73549

主な苦情:

41 year old male patient presents to clinic with complaint of stroke/CVA and chest pain. Patient also complains of a sore throat.

Clinical Trial ELIGIBLE

バイタルサイン:

血圧：

106 / 66 mm Hg

心拍数：

75 BPM

高さ:

66 inches

重さ

155 lbs

呼吸数:

10 /min

温度：

98.1 degrees F

アレルギー:

ALLERGEN: Penicillin --> REACTION: Hives
ALLERGEN: Sulfa --> REACTION: Itchy eyes
ALLERGEN: Aspirin --> REACTION: Trouble breathing

ソーシャル Hx:

Smoking History - Prior history of smoking, quit 7 years ago. Smoked 4 packs per day.

Alcohol Use - Heavy alcohol intake, drinks every day, ~11 drinks per day.

Illicit Drugs - Current IVDA, cocaine, heroin. Denies needle sharing.

Marital Status - Widowed

身体検査：

General: Patient comfortably seated, slightly diaphoretic.

HEENT: Tympanic membranes congested, clear discharge.

Chest: Clear to auscultation and percussion.

Abdomen: LLQ point tenderness, diminished bowel sounds.

Extremities: Mild distal phalangeal clubbing, good capillary refell.