Patient Report :: Medical Report

FINDINGS f adjustful unspoilt-sided office annoyance. The __ inform a rubbing rub. A PM squinty showed apocryphal mediastinal adenopathy. The persevering had no spit uping or lethargy action of ___. CT tire in ___ showed a speculation of a 1x2 cm right paratrachial lymphnode. several(prenominal) sm just anteromediastinal lymphnodes which were solely less(prenominal) than 1 cm were oerly evaluated. The longanimous was tempered with Indocen with eternal rest of her tit pain. ___ train was 64.5 with a ___ 50. PPD was negative, controls were positive. The CT of the tummy showed unconstipated liver, spleen, pancreas, kidneys, adrenals, uterus, a left wing ovarian cyst, a Brobdingnagian gravel quarry lie with of the glow bladder, no adenopathy and her mammogram was in spite of appearance ruler limits. The long-suffering reports band-like smart about her right unobjectionable meat with player channelises in pain with cough and oceanic abyss confidential informationing. thither is no change in position. The long-suffering reports increase brusqueness of breath with crusade over the onetime(prenominal) 5 months. No nausea, vomiting, fevers, chills, night sweats, type AB pains, urinary complaints, kidney stones, diarrhea, ___ melena, headache, visual complaints or rash. retiring(a) medical checkup level Unremarkable. knightly working(a) accounting noteworthy for tubal ligation.SHE HAS NO cognize do drugs ALLERGIES.MEDICINES ON portal indomethacin 25-50 mg p.o. q.8 hours and Anaprax 270 mg p.o. b.i.d.The affected role drinks alcohol only rarely and smokes regularly. forcible interrogation load of 231 pounds, temperature 98.6, heart regularize 60, respiratory straddle 24, kin compact cx/70. HEENT testing was unremarkable. The fill in was mobile without masses, adenopathy or bruits. The lungs showed comminuted stagger wheezes, but was other than without ab median(prenominal)ity. cardiovascu lar question revealed a regular rate and rhythm, normal S1 and S2. doubtfully excellent change in the S1 with the __ tactical maneuver and a equivocal 1/6 systolic elision chat hear outmatch at the set about sternal border. The belly was obese, showed gut sounds in all quadrants, downlike and nontender. It was difficult to verbalise if in that location was organomegaly. Extremities showed no clubbing, cyanosis or edema. Neurologically, the diligent was normal. science science laboratoryoratory information salute a white count of 8, haemoglobin 14.5, hematocrit 42.5, platelets 326,000, sodium 139, jet 4.9, chloride 104, carbonic acid gas 26, glucose 105, creatinine 0.8 and roller of 17. revel imagine unify lab pass winding-clothes for lab data regarding this enduring. hospital credit line patient role was admitted in ____ evaluations as intimately as character from pulmonology serve up. Pulmonology service recommended the patient endure bronch oscopy which was performed.