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Brought to ED by ALS. COVID positive since 17/03; in ED this evening for dyspnea. Therapy with Cefixoral and Deltacortene per the treating physician.
Lives with the PARENTE, PARENTE hospitalized for COVID.
Bedbound for years due to sequelae of motor vehicle accident. Alert, oriented, cooperative at home.
Anamnestic su... | 46657 |
In the ED for a 2-week history of pain in the right inguinal region. No fever. No bowel movement for 4 days, passing flatus; denies nausea/vomiting. Repeat CT chest + abdomen with contrast scheduled for 31/03/2023.
PMH:
- uterine leiomyosarcomas
°° 22/9/21 total hysterectomy and salpingectomy via LPT and subsequent ch... | 1295322 |
Since awakening at approximately 06:30: asthenia, cold sweating, and mild dyspnea, with an episode of stabbing epigastric pain, non-radiating, lasting half an hour. Reports pain different from that of the previous infarction, more similar to the dyspepsia the patient suffers from. Also reports brief frontal headache "l... | 729787 |
Discharged on February 1 from this ED for acute urinary retention with urinary catheter placement. Urology visit scheduled in one week. Yesterday fever, 37.6, therefore levofloxacin started on GP's advice.
On February 1 the patient presented to the ED because of about 3 months of dysuria and sensation of incomplete vo... | 713901 |
Presents to the ED for reported constipation since 2/11. Reports passing flatus. Reports polluzione ipovalida due to pain at the dorso-lumbar level. Denies diarrhea in the preceding days; denies fever.
Reports that on 3/11 lifted a load, after which acute dorso-lumbar back pain appeared, exacerbated by dorsal flexion; ... | 1495056 |
For 15 days, productive cough with mucous, whitish sputum, and dyspnea on mild exertion.
Denies fever, dysuria/stranguria, or other signs/symptoms of an inflammatory focus. Denies angina, palpitations, or syncope.
APP:
Recent hospitalization at Internal Medicine, 8th floor, S. Giovann Bosco (04/2022) for right pleural... | 648414 |
Sent from LTCF (LUOGO) for decline in general condition and mental confusion.
From interview with facility staff: in recent days worsening of general condition; for 2 days poor PO food intake and poor PO hydration; in the last 24 hours did not eat or hydrate; mute for 2 days; no fever; no cough or dyspnea; no GI sympt... | 456616 |
Accompanied by MSAB for dyspnea and chest pain described as oppressive and burning. Symptoms worsened this evening. Dialysis scheduled for tomorrow. Reports residual diuresis at home.
PMH:
- Membranous glomerulopathy (biopsy performed) and multiple treatments with only partial response, last visit under review 7/10/20... | 1575413 |
Arrives to the ED accompanied by MSB for presumed agitation at home. Contacted by phone, the PARENTE reports that upon her arrival at the PARENTE's home she found the 118 personnel, but does not know who called for help or the reason. Reports no acute-onset symptoms in recent days. Patient hospitalized at LUOGO in Octo... | 386268 |
Reports that yesterday afternoon, while getting up from bed transitioning from sitting to standing, she was found by PARENTE, who seems to have heard a thud. Presents today for multisite pain (predominantly right wrist and right knee, also occipital region) following the fall.
PMH:
- Lives alone, assisted by PARENTE; ... | 1077935 |
patient with known cognitive decline
PARENTE contacted by phone, reports glycemic decompensation with blood glucose values above 400 mg/L over the last month
insulin per regimen: rapid-acting insulin 12+12+18, evening long-acting insulin 18 IU
today HGT 433 mg/L, administered 18 IU insulin
patient with multiple cysts a... | 1053896 |
ED visit yesterday for hemoptysis while on dual antiplatelet therapy; today returns for recurrence of hemoptysis since this morning with indication for ENT Fast-Track visit. At ENT visit no active bleeding; patient referred back to the ED for dyspnea and warm diaphoresis.
SARS-CoV-2 antigen test 31/5 negative
HPI: 06... | 236975 |
Presents to the ED after transthoracic echocardiography (TTE) (17/02) found an LV apical thrombus; additionally reports having stopped Eliquis for more than 24 h because he ran out of tablets. Complains of dyspnea on exertion, sleeps with one pillow, denies chest pain, but reports cough with yellowish sputum for about ... | 16227 |
History completed retrospectively to assist the patient.
