Docs/Rogers.txt

General: Subjective:
Pamela Rogers is a 56-year-old female who presents to the Emergency Department with chest pain. She reports that the pain began one week ago with an abrupt onset of dull, aching pain in the left para-sternal area that radiated up to her neck. She has had two additional episodes of similar pain since the initial episode, one while walking her dog and one that awoke her from sleep. She has not attempted any specific measures to relieve her pain other than rest. She has no associated symptoms during these episodes, including dizziness or palpitations. She becomes short of breath during the episodes but describes no other exertional dyspnea, orthopnea, or paroxysmal nocturnal dyspnea.

Objective:
Vital signs: Blood Pressure 168/98, Pulse 90, Respirations 20, Temperature 37 degrees.
General: Ms. Rogers appears alert, oriented and cooperative.
Skin: Normal in appearance, texture, and temperature.
HEENT: Scalp normal. Pupils equally round, 4 mm, reactive to light and accommodation, sclera and conjunctiva normal. Fundoscopic examination reveals normal vessels without hemorrhage. Tympanic membranes and external auditory

General: 
Subjective:
Ms. Rogers is a 56 y/o WF who presents with chest pain for the last week. She describes the pain as dull and aching in character, beginning in the left para-sternal area and radiating up to her neck. She has had three episodes of pain, the first occurring one week ago while working in her garden, the second three days ago while walking her dog, and the third this evening while asleep. The pain has lasted 5-10 minutes and resolves with rest. She has no associated symptoms during these episodes, including dizziness or palpitations. She becomes short of breath during the episodes but has no other exertional dyspnea, orthopnea, or paroxysmal nocturnal dyspnea. She has no history of heart problems, chest pains, claudication, or cancer. She does not smoke nor does she have diabetes. She was diagnosed with hypertension 3 years ago and had a TAH with BSO 6 years ago. She is not on hormone replacement therapy. There is a family history of premature CAD. She does not know her cholesterol level. She occasionally takes OTC ibuprofen for headache. She has an allergy to penicillin, which caused a rash and

General: 
Subjective:
Ms. Rogers is a 56 y/o WF who presents with chest pain for the last week. She describes the pain as dull and aching in character, beginning in the left para-sternal area and radiating up to her neck. She has had three episodes of pain, the first occurring one week ago while working in her garden, the second three days ago while walking her dog, and the third this evening while asleep. She has not attempted any specific measures to relieve her pain other than rest. She has no associated symptoms during these episodes, including dizziness or palpitations. She becomes short of breath during the episodes but describes no other exertional dyspnea, orthopnea, or paroxysmal nocturnal dyspnea.

Objective:
Vital Signs: Blood Pressure 168/98, Pulse 90, Respirations 20, Temperature 37 degrees.
General: Ms. Rogers appears alert, oriented and cooperative.
Skin: Normal in appearance, texture, and temperature.
HEENT: Scalp normal. Pupils equally round, 4 mm, reactive to light and accommodation, sclera and conjunctiva normal. Fundoscopic examination reveals normal vessels without hemorrhage. Tymp