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This female patient presents to the ER today for a chief complaint of chest pain and upper abdominal pain that started 1 hour prior to consultation. She explains that she was mowing the grass when she felt a sharp pain to her chest that radiated to a pressure to her upper abdomen. She also feels tightness in her shoulder which started after her chest pain. She rates the pain as 8 from a scale of 1-10. She also experienced shortness of breath and nausea but she is not sure if it is related to her chest pain or from physical exertion. She took an aspirin before coming to the ER. The patient reports that she is diagnosed with Wolff- Parkinson’s syndrome and is taking Inderal, but is not sure of its dosage. She admits having occasional high blood pressure but has not taken any medication for it. She has a family history of cardiovascular artery disease from her maternal grandfather. She denies fever, cough, sore throat, dizziness, GI symptoms, pain, swelling, or rash. She also denies smoking or drugs.

Stay healthy 👍🏻👍🏻

The patient presents today with pain in her right knee and right ankle. Due to a fall while playing basketball earlier today, the patient reports injuring her right knee and right ankle. While attempting a layup, she tripped, twisting her right ankle and landing on her right knee. The elbow, fortunately, seems alright. She has no prior history of knee or ankle injuries, although she did mention a past arm fracture that has since healed. The pain in her knee is severe, at a 9 out of 10, while the ankle pain is even worse, described as excruciating or possibly a 12 on a 10-point scale.

The patient presents today with a neck pain that started three days ago. The intensity of the pain increases when he touches his jaw, radiating from his neck to the back of his head. He has no recollection of prior neck pain. He reports the pain appearing abruptly while seated watching television. The constant pain prevents sleep and is rated as a ten on a ten point scale. He took aspirin to manage the discomfort. He also mentions soreness and yellow drainage from his sinuses. He denies experiencing fever, shortness of breath, nausea, or bowel changes. Standing up triggers dizziness. He acknowledges a six pack a week beer habit, smokes half a pack of cigarettes per week, and starts his day with coffee.

The patient presents today with a lower back pain. She felt immediate lower back pain upon lifting a box earlier today. She had an accident a year ago but denies any fracture. She mention that the pain has been gradually worsening over since the accident. She mention difficulty bending and describes the pain as worsening with standing but improving when lying down. She mention that she has loss control of her bladder and the pain is all over her back. She mention that out of 10, the pain is 9. She denies nausea, headache and mention that she went to a clinic and was given a Norco but is not helping.

The patient presents today with with a concerning feeling of dizziness. She describes experiencing dizziness and a heavy ache in her chest while at work. She chewed aspirin to relieve the discomfort, but it was ineffective. She then became sweaty and had to lie down. Nitroglycerin was administered, but it also proved unhelpful. She denies shortness of breath and a history of heart disease. However, she mentions nausea, high blood pressure, and high cholesterol. Additionally, she discloses seeing a cardiologist who prescribed medication, which she has not been taking for some time now. She currently experiences chest pain, and a few weeks ago, she felt numbness and tingling in her arm.

The patient presents today with the feeling of dizziness. She describes experiencing dizziness and a heavy ache in her chest while at work. She chewed aspirin to relieve the discomfort, but it was ineffective. She then became sweaty and had to lie down. Nitroglycerin was administered, but it also proved unhelpful. She denies shortness of breath and a history of heart disease. However, she mentions nausea, high blood pressure, and high cholesterol. Additionally, she discloses seeing a cardiologist who prescribed medication, which she has not been taking for some time now. She currently experiences chest pain, and a few weeks ago, she felt numbness and tingling in her arm.

The patient presents today with the feeling of dizziness. She describes experiencing dizziness and a heavy ache in her chest while at work. She chewed aspirin to relieve the discomfort, but it was ineffective. She then became sweaty and had to lie down. Nitroglycerin was administered, but it also proved unhelpful. She denies shortness of breath and a history of heart disease. However, she mentions nausea, high blood pressure, and high cholesterol. Additionally, she discloses seeing a cardiologist who prescribed medication, which she has not been taking for some time now. She currently experiences chest pain, and a few weeks ago, she felt numbness and tingling in her arm.

I have adhd, anxiety, and depression. I’ve gotten by life pretty well by blocking everything out. I mean, I struggled in school. I tried to commit “s” a few times. I had a few panic attacks. I’ve never ended up in Hospital, though. I think I said, “i’m not fully living life since i’m always zoned out and I struggle with adulting sometimes”… so I went to get checked.