Arrived by 118 ambulance for sudden-onset dyspnea about 1 hour ago. Pt found seated, severely dyspneic and cyanotic (SpO2 70%), hypertensive. Administered furosemide 2 ampoules, nebulization, and oxygen with reservoir.
PMH:
Lives with PARENTE, speaks little Ital... | 1263516 |
Brought to the ED by 118 called by the caregiver because around 11:00, while seated, she complained of chest pain and headache and was slower than usual; she was aphasic for about ten minutes; measured parameters: BP 113/69 mmHg, blood glucose 225.
While waiting in the ED the patient reported she could not see, but rep... | 308810 |
For about one month, episodes of diarrheal evacuations (6-7 bowel movements/day), light-colored stools (never melena/hematochezia).
Reports onset of diarrhea following a course of anti-inflammatory therapy (Dicloreum 150 mg/day for 6 days) associated with PPI.
Rifaximin prescribed by the PCP (200 mg x 3) for 6 days, wi... | 1673554 |
History recorded retrospectively to provide care to the patient:
Presents with palpitations starting at 14:00, lasting until 18:00 when 118 was called. On EMS arrival, wide-complex tachycardia with HR about 200 bpm. Remained alert and oriented, no frank chest pain. EMS administered amiodarone 300 mg with minimal slowi... | 548435 |
Presents to the ED for suspected episode of questionable absence while he was having lunch; PARENTE reports he was not very responsive and was slowed during the event and had to help him finish the meal. Denies trauma or LOC; denies chest pain or dyspnea. Denies headache, paresthesias, limb weakness, or visual disturba... | 1566850 |
In ED for episodes of vomiting last night from 23:00 to 01:00 (about 5 episodes of vomiting) associated with objective vertigo, exacerbated by head movements.
New recurrence of vomiting this morning at about 11:00 (about 7–8 episodes of vomiting), again associated with objective vertigo.
Denies abdominal pain. Denies d... | 1577251 |
In ED for epigastric–right hypochondrial–right basal chest pain, onset yesterday afternoon, never regressed, stabbing in nature. Never retrosternal chest pain nor interscapular pain (as during prior ACS).
No nausea/vomiting. Regular bowel movements.
No fever.
Nonproductive cough for a few days.
No urinary symptoms.
Adm... | 1565133 |
From 21:30 on 24/7 retrosternal chest pain with characteristics that the patient cannot clearly define, neither stabbing nor oppressive, onset at rest, after dinner, in a semi-seated position. Worsened in the supine position. Pain lasted about 5 minutes and resolved spontaneously. Currently nausea persists and sternal ... | 1376982 |
Interview with PARENTE; was walking with PARENTE; on the street after 300 meters of walking reports presyncope-syncope with LOC for a few minutes. No significant trauma because assisted to the ground.
PARENTE reports past syncopes. Reports 2/2022 ICU admission NOME_PERSONA after syncope, unclear etiology.
The patient r... | 828384 |
Brought to the ED for somnolence and desaturation.
The PARENTE reported to EMS a 2-day progressive psychophysical decline, worsened today with somnolence and puffing respirations. SpO2 measured 88–95%.
Has not eaten since yesterday.
Lower extremities exuding serous fluid.
Complete vaccination for SARS-COV-2 in March.
... | 558299 |
Presents to the ED for presyncopal sensation for 3 days. Last Thursday a presyncopal episode with fall and minimal frontal trauma.
BP measured at home, reported as normal.
Took Vertiserc on PCP recommendation, without benefit.
No fever, no pain, no dysuria, no cough, no other symptoms.
PMH
- Hypertension
- History of ... | 1340072 |
In ED for epigastric and right hypochondrial pain for one week.
Bowel movements and flatus present. Last passage yesterday.
Denies fever. Hyporexia.
No known allergies.
