Consultation Report

CONSULTATION REPORT forbearing Name: Huy Chong File proceeds: 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 shape and was found to pretend a subarachnoid hemorrhage. He had a nip off of an aneurism on January 7, 2009. Since the clipping his neurological and mental posture has been slowly worsening. He began to show march of vasospasm and a fall back CT record showed increased cerebral edema and evidence of an infarction. Today his mental status worsened even more(prenominal) and he was intubated. We atomic number 18 asked to assist with breathing machine support. PAST MEDICAL history: unprecedented for hypertension and migraines, no other history is known. SOCIAL HISTORY: Significant for be a smoker. PHYSICAL EXAMINATION: On interr ogationination 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 evidentiary secretions from the endotracheal tube. His neck is supple. His lungs are clear bilaterally. His sum has a systematic rate and rhythms without murmurs, rubs, or gallops. Abdomen is dim and non-tender. No abdominal distension or hepatosplenomegaly. Extremities are without clubbing, cyanosis, or edema. Current ventilator settings are assist/control sit rate of 10, prenomen volume 600 cc, and oxygen at 40%. Arterial prodigal gas is a ph of 7.46, a PC02 of 35, and a PO2 of 179. His dresser 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 sickish system infarct and edema. Continued CONSULTATION REPORT patient of Name: Huy Chong File Number: 106-23-1 025 Page 2 The patient is currently sta! ble from a respiratory standpoint. We will fate to deliver him...If you want to get a full essay, read it on our website: OrderCustomPaper.com

If you want to get a full essay, visit our page: write my paper