ER-Conferene Group H Garcia, Geronimo, Go, Gozun, Hilario, Innocentes, Jose, Lazo.
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Transcript of ER-Conferene Group H Garcia, Geronimo, Go, Gozun, Hilario, Innocentes, Jose, Lazo.
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ER-Conferene
Group HGarcia, Geronimo, Go, Gozun, Hilario,
Innocentes, Jose, Lazo
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CC: Masakit ang Dibdib (Chest Pain)
• SL• 77/F• Widow• Tondo, Manila
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Physical Exam
• BP: 130/90• PR: 118• RR: 28• Temp: 36.0
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• Conscious, coherent• Warm moist pale skin• Supple neck, no cervical lymphadenopathies• Pale palpebral conjunctiva, anicteric sclera• Symmetrical chest expansion, (+) crackles on left
lung field• Adynamic precordium, AB 6th LICS MCL ,
irregularly irregular rhythm, (-) murmur• Non tender, no mass• (+) Bipedal edema
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Ancillaries
BUN 15.22 mg/dL 9-23
Creatinine 1.73 mg/dL 0.5-1.2
SGPT 79.37 u/L 0-31
Troponin I 6.23 ng/mL 0-0.05
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Prothrombine time 23.00 10.3-14.1 secs.
Normal control 12.6
Prothrombine ratio 1.9
INR 1.9
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Hgb 101 g/L 120 – 170
RBC 3.27 x 1012/L 4.0 – 6.0
Hct 0.31 0.37 – 0.54
MCV 94.9U3 87 ± 5
MCH 30.90 pg 29 ± 2
MCHC 32.50 g/dL 34 ± 2
RDW 14.80 11.6 – 14.6
MPV 7.40 fL 7.4 – 10.4
Platelet 279 x 109 / L 150 – 450
WBC 6. 90x 109 / L 4.50 – 10.0
Segmenters 0.72 Lymphocytes 0.28
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ER stay
• Isodril 5mg 3x• Aspirin 925 mg• Clopidogrel 75 mg/ tab• Atorvastatin 80 mg• Esomeprazole 40 mg/IV
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• Adivise for Coronary Angigraphy• Patient advise ICU admission
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• Impression:ASHD, HCND, CAD, NSTEMI I lateral wall LVH, AS,
……