SARS-CoV-2 vaccination -> 4 doses
PMH:
- hypertensive heart disease
- AF on OAC + known LBBB
- CAD; in 2017 underwent coronary angiography but PTCA ... | 1579119 |
HPI
ED presentation on indication of the Primary Care Physician, for onset since yesterday of right posterior hemithorax pain, increased with deep inspiration and with palpation, associated since this morning with hoarseness. Also reports several episodes of productive cough with greenish sputum. No fever. No worsening... | 1655292 |
COVID+ since 31/03 (PCR test on 12/04 still positive). Symptomatic with cough, fever, and malaise since 30/03. Presents to the ED for worsening dyspnea and chest tightness present for about 3-4 days.
Chest pain is invariably present both with exertion and at rest, unable to complete breaths without perceiving pain, and... | 76694 |
In ED for severe left flank pain radiating anteriorly to the epigastrium and right hypochondrium, band-like.
Reports in the last 15 days episodes of stabbing pain in the left flank, short-lasting; since yesterday, more intense pain.
Body temperature not measured at home.
Has not taken any analgesic therapy.
Also report... | 746068 |
Complete language barrier
Recent ED visit for dyspnea with recent diagnosis of lung cancer
CAS visit on March 31 -> lung adenocarcinoma; at CT dfi staging evidence of bone, hepatic, splenic, and lymph node metastases. Questionable TB.
At chest CT presence of suspected tuberculous lesions.
April 7 bronchoscopy performed... | 643334 |
While in the waiting room of the oncology DH awaiting a visit, episode of LOC of about 2 minutes with subsequent gradual recovery of consciousness, followed by an episode of abundant vomiting. HGT measured, within normal limits (141), no hypotension; attempt to place in seated position with a new episode of syncope, th... | 463848 |
Presents to the ED for dyspnea with mild exertion and productive cough for two days
Denies fever and chest pain
Vaccinated with two doses for SARS-CoV-2
- Lives alone
- Active smoker
- Asthma-like COPD in former smoker
- Chronic AF on DOAC
- Dyslipidemia
- Hyperuricemia
- Depressive disorder (suicide attempt in 2018)
... | 783322 |
In ED via MSA for onset since yesterday of fever associated with mild subjective dyspnea and urinary frequency. No abdominal pain, no dysuria, no cough, nor other significant symptoms. Presence of known lower-extremity ulcers in chronic lymphedema with elephantiasis with occasional episodes of superinfection.
By EMS (1... | 1776546 |
Patient brought to ED following an episode of malaise occurring after a reported argument and concern for the PARENTE. Reports in the evening having gone to Falchera to pick up the PARENTE; subsequently, while accompanying him to the ex-PARENTE’s house, reports that the PARENTE walked away without a phone. Subsequently... | 1523854 |
Approximately three weeks ago bronchitis episode treated per the primary care physician with unspecified antibiotic therapy (10 days) + nebulized therapy with partial benefit.
After about one week, worsening of respiratory status; per the primary care physician, started a course of levofloxacin 500 mg 1 tablet daily (e... | 1434909 |
Presents to the ED, referred by Dr. NOME_PERSONA (pulmonologist), for evaluation of dyspnea for several years, for which she underwent workup showing multiple parenchymal consolidations likely inflammatory in nature.
Denies fever, cough, chest pain, diarrhea, diaphoresis.
- Recent hospitalization at LUOGO (27/1/22) fo... | 708709 |
PATIENT EVALUATED ON 06/10 - ON THAT OCCASION IT WAS DOCUMENTED:
"In the ED for persistent fever for about 10 days, onset in conjunction with injection of drugs in the inguinal site.
Since then worsening of a skin lesion (at the site of drug administration) with deepening and redness of the lesion.
Furthermore, 3 days ... | 388889 |
Also reports general malaise and epigastric pain with nausea and vomiting after the meal, currently regressed.
Also diarrhea. No subjective dyspnea at rest. No fever.
Reported discontinuation of LMWH for about 15 days as agreed with the treating Nephrologists.
PMH
- IA
- CKD
* 1991 Nephrotic syndrome in focal segment... | 1253436 |
Presents with dyspnea on exertion and at rest for several days, with progressively worsening asthenia for weeks; denies fever. Reports dark stools but is taking iron.
