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  • Discharge Summary: No Pedal Edema

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    Monish Parmar
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    Mrs. Aasmabi Ansari, a 62-year-old female, was admitted to the hospital on June 2, 2015 with complaints of dyspnea for two days. She has a history of diabetes, hypertension, and was diagnosed with DVD, RCA, LCX, and KC. She underwent a CAG and the plan was for PTCA with stents to the RCA and LCX. Her vital signs and examinations were normal. Laboratory tests were done. She was treated with medications and advised to follow up after 5 days in the outpatient department prior to an appointment with Dr. Dhekane.

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    Mrs. Aasmabi Ansari, a 62-year-old female, was admitted to the hospital on June 2, 2015 with complaints of dyspnea for two days. She has a history of diabetes, hypertension, and was diagnosed with DVD, RCA, LCX, and KC. She underwent a CAG and the plan was for PTCA with stents to the RCA and LCX. Her vital signs and examinations were normal. Laboratory tests were done. She was treated with medications and advised to follow up after 5 days in the outpatient department prior to an appointment with Dr. Dhekane.

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    13 views3 pages

    Discharge Summary: No Pedal Edema

    Uploaded by

    Monish Parmar
    Mrs. Aasmabi Ansari, a 62-year-old female, was admitted to the hospital on June 2, 2015 with complaints of dyspnea for two days. She has a history of diabetes, hypertension, and was diagnosed with DVD, RCA, LCX, and KC. She underwent a CAG and the plan was for PTCA with stents to the RCA and LCX. Her vital signs and examinations were normal. Laboratory tests were done. She was treated with medications and advised to follow up after 5 days in the outpatient department prior to an appointment with Dr. Dhekane.

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    © All Rights Reserved
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    of 3

    DISCHARGE SUMMARY

    NAME: MRS :AASMABI ANSARI

    AGE : 62 YEAR SEX :FEMAL

    MR NO : 3959 IP NO : 1516/UNIT-I/PD-190

    DOA : 2/6/15 DOD:4/6/15

    CONSULTANT DOCTOR : Dr PANKAJ PATIL( CARDIO)

    DIAGNOSIS :DVD RCA LCX KC/O DM /HTN PLANFOR PTCA WITH STANT TO RCA AND LCX

    CHIEF COMPLAINT:DYSNEA SINCE TWO DAYS H


    PAST HISTORY :

    ON ADMISSION :
    O /E : Temp -Afebrile, BP—130/70mmHg Pulse -90/min.
    SPO2- 99% on room air RR –/18min. HGT-139 MG/DL
    NO PEDAL EDEMA

    Systemic Examination : --
    RS –AEBE,CLEAR
    CVS – S1,S2 NO MURMUR
    P/A: SOFT
    CNS : CONSCIOUS , ORIENTED.
    INVESTIGATIONS :

    HB TWBC PLT NA K CL CREAT PTINR BILI SGOT SGPT 3H


    2/6/15 13.8 8600 248 1.25

    TREATMENT GIVEN:T.CLOPITAB/T AZTOR/T PROMOLIT XL /T RAMIPRIL 2.5/ TAB PAN/ CAG DONE

    TREATMENT ADVISE:-

    T CLOPITAB A 75/150 0—1—0

    TAB.AZTOR 40MG 0—0—1

    TAB.PROLOMET XL 25 1—0---0

    TAB.RAMIPRIL 2.5 1—0—1

    TAB.PAN 40MG 1—0—0

    FOLLOW UP-AFTER 5 DAYS IN OPD PRIOR TO APPOINTMENT WITH DR.DHEKANE

    DOCTOR’S SIGNATURE

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