assignment on History of Illness of this patient Document Preview: HISTORY AND PHYSICAL EXAMINATION_______________________ Patient Name: Putul BaruaPatient ID: 135799Room No.: CCU-4 Date of...

assignment on History of Illness of this patient




HILLCREST MEDICAL CENTER HISTORY AND PHYSICAL EXAMINATION_______________________ Patient Name: Putul Barua Patient ID: 135799 Room No.: CCU-4 Date of Admission: 01/07/---- Admitting Physician: Simon Williams, MD, Pulmonology Admitting Diagnoses 1. Rule out myocardial infarction. 2. History of tuberculosis. 3. Hemoptysis. 4. Status post embolectomy. CHIEF COMPLAINT: Tightness in the chest shortness of breath fast heart rate HISTORY OF PRESENT ILLNESS: mr. barua is a 42 year old gentleman from bangladesh who presents with chest tightness shortness of breath and tachycardia dr. j. k. clain of cardiology is evaluating his heart condition the patient has had the recent onset of hemoptysis he was treated for tuberculosis in Bangladesh 15 years ago this has prompted the concern of whether his treatment for tuberculosis was adequate or whether there is another cause for his hemoptysis the duration of his tuberculosis treatment was apparently adequate according to his wife but no records are available in addition the patient had thrombosis of the axillary artery treated last year at Hillcrest He had an embolectomy and has been on Coumadin since inr is significantly elevated at 16 nonetheless because of the cavitary lesions that are seen in the right and left upper lobes, the possibility of tuberculosis has been raised ancillary history was given by the patients wife nupur with the patient translating for her from the hindi language ©2011 Cengage Learning. All Rights Reserved. May not be copied, scanned, or duplicated, in whole or in part, except for use as permitted in a license distributed with a certain product or service or otherwise on a password-protected website for classroom use.