{"text":"CHI Number: 0809555328 Patient Name: CLELLAND, AGNES \nBi-lateral 1st mtpj fusions + left 2nd pipj fusion \nPMH \nPharyngoscopy with dilation of pharynx. 2010 \nChronic fatigue syndrome \nNabothian folicles - cervical 2000 \nDepression \nHTN \nType 2 diabetes - medication . \nTennis elbow \nReactive dermatosis \nErythema multiforme \nHeartburn \nAchilles tendon rupture \nAngina - well controlled - not used for 2 months \nOA . \nAsthma \nIbuprofen gives patient an upset stomach.. \nAppears in good general health at present, in pain with OA in knees, back, neck and feet. \nAppears to have good ROM to head\/neck\/jaw, skin integrity is intact at present, no allergies or MRSA history \nnoted. . \nFasting instructions given and information leaflets provided. \nAdvised to bring all medication to admission & omit Ramipril and Aspirin on morning of surgery. \nAdvised to contact pre op clinic should any changes occur with general health or medication. \nLives with husband & has good family support daily, has own transport arrangements for admission\/discharge. \nDSU\/SDAU - \nCLERKIN \nCVS- No Ml\/Palpitations \nMicro vessel Angina - better of late GTN used 2\/12 when exerted , quick relief. \nHS 1+11+0 \nNo obvious murmur \nPerfused \nNo odema \nRESPIRATORY \u2014 Mild Asthma well controlled with inhalers \nSOB on steep incline \/ exertion \nA\/E Excellent \nL=R Expansion . \nPercussion resonant - \nVesicular sounds no wheeze or creps 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