CC Fatigue, lightheadedness, dizziness The patient is a **year-old male who presents on *** with a chief complaint of weakness, fatigue, lightheadedness, and dizziness for the past few days. He also reports shortness of breath, dyspnea, and orthopnea since yesterday. He is unsure about his temperature today. He reports chest tightness. He denies vision changes, rhinorrhea, sore throat. He denies abdominal pain, leg pain, or leg swelling. He denies any rashes or skin problems. He denies any urinary issues. He has a history of thalassemia. He had a PRBC transfusion at the last visit. He has a family history of thalassemia, diabetes, and hypertension in his father. ROS Constitutional: Positive weakness, fatigue. CV: Positive chest tightness. GI: Negative for abdominal pain. GU: Negative for urinary issues. Extremities: Negative leg pain or swelling. SKin: Negative rashes. Neuro: Positive lightheadedness, dizziness. Resp: Positive shortness of breath, orthopnea, and dyspnea. DDD EKG performed at 11:55 and it was read at 11:59 a.m. Heart rate 110, sinus tachycardia, axis normal. No ectopy. Small Q waves at 2, 3, and avF. ST segment seems to depressed diffusely, nonspecific changes. T waves are normal. Conduction is normal. Impression: Sinus tachycardia. No EKG in the past for comparison. PE HEENT: Conjunctival pallor. Neck borderline JVD. lungs: Rales at the bases. heart: Tachycardia at 112. S3 gallop. ABdomen: Slight hyperactive bowel sounds. Splenomegaly 3 fingerbreadths above the left costal margin. extremities: Nailbeds are pale. Trace pedal edema bilaterally. a/p Ordered blood work including CBC, BMP, liver function, urinalysis, troponin, and BNP. Type and cross 2 units of PRBC. Ordered EKG and chest x-ray. Orders Morphine, Zofran Contact hospitalist for transfusion. attestation

The patient is here today complaining of chest pain that started a couple of hours ago. She states that it began as an “on and off pain” and then suddenly radiated from her neck to her arm. She describes it as very intense, which is why she went to the emergency department. She also mentions that she is experiencing abdominal pain. She denies clotting, GI bleeding, nausea, vomiting, and any other symptoms. She also denies taking medications for pain. She confirms a family history of cardiac problems. The EKG result came in today from the triage confirming a possibility of heart attack. I advised to put IV O2 to monitor triage protocol. I ordered CBC, BMP, troponin and chest xray. I ordered IV Bolus of heparin and heparin drip for MI protocol, nitroglycerin and 4 Baby Aspirin for chest pain. Wait for the CATT Team.

HPI The patient is a 30-year-old female who presents with chest pain. The patient reports feeling dizzy at work, which subsided a little when she sat down. An hour later, she experienced heavy chest pain, for which she took aspirin, which provided some relief. However she started sweating and decided to lie down, but the chest pain returned. She then mentions taking nitroglycerine before coming to the ER. She also reports experiencing numbness and tingling in her left arm that started a couple of weeks ago but has worsened today. She confirms feeling nauseous, otherwise denies experiencing shortness of breath, cold, cough, leg pain or swelling, cardiovascular disease, and diabetes. She confirms seeing a cardiologist for hypertension but was not taking any medication. She also has high cholesterol. No history of prior similar episodes. Denies smoking, clotting disorders, cancer, recent travel, recent surgery, fever, acid reflux, abdominal pain, diarrhea, blood in stool, and any other symptoms. No history of DVT or pulmonary embolism.

HPI The patient is a XX-year-old female who presents with chest and upper abdominal pain. The patient reports that an hour ago she was mowing her grass and began to experience constant sharp pain on his chest radiating to her abdomen. She rates the pain as 8/10. The patient has taken aspirin before going to the ER. She notes experiencing tightness on her shoulders. She also mentions sweating and shortness of breath, attributing it to mowing, and feeling nauseated due to nervousness. She mentions having been diagnosed with Wolff Parkinson's and undergone a stress test 3 years ago. The patient experiences occasional hypertension for which she is untreated. Furthermore, she denies fever, cough, sore throat, syncope, urinary urgency or frequency, bowel changes, leg pain, swelling and rash. Denies smoking and drug use. She confirms having a family medical history of cardiac problems on her grandfather's mother's side.

