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Substance	Reaction	Status
Penicillin	Hives	Active
Aspirin	Wheezing	Active
Codeine	Nausea	Active

The patient was admitted and started on Lovenox and nitroglycerin paste. The patient had serial cardiac enzymes and was ruled out for myocardial infarction. The patient underwent a dual isotope stress test. There was no evidence of reversible ischemia on the Cardiolite scan. The patient has been ambulated. The patient had a Holter monitor placed but the report is not available at this time. The patient has remained hemodynamically stable. Will discharge.

Unspecified chest pain

Medication	Instructions
Lisinopril 5 mg	1 tablet once a day
Atenolol 25 mg	1 tablet once a day

I note that this patient has been on Prednisone for adrenal insufficiency in the past. Lisinopril 5 MG Oral Tablet Prinivi Atenolol 25 MG Oral Tablet Tenormin

Planned Activity	Planned Date
Pulmonary function test	December 21, 2009

Low-fat, low-salt, cardiac diet.

Father (deceased)

Diagnosis	Age At Onset
Myocardial Infarction (cause of death)	57
Hypertension	40

Mother (alive)

Diagnosis	Age At Onset
Asthma	30

Functional Condition	Effective Dates	Condition Status
Dependence on cane	1998	Active
Memory impairment	1999	Active

Not reported by pateint.

GENERAL: Well-developed, slightly obese man.
NECK: Supple, with no jugular venous distension.
HEART: Intermittent tachycardia without murmurs or gallops.
PULMONARY: Decreased breath sounds, but no clear-cut rales or wheezes.
EXTREMITIES: Free of edema.

Laboratory Information	Chemistries and drug levels
Potasium	4.0
NA (135-145meq/l)	140

Other Tests	Results
EKG	Sinus rhythm without acute changes.

Vaccine	Date	Status
Influenza virus vaccine, IM	Nov 1999	Completed
Influenza virus vaccine, IM	Dec 1998	Completed
Pneumococcal polysaccharide vaccine, IM	Dec 1998	Completed
Tetanus and diphtheria toxoids, IM	1997	Completed

Influenza virus vaccine Influenza virus vaccine Pneumococcal polysaccharide vaccine Tetanus and diphtheria toxoids

No previous chest pain reported.

Procedure	Date
Total hip replacement, left	1998

Condition	Effective Dates	Condition Status
Asthma	1950	Active
Pneumonia	Jan 1997	Resolved
"	Mar 1999	Resolved
Myocardial Infarction	Jan 1997	Resolved

Chest Pain.

Review of systems otherwise negative.

Social History Element	Description	Effective Dates
Cigarette smoking	1 pack per day	1947 - 1972
"	None	1973 -
Alcohol consumption	None	1973 -

1 pack per day None None

Date / Time:	Nov 14, 1999	April 7, 2000
Height	177 cm	177 cm
Weight	86 kg	88 kg
Blood Pressure	132/86 mmHg	145/88 mmHg