Parecer+Cardiológico Frente PDF

 

HOSPITAL UNIVERSITÁRIO ONOFRE LOPES SERVIÇO DE CARDIOLOGIA - CardioHUOL

 

PARECER CARDIOLÓGICO NOME: _______________  _________________________________ _________________________________ _______________________________ __________________ __ IDADE: ______________  Enfermaria: ________________ Leito:________________ Leito:________________ Data: ____________/_____________/________ ____________/_____________/______________ ______

MOTIVO DO PARECER: __________________________________  _______________________________________________ _______________________________ _____________________________ ___________  SINTOMAS: _____________________________  ________________________________________________ ___________________________________ __________________________ ____________________ __________  ________________________________  ________________ ___________________________ ___________________________ ________________________________ ______________________________ __________________ ____  ________________________________  ________________ ___________________________ ___________________________ ________________________________ ______________________________ __________________ ____  __________________________________  ________________ _________________________________ _______________________________ _______________________________ ____________________________ _____________  ________________________________  ________________ ___________________________ ___________________________ ________________________________ ______________________________ __________________ ____  __________________________________  __________________ ______________________________ ______________________________ ___________________________ ___________________________ _________________ __  ___________________  __________ ___________________ _________________ _______________ _________________ ___________________ ___________________ _________________ ________________ _________________ ______________ _____  EXAME FÍSICO: Estado geral:

( ) Bom

( ) Regular

Turgência Venosa Jugular: Ausculta pulmonar:

( ) Presente

( ) Grave ( ) Ausente

( ) Normal ( ) Anormal ________________ ____________________________________ _______________________________________ ___________________________________ ________________

Ausculta Cardíaca:

( ) Normal FC: __________ ___________ _ bpm PA: ___________ ___________x________ x_____________mmH _____mmHg. g. ( ) Anormal_ Anormal_________________ ______________________________________ __________________________________ ________________________________ ____________________  ___________________  __________ ___________________ _________________ _______________ __________________ ___________________ ___________________ _________________ _______________ _________________ ______________ _____ Abdômen:

Hepatomegalia congestiva Refluxo Hepatojugular

Membros Inferiores:

Varizes Edema

( ) Presente ( ) Presente

( ) Ausente ( ) Ausente

( ) Presente ( ) Presente

( ) Ausente ( ) Ausente

( ) Diabetes ( ) Tabagismo

( ) HAS ( ) Arritmia

ANTECEDENTESS PESSOAIS: ANTECEDENTE ( ) Não ( ) DAC ( ) DPOC ( ) Alcoolismo ( )_______________________

( ) ICC ( ) IRC

( (

)Obesidade ) ____________ ______________ __

USO DE MEDICAÇÃO CARDIOLÓGICA: CARDIOLÓGICA:  ( ) Não. ( ) Sim ____________________________________ ________________ _________________________________ __________________________ _____________  ______________________  _____________ ____________________ ____________________ ___________________ ___________________ _________________ ________________ _______________ _________________ _________________ _______

ELETROCARDIOGRAMA: ( ) Normal ( ) Anormal __________ _______________________________ ________________________________________ ___________________________________ ____________________ ____  ___________________  __________ ___________________ _________________ _______________ ______________________ ________________________ _________________ _________________ _________________ _________________ __________

CONCLUSÃO:   __________________________________________________________________________________________  ___________________  __________ ___________________ _________________ _______________ __________________ ___________________ ___________________ _________________ _______________ ______________________ ______________ CONDUTA: ___________________  ___________________________ ________________ __________________ ___________________ ______________________ ______________________ _________________ _________________ _________  ___________________  __________ ___________________ _________________ _______________ __________________ ___________________ ___________________ _________________ _______________ _________________ ______________ _____  ___________________  _________ _____________________ __________________ ______________ ___________ ____ Médico Cardiologista - CRM