PAST MEDICAL HISTORY: The patient has a diagnosis of early Parkinson Disease and is treated by a neurologist for this.
ALLERGIES: The patient is allergic to SULFA which causes hives.
PHYSICAL EXAMINATION: VITAL SIGNS: blood pressure 110/95, pulse 75, respirations 18. HEENT: Normocephalic,, atraumatic, pupils equal, round, reactive to light and accommodation. Fundi clear, no AV nicking. Ears, nose and throat clear. NECK: Supple, no JVD, no lymphadenopathy. THORAX AND LUNGS: Clear to percussion and auscultation. CARDIOVASCULAR: s1 and s2 normal. There was a grade 2/6 systolic ejection murmur. ABDOMEN: Supple. No organomegaly or rebound tenderness. ANO-RECTAL: Deferred. EXTREMITIES: No clubbing, cyanosis, or edema.
HOSPITAL COURSE: The patient was taken to the cardiac catherization laboratory on the morning of admission. This study revealed no areas of stenosis of the coronary arterial system. The patient was given nitroclycerin sublingually p.r.n. chest pain and was given Procardia for his hypertension. His ECG normalized and on Tuesday he was subjected to a treadmill exercise test