EMERGENCY SERVICES ADMISSION REPORT Patient Name: Benjamin Engelhart Patient ID: 112592 DOB 10/5/---- AGE: 46 SEX: Male Date of Admission 11/14/---- Emergency Room Physician: Alex McClure‚ MD Admitting Diagnosis: Acute Appendicitis HISTORY OF PRESENT ILLNESS: This 46-year old gentleman with past medical history significant only for degenerative disease of the bilateral hips‚ secondary to arthritis presents to the emergency room after having had 3 days of abdominal pain. It initially
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REPORT Patient Name: Benjamin Engelhart Patient ID: 112592 DOB: 10/05/1965 AGE: 46 SEX: M Date of Admission: 11/14/2012 Date of Procedure: 11/14/2012 Admitting Physician: Bernard Kester‚ MD Surgeon: Bernard Kester‚ MD Assistant: Jason Wagner‚ PAC Circulating Nurse: Jimmy Dale Jett‚ RN Preoperative Diagnosis: Acute Appendicitis Postoperative Diagnosis: Perforated Appendicitis Operative Procedure: 1. Laparoscopic appendectomy. 2. Placement of right lower
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RADIOLOGY REPORT Patient Name: Benjamin Engelhart Patient ID: 112592 DOB: 10/05/ Age: 46 Sex: M CT Scan No: 10-790031 Ordering Physician: Alex McClure‚ MD Procedure: CT scan of abdomen and pelvis without contrast. Date of Procedure: 11/14/2012 HISTORY: RLQ pain‚ no previous studies. ABDOMEN: The lung basis appeared unremarkable. The liver‚ spleen‚ gallbladder‚ adrenals‚ kidneys and pancreas and abdominal aorta appeared unremarkable. The bowels seen on the study appeared thickened
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HISTORY AND PHYSICAL EXAMINATION OR EMERGANCY DEPARTMENT TREATMENT RECORD Patient Name : Benjamin Engelhart Patient ID : 112592 Date of Birth : 10/05/1958 Age : 46 Sex : Male Date of Admission : 11/14/2014 Emergency Room Physician : Alex McClure‚ MD Admitting Diagnosis : Acute Appendicitis. HISTORY OF PRESENT ILLNESS: This 46-year-old gentle man‚ with past medical history‚ significant only fo r degenerative disease of the bilateral hips‚ seconda ry to arthritis‚
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HISTORY AND PHYSICAL Patient Name: Patul Barua Patient ID: 135799 Room Number: CCU4 Date of Admission: 01/07/2010 Admitting Physician: Simon Williams‚ MD of Pulmonalogy Admitting Diagnosis 1: Rule out myocardial infarction 2: History of tuberculosis 3: Hemoptysis 4: Status post embolectomy Chief Complaint: Tightness in the chest‚ shortness of breath‚ fast heart rate. HISTORY OF PRESENT ILLINESS: Mr. Barua is a 42 year old gentleman from Bangladesh who presents with chest
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HISTORY AND PHYSICAL EXAMINATION Good morning this is Alex McClure‚ MD dictating PATIENT NAME: Brenda c. Seggerman PATIENT ID: 903321 Date of Admission: 3/27/2012 EMERGENCY ROOM Physical: Alex McClure. MD Admitting diagnosis: Egtopic pregnancy Chief Complain: The patient presents in the emergency this morning‚ complaining of lower abdominal pain. HISTORY OF PRESENT ILLNESS: the patient states that she has been having vaginal bleeding more like spotting over the past month
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HISTORY AND PHYSICAL - CASE 2 Patient: Benjamin Engelhart Patient ID: 112592 DOB: 10/5/1966 Age: 46 Sex: Male Date of Admission: 11/14/2012 Emergency Room Physician: Alex McClure‚ M.D. Admitting Diagnosis: Acute Appendicitis HISTORY OF PRESENT ILLNESS: This 46-year-old gentleman with past medical history significant only for degenerative disease of the bilateral hips‚ secondary to arthritis‚ presents to the emergency room after having had three days of abdominal pain
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patient states that she has been having vaginal bleeding more like spotting over the past month. She denies the chance of pregnancy; although she states that she is sexually active and using no birth control. Gynecologic History: Patient is gravida 2‚ para1‚ abortus 1. Her only child is a 15 year-old daughter who lives in Texas with her grandmother. Past Medical History: Positive for Hepatitis B Past Surgical History: Pilodinal cyst removed in the remote past. Had plastic surgery on her ears
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During my time at Hillcrest‚ I have learned a lot about myself in many ways. I saw some good outcomes of working with people and about other organizations around. Working with people that are not the same mindset as fellow social workers made it difficult but I made it through. That it self-taught me that nothing can keep me from making the best out of the situation. At Hillcrest‚ I worked hard on every task that I was given‚ either it is clean an apartment‚ take out expired food out of the
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has to move around to get comfortable when lying down but she is more comfortable lying down then in any other position. She is still working full-time but is not doing the heavy lifting at this time. She has been going to a chiropractor for the last 2 months with no pain relief. She is taking Flexeril‚ Norflex‚ Tylenol with Codeine‚ and Darvocet. All of these have failed to improve her symptoms. She had a CT scan done recently. PAST HISTORY: A cesarean section in 1990. ALLERGIES: No known drug
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