Consultation Report

CONSULTATION REPORT long-suffering Name: Huy Chong File tot up: 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 lieu and was found to pretend a subarachnoid hemorrhage. He had a magazine of an aneurism on January 7, 2009. Since the clipping his neurological and mental view has been slowly worsening. He began to show testify of vasospasm and a recur CT record showed increased cerebral edema and evidence of an infarction. Today his mental status worsened even more than and he was intubated. We atomic number 18 asked to assist with breathing apparatus support. PAST MEDICAL history: unprecedented for hypertension and migraines, no other history is known. SOCIAL HISTORY: Significant for creation a smoker. PHYSICAL EXAMINATION: On examinat ionination he was sedated on a breathing device. His vital signs be stable. He is afebrile. HEENT exam is remarkable for having an oral endotracheal tube. There are no material secretions from the endotracheal tube. His neck is supple. His lungs are clear bilaterally. His sum has a perpetual rate and rhythms without murmurs, rubs, or gallops. Abdomen is dim and non-tender. No abdominal muscle distension or hepatosplenomegaly.

Extremities are without clubbing, cyanosis, or edema. Current ventilator settings are assist/control sit rate of 10, deed of conveyance volume 600 cc, and oxygen at 40%. Arterial st ock gas is a ph of 7.46, a PC02 of 35, and a! PO2 of 179. His vanity 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 head-in-the-clouds system infarct and edema. Continued CONSULTATION REPORT forbearing Name: Huy Chong File Number: 106-23-1025 Page 2 The patient is currently stable from a respiratory standpoint. We will take up to deliver him...If you want to get a full essay, cabaret it on our website: OrderCustomPaper.com

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