| View Detail In Patient |
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| HISTORY
:Patient is hypertensive, non-diabetic, non-smoker
and has no family history of Ischaemic Heart Disease.
He had complaint of sudden onset of left sided chest
pain on 19/09/06 for which he consulted a local
doctor who gave him digene syrup and he got relief.
He presented with complaint of **** and excessive
fatiguability on 21/09/06 morning. ECG done showed
Inferior Wall MI. He was admitted to this hospital
for stabilization and evaluation. |
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| PERSONAL
HISTORY |
|
| Diseases |
HYPERTENSION |
| |
ACUTE
INFERIOR WALL MYOCARDIAL INFARCTION |
| |
CORONARY
ARTERY DISEASE |
| Social |
Smoking
(no) |
| |
Alcohol
(nil intake) |
| |
Physical
exercise (sedentary) |
| |
Food
habit (vegetarian) |
| |
Yoga
and meditation (no) |
| |
Addictive
drugs (No) |
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|
| CLINICAL
EXAMINATION |
|
|
| A-General |
built |
mesomorphic |
| A-General |
pallor |
absent |
| A-General |
pedal
oedema |
no |
| A-General |
cyanosis |
absent |
| A-General |
clubbing |
absent |
| A-General |
lymphadenopathy |
no |
| A-General |
JVP |
not
raised |
| B-Peripheral
pulses |
all
peripheral pulses normal |
|
| C-Apex
beat |
normal
location and feel |
|
| D-Left
parasternal lift |
absent |
|
| E-Thrill |
absent |
|
| F-Palpable
P2 |
absent |
|
| G-Heart
sounds |
normal
heart |
|
|
| |
sounds |
| H-Murmurs |
no
murmurs heard |
| I-Respiratory
system |
NAD |
| J-Gastrointestinal
system- Abd |
NAD |
| K-CNS |
NAD |
| M-Musculoskeletal
system |
NAD |
|
| |
| Bilateral normal carotid
arteries. |
|
| |
| OPERATION
DONE |
OPCAB
X 2, LIMA to LAD, RSVG to OM1 through
Sternotomy on 23/09/2006 |
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| INVESTIGATION |
| TLC
|
10900
|
3800-10600 |
/cmm |
High |
| UREA |
38
|
10-50 |
mg/dl |
Normal |
| Magenisum |
1.77
|
1.7-2.6 |
mg/dl |
Normal |
| LDH |
776
|
230-460 |
U/L |
High |
| CREATININE |
1.13
|
.8-1.5 |
mg/dl |
Normal |
| BILIRUBIN(TOTAL) |
0.61
|
0-.7 |
mg/dl |
Normal |
| BILIRUBIN(DIRECT) |
0.14
|
<.2 |
mg/dl |
Normal |
| ALKALINE
PHOSPHATASE |
196 |
98-279 |
I.U/L |
Normal |
| GAMMA
GLUTAMYL TRANSFERASE |
70 |
11-64 |
U/L |
High |
| S.G.P.T |
33
|
0-40 |
I.U/L |
Normal |
| S.G.O.T |
43 |
<37 |
I.U/L |
High |
| TOTAL
PROTEIN |
6.41
|
6-8 |
gm/dl |
Normal |
| |
3.26
|
3.5-5 |
gm/dl |
Low |
| SUGAR
RANDOM |
74
|
100-130 |
mg/dl |
Low |
| URIC
ACID |
6.40
|
2-7.8 |
mg/dl |
Normal |
| SODIUM |
136
|
135-155 |
mEq/L |
Normal |
| POTASSIUM |
4.6
|
3.5-5.5 |
mEq/L |
Normal |
| CHLORIDE |
99
|
96-106 |
mEq/L |
Normal |
| HAEMOGLOBIN |
11.2 |
13-18 |
gm/dl |
Low |
|
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