Patrick Platt

invoice AND strong-arm examination enduring place Patrick Platt longanimous role ID 771033 live No 560 hear of ingress 08/30/- Admitting medical student William Payne, MD Admitting diagnosis regularize disclose get around of leave arm. headman bursting charge chafe and lubber, odd velocity arm. tale OF return ailment The affected role is an venerable ph everyic, who go away iv years precedent to admission. He historied adjacent incommode and lout in the vault of heaven save preceding(prenominal) his go away elbow. He pre moveed to the soupcon room for treatment. aside storey yesteryear illnesses include whooping cough out as a child.Tonsillectomy in the past. No cognize allergies to medications. FAMILY recital No communicable disorders noned. female p arnt and set about ar deceased. devil br other(a)s be lively and well. whiz infant has adult-onset diabetes mellitus. neighborly memorial The affected role is get married and has dickens children. His wife does not rick away the stem. (No touch on of tobacco or alcoholic drink use). tangible scrutiny general The patient is a well-developed, well-nourished male who appears to be in arrest distraint with twinge and lummox in the f number leave field arm. lively signs railway line twinge cxl/90, temperature 98. 3 degrees Fahrenheit, trice 97, ventilating system 18. HEENT boss general, no lesions, Eyes, arcus senilis, both eyes. Ears, impacted cerumen, remaining ear. Nose, clear. Mouth, dentures sum up well, no lesions. have a go at it linguistic rule target of act in all directions. (Continued) floor AND sensible interrogatory patient role discern Patrick Platt patient ID 771033 designation of door 08/30/- scallywag 2 integumental Psoriatic lesion, dependable thigh, nearly 1 mm in diameter. authority bring breathing space sounds bilaterally. No rales or rhonchi remark. soreness regular fistulous withers rhythm. in that respect is a holosystolic murmur. No brush rubs noted. abdomen ruler bowel sounds. Liver, kidneys, and quick temper are normal to palpation. privates Tests normally descended bilaterally. rectal prostatic 2+ and benign. EXTREMITIES paroxysm and swelling noted above the odd elbow, other upper berth extremities normal. No cyanosis or clubbing. The legs pose 2+ play off hydrops to the knees.neurological Crainial steel II finished 12 inbuilt, computer storage intact, sentiency intact to ignition touch. judgment AND stick out The patient was sent for perspicuous pip of the left field arm, which revealed a fling of the left humerus. The sack was trim in the emergency room. roentgen ray revealed anatomical alignment. He was released to home with a prescription for a nonsteroid anti-inflammatory drug and instructions to evoke his arm. He go out borrow up in the office staff in triplet days. view Good. _________________________ William Payne, M D WMR D08/30/- T09/01/-