PMH:
appendectomy, nephrolithiasis
gastritis, HCV-related liver disease
gout, OSA
DIABETES WITH DIABETIC NEUROPATHY
1997 acute inferior MI and CABG (AMI... | 506719 |
Patient sent from the Oncology ward for ECG changes and Tn-T 62 pg/dL, where he was for removal of the elastomer with fluorouracil.
The patient reports oppressive retrosternal chest pain with onset at approximately 07:00, resolved after approximately 2 hours, non-radiating, not associated with dyspnea, cold diaphoresis... | 896923 |
Note written retrospectively for ward requirements:
HPI: Presents to the ED for fever (T 38°C) while en route to Nephrology OSGB for a dialysis session.
Lives with the PARENTE who tested positive for SARS-CoV-2 on a rapid test performed at a pharmacy today.
Reports onset of fever and mild dyspnea today. Denies anosmia... | 39763 |
Approximately 90 minutes ago onset of oppressive pain localized to the left hemithorax, non-radiating, associated with dyspnea.
On EMS arrival, finding of hypotension, cold diaphoresis, and peripheral hypoperfusion.
Administered by PARENTE 500 mg ASA PO.
Today reported transient presyncopal episode not associated with ... | 159758 |
Accesses the ED for onset of arrhythmic palpitations at 15:30 while playing with PARENTE (able to precisely indicate the time of onset). Also reports mild precordial chest pressure and mild dyspnea with mild exertion.
Denies fever or signs/symptoms of an infectious focus.
Reports correct and consistent adherence to ho... | 1183291 |
In ED for accidental fall to the ground, witnessed by Ms. NOME_PERSONA, occurred 4 days ago at home.
Pt tripped on the balcony step while re-entering the house; subsequent fall to the ground with craniofacial trauma and R elbow trauma. No LOC. No N/V after the trauma. Reports headache after the trauma. Also reports sev... | 1730489 |
On 28/9 at 15:00, after getting up, episode of general malaise; subsequently went to the bathroom; episode of loss of consciousness with head trauma. Assisted by PARENTE. Duration of LOC likely a few seconds. Episode followed by sensation of heat. No palpitations, dyspnea, or chest pain. Assisted by 112; reported low B... | 1715731 |
In ED for accidental fall today with lumbar trauma
No head trauma, no abdominal trauma.
Last ED visit on 11/12/2021 for persistent low back pain. Discharged with indication to take Codamol 1 tab x 3
On 25/10/21 ED visit for accidental fall to the ground with lumbar trauma. Since then ED visits on 9/12 and 11/12 for lum... | 304813 |
In ED via BLS for persistence of ideomotor slowing in a patient recently discharged from Geriatria Molinette for ascitic decompensation in hepatic cirrhosis
PMH:
- Hypertension
- Dyslipidemia
- CAD
1994 coronary angiography performed for positive SPECT: RCA occlusion recanalized.
In 2016 repeat coronary angiograph... | 621295 |
Since 30/3 dyspnea and fever. No diarrhea. Anosmia and dysgeusia.
Worsening dyspnea since this morning.
SARS-CoV-2 antigen swab performed on 30/3 with positive result - PCR swab not yet performed.
Lives with PARENTE currently present in the ED with the same symptoms.
Received 1st dose of SARS-CoV-2 vaccine about 1 week... | 74610 |
In ED from RSA Richelmy for reported dyspnea for one week
Today dyspnea with desaturation
Patient usually lucid, alert, self-sufficient
Moreover altered level of consciousness
No clinical documentation available
Nurse reports hospitalization one year ago
From archive transfer:
In 9/2020 ED visit and admission for conge... | 1550879 |
Reports at 14:00 this afternoon diffuse myalgias consistent with an influenza-like syndrome. Reports he lay down to rest and was then awakened by a sensation of nausea. On rapidly sitting up to go to the bathroom, presyncopal episode (remembers the event) without trauma as he slumped sideways onto the bed. PARENTE aler... | 472734 |
In ED for chest pain.
Chest pain started at 02:00 during sleep that woke the patient.
Pain at sternal level not in a precise area - spontaneous onset.
Stabbing and burning type pain without any radiation.
