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[Verified Answer]: The History and Physical Report (often…

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The History and Physical Report (often referred to as an “Emergency Department Report”) is for an 88-year-old patient. To protect the anonymity of the patient, you are given a partial report, which does not look like a typical History and Physical Report. You must identify 15 formatting/grammatical/spelling errors.HISTORY AND PHYSICAL REPORT (Partial Report) HISTORY: This 88 year-old patient was doing fairly well until this episode when she started feeling severly dizzy. Her heart was racing and pounding. she denied any chest pain but had some tightness in the chest and also had felt short of breath She denied any nausea or vomitting. The patient was in the hospital last october with chest pains, history of arteriosclerotic heart disease, and hypertension. She had a cholecystectomy and hysterectomy in the past. He denies any acute cardiac events and rarely notices Angina pectoris. She denies smoking or drinking. Her father died at the age of 69 of Arteriosclerotic Heart disease. Her mother was diabetic and died at the age of fifty-five. CURENT MEDICATIONS: 1. coumadin. 2. Lasix. 3. Lanoxin. 4. Zestril. 5. Nitro-Dur. PHYSICAL EXAMINATION: GENERAL: A female who is alert, oriented, in no acute distress. No pallor no cyanosis no jaundice. Pulse is irregular, 80 bpm. Blood presure 156/100. CHEST: Clear to auscultation and percussion. There is a grade 2/6 systolic murmur. Abdomen: Soft; there is no mass no tenderness, no organomegaly. EXTREMITIES: Mininal edema. No calf tenderness. Peripheral pulses are not felt bilaterally. NEUROLOGIC: Within normal limits. SKIN: Unremarkable. DIAGNOSTIC STUDIES: CBC, chemistry and cardiac enzymes is all within normal limits. Chest x-ray was normal. Electrocardiogram revealed atrial fibrillation with no acute ST-segment changes. Frequent PACs, occasional PVCs. Rhythm is irregular. O2 saturation is 98 percent on room air. DIAGNOSES: 1. Atrial fibrilation with frequent ectopic beats. 2. Arteriosclerotic heart disease and hypertension. 3. Dizziness probably secondary to cardiac dysrhythmia. PLAN: Admit to CCU. Continue cardiac monitoring, arrange a cardiology consult prior to discharg

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