حمدي
ثابت61 y ex smoker 5y
COPD,IPF
,COREPULMONALE, IHD, CLD,DM
O/E
Bp 130/90 pulse 90
reg, cyanosis ,BMI 73/(1.6)2 =28.5
Ul: clubbing, palmar
erythema
LL: bil below knee
oedema
Chest :HVB, scattered
sibilant rhonchi, medium size crepitation
Abd: rt hypochondrial
tenderness
Cardiac: TR
Neuro:nad
MMSE 29/30 GDS 10/15
ADL independeni IADL independent except transportation
فاروق
حسن70y no special habit
Multiple hepatic focal
lesion , asthmatic bronchitis, bil knee OA., gastritis, piles
O/E
Bp 130/90 pulse 90 reg
BMI 24.2
LL bil LL oedema above
knee
Abd; rt hypoch
tewnderness
Lt lobe of liver 4cm
below costal margin firm in consistency nodular surface
Chest: decrease air
entry bilat
MMSE 24/30 GDS 2/15
ADL &IADL INDEPENDENT
نجاة
جاد الرب
No sp habit of medical
importance
C/O bilat LL swelling
10 d b4 admission gradual onset progressive course
Past hist:
BA 20 y on irreg use
of bronchodilators &inhaler efrequent exacerbation
Pt is on domiciliary
O2
IHD 1y by sympt on
effox, dinitra and aspocid
Rt sided heart failure
5y by sympt confirmed by echo
Gastritis 5y on
antacid
Chronic constipation
5y pt was bowel habit once per day now every 3 d on laxatives
Epigastric hernial
repair 5y by G.A no complications
Osteopenia 3m by dexa
O/e pt is conscious
Central cyanosis ,
congested neck v BMI 96/(1.5)2
Bil LL hard pitting
oedema up to ant abd wall
Chest bilat. Medium
sized crepitation
Abd tender rt
hypochondrial , rt liver lobe hand breath below costal margin, supra umbilical
scar of previous hernial repair
منصور
احمد 70 y
C/o cough and
expectoration 1w before admission of acute onset progressive course
Past history
CLD 5y and multiple
hepatic focal lesion 3m
DM 3y on no ttt
HTN 1y 0n n0 ttt
Prostatism 1y ago by
sympt
Chronic constipation
2y on laxatives
MMSE 29/30 GDS8/15 ADL
AND IADL INDEPENDENT
O/E
Pt is conscious
Bp 120/60 pulse 70 reg
LL bil LLsoft pitting
oedema
Abd no organomegaly ,
tense ascites
Neuro glove and
stoking hypothesia
سعيد
عبد النبي
Ex smoker cigarette
and shisha 20 y ago
C/O SOB 1week ago
Diagnosis : COPD ,IPF,
TYPE II RF .,CORE PULMONALE, IHD, OA , OSTEOPOROSIS ,RENAL IMPAIREMENT
O/E
PT IS conscious
Cyanosed , orthopnic
UL; fine tremors
LL: bil LL oedema hard
pitting above knee
Chest: barrel chest, HVB,
lethary crepitation
Cardiac: apex shifted
outward and distant heart sounds
Abd epigastric pulsations from rt ventricule
فرحانة
حسين
No sp habit
C/O DLCO acute
progressive and vomiting of coffee ground emesis
Diagnosis: DM(
DIABETIC RETINOPATHY – AMPUTATION OF LT 4TH AND 5TH TOE)
HTN-OA-STONE PASSER
MMSE 27/30 GDS 8/15
ADL AND IADL DEPENDANT
O/E
Pt is conscious
Bp 110/70 pulse 94
LL bilat ll oedema
soft pitting below knee
Cardiac: MR
Neuro high glove and
stoking hypothesia
سعد
الله
C/O SOB 1month ago
gradual progressive
No past history
MMSE 29/30 GDS 1/15
ADL AND IADL INDEPENDENT
O/E
PT IS CONSCIOUS
Bp 170/100 pulse 100
rg
UL water hammer pulse
Chest increase
anteroposterior diameter HVB
Neuro: bilat flexor
planter, elicited rt biceps
سعاد
عوض
No sp habit
C/O SOB grdual
progressive
Past history:
recurrent normocytic anemia for investigation, asthmatic bronchitis, renal
impairement, pancreatic mass for investigation
O/E
Pt is conscious
Bp 130/60 pulse 85
Severe pallor ,
orthopnic
LL mild hard pitting
oedema below knee
Chest: barrel chest,
HVB, scattered sibilant and sonorous rhonchi, upper border liver 6th
Cardiac: parasternal
pulsations, TR
فوزية
سالم
No sp habit
C/O lt LL pain 1week
duration gradual progressive
Past hist
HTN on alcapress
IHD 1y on nitromac
AF 1month pt took
mareevan and stopped dt nasal bleeding
Hemorrhoidectomy 2oy
renal impairement by lab no ttt
Rt cataract extraction
LL ischemia 2y ago and
pt took marrevan for 1y
MMSE 27/30 GDS 5/15
ADL AND IADL INDEPENDANT
O/E
Pt is conscious
Bp 120//70 pulse 60
apical and 55 peripheral
UL ecchymotic patches
LLperipheral
pulsations felt hardly
Cardiac irreg s1 and
s2 pansystolic murmur
Chest HVB
Abd: infra umbilical
mass firm to hard 1o* 8 cm dull to percussion
محمود
احمد درويش
Ex smoker 3y ago
C/O DLCO hrs b4
admission
Diagnosis CVS, DM, HTN
ASTHMATIC BRONCHITIS
O/E
Pt is conscious
Bp 140/80 pulse 88 reg
Chest HVB occasional
sonorous rhonchi
Neuro glove and stock
hypothesia
MMSE 28/30 GDS 3/15
ADL AND IADL INDEPENDANT
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