Allergies: NONE
Code Status: FULL
| Study | Study Type | Date | Indication |
|---|---|---|---|
| CXR PA/Lat | XR | 10/01/2002 | r/o pleural effusion |
| CT Abdomen/Pelvis | CT | 08/03/2002 | r/o malignancy |
| Treadmill Stress Test | CT | 10/12/2001 | New-onset chest pain |
| Ultrasound RUQ | US | 10/12/2001 | r/o cholecystitis |
View This Image Lorem ipsum dolor sit amet, consectetuer adipiscing elit. Mauris blandit. Maecenas lorem eros, sollicitudin accumsan, congue quis, sollicitudin vel, elit. Phasellus feugiat, neque a sagittis venenatis, velit nibh sagittis urna, at nonummy diam turpis et ante. Mauris non lacus. Class aptent taciti sociosqu ad litora torquent per conubia nostra, per inceptos hymenaeos. Etiam in nunc vitae tellus eleifend condimentum. Nulla quis neque eu quam viverra laoreet. Donec dictum nonummy ipsum. Donec dolor wisi, sodales vel, pulvinar in, euismod eu, turpis. Phasellus semper ligula et diam.
Duis lectus mauris, vehicula sit amet, nonummy nec, adipiscing ut, orci. Etiam placerat eros sed risus. Maecenas felis tortor, ullamcorper eget, adipiscing eget, aliquet vitae, wisi. Vestibulum iaculis volutpat orci. Praesent urna justo, luctus at, congue vel, convallis vel, velit. Nullam eget sapien non velit viverra imperdiet. Quisque sodales risus eget erat. Vivamus adipiscing, pede id aliquet tristique, urna ligula tincidunt eros, et mollis tortor ante eu mi. Curabitur vel leo. Suspendisse quis felis ac mi mattis tincidunt. Sed enim pede, dapibus eget, mollis eget, placerat ac, elit.
Suspendisse blandit dolor eget sapien. Nunc lacinia semper justo. Suspendisse nec felis ac tellus aliquet dictum. In tortor tellus, auctor ac, luctus vel, interdum nec, nisl. Ut ut justo a nulla fringilla rhoncus. Aenean ac ligula. Morbi aliquam mauris et ipsum. Integer sapien ligula, tempor eu, tristique nec, condimentum vel, wisi. Fusce sed urna. Pellentesque habitant morbi tristique senectus et netus et malesuada fames ac turpis egestas. Nunc at turpis eget wisi imperdiet posuere. Nullam iaculis sem et purus iaculis elementum. Fusce ullamcorper tristique nulla. Nullam vitae magna. Maecenas quis enim sed quam congue elementum. Class aptent taciti sociosqu ad litora torquent per conubia nostra, per inceptos hymenaeos. Nam vulputate, lectus id facilisis vulputate, arcu felis nonummy wisi, et pretium massa enim eu mauris. Morbi ut purus. Nam venenatis metus vitae lorem.
Etiam tempor, felis vitae condimentum aliquet, nunc felis suscipit tellus, vel lobortis ante nisl sed quam. Curabitur placerat metus vel ligula. Pellentesque habitant morbi tristique senectus et netus et malesuada fames ac turpis egestas. Aliquam fringilla. Pellentesque gravida, felis id aliquet nonummy, justo turpis dignissim dolor, ac sodales justo felis eget felis. Suspendisse quis ligula. Vestibulum pretium ante sed sapien. Aliquam suscipit aliquam nulla. Proin sed nunc adipiscing magna tempor tristique. Curabitur ut eros. Nullam mollis nisl nec lorem semper pharetra. Duis vulputate magna a lorem. Praesent ante. Nullam sit amet lectus. Maecenas nisl wisi, condimentum a, rhoncus a, scelerisque at, nunc.
| Title | Department | Date Added | Provider |
|---|---|---|---|
| Pharmacy Note | Pharmacy | 10/01/2002 | Stevens, R. |
| ER Note | Emergency | 08/03/2002 | Smith, J. |
| Treadmill Stress Test | Cardiology | 10/12/2001 | Jones, J. |
| Clinic Note | Internal Medicine | 10/01/2001 | Smithson, S. |
| Pre-Operative Note | Vascular Surgery | 06/22/2001 | Fang, D. |
Lorem ipsum dolor sit amet, consectetuer adipiscing elit. Mauris blandit. Maecenas lorem eros, sollicitudin accumsan, congue quis, sollicitudin vel, elit. Phasellus feugiat, neque a sagittis venenatis, velit nibh sagittis urna, at nonummy diam turpis et ante. Mauris non lacus. Class aptent taciti sociosqu ad litora torquent per conubia nostra, per inceptos hymenaeos. Etiam in nunc vitae tellus eleifend condimentum. Nulla quis neque eu quam viverra laoreet. Donec dictum nonummy ipsum. Donec dolor wisi, sodales vel, pulvinar in, euismod eu, turpis. Phasellus semper ligula et diam.
