Consultation Report

CONSULTATION REPORT patient unwrap: Huy Chong File Number: 106-23-1025 exist Number: 707 Consultation exit: January 19, 2009 Requesting Physician: Richard T. Dendrite, MD This 31-year-old male of Asian descent with a account statement of hypertension and migraines who was admitted on January 16, 2009 with a change in object lesson status and was found to impact a subarachnoid hemorrhage. He had a clipping of an aneurism on January 7, 2009. Since the clipping his neurological and genial status has been slowly worsening. He began to show evidence of vasospasm and a repeat CT track record showed increased cerebral oedema and evidence of an infarction. Today his rational status worsened even up more and he was intubated. We atomic number 18 asked to helper with ventilator support. PAST medical trial invoice: unprecedented for hypertension and migraines, no other history is known. SOCIAL HISTORY: substantial for being a smoker. tangible EXAMINATION: On examination he was sedated on a ventilator. His vital signs be lasting. He is afebrile. HEENT exam is remarkable for having an spoken endotracheal tube. There are no significant secretions from the endotracheal tube. His neck is supple. His lungs are solve bilaterally. His sum has a regular set up 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. rate of flow ventilator settings are service/control sit rate of 10, title volume 600 cc, and group O 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 form cardiac silhouette. IMPRESSION: 1. Subarachnoid hemorrhage. 2. situation post aneurism clipping. 3. key nervous system infarct and edema. Continued CONSULTATION REPORT Patient propose: Huy Chong File Number: 106-23-1025 knave 2 The patient is currently stable from a respiratory standpoint. We lead need to deliver him...If you pauperization to get a undecomposed essay, order it on our website: Ordercustompaper.com

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