Medical Record For Emily Joyce

Patient Information

Name
Emily Joyce
DOB:
5/14/1989
Sex:
Female
Gender Identity:
She/Her
MRN:
853401
Weight:
145 lbs or 65.77 kg
Admitting Diagnosis:
Chest Pain
Admitting Physician:
Vivian Phan, M.D.

Past Medical History

Allergies

No Known Drug Allergies

Medical Problems

PTSD, Depression, Cocaine use (quit 8 months) ago.

Surgical History

Wisdom teeth removal at age 17

Social History

Lives alone. Vapes daily, drinks a “few beers” daily, smokes marijunana regularly.

Provider Notes

Time Provider Notes
0830 Vivian Phan M.D. Patient presented to the emergency department complaining of midsternal chest pain. They have never had pain like this before. They are feeling very anxious. Admitted for work up of chest pain.

Vital Signs

Time 0800
Heart Rate 128 bpm
Blood Pressure 136/84 mmHg
Respiratory Rate 22 breaths/min
Temperature 99.0 F
Pulse Oximetry 98%
Oxygen in Liters On Room Air
Pain 8/10