Medical Recorda

Medical Record four. 3 page 104

1 . How older is Mr. Marsi?


2 . Exactly where was the treatment rendered?

Does not say

several. List the three elements of the patient's problem

Dizziness to get 3 weeks, Head aches for 5-6 weeks, and numbness in left leg and palm

4. In your own words and phrases, not applying medical terminology, briefly sum it up Mr. Marsi's history:

51 year old male who has serious health problems

your five. Which of the following is not mentioned at all in this history? (Circle your response choice. ) a. the prescription medication Mister. Marsi takes

b. Mister. Marsi's smoking cigarettes habit

c. Mr. Marsi's activity level at work

deb. Mr. Marsi's consumption of alcohol

six. Dr . Spaulding and Mister. Marsi talked at size about Mister. Marsi's symptoms and how they have already changed just lately, and then Doctor Spaulding evaluated him. List three goal findings the girl noted in this examination. (Any three from the following are acceptable. )

BP150/100, Big t 98. 7 and G 76

several. Dr . Spaulding's assessment is that he has ________Hypertension_____________________. Yet she

also wants to make sure Mister. Marsi will not have ____Congestive heart failure______________


8. Dr . Spaulding's plan for treatment involves several areas. List the specific plan(s) for each of these.

Diagnostic assessments ordered:

Upper body x –ray, Electrocardiogram

Instruct patient to improve (and how) three personal habits:

Reduce smoking, Lower fat and cholesterol in diet

Increase workout to 3 occasions a week intended for 20-30 minutes

Drug recommended (and simply how much and when):

Procardia XL 30 mg my oral cavity daily

Future diagnostic verify and/or action to take:

Recheck Blood pressure

9. When exactly is Dr . Spaulding expecting to see Mr. Marsi again?

In a week



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