Weis vere ere Pea las 1.G. MEDICAL CO! signature of the Suréssee ST. te Dae ss j chief Complaints (in chronological order wtih direction): 1. Guielling tn the neck ~ d4r— eure “apparent abe in he mitts on WH ack, toe rar of tty mire, 2 ne Regempanyig pein on fever, The suibtticg hae gradual increogecl acuempengicg fain on =f toe ee oe ye Rage ign tn iat + No to Rélpid @ tn gae = pal Histoly of Present Hines: «Ne Ajo ofpenroree af re wus ebrrahene Isl Thyroid? in neck 1 cyanosis. + (-ANe Ho Discharge or ainut from the guselt iE Clubbing + [=e sib. Event rise o} ia erakwe Moon easigr? , cough = eoqecesole, eo 7. @ he iy & conbact! = a kiero TB ayeprem ov ctor’ © FL No se Buusturg tne caniby, Syephog!s, No H/o Tee, te ® Presessr wat No H/o 10, a ea. or Peay AeUn® eo ‘Temper v 6 sernie No H/o myers! a Pree ‘Blood a “No silo ANd Ho Gintlon auuslting In Che family od he onget \ ERE ye ee TSS , lo lo Pu! or pr nary “we aust c Menarche xii ‘I surged % Aer "t Me woguler , 4lae & Rme Wo Hlo Taking ATT Aten back, wshon gho NeHcsd a Mull wy WON caopeeeWP surface ard well tet! Tormral ..,. NO scary , dinuser, -Hiaks lao The punting ines © degiluien, but het on profuaien ol tongus. “Wert are re Visible pulsations. . % Patpation + Pizzi’, Lohey’y,, Crile’s No loa) rise of ‘emp. , no tendervess Betas amet: wnten: tre ONT ard ult > defined bolcter Bordert-The Jaderal borcen si dep fe SEM ths clavids, 4 rechaal 8 Kime, = Tha louin borden is Lem, above ” vw can be pal in the auprasierra) notch belbus +r 4 ~The kek of tu the teed a ok pabpa a L + No -Hity to-tho ny ma @ign & Om ve, Ne . Hagridios ¢f, Mobiuty Yn hotigorial or verH* 1 direction . v = Ne palpable Thri : v = The trachto & al dieplocect eu left kecher #Ign &S - Caroticl arien pai’ ion are usall —e & equal en both the Bier, ole Avaploced aignty beckward en niga gtdo, v ve q (Berry o sige) Pereugpien: Note over manubriom semit VE resonant” Atucultation'-No sy-stoli bruib over-te amaning & ver he Upper pou 1 a " ee No signe 4 Toye exieone ate No tres or apparent exaphthalmncs aeeroes * Tetiroy® Sgn No tremors of the oud stretched hard see ote ~The ation al ~ Rage ret “foal , \ereputar oF bounding PROVISIONAL DIAGNOSISglernii rranebrium the heed ,