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
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m
1.77
[in_I]
69.7
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Body weight measure
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[lb_ap]
194.0
kg
88.0
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Body mass index
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Body surface area
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ar
2.05
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Body temperature
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Cel
36.9
[degF]
98.5
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Heart rate
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Heart rate
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Regularity of heart rhythm
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Heart regular
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Regularity of heart rhythm
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Heart regular
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Respiratory rate
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Respiratory pattern
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Breathing easily
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Respiratory rate
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Cuff blood pressure
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Left arm
Systolic BP
mm[Hg]
132
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Diastolic BP
mm[Hg]
86
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Cuff blood pressure
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Left arm
Systolic BP
mm[Hg]
135
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Diastolic BP
mm[Hg]
88
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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
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Left forearm
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Established diagnosis
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Asthma
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Established diagnosis
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Essential hypertension
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Established diagnosis
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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