Outpatient Clinic Attendance Cardiology Department
Reason for Referral[ection 1]
Relevant History[section 2]
Findings on Examination[section 3]
Investigation Results[section 4]
Investigation
|
Results
|
Standard Chest X ray[d]
|
Normal
|
Standard ECG[e]
|
Normal
|
Exercise ECG[f]
|
Abnormal - significant ischaemic
changes in antero-lateral leads.
|
Full Blood Count[g]
|
|
Haemoglobin level[h]
|
13.2g/dl
|
White Cell Count[i]
|
4.5x109/l
|
Platelets[j]
|
254x109/l
|
Urea and Electrolytes[k]
|
|
Sodium[l]
|
133mmol/l
|
Potassium[m]
|
4.0mmol/l
|
Bicarbonate[n]
|
28mmol/l
|
Urea[o]
|
3mmol/l
|
Creatinine[p]
|
50micromol/l
|
Chloride[q]
|
101mmol/l
|
Diagnosis[section 5]
Medications[section 6]
Item
|
Dose
|
Supplied
|
Notes
|
Aspirin 75mg dispersible
tablets[s]
|
1 per day
|
7 tablets
|
To be continued
|
Atenolol 50mg tablets[t]
|
1 per day
|
7 tablets
|
To be continued
|
Follow on Plan[section 7]