Consult Note

CARDIOLOGY INPATIENT CONSULT NOTE

Reason for Consult/CC: [text default="" size=100]
Consulting Provider: [text default="" size=100]

HISTORY OF PRESENT ILLNESS
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Review of Systems: 
[textarea name="variable_1" default="14 point ROS reviewed. Pertinent positives and negatives discussed in the HPI. All other ROS negative. "]

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HISTORY

Problem List/Medical History
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Family History
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Social History
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Medications
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OBJECTIVE
Vitals:

[textarea name="variable_2" cols=80 rows=2 default="GENERAL APPEARANCE: Well developed, well nourished, alert and cooperative, and appears to be in no acute distress."]
[textarea name="variable_3" cols=80 rows=1 default="HEAD: normocephalic. Atraumatic."]
[textarea name="variable_4" cols=80 rows=1 default="EYES: PERRL, EOMI. Fundi normal, vision is grossly intact."]
[textarea name="variable_8" cols=80 rows=1 default="NECK: No JVD. No thyromegaly."]
[textarea name="variable_9" cols=80 rows=3 default="CARDIAC: Normal S1 and S2. No S3, S4 or murmurs. Rhythm is regular. There is no peripheral edema, cyanosis or pallor. Extremities are warm and well perfused. Capillary refill is less than 2 seconds. No carotid bruits."]
[textarea name="variable_10" cols=80 rows=2 default="LUNGS: Clear to auscultation and percussion without rales, rhonchi, wheezing or diminished breath sounds."]
[textarea name="variable_11" cols=80 rows=2 default="ABDOMEN: Positive bowel sounds. Soft, nondistended, nontender. No guarding or rebound. No masses."]
[textarea name="variable_12" cols=80 rows=2 default="MUSKULOSKELETAL: No joint erythema or tenderness. Normal muscular development. Normal gait."]
[textarea name="variable_14" cols=80 rows=2 default="EXTREMITIES: No significant deformity or joint abnormality. No edema. Peripheral pulses intact. No varicosities."]
[textarea name="variable_16" cols=80 rows=2 default="NEUROLOGICAL: No focal deficits noted. Strength and sensation symmetric and intact throughout."]
[textarea name="variable_17" cols=80 rows=1 default="SKIN: Skin normal color, texture and turgor with no lesions or eruptions."]
[textarea name="variable_18" cols=80 rows=1 default="PSYCHIATRIC: Normal mood and affect."]

ECG:
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Echocardiogram:
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Prior cardiac Invasive procedures (if any):
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Cardiac Biomarkers:
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Other Labs:
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I have reviewed the patients labs/radiology findings in the EMR. Pertinent positives and negatives discussed above and in the assessment/plan. 

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ASSESSMENT AND RECOMMENDATIONS
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