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Patient Name: Henry Wilson ID No: 390086-241 Date of Exam: 3-20-2013 Chief Compl

ID: 3482131 • Letter: P

Question

Patient Name: Henry Wilson ID No: 390086-241 Date of Exam: 3-20-2013 Chief Complaint: 58-year-old man complains of midsternal chest pain radiating to both shoulders. History: Patient has a unremarkable history. Family History: His father died of an MI at age 81. Mother is age 82 with a history of HTN and hypercholesterolemia Physical Exam: BP 158/96, P 100, height 6'0", weight 224 pounds. Neck: no carotid bruits or JVD. Lungs clear to auscultation bilaterally. Extremities: no clubbing, clots, cyanosis, or edema. Diagnostic Studies: EKG is normal. Echocardiogram is normal. Cardiac enzymes are WNL. Cholesterol is 250. Thallium stress test showed chest pain with exertion. Cardiac catheterization showed blockage in three main coronary arteries. Diagnosis: 1. Hypercholesterolemia; 2. CAD; 3. Angina pectoris Plan: Schedule patient for CABG in the A.M. Need stat lipids, CBC, chemistries, and CXR. Answer the following questions: 1. Term for the disease involving the arteries that supply blood to the heart muscle: 2. Term for the record (imaging) of the heart using sound waves: 3. Term for a heart attack: 4. What does the abbreviation HTN indicate about the patient? 5. What does the term "hypercholesterolemia" indicate?

Explanation / Answer

PATIENT NAME –HENNY WLLSON

Question 1 . Term the disease involve the arteries that supply blood to the heart muscle

Answer Coronary heart disease (CHD), also called coronary artery disease,

Question 2 .Term for record of heart using sound wave

Answer   Echocardiogram

Question 3 Term for heart attack

Answer   Myocardial infarction, the medical term for heart attack

Question 4 Abbreviation of HTN

Answer HTN term means hypertension

Question 5 What is term for Hypercholesterolemia indicate.

Hypercholesterolemia, also called high cholesterol, is the presence of high levels of cholesterol in the blood. It is a form of high blood lipids and hyperlipoproteinemia (elevated levels of lipoproteins in the blood).

PATIENT NAME-GARY RUSH

Question 1 Creation of an artificial opening using a portion of last section of the small intestine.

Answer is (cecum first part of large intestine) .The ileum is the third and final part of the small intestine. It is separated from the ileum by the ileocecal valve (ICV)

Question 2 Viewing the inside of the large intestine with a fiber optic camera.

Answer   A hard mass is seen in distal rectum .

Question 3 what does term hematochezia indicate.

Answer Bright red blood in the stool, usually from the lower gastrointestinal tract -- the colon or rectum -- or from hemorrhoids.

Question 4 Removal of small organ that project off the first portion of the colon.

Answer Appendix