A XX-year-old female with a family history of cardiac disease presents with chest pain. The patient reports that a few hours ago, she began to experience chest pain, initially intermittent but later intensified and radiated to her neck and arms. She also confirms experiencing abdominal pain. Furthermore, she denies having clotting problems, nausea, shortness of breath, or leg pain and swelling.

The patient is a XX-year old male who presents with neck pain. He states that 3 days ago he was watching the television and he began to experience sudden neck pain. He reports the pain as achy at the front, sharp pain at the back, and radiates to the back of his head. The pain has been constant since onset and he rates it as 10/10 making it difficult for him to sleep. He added that his jaws are sore and painful to touch. No prior history of neck pain. The patient confirms taking aspirin. He has not consulted the doctor for this issue. The patient also reports experiencing sinus soreness with yellow drainage. He also experiences dizziness when standing fast which is resolved when putting his hands out. He denies fever, chest pain, shortness of breath, nausea, vomiting, urine symptoms, bowel problems, leg pain, swelling, and rash. He confirms drinking 6 packs a week, smokes half a pack per week, denies street drug use, and drinks 2 cups of caffeine every morning.

The patient is a XX-year old with a past medical history of migraine presents with a bad headache that started today. The patient reports that since the onset of the headache, the pain has been gradually worsening and is all over his head. He states that light and sound make it worse. He confirms experiencing nausea and vomiting that started a couple of hours ago. He confirms using weed at 1 o'clock today, which typically alleviates his migraines, but it did not provide relief today. Denies taking any other medication. He confirms seeing a doctor for his migraine but he can’t recall medication taken. The patient has not undergone any previous CT Scan or MRI. He denies fever, weakness on one side, loss of vision, chest pain, abdominal pain, diarrhea, leg pain or swelling, and rash. No other medical conditions.

A XX-year-old female presents with pain in her right knee and right ankle. The patient states that a few hours ago while playing basketball, she twisted her ankle and fell on her right elbow and knee while attempting a layup. She rates the pain in her right knee as 9/10 and the pain in her right ankle as 12/10, which is worse. She has taken Vicodin for pain relief. The patient denies any elbow injury but explains that she is unable to bear weight on her knee and has been using her friend for support. She confirms having experienced knee pain before and has a history of a broken arm.

The patient is a XX-year-old female who presents following a fall. She reports falling off the bike on the curved sidewalk of the street resulting in a left cheek laceration, a few scrapes, frontal headache, stiff neck, and nausea. She denies difficulty breathing, recent cough, cold, fever, and diarrhea. Denies other injuries and any other medical conditions. She also notes regular use of baby aspirin.

SUBJECTIVE: HPI-ROS: The patient presents today after experiencing vomiting for 36 hours. She states that she has feelings of being overwhelmed and anxious. She mentioned that she's currently working as a waitress, not being able to earn enough, and living with her ex-fiancé with his kids and her kids. She also affirms having difficulty sleeping and having a nightmare of seeing herself dying seeing flatlines in the monitor. She also mentioned driving a car into a tree but wouldn't do it because of her children. She mentioned that she felt suicidal just one time and thought of hurting herself while going through a divorce 7 years ago. Her husband brought her to Green, and they gave her Ativan but did not see anyone after that. She is not taking medication for anxiety and depression. She also denies being pregnant. She denies blood in vomit, diarrhea, constipation, abdominal pain, fever, runny nose, congestion, chest pain, palpitation REVIEW OF SYSTEMS: Psychiatric: Positive for anxiety symptoms, No depressive symptoms, no changes in sleep habits, no changes in thought content. OBJECTIVE: General: Awake, alert, and oriented in no acute distress. Conversant and friendly affect. Heart: Regular rhythm and rate, no murmurs, no rubs, no gallops. Chest: Lungs clear bilaterally, no rales, no rhonchi, no wheezes, normal chest movement, no use of accessory muscles of respiration. Abdomen: Soft, no tenderness, no masses, BS normal, no organomegaly, no bruits. ASSESSMENT: 1. Anxiety PLAN: 1. Medication for anxiety: Ativan IV, 1 mg. 2. Lab Orders: CBC, BMP, LFT, EKG, Urine Pregnancy Test, Serum Tox Screen Test, Urine Drug Test 3. Consult a crisis worker

still practicing to be a scribe but here is what i wrote for HPI: Patient is a __ year old female with NKH presenting to the ED with a cheek laceration. Patient states taking a baby aspirin before coming to the ED. Symptoms include cheek laceration and a headache on the frontal lobe with mild tenderness and nausea. Patient reports falling off her bike after her brakes malfunctioned. Patient denies any vomiting, shortness of breath, fever, or any other injuries pertaining to the incident.

