Consultation Report

CONSULTATION REPORT patient Name: Huy Chong File enumerate: 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 high line pressure and migraines who was admitted on January 16, 2009 with a change in moral position and was found to pretend a subarachnoid hemorrhage. He had a cutting off of an aneurism on January 7, 2009. Since the clipping his neurological and mental precondition has been slowly worsening. He began to show render of vasospasm and a adopt CT record showed increased cerebral edema and evidence of an infarction. Today his mental status worsened even more(prenominal) and he was intubated. We atomic number 18 asked to assist with breathing device support. PAST MEDICAL history: unprecedented for hypertension and migraines, no other history is known. SOCIAL HISTORY: Significant for being a smoker. PHYSICAL EXAMINA TION: On trial runination he was sedated on a ventilator. His vital signs be stable. He is afebrile. HEENT exam is remarkable for having an oral endotracheal tube. There are no real secretions from the endotracheal tube. His neck is supple. His lungs are clear bilaterally. His sum has a first-string rate and rhythms without murmurs, rubs, or gallops. Abdomen is dim and non-tender. No ab distension or hepatosplenomegaly.

Extremities are without clubbing, cyanosis, or edema. Current ventilator settings are assist/control sit rate of 10, cognomen volume 600 cc, and oxygen at 40%. Arterial blood gas is a ph of 7.46, a PC02 of 35, and a PO2 of 179. Hi! s office 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 unquiet system infarct and edema. Continued CONSULTATION REPORT long-suffering Name: Huy Chong File Number: 106-23-1025 Page 2 The patient is currently stable from a respiratory standpoint. We will convey to deliver him...If you want to get a full essay, nine it on our website: OrderCustomPaper.com

If you want to get a full essay, visit our page: write my paper