Name : Mr S Age : 56 years old Gender : Male Admission Admiss ion date : 09-03-2016
H#S"$0 "A#! Chief Comlaint : Shortness of !reath •
"elt sin#e aro$% 2 &ee's ago and &orsen 2 days !efore !eing admitted to the hosital% ($erien#ed &hile doing minimal a#ti)ity s*#h as &al'ing to the !athroom and is relie)ed &ith rest%
•
At times atient get startled d*ring the night d*e to s*dden onset of shortness of !reath%
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+atient *s*ally slees *sing more than 1 illo&
•
No #hest ain
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,eart!*rn -.
•
Co*gh -.%
•
S&elling e$tremities/ edemas .
Past *edial History
* ,istory
of hyertension -. * ,istory of dia!etes mellit*s -. ill ness * ,istory of family mem!ers &ith same illness -.
* ,istory
of smo'ing . aro$% 2 !o$es of #igarette a day * ,istory of #on#*mtion of al#ohol . +amily History
,istory of #ardio)as#*lar disease in family -.
S4 "ACS
!on3 *odi&ied
*odi&ied •
•
Smo'ing Al#ohol #ons*mtion
eneral Status * Moderate illness/ 7ell no*rished/ Cons#io*s * N*tritional
Stat*s: Norm Normal al * 7eight : 68 'g * ,eight : 163 #m : 25%21 'g/m2 * M
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