CHIEF COMPLAINT: Abdominal pain HPI This six-week pregnant patient came to the clinic with complaints of abdominal pain in the right lower quadrant. The patient claims she woke up at 7 o’clock this morning when she felt a sharp, sudden pain on her side, she describes the pain as consistent and rated it as 5/10 on the pain scale. She visited her OB yesterday due to vaginal discharge and reveals that she is positive for Yeast infection and Monistat was prescribed. She reported that she felt nauseous and vomited (2x). She denies having a fever, headache, presence of some rashes, and changes in bowel movement. She also reports that there are no unusual symptoms such as vaginal bleeding, shortness of breath, and chest pain. She denies any previous surgery. She is not taking any current medications. Assessment 1. Tenderness on the Right lower quadrant Plan 1. Quantitative Beta HCG, Ultrasound (Pelvic) 2. CBC, BMP, Urinalysis, Urine Culture 3. No medication prescribed

CHIEF COMPLAINT: Shortness of breath HPI This patient came to the clinic with complaints of weakness and fatigue accompanied by lightheadedness and dizziness. The patient reports experiencing shortness of breath while lying down and no strength to breathe. He reveals a family history of Hypertension, Diabetes Mellitus, and Thallasemia, recently diagnosed with the latter, and had a history of blood transfusion. He claims that he had tightness in the chest .He denies any changes in his vision, runny nose, difficulty in swallowing, sore throat, vomiting, and no presence of rashes. He denies changes in bowel movement or any urinary symptoms such as frequency .The patient reports that he already had this previous episode. Physical Exam reveals Conjunctival pallor, Borderline JVD, fine rales at the base of the lungs, S3 gallop, slightly hyperactive bowel sounds, splenomegaly (three-fingerbreadths below the left costal margin) nailbeds are pale, bilateral edema is noted and concluded to be anemic. CBC, BMP, Liver function test, urinalysis, 2units of Packed RBC (properly typed and cross match), EKG and Portable X-ray. EKG Interpretation: Sinus tachycardia (110bpm), axis is normal, small Qwaves,ST segments slightly elevated and diffusely, T-waves are normal, conduction is normal) ASSESSMENT: Sinus Tachycardia, non-specific ST changes PLAN: 1. Notify the Hospital for possible admission 2. IV line for possible blood transfusion 3. Morphine for pain

i would be smiling if i was going to have a heart attack as well.

Please correct me! I am practicing scribing but it isn't enough since no one is correcting me. Thanks s: The female patient, with a past medical history of chronic heart failure and a previous myocardial infarction, presented to the Emergency Department complaining of difficulty breathing after celebrating thanksgiving. She reported struggling to catch her breath while in bed last night and upon waking up. The shortness of breath persisted and worsened, even when she attempted to perform basic activities such as going to the bathroom. The patient confirmed a heart attack that occurred two years ago, which led to her hospitalization for acute myocardial infarction for a week. Additionally, she disclosed her diagnosis of diabetes and mentioned taking metformin and bendix to manage her diabetes. The patient reported a persistent cough over the past couple of weeks, resulting in a sore throat due to excessive coughing. She denies experiencing fever, vision changes, vomiting, diarrhea, chest pain, abdominal pain, or urinary symptoms. Notably, she mentioned experiencing swelling in both her left and right legs and had gained approximately 10 pounds in weight recently. O: mild strenuous tenderness tachycardia of 110 with s3 gallop hepatojugular reflux 4plus edema bilaterally a: p: chest xray lot of fluid admit to ICU ekg rate 110 rythm normal axis left contraction

