2000-04-07T15:30:00 Skin finding Skin of palmer surface of index finger Rash Respiratory sounds Chest clear Auscultation Normal heart rate Auscultation Fourth heart sound inaudible Imaging interpretation Chest hyperinflated Chest-X-ray Chest-X-ray Chest-X-ray Imaging interpretation Chest-X-ray Chest-X-ray Chest-X-ray 2000-04-07 Peak flow 2000-04-07 Suture removal 2000-04-07T14:30:00 Left forearm 2000-04-07T15:30:00 Established diagnosis 2000-04-07T15:30:00 Asthma 2000-04-07T15:30:00 Established diagnosis 2000-04-07T15:30:00 Essential hypertension 2000-04-07T15:30:00 Established diagnosis 2000-04-07T15:30:00 Skin of palmer surface of index finger Contact dermatitis Skin of palmer surface of index finger prednisone 20qOD alternating with 18qOD. Hydrocortisone cream to finger BID. 12 h