Patient Picture
Patient Information
DOB: 03/11/1962
Sex: M
Diagnosis: Right Ear drum perforation
Proposed Surgical Procedure: Right Tympanoplasty
Surgeon: Dr. Nora Johnson
Medical History
Allergies: Peanuts (anaphylaxis)
Cardiovascular: MI
Pulmonary: NONE
Neurology/Neuromuscular: NONE
GI/Endocrine: NONE
Hematology: NONE
GYN/GU: NONE
Other: Hard of hearing from perforated eardrum
Anesthesia History: No anesthetic complications
Smoker: Current smoker
Alcohol: 3 beers/night-weekends
Ilicit Drugs: N/A
Past Surgical History
Surgery: Laparoscopic cholecystectomy
Year of Surgery: 2000
Facility: Hahnemann Univ Hosp
Complications: None
Admission Lab Test Results
Lab ID: 210045675
| Test | Normal Value Range | Test Result |
|---|---|---|
| WBC | 4-10 g/dL | 10 |
| Hemoglobin | 12.0-15.0 g/100ml | 12 |
| Hematocrit | 36-44% | 38.1 |
| MCV | 80-100 | 88 |
| MCHC% | 31-37 | 35 |
| Platelet Count | 100,000-450,000/mL | 211,000 |
Chemistry Test Results
| Test | Normal Value Range | Test Result |
|---|---|---|
| Sodium | 137-145 mEq/L | 136 |
| Potassium | 3.6-5.0 mEq/L | 4.2 |
| Chloride | 90-109 mEq/L | 102 |
| Bicarbonate (HCO3) | 22-30 mEq/L | 29 |
| Blood Urea Nitrogen (BUN) | 7-21 mg/dL | 22 |
| Creatinine | 0.5-1.4 mg/dL | 0.9 |
| Glucose | 65-110 mg/d | 95 |
Current Medications
| Medication | Dosage | Frequency |
|---|---|---|
| Lisinopril | 10 mg | QD |
| Nitroglycerin | 0.4 mg SL | PRN |
| Ventolin | 2 puffs | PRN |
| Advair | 2 puffs | QD |