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Mechanical Complications of MI

Temple University/Conemaugh Memorial Hospital MI VG 2000. HPI. Male Pt 77yrs without prior history of heart diseasePresented to ER C/O SOB for one day which became progressive and on presentation to ER he required intubation. Temple University/Conemaugh Memorial Hospital

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Mechanical Complications of MI

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    1. Temple University/Conemaugh Memorial Hospital MI VG 2000 Mechanical Complications of MI Victor Ghaborial, MD Temple University Morning Report 1/20/00

    2. Temple University/Conemaugh Memorial Hospital MI VG 2000 HPI Male Pt 77yrs without prior history of heart disease Presented to ER C/O SOB for one day which became progressive and on presentation to ER he required intubation

    3. Temple University/Conemaugh Memorial Hospital MI VG 2000 History Emphysema, on OTC Primatene Rt Knee surgery No DM, HTN or CA MEDS: Primatene Social Hx: Smoker

    4. Temple University/Conemaugh Memorial Hospital MI VG 2000 Physical Exam B/P 90/70 Pulse 115 Diaphoretic, intubated HEENT: unremarkable Neck: supple, no JVD Ht: RRR S1S2 audible, no murmurs or gallops Lungs: CTAs (anteriorly and laterally) Abdomen: Soft, non tender without organomegally Ex: No edema +PP Neuro: No apparent focal deficits

    5. Temple University/Conemaugh Memorial Hospital MI VG 2000 Labs TCPK CKMB CKI Troponin I 307 35.5 11.6 28.7 HGB HCT WBCs Plat MCV 13.6 43 4.56 334 94 Gluc Cr BUN Na K Cl CO2 152 2.0 18 129 5.0 100 19 ABGs: 7.12/61/385/99.9 IMV,100%,750,12

    6. Temple University/Conemaugh Memorial Hospital MI VG 2000

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