The pain decreases with deep breathing, increases with pressure, changes with posture.
NRS 8 - has not taken any th... | 390141 |
In ED for seizure episode today around 16:00
For about 9 months dysphagia and vomiting, under speech therapy care at ASL TO4, last visit 2/3/22,. Various investigations performed, including esophagus X-ray, chest CT (LUOGO, occasionally reported presence of a lusory artery that could be responsible for the dysphagic sy... | 607461 |
Patient sent to the ED by the PCP because contacted by the LUOGO of the Local Health Authority ASL To4 of LUOGO reporting a troponin value on this morning's bloodwork equal to "15". The patient resides in LUOGO but was in LUOGO and presented to the ED. Routine tests requested for follow-up of mediastinal non-Hodgkin ly... | 1377024 |
In the ED for malfunction of the urinary catheter. No other details known at this time. Patient unable to provide history.
Attempted telephone contact with PARENTE at the number on file NUM_TELEFONO without success.
Contact with PARENTE at 09:00:
lives with PARENTE; dependent in ADLs and IADLs; bedbound; cognitively i... | 429174 |
In ED for fever since yesterday (T up to 39).
Reports multiple episodes of vomiting yesterday (3 episodes).
Since yesterday also abdominal pain in the epigastric region and right hypochondrium, stabbing in nature, onset yesterday morning, regressed at about 14:00 yesterday. Currently persistent burning epigastric pain ... | 928384 |
Referred from nephrology clinic where she presumably underwent chest X-ray today showing pulmonary consolidation. SARS-CoV-2 swab performed, positive.
In recent days has been well; this morning shaking chills and finding of hyperthermia. Has not taken symptomatic therapy.
The patient brings no documentation of personal... | 1654972 |
Again to ED for cough and pharyngodynia, onset about 7 days ago. No fever, no dyspnea.
Vaccinated for SARS-CoV-2, 3 doses.
Independent, lives with PARENTE currently asymptomatic.
Brings for review an antigen swab from 28/1 POSITIVE, performed at a pharmacy.
ED visit on 24/1 for the same symptoms; on that occasion anti... | 958948 |
From 18:30 yesterday onset of preprandial epigastric pain, resolved with intake of Riopan and Gastrotuss. Subsequent appearance of left submammary pain, fixed, posture-modulated, radiating to the ipsilateral shoulder, associated with epigastric swelling and reported left mandibular swelling. Non-restful night due to pe... | 1721008 |
Presents to the ED brought by MSB for dyspnea (SpO2 75% at home measured by 118 personnel) and chest pain exacerbated by palpation. The PARENTE report an episode of coffee-ground emesis at home, then recurred in the ambulance during transport. In addition, the PARENTE reports hyporexia, asthenia at home in recent days,... | 1572660 |
Since last night, dry irritative cough, dyspnea, and fever (temp 38.2°C). No arthralgias or myalgias, no ageusia or anosmia. Last night performed home swab, negative result.
No chest pain or palpitations.
Also, 15–20 days ago reports discharge of "pacemaker" implanted in May this year (documentation missing).
PMH:
- 1... | 1071022 |
History obtained via telephone interview with the PARENTE of the pt.
In ED, brought by 118 (EMS).
Today general malaise, pt mutistic, episode of food-containing emesis after lunch. Another episode of vomiting in the afternoon. Fever noted by 118 (T 39°C).
The PARENTE reports Foley catheter dislodged for about one week,... | 278409 |
For 7 days, worsening of chronic dyspnea and dependent edema L > R.
No fever, questionable increase in chronic productive cough.
No angina.
APP: December 2022 hospitalization in MIC for dyspnea due to right pleural effusion in chronic heart failure
PMH:
- diabetes mellitus
- COPD in former smoker on LTOT
- Hypertensi... | 1566925 |
In ED with MSB for progressively worsening dyspnea today, with an episode of desaturation at home down to 78% upon EMS arrival. Improvement with application of high-flow O2 with SpO2 99% on MR.
PMH:
- Lives with PARENTE
- Smoker (quit about 2 weeks ago at the time of hospitalization), with diagnosis of COPD with sever... | 813693 |
For 1 week the daughter reports fever and cough. She took paracetamol, antibiotics for 3 days and then Augmentin; on Sunday antigen swab performed, positive. Since Monday high fever and dyspnea.
