Botanical i.d.-aegle462marmelos01
This is a HIPAA de-identified open-online-patient-record with initial information in duty-doctors notes as well as patient's voice, posted here spring 2016 after collecting informed patient consent (form downloadable here).
Pt. Voice history-
Age -40/m
Occ- shopkeeper
Add.-
Vital signs
B.p.-110/90
Pulse- 74
Tem.- 98
R.r.- 21
C/o-
Chest pain since 3month during coughing
past medi. H/o-
Thyroid medi. Continue 1year( thyronorm 25 mg - early morning empty stomach.
Head injury -before 1year ago
Family h/o-
Paternal
Father- hypertension
Mother - thyroid
Sister- thyroid
Maternal-no
Persnol h/o-
Nutritional - poor nutrition and pt. Is Intake tobacco and smoking everyday and alcohol two time in a month.
Environmental h/o- cloudy area.
Objective exami.
posture- normal
Nails normal
Skin normal
Gait normal
Heart regular rate and rthythm,
Abdomen- bowel sound normal
Analysis
lf. lung Pleural effusion,
Planing
pleural fluid rapping
Day one report of pleural fluid exami.-
This is a HIPAA de-identified open-online-patient-record with initial information in duty-doctors notes as well as patient's voice, posted here spring 2016 after collecting informed patient consent (form downloadable here).
Pt. Voice history-
Knowledge of pt.
Age -40/m
Occ- shopkeeper
Add.-
Vital signs
B.p.-110/90
Pulse- 74
Tem.- 98
R.r.- 21
C/o-
Chest pain since 3month during coughing
past medi. H/o-
Thyroid medi. Continue 1year( thyronorm 25 mg - early morning empty stomach.
Head injury -before 1year ago
Family h/o-
Paternal
Father- hypertension
Mother - thyroid
Sister- thyroid
Maternal-no
Persnol h/o-
Nutritional - poor nutrition and pt. Is Intake tobacco and smoking everyday and alcohol two time in a month.
Environmental h/o- cloudy area.
Objective exami.
posture- normal
Gait normal
Heart regular rate and rthythm,
Abdomen- bowel sound normal
Analysis
lf. lung Pleural effusion,
Planing
pleural fluid rapping
Day one report of pleural fluid exami.-
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