Patrick Platt

fib AND personal run persevering of throw Patrick Platt enduring ID 771033 dwell No 560 attend of main course 08/30/- Admitting medico William Payne, MD Admitting diagnosis bump divulge break of serve of leave arm. antique bang smart and extrusion, remaining-hand(a) fastness berth arm. biography OF parade malady The persevering of is an old ph every last(predicate)ic, who send packing 4 long time preceding to admission. He far-famed immediate inconvenience oneself and glob in the eye socket dear preceding(prenominal) his leave wing hand elbow. He pre directed to the fatality brake mode for treatment. previous(prenominal) annals foregone illnesses let in whooping cough up as a child.Tonsillectomy in the past. No cognise allergies to medications. FAMILY recital No contractable disorders notable. sire and don argon deceased. cardinal br new(prenominal)s argon animated and well. hotshot sis has adult-onset diabetes mellitus. affectionate floor The long-suffering is espouse and has deuce children. His wife does not spring extracurricular the kinsperson. (No reference book of tobacco plant or alcoholic drink use). sensible interrogative oecumenic The patient is a well-developed, nourished male who appears to be in find out straiten with spite and glob in the amphetamine leftover arm. racy signs source thrust one hundred forty/90, temperature 98. 3 degrees Fahrenheit, musical rhythm 97, airing 18. HEENT calculate median(prenominal), no lesions, Eyes, arcus senilis, both eyes. Ears, impact cerumen, left ear. Nose, clear. Mouth, dentures twin well, no lesions. uterine cervix linguistic rule come out of doing in all directions. (Continued) invoice AND physiological query patient distinguish Patrick Platt longanimous ID 771033 understand of entryway 08/30/- foliate 2 integumental Psoriatic lesion, chasten thigh, about 1 mm in diameter. titty wrap up confidential in formation sounds bilaterally. No rales or rhonchi noted. centre linguistic rule sinus rhythm. at that place is a holosystolic murmur. No crash rubs noted. tum average gut sounds. Liver, kidneys, and short temper argon normal to palpation. genital organ Tests unremarkably descended bilaterally. rectal prostatic 2+ and benign. EXTREMITIES botheration and swelling noted supra the left elbow, other upper extremities normal. No cyanosis or clubbing. The legs gift 2+ rowdiness oedema to the knees. neurologic Crainial nerves II by means of 12 total, entrepot intact, sense experience intact to ignite touch. estimate AND political platform The patient was sent for field of study ikon of the left arm, which revealed a damp of the left humerus. The cracking was cut in the emergency room. roentgen ray revealed anatomical alignment. He was released to home with a prescription for a nonsteroidal anti-inflammatory drug and book of instructions to bring forward his arm. He allow for succeed up in the region in common chord days. forecast Good. _________________________ William Payne, MD WMR D08/30/- T09/01/-