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Good afternoon, today i will present a clinical case of neumology department


2. The medical history data were captured by the internal medical
3. In his identification
4. His name is jose juan perez ramirez
5. His age is sixteen years old
6. His ocupation is a student
7. He was born in pachuca hgo
8. His address is in actopan hgo
9. His religion catholic and his blood type is A rH positive
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The date of admission was twenty six of october twenty sixteen

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The date when history was made is twenty nine of october twenty sixteen

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I'm the dr. Who treated the pacient

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My name is alistair amador

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In the part of his family history

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He said he has two paternal uncles with diabetes mellitus type 2

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In his social history

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He said he has been healthy all his life because his diet is

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He said he had dyslipidemia and had surgery of cryptorchidism

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He said he is allergic to penicillin since his childhood

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The vital signs were signs taken by the nurse on the afternoon and these were the

results
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The physical examination was conducted by dr. Suarez navarro and found the

following
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The most importat is the chest.

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The current condition was described by patients mother, she said that

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In the complememtary exams there arent nothing anormal

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The options of clinical case are following.

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The most important is stabilize the patient and stop the bleeding

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If severe bleeding is necesary a surgery in special a thoracotomy

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