Patient Initials: M J Person giving information: []Patient [] __medical surrogate_____(relationship to patient) Date of Birth: 23/4/1980 Height: 165 cm Weight: 65 Kg Allergies: Pollen, fur, dust, strong scents Presenting Symptoms: coughing, wheezing, chest tightness, chest pain, shortness of breath Medical History: chronic obstructive pulmonary disease, rhinitis, sinusitis Surgical History: none Family History: the father died of lung cancer due to smoking, and the mother has asthma Vital signs: Temperature 36.5 C, respiratory rate 36 breaths/min, heart rate 125 beats /min Tests and Procedures are done: spirometry and FeNO tests. Results of Tests and procedures: acute allergic asthma Psychosocial Assessment: physically and emotionally drained due to panic attacks Skin Assessment: redness and swelling Glasgow coma scale: 13
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