I am 21 years old…C/C: After few weeks of minor surgery (open cholecystectomy), I had onset or sudden surge of BP from 150/100mmHg to 240/200mmHg. The chest pain got even worst than before. Whole abdominal pain radiating to the back is unbearable, I had been experiencing spastic paralysis starting from the toes up to the upper extremities, I had some back pain, tingling of hands and toes and blurring of visions.
Medical Hx: I had my first minor surgery December 18, 2006 at PGH for open cholecystectomy. I only had three episode of spastic paralysis. It was when I was 7rys old, year 2005 and up to now 2007. I had been hypertensive after the surgery but I have been experiencing chest pain year of 2005. I also found out that I am diabetic and experiencing whole abdominal pain, back pain, weakness of toes and hands and chest pain. I had some nodules at my left breast and palpable nodules at the upper abdomen (right). I had hypertensive retinopathy diagnose july of 2007.
Social Hx: Moderate drinker and Seldom smoke – 3sticks/week.
REVIEW OF SYSTEM:
General: + gain weight, + night sweat ( twice as normal)
Skin: + bruising
Head: - injuries, + headache
Eyes: + blurring of visions, + temporary loss of visions, + changes in visual
Ears: - change in hearing
Nose: - allergies, - polyps/obstruction
Throat: + mouth sore, + loose teeth, + toothache
Respiratory: + chest pain, + dyspnea, - sputum
CV: + chest pain, + dyspnea, + palpitations, + edema
GI: + indigestion, + abd’l distention, + diarrhea, + flabby abdomen, + abd’l pain, + food intolerance + palpable nodules
GU: + frequency of urinating
Endo: + heat intolerance, + gain weight, + polyphagia
MS: + ROM, + joint pain, + muscle spasm, + muscle weakness
Psychiatric: + changes in mood