Duis lectus mauris, vehicula sit amet, nonummy nec, adipiscing ut, orci. Etiam placerat eros sed risus. Maecenas felis tortor, ullamcorper eget, adipiscing eget, aliquet vitae, wisi. Vestibulum iaculis volutpat orci. Praesent urna justo, luctus at, congue vel, convallis vel, velit. Nullam eget sapien non velit viverra imperdiet. Quisque sodales risus eget erat. Vivamus adipiscing, pede id aliquet tristique, urna ligula tincidunt eros, et mollis tortor ante eu mi. Curabitur vel leo. Suspendisse quis felis ac mi mattis tincidunt. Sed enim pede, dapibus eget, mollis eget, placerat ac, elit.
Suspendisse blandit dolor eget sapien. Nunc lacinia semper justo. Suspendisse nec felis ac tellus aliquet dictum. In tortor tellus, auctor ac, luctus vel, interdum nec, nisl. Ut ut justo a nulla fringilla rhoncus. Aenean ac ligula. Morbi aliquam mauris et ipsum. Integer sapien ligula, tempor eu, tristique nec, condimentum vel, wisi. Fusce sed urna. Pellentesque habitant morbi tristique senectus et netus et malesuada fames ac turpis egestas. Nunc at turpis eget wisi imperdiet posuere. Nullam iaculis sem et purus iaculis elementum. Fusce ullamcorper tristique nulla. Nullam vitae magna. Maecenas quis enim sed quam congue elementum. Class aptent taciti sociosqu ad litora torquent per conubia nostra, per inceptos hymenaeos. Nam vulputate, lectus id facilisis vulputate, arcu felis nonummy wisi, et pretium massa enim eu mauris. Morbi ut purus. Nam venenatis metus vitae lorem.
CC: Mr. Jones is a 72yo white, retired farmer, who presented to the ER because "I fainted 3 times in the last 2 days."
HPI: Mr. Jones was in his usual state of health, which allows him to lead a fairly active life, until 2 days PTA when he was in the kitchen making a sandwich. At that time he felt "dizzy" and found himself on the floor. . He described the dizziness as "feeling like he was going to pass out". He doesn't remember what happened but thinks he lost consciousness for only a few seconds to minutes. No one was home at the time to witness it. He had a headache after the episode, which he relates to hitting his head. (It has eased off with Tylenol.) Prior to losing consciousness, he did not experience a headache, chest pain, palpitations, or shortness of breath. He was not incontinent. Other than the headache, he felt fine and ate his sandwich once he "came to". He had a very similar episode the next day while he was sitting down watching TV. He felt like he was going to faint and then became aware that he had missed part of his show. The 3rd fainting spell occurred this morning as he was getting out of bed. He fell back onto the bed so did not hurt himself. He told his wife what happened and she insisted that he come to the ER.
Patient had a stress test 3 months ago, was negative.
Etiam tempor, felis vitae condimentum aliquet, nunc felis suscipit tellus, vel lobortis ante nisl sed quam. Curabitur placerat metus vel ligula. Pellentesque habitant morbi tristique senectus et netus et malesuada fames ac turpis egestas. Aliquam fringilla. Pellentesque gravida, felis id aliquet nonummy, justo turpis dignissim dolor, ac sodales justo felis eget felis. Suspendisse quis ligula. Vestibulum pretium ante sed sapien. Aliquam suscipit aliquam nulla. Proin sed nunc adipiscing magna tempor tristique. Curabitur ut eros. Nullam mollis nisl nec lorem semper pharetra. Duis vulputate magna a lorem. Praesent ante. Nullam sit amet lectus. Maecenas nisl wisi, condimentum a, rhoncus a, scelerisque at, nunc.