PMH:
- Lives with caregiver
- IA
- Obesity
- Dyslipidemia
- T2DM
- CAD:
* in 2003 CABG at LUOGO (LIMA to LAD and SVG to OM).... | 963432 |
Around 18:00 sensation of constriction at the jugulum, with associated stabbing chest pain, non-radiating.
Concomitant numbness of the left arm.
Pain lasted about 5 hours, still present at the time of evaluation.
No clear change with pressure, posture, or breathing.
Different from prior ischemic event
Denies palpitati... | 1649997 |
In ED for suspected panic attack. Pt sent to ED from LUOGO (LUOGO) where he has been for about one week. PARENTE present at bedside. Patient partially open to the interview.
The community supervisor reports that this evening the pt attended the birthday of a PARENTE of the community, then went to sleep; after about one... | 801340 |
HPI: For about 5 days fever (T max 40°C), marked asthenia, and bilateral low back pain, for which the patient took Paracetamol with poor benefit. Also reports headache and nuchal pain.
For an unspecified time paresthesias in the lower limbs. Reports last Sunday bath at LUOGO.
Denies dysuria, strangury, abdominal pain, ... | 478589 |
In ED for onset since yesterday morning of acidic sensation in the mouth - since yesterday evening crampy abdominal pain and episode of nausea and vomiting.
Diffuse abdominal pain throughout the abdomen - predominantly epigastric and mesogastric.
Cramp-like pain and epigastric burning.
No fever. Nausea and vomiting - a... | 787874 |
In ED for worsening dyspnea + dependent edema for several days
denies fever, denies cough, denies chest pain
recent venous Doppler ultrasound of the lower extremities reported as normal
PMH:
-COPD GOLD III, with Type 2 respiratory failure on home oxygen therapy; multiple exacerbations, one in 2015 requiring orotrachea... | 673803 |
The patient presents with loss of consciousness, followed by an episode of emesis, occurring at the family store.
Event witnessed by PARENTE.
The patient was seated, then loss of consciousness and collapsed to the ground.
Duration of LOC approximately 30 seconds.
No head trauma. Trauma to the left flank and left shoul... | 118854 |
ED visit on 16/5/202 for calf edema in the setting of recent vascular surgery
Vascular surgery performed: Patient underwent below-knee femoropopliteal bypass using the right GSV for thrombosed popliteal aneurysm. ED admission for edema of the right lower limb. On PE: limbs warm. Femoral and PT pulses present bilaterall... | 833054 |
Upper chest pain radiating to the back.
Onset of pain today at approximately 19:00, gradual during dinner.
Pain currently present but localized to the back. Partially reduced.
Not constrictive. Not exacerbated in the supine position.
Episodes of pain similar to the current one for several days, evaluated by PCP and pre... | 1189222 |
In ED for dyspnea for several days, no fever, no chest pain. No LOC.
PMH:
- Type 2 diabetes mellitus
- COPD in former smoker on LTOT
- multiple COPD exacerbations
- Hypertension
- BPH
- dyslipidemia
- prior episodes of heart failure decompensation
- left hemithorax retraction with pleural plaques
- revascularized CAD ... | 1767048 |
In the last weeks, reports 2 episodes of presyncope with symmetric giving way of the lower limbs, cold diaphoresis, and collapse to the ground; today with urinary sphincter release. Denies LOC, recalls the event. Reports episodes sometimes following agitation or pain, sometimes spontaneous.
Also reports urinary frequen... | 899189 |
in ED for dyspnea and chest pain not otherwise specified, referred by 112 physician: oppressive chest pain and diaphoresis
On exam afebrile. On exam denies chest pain, possible orthopnea
Discharged on 13//23 from MIC 6th floor with diagnosis of acute pulmonary edema in ischemic-valvular cardiomyopathy with hypokinetic ... | 1708908 |
Since yesterday, subcontinuous chest pain, bilaterally; took Tachipirina without benefit; no change in pain with physical activity or posture; the pain does not increase with palpation, is not radiating, not associated with diaphoresis or dyspnea. No cough, no fever.
