73549

Chief Complaint:

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

Vital Signs:

Blood Pressure:

135 / 85 mm Hg

Heart Rate:

102 BPM

Height:

65 inches

Weight

154 lbs

Respiratory Rate:

12 /min

Temperature:

99.5 degrees F

Allergies:

ALLERGEN: Penicillin --> REACTION: Hives
ALLERGEN: Shellfish --> REACTION: Anaphylaxis
ALLERGEN: Gluten --> REACTION: Shortness of breath

Social Hx:

Smoking History - Current Smoker, 1 packs per day.

Alcohol Use - Heavy alcohol intake, drinks every day, ~17 drinks per day.

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

Marital Status - Married

Physical Exam:

General: Patient comfortably seated, slightly diaphoretic.

HEENT: Tympanic membranes congested, clear discharge.

Chest: 1+ rales, dull to percussion.

Abdomen: LLQ point tenderness, diminished bowel sounds.

Extremities: Poor capillary refill, RLE 1+ DP, faint PT.