| Title | Hospital | Date Added | Provider |
|---|---|---|---|
| Medicine DC Summary | Palo Alto VA | 10/01/2006 | Stevens, R. |
| Medicine H&P | Palo Alto VA | 09/30/2006 | Smith, J. |
Lorem ipsum dolor sit amet, consectetuer adipiscing elit. Mauris blandit. Maecenas lorem eros, sollicitudin accumsan, congue quis, sollicitudin vel, elit. Phasellus feugiat, neque a sagittis venenatis, velit nibh sagittis urna, at nonummy diam turpis et ante. Mauris non lacus. Class aptent taciti sociosqu ad litora torquent per conubia nostra, per inceptos hymenaeos. Etiam in nunc vitae tellus eleifend condimentum. Nulla quis neque eu quam viverra laoreet. Donec dictum nonummy ipsum. Donec dolor wisi, sodales vel, pulvinar in, euismod eu, turpis. Phasellus semper ligula et diam.
Duis lectus mauris, vehicula sit amet, nonummy nec, adipiscing ut, orci. Etiam placerat eros sed risus. Maecenas felis tortor, ullamcorper eget, adipiscing eget, aliquet vitae, wisi. Vestibulum iaculis volutpat orci. Praesent urna justo, luctus at, congue vel, convallis vel, velit. Nullam eget sapien non velit viverra imperdiet. Quisque sodales risus eget erat. Vivamus adipiscing, pede id aliquet tristique, urna ligula tincidunt eros, et mollis tortor ante eu mi. Curabitur vel leo. Suspendisse quis felis ac mi mattis tincidunt. Sed enim pede, dapibus eget, mollis eget, placerat ac, elit.
| Lab | Date | Status | Priority | Provider |
|---|---|---|---|---|
| CBC | 01/06/2006 | Complete | STAT | Watts, J. |
| Chem8 | 01/06/2006 | Ordered, Not Received | Normal | Watts, J. |
| LFT | 01/06/2006 | Complete | Normal | Watts, J. |
| Cardiac Enzymes | 01/06/2006 | Received, Processing | Normal | Watts, J. |
We are having issues with our CBC machine, non-STAT CBCs will be slower today.
Greater than 3 hours on a STAT lab? Please call us.
| Lab | Result | Normal Range | Notes? |
|---|---|---|---|
White Blood Count close |
800 | 18-45 | Diff done automatically if abnormal. |
Hematocrit close |
400 | 18-45 | No |
Hemoglobin close |
1.0 | 0.5-1.2 | Yes |
Platelets close |
44 | 23-125 | No |
| Lab | Result | Normal Range | Notes? |
|---|---|---|---|
| Sodium | 800 | 18-45 | No |
| Potassium | 400 | 18-45 | No |
| Chloride | 1.0 | 0.5-1.2 | Yes |
| Serum CO2 | 44 | 23-125 | No |
| Blood Urea Nitrogen | 1.0 | 0.5-1.2 | Yes |
| Creatinine | 44 | 23-125 | No |
| Glucose | 1.0 | 0.5-1.2 | Yes |
| Calcium | 44 | 23-125 | No |
| Lab | Result | Normal Range | Notes? |
|---|---|---|---|
| AST | 800 | 18-45 | No |
| ALT | 400 | 18-45 | No |
| Total Bilirubin | 1.0 | 0.5-1.2 | Yes |
| Alkaline Phosphatase | 44 | 23-125 | No |
| Lab | Result | Normal Range | Notes? |
|---|---|---|---|
| Myoglobin | Pending | 18-45 | No |
| Troponin | Pending | 18-45 | No |
| Creatine Kinase | Pending | 0.5-1.2 | Enzymes may rise as late as 6 hours after chest pain. |
209 Swain Way
Palo Alto, CA 94122
650-204-2141
Congestive Heart Failure
CAD
MI 1992
HTN
COPD
Tobacco Abuse
Diabetes Mellitus 2
| Problem | By System | Date Added | Comment |
|---|---|---|---|
| COPD U2D | Pulmonary | 03/05/2004 | On Home O2 |
| Dyslipidemia U2D | Cardiac | 10/04/2002 | Lipitor=diarrhea |
| Congestive Heart Failure U2D | Cardiac | 01/01/2002 | Poor adherence with Lasix |
| HTN U2D | Cardiac | 10/01/2001 | Usu runs in 130s/90s |
| s/p MI U2D | Cardiac | 04/06/2000 | Cathed @ Stanford |
| Diabetes Type 2 U2D | Endocrine | 11/02/1998 | A1C=9.3 |
| Tobacco Use U2D | Pulmonary | 03/05/1989 | "Trying to quit"; 60 PYs |
| Title | Department | Date Added | Provider |
|---|---|---|---|
| Operative Report - Cholecystectomy | Surgery | 11/22/2002 | Wren, S. |
| EKG | Cardiology | 08/03/2001 | Lee, H. |
| EKG | Cardiology | 08/02/2001 | Lee, H. |
| EKG | Cardiology | 08/01/2001 | Lee, H. |
Lorem ipsum dolor sit amet, consectetuer adipiscing elit. Mauris blandit. Maecenas lorem eros, sollicitudin accumsan, congue quis, sollicitudin vel, elit. Phasellus feugiat, neque a sagittis venenatis, velit nibh sagittis urna, at nonummy diam turpis et ante. Mauris non lacus. Class aptent taciti sociosqu ad litora torquent per conubia nostra, per inceptos hymenaeos. Etiam in nunc vitae tellus eleifend condimentum. Nulla quis neque eu quam viverra laoreet. Donec dictum nonummy ipsum. Donec dolor wisi, sodales vel, pulvinar in, euismod eu, turpis. Phasellus semper ligula et diam.