In recent days took Augmentin for a skin infection o... | 814308 |
Presents with onset this morning of nausea associated with diarrhea (reports at least 2 episodes of liquid stools mixed with bright red blood). Also reports episodes of hemoptysis; however, gingival bleeding at the level of the lower incisors and dry mouth are observed. Took Coefferalgan for lower-limb pain reported as... | 563115 |
Patient sent from the nursing home (RSA) of LUOGO for a finding at LUOGO performed on 24/02 (most recent) of "hemorrhagic transformation of a known left hemispheric ischemic lesion with greater evidence of the hemorrhagic component and reduction of perilesional edema with less shift on the frontal horn of the left late... | 700327 |
Presents for palpitations in known AF, onset since yesterday afternoon. Not the first episode; frequent episodes lately, usually self-resolving; this time not resolved.
Also reports dyspnea, unclear chest pain.
PMH:
- Independent and cognitively intact, lives alone, has a PARENTE, ambulates with a cane
- 1996 left qua... | 1073600 |
Another episode of malaise, recognized as characteristic for recurrence of AF.
However, no perceivable palpitations.
Last episode on 20/04.
No respiratory symptoms, denies chest pain, denies angina.
No fever.
In recent days vomiting and diarrhea, currently resolved.
No other significant complaints.
SARS-CoV-2 vaccinat... | 1158722 |
Returns to ED as agreed for ENT reassessment.
On 2/9/21 ED visit for fall to the ground (mechanism unclear, unclear whether syncope or accidental fall). PE unremarkable. Labs: Hb 9.6 (no prior available), remainder unremarkable. Head + facial bones + cervical spine CT: Displaced OPN fracture (remainder unremarkable). ... | 458542 |
While assisting the hospitalized PARENTE for LOC. He reports feeling unwell as if he needed to sleep, therefore he was entering and exiting the room; then, after sitting on a chair, he stood up to put the chair away when he fainted without prodromes except asthenia. No angina, palpitations, or dyspnea. Denies trauma.
... | 1544458 |
In ED for an episode of vertigo with presyncopal sensation while walking on the street after having a coffee with a friend, with subsequent fall to the ground with head trauma and left knee trauma. No loss of consciousness, rapid recovery after the event. No chest pain, no shortness of breath, no other symptoms of note... | 1285766 |
Last week nonproductive cough and mild worsening of baseline dyspnea.
Today from 20:00 marked worsening of dyspnea.
No fever or cough.
No other evident symptoms; no anosmia/dysgeusia.
Brought to ED by MSA; on MSA arrival on scene SpO2 72% RA; ECG AF; IM steroid, salbutamol, and O2 via reservoir mask administered.
Not ... | 995045 |
History obtained from the 118 report. Patient brought to the ED by MSI for deterioration of general condition with fever, cough, and progressively worsening dyspnea since 21/06. Antibiotic therapy started with amoxicillin/clavulanate from 22/06, replaced with ceftrizxone from 24/06. Several antigen swabs for SARS-CoV2 ... | 828154 |
In ED for onset at 14:45 of palpitations, clearly perceived by the patient, similar to prior episodes. Denies chest pain, no dyspnea, no other significant symptoms. In recent days well, asymptomatic, no fever or other complaints.
Had lunch at approximately 14:15.
PMH:
-Mild obesity with prior weight loss of 50 kg (cur... | 1244043 |
In ED following accidental fall with impact at the left knee, yesterday evening.
Subsequent difficulty ambulating; presented to ED for this reason.
Triaged in COVID ED due to persistent cough for approximately 10 days; Augmentin therapy ongoing for 3 days.
Positive for SARS-CoV-2 on swab performed prior to medical eval... | 950184 |
Presents to the ED accompanied by PARENTE.
On 11/04 accidental fall at home; the patient reports tripping over the crutch, with forward fall causing facial trauma (laceration of the right superciliary arch) and right shoulder trauma.
Due to persistent bleeding from the wound, he was brought to the ED on the advice of t... | 1288605 |
Reports having fallen asleep sitting at the table this morning. The PARENTE tried to wake her without success; on PARENTE's arrival, slowed, slurred speech. No respiratory disturbances, no fever, no chest pain. No tongue bite, no sphincter release.
