ER-Conferene

Group HGarcia, Geronimo, Go, Gozun, Hilario,

Innocentes, Jose, Lazo

CC: Masakit ang Dibdib (Chest Pain)

• SL• 77/F• Widow• Tondo, Manila

Physical Exam

• BP: 130/90• PR: 118• RR: 28• Temp: 36.0

• Conscious, coherent• Warm moist pale skin• Supple neck, no cervical lymphadenopathies• Pale palpebral conjunctiva, anicteric sclera• Symmetrical chest expansion, (+) crackles on left

lung field• Adynamic precordium, AB 6th LICS MCL ,

irregularly irregular rhythm, (-) murmur• Non tender, no mass• (+) Bipedal edema

Ancillaries

BUN 15.22 mg/dL 9-23

Creatinine 1.73 mg/dL 0.5-1.2

SGPT 79.37 u/L 0-31

Troponin I 6.23 ng/mL 0-0.05

Prothrombine time 23.00 10.3-14.1 secs.

Normal control 12.6

Prothrombine ratio 1.9

INR 1.9

Hgb 101 g/L 120 – 170

RBC 3.27 x 1012/L 4.0 – 6.0

Hct 0.31 0.37 – 0.54

MCV 94.9U3 87 ± 5

MCH 30.90 pg 29 ± 2

MCHC 32.50 g/dL 34 ± 2

RDW 14.80 11.6 – 14.6

MPV 7.40 fL 7.4 – 10.4

Platelet 279 x 109 / L 150 – 450

WBC 6. 90x 109 / L 4.50 – 10.0

Segmenters 0.72 Lymphocytes 0.28

ER stay

• Isodril 5mg 3x• Aspirin 925 mg• Clopidogrel 75 mg/ tab• Atorvastatin 80 mg• Esomeprazole 40 mg/IV

• Adivise for Coronary Angigraphy• Patient advise ICU admission

• Impression:ASHD, HCND, CAD, NSTEMI I lateral wall LVH, AS,

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