Wells, Phyllis H&P
Patient ID: 3487122
Admission Date: 2/13/XX
DOB: 8/20/XX
Chief Complaint: SOB, Coughing
History of Present Illness: Ms. Wells is a 52 year old female who presented to the ER with 105 degree temperature, SOB and Productive cough. She was admitted to medical-surgical unit.
Medical History: HTN, hypercholesterolemia
Medications: Dyazide, Lipitor, Colace
Allergies: Morphine, Erythromycin
Social History: She does not drink and smokes 1 pack/week
Family History: Married with 2 children. Father died of MI.
Physical Examination:
General: This is a overweight female who is alert and oriented x 3
Diet: Reg Diet
Vital Signs: Blood Pressure 110/88, heart rate 88, Respiration 26, Temperature 105.2°F
HEENT: Clear
Lymph: Unremarkable
Neck: No goiter, no jugular venous distention
Chest: Crackles
Heart: Regular rate and rhythm, no murmur, rub or gallop
Abdomen: Soft and nontender
Genitourinary: nontender
Rectal: Unremarkable.
Skin: pink, moist mucous membranes. Skin turgor within normal limits.
Laboratory and X-ray Data: sodium 140, Potassium 3.8, glucose 90, BUN 15, creatinine 1.0, white count 12000, Hemoglobin 14.2, Hematocrit 45, platelets 210. CXR evidence of pneumonia.
Impression:
- Pneumonia
Plan:
- Admit for antibiotic therapy