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List at least 10 medical terms from the document below. If the term is a “constructed” term, you will need to “deconstruct” the term into it’s root word, prefix, suffix and connecting form and then list the definition. If it is a non-constructed term, just list the term with its definition. If it is an abbreviation or acronym, list what each letter stands for then the definition. Example: medical term non-constructed: acne definition: bacterial infection of the sebaceous glands and ducts resulting in numerous comedones medical term constructed: bromhidrosis prefix: brom- (means foul smelling), word root: hidr/o (means sweat), suffix: -osis (abnormal condition of) definition: chronic condition in which the intensified body odor becomes unpleasant acronym/abbreviation: CPR: cardiopulmonary resuscitation definition: an emergency procedure for a person whose heart has stopped or is no longer breathing. CPR can maintain circulation and breathing until emergency help arrives. Find ten terms in the following Discharge Summary EVERSITY MEDICAL CENTER DISCHARGE SUMMARY DATE OF ADMISSION: MM/DD/YYYY DATE OF DISCHARGE: MM/DD/YYYY ADMITTING DIAGNOSIS: Syncope CHIEF COMPLAINT: Vertigo/Dizziness HISTORY OF PRESENT ILLNESS: 72-year-old male with a past medical history of coronary artery disease, CABG, atrial fibrillation, peripheral arterial disease, peripheral neuropathy, The patient presented to the ER for an episode of extreme vertigo while working in the garden. No chest pain. No shortness of breath. Once in the ER, a CT (with and without contrast) along with an MRI of the head was completed, which were within normal limits. Admitting impression was old ischemic changes but no acute intracranial findings. No focal weakness, headache, vision changes or speech changes. The patient has had similar episodes in the last 6 months. He also c/o peripheral neuropathy for the same 6 months that has not responded well to pharmacological treatment. The patient also reported progressive difficulty with walking especially over uneven ground for the last 6 months. No nausea, vomiting, or abdominal pain reported. PROCEDURES PERFORMED: The patient had a chest x-ray, which showed cardiomegaly with atherosclerotic heart disease, pleural thickening and small pleural effusion, a left costophrenic angle which has not changed when compared to prior examination, COPD pattern. The patient also had a head CT and MRI which showed atrophy with old ischemic changes. No acute intracranial findings. CONSULTS OBTAINED: A rehab consult was done. PAST MEDICAL/SURGICAL HISTORY: Positive for atrial fibrillation. Peripheral arterial disease with hypertension, peripheral neuropathy, atherosclerosis, hemorrhoids, prostatectomy, CABG, and laproscopic cholecystectomy. FAMILY HISTORY: Positive for atherosclerosis, hypertension, and diabetes in the family. SOCIAL HISTORY: Does not smoke. Does not drink. No drugs. ALLERGIES: NO KNOWN DRUG ALLERGIES. REVIEW OF SYSTEMS: Shortness of breath, constipation, bleeding from hemorrhoids, increased micturation, muscle aches, dizziness and faintness, focal weakness and numbness in both legs, knees and feet. PHYSICAL EXAMINATION: VITAL SIGNS: Blood pressure 194/78, pulse 72, respirations 20 and saturation of 97% on room air. General Appearance: HEENT: Conjunctivae are normal. NECK: No masses. Trachea is central. No thyromegaly. LUNGS: Clear to auscultation and percussion bilaterally. HEART: Irregular rhythm. ABDOMEN: Soft, nontender, and nondistended. Bowel sounds are positive. GENITOURINARY: EXTREMITIES: Upper and lower limbs bilaterally normal. SKIN: Normal. NEUROLOGIC: Cranial nerves are grossly within normal limits. No nystagmus. DTRs are normal. Good sensation. The patient is alert, awake, and oriented x3. Mild short term memory difficulties. LABORATORY DATA AND RADIOLOGICAL RESULTS: WBC 8.2, hemoglobin 14.4, hematocrit 39.6, platelets 205,000, sodium 123, potassium 4.3, chloride 114. Creatinine 1.1. PT 17.4, INR 1.6, PTT 33. The patient had a chest x-ray, which showed cardiomegaly with atherosclerotic heart disease, pleural thickening and small pleural effusion, a left costophrenic angle which has not changed when compared to prior examination, COPD pattern. The patient also had a head CT, which showed atrophy with old ischemic changes. No acute intracranial findings. HOSPITAL COURSE AND TREATMENT: This is an 72-year-old male with syncope. 1. Syncope. Neurology was consulted and patient was scheduled for a carotid doppler and a 2-D echo. Vitamin B12, TSH, free T4 and T3 were ordered along with cortisol level in the morning. Cardiology consult and followup recommended as outpatient. The patient had a carotid Doppler done that showed mild irregular plaque disease, right and left internal carotid arteries, approximately 20-59%. Cardiology impression was atrial fibrillation, rate controlled, and peripheral neuropathy. Subtherapeutic INR, the patient’s relative target INR is 2-3. He suggested therapy evaluation and suggested a low dose aspirin and indicated the patient does not need any further cardiac recommendation at this time. Just follow up post discharge. CT chest, abdomen, and pelvis were done. CT chest had an impression of coronary artery calcification, aortic valve replacement, cardiomegaly, suspect a very small left pleural effusion, no acute active pulmonary disease. CT abdomen and pelvis showed prior cholecystectomy, diverticulosis of sigmoid colon, calcified arteriosclerotic plaque disease of the abdominal aorta and iliac vessels bilaterally. Malignancy was ruled out. 2. Hypertension. The patient at home was on Cardizem twice daily, and it was changed initially to Cardizem 90 mg twice daily, and then per cardiology was changed the Cardizem to 240 mg t.i.d. 3. Atrial fibrillation with subtherapeutic INR. The patient at home was on Digitalis. That was continued. Wa rfarin was increased to 5 mg q.h.s., and at the time of the discharge, he was requested to follow his appointments so that his INR can be maintained. 4. Gout. The patient was on allopurinol. There were no acute issues regarding the gout. 5. Prophylaxis. The patient was on Protonix and TEDs. 6. Social. The patient is FULL CODE. DISCHARGE DIAGNOSIS: Syncope. DISCHARGE DISPOSITION: Discharged to home. DISCHARGE MEDICATIONS: The patient was discharged on the following medications; Cardizem 90 mg p.o. thrice daily, digoxin 0.125 mg p.o. once daily, allopurinol 100 mg two times daily, Coumadin 4 mg p.o. q.h.s., and Remeron 15 mg p.o. q.h.s. DISCHARGE INSTRUCTIONS: Secondary to declining function, case management was consulted to arrange outpatient vs home health physical therapy (PT) and occupational therapy (OT) and a walker. Follow up in my office in two weeks. DISCHARGE DIET: Cardiac diet. DISCHARGE ACTIVITY: Resume activity as tolerated and advanced per physical therapy. dicated XX/XX/XXXX ta transcribed XX/XX/XXXX js Dr. Terry Adams, MD Dr. Terry Adams, MD

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