Patient Picture
Patient Information
DOB: 07/26/1967
Sex: F
Diagnosis: Right Incisional Hernia
Proposed Surgical Procedure: Laparoscopic Right Incisional Hernia Repair, Possible Open
Surgeon: Dr. Carrie Miller
Medical History
Allergies: NKDA
Cardiovascular: CAD; Arrythmia/Palpitations
Pulmonary: Emphysema
Neurology/Neuromuscular: NONE
GI/Endocrine: NONE
Hematology: NONE
GYN/GU: NONE
Anesthesia History: No anesthetic complications
Smoker: 2 packs per day x 20 years, quit 5 years ago
Alcohol: N/A
Ilicit Drugs: N/A
Comments on Positive Assessment/Conditions Not Listed: Atrial fibrillation; Ex-smoker
Past Surgical History
Surgery: Abdominal hysterectomy
Year of Surgery: 2015
Facility: Hosp of Univ Penn
Complications: None
Surgery: Pacemaker insertion
Year of Surgery: 2011
Facility: Hosp of Univ Penn
Complications: None
Surgery: Cataract left eye
Year of Surgery: 2009
Facility: Hosp of Univ Penn
Complications: None
Family history: non-contributory
Admission Lab Test Results
Lab ID: 210045673
| Test | Normal Value Range | Test Result |
|---|---|---|
| WBC | 4-10 g/dL | 10 |
| Hemoglobin | 12.0-15.0 g/100ml | 14.8 |
| Hematocrit | 36-44% | 44.1% |
| MCV | 80-100 | 88 |
| MCHC% | 31-37 | 35 |
| Platelet Count | 100,000-450,000/mL | 140,000 |
| PT(Prothrombin Time) | 10-14 seconds | 12 seconds |
| PTT(Partial Thromboplastin Time) | 32-45 seconds | 38 seconds |
| INR | 0.8-1.2 | 1.1 |
Chemistry Test Results
| Test | Normal Value Range | Test Result |
|---|---|---|
| Sodium | 137-145 mEq/L | 138 |
| Potassium | 3.6-5.0 mEq/L | 4.4 |
| Chloride | 90-109 mEq/L | 101 |
| Bicarbonate (HCO3) | 22-30 mEq/L | 27 |
| Blood Urea Nitrogen (BUN) | 7-21 mg/dL | 18 |
| Creatinine | 0.5-1.4 mg/dL | 0.9 |
| Glucose | 65-110 mg/d | 91 |
Current Medications
| Medication | Dosage | Frequency |
|---|---|---|
| Toprol | 50 mg | BID |
| Plavix | 75 mg | QD |
| Benicar | 20mg | QD |