Consultation Report

CONSULTATION REPORT long-suffering Name: Huy Chong File take: 106-23-1025 populate Number: 707 Consultation Date: January 19, 2009 Requesting Physician: Richard T. Dendrite, MD This 31-year-old male of Asiatic descent with a history of hypertension and migraines who was admitted on January 16, 2009 with a change in moral placement and was found to pretend a subarachnoid hemorrhage. He had a trimming of an aneurism on January 7, 2009. Since the clipping his neurological and mental military position has been slowly worsening. He began to show inference of vasospasm and a recur CT record showed increased cerebral edema and evidence of an infarction. Today his mental status worsened even to a greater extent and he was intubated. We atomic number 18 asked to assist with breathing apparatus support. PAST MEDICAL history: unprecedented for hypertension and migraines, no other history is known. SOCIAL HISTORY: Significant for be a smoker. PHYSICAL EXAM INATION: On interrogationination he was sedated on a ventilator. His vital signs be stable. He is afebrile. HEENT exam is remarkable for having an oral endotracheal tube. There are no noteworthy secretions from the endotracheal tube. His neck is supple. His lungs are clear bilaterally. His sum has a standard rate and rhythms without murmurs, rubs, or gallops. Abdomen is dim and non-tender. No group AB distension or hepatosplenomegaly.

Extremities are without clubbing, cyanosis, or edema. Current ventilator settings are assist/control sit rate of 10, gentle volume 600 cc, and oxygen at 40%. Arterial liv estock gas is a ph of 7.46, a PC02 of 35, an! d a PO2 of 179. His bureau x-ray was reviewed and demonstrates clear lung fields with a normal cardiac silhouette. IMPRESSION: 1. Subarachnoid hemorrhage. 2. Status post aneurism clipping. 3. Central neural system infarct and edema. Continued CONSULTATION REPORT patient Name: Huy Chong File Number: 106-23-1025 Page 2 The patient is currently stable from a respiratory standpoint. We will affect to deliver him...If you want to get a full essay, rove it on our website: OrderCustomPaper.com

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