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Hypercoagulable State

HPI. Pt is 58 yrs WF admitted to Hospital C/O dysphagia, orthopnea and cyanosis.She has difficulty swallowing - more to solid foods.She has puffiness of her eye lids B/L. PMH. Metastatic Ovarian CancerEndometriosis S/P total hysterectomyS/P ileostomy. History. Meds:Prilosec - Lorazepam - Meg

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Hypercoagulable State

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    1. Hypercoagulable State Victor Ghobrial, MD Morning Report 5/30/00

    2. HPI Pt is 58 yrs WF admitted to Hospital C/O dysphagia, orthopnea and cyanosis. She has difficulty swallowing - more to solid foods. She has puffiness of her eye lids B/L

    3. PMH Metastatic Ovarian Cancer Endometriosis S/P total hysterectomy S/P ileostomy

    4. History Meds: Prilosec - Lorazepam - Megestrol - Leukine - Pro chlorpromazine Social Hx: No ETOH or Smoking

    5. Phsical Exam Temp B/P Pulse RR Pox 98.5 110/ 70 72 16 97% HEENT: Atraumatic, Puffy eyelids, Purple discoloration of face Neck: Engorged veins, no lymphadenopathy Ht: RRR S1S2 audible, no murmurs

    6. Physical Exam Lungs: CTAs B/L Abd: Soft, +ve BS, no organomegally Ex: LE edema 2+, Lt arm swelling no tenderness or erythema Neuro: AAOX 3, no focal deficits

    7. Your Thoughts ...

    8. Studies Labs: WNL CXR: CT Neck & Chest

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