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ptosis - saboo
#1
likely a office case........so
complete P/E
===============
order
cbc
bmp
or chem 13
ua
cxr
lipid profile
tsh
12 lead ekg
lft
==========
give app in 3 days
=============
completep/e
==============
cxr show increase vascularity
lipid shows incre chles and trigly
==========================
order
simvastatin
low calorie diet
PCWP or swan cathtre
echo
================
app in 1 wks
================
pcwp shows hypertensio
=============
order
ca blochkers like
nomodipine
================
app in 2 wks
==================

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#2
ok so for treatment u have to give just Cal blockers
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#3
ABG
HEPATITIS SCREEN
HIV
PT/INR
PTT
BLOOD TYPE N CROSS MATCH
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#4
once pt pul hyper stabilize we also order
abg
pul al po2 pul cap po2
==================
consult cosmetic surgery
consult
gi surgery
===============
5 min screnn
==============
counselling and screen age apprp
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#5
why
hiv and hep c

rest good points
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#6
pre opt screening test
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#7
saboo r u sure about the pre opt medication ,u just say cal blockers
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#8
r u sure??

any other addition
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#9
ca blocker to traet her pul hypertension

otherwise no need for that
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#10
looks good to me, never saw this case
u did well
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