Please correct me, I am practicing how to scribe but I know it is not enough when no one is correcting me s: the male patient comes to ED with previous medical history of thalassemia complaining of weakness, dizzines and body fatigue. He rested for a few days but yesterday he experienced shortness of breathe It was hard for him to breathe. His chest feels tight and painful. He has a family history of Thalassemia, Hypertension and Diabetes. He confirms to have blood transfussion. He denies fever, vision changes, difficulty swallowing, sorethroat, runny nose, leg swelling, abnormal urinary frequency and bowel movement abnormality. o: conjunctival pallor borderline jbe neck??? fine rowls at te bases (back)??? ^^ tachycardia 112 (chest) slightly hyper active bowel sounds splenomegaly about 3 finger breath below castar margine??? ^^ trace pedal edema billaterally a: Diagnosis: Patient is anemic. p: 1. Order the following laboratory tests: CBC (Complete Blood Count), basic metabolic panel, liver function tests, pro-BNP (B-type natriuretic peptide), urinalysis, Blood and Rh typing, and crossmatching to assess the patient's overall health and prepare for potential interventions. 2. Prepare 2 units of PRBC (Packed Red Blood Cells) for blood transfusion, ensuring compatibility with the patient's blood type. 3. Perform an EKG (Electrocardiogram) at 11:55 am and have it read at 11:59 am to evaluate cardiac activity. Additionally, conduct a portable chest x-ray to assess the patient's respiratory status. 4. Administer 4 mg of morphine for pain management and 4 mg of zofran (Ondansetron) for antiemetic purposes. Monitor the patient for any adverse reactions and assess the response to the medications. 5.Contact the appropriate ward for possible admission, coordinating with the hospital staff for bed availability and necessary arrangements.

cant understand clearly, its like their eating their words

Morphin SUBQ

The history taking is all over the place. This is very difficult for the scribe.

She’s not agitated wth. And she’s not actively having hallucinations

Morphine SQ? Really lol

Eto yung doktor na kinakain yung words lagi. ang hirap iscribe neto hahaha

The patient is a xx-year-old male presented to the ER with headache on both sides all over the head all day. The patient admitted that light and loud noises make the pain worst. The patient has been vomiting for a couple of hours. The patient was seen for migraine before but has not performed CAT scan and MRI and no medications were also taken. The patient admits to have smoke weed at 1pm to alleviate the pain. The patient denies weakness on the one side or other side of the body, slurred speech, loss of vision, chest pain, shortness of breath, abdominal pain, diarrhea, swelling and rashes. The patient is unsure of dizziness and has been laying down for a while now. Pupils equal and reactive Cranial nerves intact 2-12 Neck is completely supple No tenderness of kidneys Tachycardic 110 No pronator drift Bilateral weak motor strength No labs were taken. It’s the Typical Migraine. Medication order: IV Fluid for dehydration - 1L NSS Migraine - Toradol 30mg IV, Reglan 10mg IV and Benadryl 25mg IV

The patient is xx-year-old female presents to the clinic with vomiting that started 36 hours ago. She states that she’s been feeling overwhelm along with anxiety attacks. The patient reports being anxious. She can’t sleep at night because of nightmare that she’s dying. She states that she’s feeling suicidal one time with her divorce 7 years ago. Her husband took her to Greene Hospital and was given Ativan. The patient denies any blood in vomit, diarrhea, constipation, abdominal pain, fever, runny nose, cough, congestion, chest pain and palpitations. She also stated she has not taken any medications other than mentioned. Heart: Regular Lungs: Clear Good bowel sounds No tenderness to palpitation Prescribe Ativan 1mg IV for her anxiety To consult a crisis worker Follow up labs: CBC, EKG, LFT, Pregnancy Test, Serum Tox Screen, and urine drug screen.

This male patient came into the clinic with a CC of feeling weak and fatigued and dizzy and lightheaded. He has been having it for the past few days. He tried resting it but to no relief. (+) He has shortness of breath which started yesterday. He could not rest now because he cannot breathe when lying down. He does not have the strength to breathe. He also has chest tightness. (-)He refutes any visual changes, runny nose, and difficulty in smelling, sore throat, and rash. Additionally, he affirms the absence of belly symptoms, change in bowel movement, urinary symptoms, feeling of fever, and leg swelling.

Next time palagyan naman ng mic ang hirap kasi

rapper si doc huhu

Sounds like she's a smoker.

Pt is a __ yr old male and started to feel neck pain 3 days ago in front of jaw and back part feels sharp pain. Pt describes pain is constant and barely got sleep. In the back, if Pt moves feels pain 10-of-10 in scale. When Pt is standing up, feels dizziness and mild pain. Pt has been taking aspirin and has sinus. Pt also has yellow fluid. Pt denies fever, chest pain, nausea, swelling. Pt unsure of the cause. Pt consumes alcohol often, smokes half pack/wk.

