Consultation Report

CONSULTATION REPORT patient surname: Huy Chong File Number: 106-23-1025 harp Number: 707 Consultation period: January 19, 2009 Requesting Physician: Richard T. Dendrite, MD This 31-year-old male of Asian descent with a report of high blood pressure and migraines who was admitted on January 16, 2009 with a change in virtuous status and was found to think a subarachnoid hemorrhage. He had a clipping of an aneurism on January 7, 2009. Since the clipping his neurological and psychological status has been slowly worsening. He began to show evidence of vasospasm and a repeat CT phonograph record showed increased cerebral dropsy and evidence of an infarction. Today his kind status worsened unconstipated more and he was intubated. We nu happen number 18 asked to countenance with ventilator support. PAST checkup news report: unprecedented for hypertension and migraines, no other history is known. SOCIAL HISTORY: probatory for being a smoker. corp oral examination EXAMINATION: On test he was sedated on a ventilator. His vital signs be enduring. He is afebrile. HEENT exam is remarkable for having an oral endotracheal tube. There are no significant secretions from the endotracheal tube. His neck is supple. His lungs are clear bilaterally. His sum has a regular aim and rhythms without murmurs, rubs, or gallops. Abdomen is dim and non-tender. No abdominal distension or hepatosplenomegaly.

Extremities are without clubbing, cyanosis, or edema. latest ventilator settings are service/control sit rate of 10, title volume 600 cc, and atomic number 8 at 40%. arterial blood gas is a ph of 7.46, a PC02 of 35, and a PO2 of 179. His chest x-ray was reviewed and demonstrates clear lung fields with a principle cardiac silhouette. IMPRESSION: 1. Subarachnoid hemorrhage. 2. position post aneurism clipping. 3. primal nervous system infarct and edema. Continued CONSULTATION REPORT Patient account: Huy Chong File Number: 106-23-1025 page 2 The patient is currently stable from a respiratory standpoint. We entrust need to deliver him...If you regard to get a undecomposed essay, order it on our website: Orderessay

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