APP 9/3/21 access to the ED for a probable syncopal episode (LOC with ... | 577636 |
In ED for:
During work, episode of epigastric pain followed by a forceful cough - lasting 5 minutes as a coughing fit, with subsequent production of bloody sputum - 20 cc of bright red blood / none scrato. Subsequent right neck pain
One month: similar episode on awakening, again after a cough
No workup performed
Now ... | 844624 |
Sent to ED from the cardiology clinic where this morning he had gone independently for a cardiac surgery consultation (unscheduled) after an episode of dyspnea and epistaxis following an argument.
Reports for at least 1 month a progressive worsening of dyspnea on exertion up to dyspnea with mild exertion (NYHA III) in ... | 333902 |
Arrives in the ED accompanied by PARENTE for reported accidental fall at home while attempting to get up from bed independently (the PARENTE reports that the patient is always assisted by someone, always moves accompanied). Reported head trauma and right hand trauma.
Denies LOC, denies presyncope, denies vomiting/nause... | 1560100 |
For several months, hematochezia (about 2 times per month - in the last 4 days 3 episodes), last episode last night with passage of bright red blood (no melena). In addition, marked asthenia with difficulty ambulating and episodes of stabbing abdominal pain particularly in the lower quadrants. No syncope. Reports predo... | 1446253 |
HPI: discharged on 10/5 from the ED with a diagnostic impression of peripheral vertigo, presentation on 9/5 for malaise, vertigo, and belching. Head CT performed given concern for central origin (questionable hypodensity in the left PICA territory), CTA (negative). ECG normal; neurology evaluation performed (diagnostic... | 1150236 |
Reports anxiety of unspecified duration. Reports persistent exertional dyspnea as usual, improved after recent therapeutic changes; however, as also during the previous visit in which he refused admission, poor adherence to therapy emerges, which he modulates at will; in particular, he has stopped bisoprolol and apixab... | 567193 |
Patient presents to the ED accompanied by the PARENTE for reported epigastric pain since about 22:00 yesterday, for which she took 2 Buscopan and 1 Spasmex without benefit. Pain described as continuous and non-radiating, of unclear character but not burning. Regular dinner last night. Reports continuous pain. Two episo... | 870788 |
Last night arm pain associated with nausea lasting a few hours. Tonight around 21:30 onset of arm pain with tremors. BP 190/70 mmHg recorded. Does not know if fever. No chest pain. No dyspnea.
PMH
- hypertension
- dyslipidemia
- previous syncopal episodes, for which loop recorder implanted 11/2022
- 11/2022 hospitaliz... | 1814760 |
In ED for right iliac fossa pain for about one week
No fever
Reported dyspnea caused by pain
Patient with multiple comorbidities and multiple admissions at OSGB, complex medical history, last admission 16/9 to 10/10 for multifactorial type 1 respiratory failure
PMH:
lives with the PARENTE and the two PARENTE, semi-bed... | 842334 |
Brought to the ED by PARENTE for worsening cognitive status with diffuse rigidity and recurrent falls.
Lives with PARENTE with home assistance for a few hours per week.
On Wednesday he was scheduled at H Ciriè for lymph node biopsy. 04/2021 chest and abdomen CT performed showing laterocervical, mediastinal, and retrope... | 538071 |
In ED for dyspnea
Patient NOT vaccinated
PMH:
- Type 2 DM
- Dyslipidemia
- Carrier of DDDR St Jude Med pacemaker for brady-tachy syndrome. Last pacemaker check in July 2020 regular: SR on ECG
- Carrier of carotid stent (site not specified)
- CKD
- FAC
- In 2009: unstable angina -> on coronary angiography finding of mu... | 756859 |
In ED for abdominal pain localized to the right flank and RLQ, pain onset about 10 ago, stabbing in nature, worsened yesterday. Reports fever since today (T up to 37.7). No nausea, no vomiting, no diarrhea, bowel movements regular (last bowel movement this morning, stools normally colored and formed). Reports taking ri... | 686834 |
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