A female patient presents today experiencing vomitting for the past 36 hours. She states that she's been feeling overwhelmed and feeling anxious. She attributed her anxiousness due to lack of sleep and nightmares of her dying. She also reported having suicidal ideation one time, her husband took her to a dr one time which prescribe her Ativan for her anxiety. Denies any medication other than mentioned. She denies blood in her vomit(Hematemesis),diarrhea, constipation, abdominal pain, fever, runny nose, cough, congestion, chest pain, palpitations, denies pregnancy. Denies pregnancy. Heart: Regular Lungs: Clear Abdominal: Good bowel sounds, no tenderness, rebound or guarding. Labs ordered. Medication 1 mg Ativan iv for her anxiety medication CBC BMP LFT EKG urine sample, uring pregnancy, serum toxin , urine drugs. -- I need more practice :)

My fingers have never felt so slow

how does anyone in the US afford weeks inpatient though

CC: headche HPI: The patient is a __-year-old female with a past medical history of chronic headaches who presents today with a persistent headache, despite being discharged yesterday for the same complaint. The patient denies having visited a neurologist or undergoing a CAT scan procedure. The patient affirms experiencing vision changes associated with the headache. She denies other symptoms such as nausea, sensitivity to sound, weakness in one arm and leg, bowel and gall bladder issues, fevers, chills, sweats, congestion, cough, shortness of breath, chest pain. And denies pregnancy. The patient confirms having taken Toradol and Tylenol for pain without relief. The pt is also taking regular med for pain but she was uncertain of the brand name. She reports no drug or alcohol use. After the completion of the P/E, the patient began experiencing nausea and requested a medication.

CC: Abdominal Pain HPI: The patient is a __-year-old woman who is 6 weeks pregnant and presenting today with constant abdominal pain. She experienced a sudden onset of sharp and constant pain in the right lower quadrant when she got up this morning at 7 am. She rates the severity of the pain as 5 out of 10. The patient denies taking any medication for the pain. The patient mentions a recent visit to her obstetrician, who prescribed Monistat for a yeast infection, but the medication did not relieve her abdominal pain. She denies taking any other medications and has no history of medical problems related to her abdomen or any surgeries. This is her second pregnancy, with her first child being 3 years old. The patient denies having a fever but reports experiencing nausea and has vomited twice. The patient denies changes in her bowels, symptoms of urinary frequency, urgency, or burning. The patient confirms that the pain does not spread to other areas and remains localized in the right lower quadrant. The patient denies taking Tylenol. She denies loc, cp, sob, leg pain/swelling, and rash.

CC: bad headache HPI: The patient is a __-year-old male with a past medical history of migraine. He is presenting today with a bad headache that started a couple of hours ago and has been gradually worsening since then. The patient describes the pain as being distributed all over his head. He reports that his headache worsens in the presence of lights and sounds. The patient is also experiencing nausea and has been vomiting. The patient mentioned that smoking marijuana helps alleviate the pain, and he confirms using it at 1 o'clock today. The patient has not undergone any previous MRI or CT scan. The patient has seen a doctor before, but he cannot remember the medication he was given. The patient denies experiencing slurred speech or loss of vision. There is no associated chest pain, cough, shortness of breath, abdominal pain, diarrhea, urinary symptoms, leg pain, leg swelling, or rash. The patient does not have any other medical problems. Dx: typical Migraine

So NOT what happens

Its migrane

hey its our doctor now as patient

Sarah needs some P.R. (Pulmonary Resuscitation). Just like CPR it's per4med on her boobs instead.

patients complained of feeling weak , fatigue and dizziness since few days and he states having shortness of breath since yesterday and when he lied down he felt he could not breath and he has lost strength to breath. patient affirmed having similar attack before and he was diagnosed with thalassemia .and he also affirmed thalassemia runs in his family. he denied having cough , cold , runny nose. he affirmed having tightness around his chest. denied any bowel and urinary symptoms . he stated about his father having thalassemia and diabetes physical examination revealed conjunctival pallor , 112 heart beat per minute , slightly hyperactive bowel sound , nail beds are pale . and doctor concluded patient looked anemic. doctor suggested cbc, urinolysis , ekg , liver function test , protable xray .

she looks like she is about to blow ...pent up .....poor kid wish her well