the patient i saw today was misses palmer she reported chest pain she could not tolerate physical activity had palpitations was short of breath upon review of systems she had wheezing and lower extremity edema  misses palmer is currently on no medications her blood pressure was one space the final frontier these are the voyages of the star ship enterprise its five year mission to explore strange new worlds to seek out new life and new civilizations to boldly go where no man has gone before hundred and fifty she claimed she was fatigued and had weight gain upon inspection i observed no carotid bruit jvd present she had pedal edema in lower extremities murmur present rales looking at the diagnostic labs misses palmer did not elevated bnp ekg xray 2d echo space the final frontier these are the voyages of the star ship enterprise its five year mission to explore strange new worlds to seek out new life and new civilizations to boldly go where no man has gone before she had pulmonary edema and increased wall thickness all findings indicate familial hypertrophic cardiomyopathy she will be on dvt prophylaxis i will consult the cardiologist and hospitalist she will be put on aspirin to manage heart congestion and nasal cannula to manage respiratory rate space the final frontier these are the voyages of the star ship enterprise its five year mission to explore strange new worlds to seek out new life and new civilizations to boldly go where no man has gone before space the final frontier these are the voyages of the star ship enterprise its five year mission to explore strange new worlds to seek out new life and new civilizations to boldly go where no man has gone before