View the EKG Duis lectus mauris, vehicula sit amet, nonummy nec, adipiscing ut, orci. Etiam placerat eros sed risus. Maecenas felis tortor, ullamcorper eget, adipiscing eget, aliquet vitae, wisi. Vestibulum iaculis volutpat orci. Praesent urna justo, luctus at, congue vel, convallis vel, velit. Nullam eget sapien non velit viverra imperdiet. Quisque sodales risus eget erat. Vivamus adipiscing, pede id aliquet tristique, urna ligula tincidunt eros, et mollis tortor ante eu mi. Curabitur vel leo. Suspendisse quis felis ac mi mattis tincidunt. Sed enim pede, dapibus eget, mollis eget, placerat ac, elit.
View the EKG Suspendisse blandit dolor eget sapien. Nunc lacinia semper justo. Suspendisse nec felis ac tellus aliquet dictum. In tortor tellus, auctor ac, luctus vel, interdum nec, nisl. Ut ut justo a nulla fringilla rhoncus. Aenean ac ligula. Morbi aliquam mauris et ipsum. Integer sapien ligula, tempor eu, tristique nec, condimentum vel, wisi. Fusce sed urna. Pellentesque habitant morbi tristique senectus et netus et malesuada fames ac turpis egestas. Nunc at turpis eget wisi imperdiet posuere. Nullam iaculis sem et purus iaculis elementum. Fusce ullamcorper tristique nulla. Nullam vitae magna. Maecenas quis enim sed quam congue elementum. Class aptent taciti sociosqu ad litora torquent per conubia nostra, per inceptos hymenaeos. Nam vulputate, lectus id facilisis vulputate, arcu felis nonummy wisi, et pretium massa enim eu mauris. Morbi ut purus. Nam venenatis metus vitae lorem.
View the EKG Etiam tempor, felis vitae condimentum aliquet, nunc felis suscipit tellus, vel lobortis ante nisl sed quam. Curabitur placerat metus vel ligula. Pellentesque habitant morbi tristique senectus et netus et malesuada fames ac turpis egestas. Aliquam fringilla. Pellentesque gravida, felis id aliquet nonummy, justo turpis dignissim dolor, ac sodales justo felis eget felis. Suspendisse quis ligula. Vestibulum pretium ante sed sapien. Aliquam suscipit aliquam nulla. Proin sed nunc adipiscing magna tempor tristique. Curabitur ut eros. Nullam mollis nisl nec lorem semper pharetra. Duis vulputate magna a lorem. Praesent ante. Nullam sit amet lectus. Maecenas nisl wisi, condimentum a, rhoncus a, scelerisque at, nunc.
| Generic (Brand) Name | Dosage | Route | Frequency | Indication | Date Prescribed | Last Filled |
|---|---|---|---|---|---|---|
| Furosemide (Lasix) | 100mg | PO | BID | CHF | 10/05/2001 | 10/06/2001 |
| Lisinopril (Prinivil) | 25mg | PO | QDay | HTN | 10/05/2001 | 10/06/2001 |
| Generic (Brand) Name | Dosage | Route | Frequency | Indication | Date Prescribed | Last Filled |
|---|---|---|---|---|---|---|
| Echinacea | 100mg | PO | BID | Colds | 10/02/2003 | 10/06/2001 |
| Saw Palmetto | 25mg | PO | QDay | BPH | 10/05/2001 | 10/06/2001 |
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