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St Thomas' Hospital - Minors: Bay 4

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Patient Chart
Patient Name:Forename SurnameDate of Birth:DD/MM/YYYYGender:Male/Female
Address:10 Downing StreetAllergies:NKDAPresenting Complaint:Chest Pain
Vitals
GP:Unknown
Time:08:0008:0508:1008:1508:2008:2508:3008:3508:40
Heart Rate:NN
Respiratory Rate:NN
SPO2​:NN
Temperature:N/A
Capillary Refill:N/A
Peak Flow:N/A
AVPU:N/A
GCS:N/A
Blood Glucose:N/A
Pupil Size (L|R):N/A
ECG:N/A

History of Presenting Complaint
Hx of presenting complaint
Past Medical History
Mx
Medication & Drug History
N/A
Family History
FHx
Social History
SHx
Examination Findings
A - Patent/clear
B - Bi lateral air entry, no added sounds, normal percussion note.
C - No heaves or thrills, normal heart sounds, no sacral or peripheral oedema, ECG - Sinus rhythm, rate 84bpm, normal cardiac axis, normal PR, QRS and QTc intervals, 3mm of ST elevation in the inferior leads, with reciprocal ST depression in the high lateral leads.
D - GCS 15, FAST negative, no acute vision abnormalities, no neurological deficit.
E - Abdo soft and non-tender, no palpable/pulsating mass, no lower back tenderness on palpation.
ECG
N/A for this PT
XR
N/A for this PT
US
N/A for this PT
CT
N/A for this PT
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