Hypercyber - NYC Specialist's Clinic
Hypercyber - NYC Specialist's Clinic - Production - Dr. Allan Estes
Welcome, Dr .
Code Status: FULL
Birthday:
7/29/1984
E2734
MRN:
Date of Service: null
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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:
155 / 65 mm Hg
Heart Rate:
68 BPM
Height:
66 inches
Weight
155 lbs
Respiratory Rate:
9 /min
Temperature:
99.7 degrees F
Allergies:
ALLERGEN: Codeine --> REACTION: RashALLERGEN: Penicillin --> REACTION: HivesALLERGEN: Bee sting --> REACTION: Trouble breathing
Social Hx:
Smoking History - Current Smoker, 1 packs per day.
Alcohol Use - Heavy alcohol intake, drinks every day, ~12 drinks per day.
Illicit Drugs - Prior IVDA, quit 7 years ago. Denies needle sharing.
Marital Status - Separated
Physical Exam:
General: Patient comfortable.
HEENT: WNL.
Chest: 1+ rales, dull to percussion.
Abdomen: LLQ point tenderness, diminished bowel sounds.
Extremities: Full ROM WNL.
