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主な苦情:

40 year old male patient presents to clinic with complaint of stroke/CVA and chest pain. Patient also complains of a sore throat.

Clinical Trial ELIGIBLE

バイタルサイン:

血圧:

117 / 79 mm Hg

心拍数:

74 BPM

高さ: 

67 inches

重さ

154 lbs

呼吸数:

9 /min

温度:

99.3 degrees F

アレルギー:

ALLERGEN: Penicillin --> REACTION: Hives
ALLERGEN: Cat fur --> REACTION: Wheezing
ALLERGEN: Eggs --> REACTION: Wheezing

ソーシャル Hx:

Smoking History - Prior history of smoking, quit 7 years ago. Smoked 3 packs per day.

Alcohol Use - Social alcohol intake only

Illicit Drugs - Prior IVDA, quit 10 years ago. Denies needle sharing.

Marital Status - Married

身体検査:

General: Patient comfortable.

HEENT: WNL.

Chest: Mild end-expiratory wheezes.

Abdomen: LLQ point tenderness, diminished bowel sounds.

Extremities: Poor capillary refill, RLE 1+ DP, faint PT.

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