CaseReportforOrientationWeekendingMarch4byRasmeetChhabra

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  • 8/19/2019 CaseReportforOrientationWeekendingMarch4byRasmeetChhabra

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    Rasmeet Chhabra 2 March 2016

    ID: 11109840 Windsor U SOM

    9 !"o man #resents $ith disorientation% con&'sion and a(itation &or 2 da!s

    )*I: #atient has been com#+ainin( o& intermittent headaches% #a+#itations $ith &ee+in(s o&+i(htheadedness and &+'shed s,in &or the #ast se-era+ months. Re#orted b! the $i&e.

    Medications: meto#ro+o+ 2/ m( ID

      ome#rao+e 20 m( D

     3++er(ies: *enici++in

    *ast Medica+ ): )5% 7RD

      *atient $as hos#ita+ied &or +e&t in('ina+ re#air 201%

    nissen &'ndo#+ication 2009

     

    ami+! ): Mother )5% a+i-e

      ather CO*D% deceased

    Socia+ ): married% 2 da'(hters. Does not 'se i++icit dr'(s% tobacco #rod'cts and drin,s 2 beers

    on the $ee,ends. COns'mes a norma+ diet consistin( o& -e(etab+es and &r'its. Does not

    eercise re('+ar+!.

    Occ'#ations ): sa+es re#resentati-e &or #harmace'tica+ com#an!

    ;ita+ Si(ns: )R 110 b#m% RR 26 b#m% * 21/"12

    Re-ie$ O& S!stems:

    7enera+: a(itated and dia#horetic

    C;S: no m'rm'rs% hea-es or thri++s #resent. s1 and s2 are norma+. s and s4 are not #resent

    Res#i: no crac,+es% ra+es or $heees heard% c+ear so'nds heard bi+atera++!

    7I: no tenderness e+icited d'rin( #a+#ation% no he#atome(a+!% no s#+enome(a+!

    e'ro: disorientated% 0

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      Medication onadherence

    *+an: Ree-a+'ate Medications

      *atient d'cation