"No history of alcohol abuse or smoking.,PHYSICAL EXAMINATION:,GENERAL:  Currently lying in the bed without apparent distress, very lethargic.,VITAL SIGNS:  Pulse rate of 55, blood pressure is 92/52, after IV fluid came up to 105/58.,CHEST:  Shows bilateral air entry present, clear to auscultate.,HEART:  S1 and S2 regular.,ABDOMEN:  Soft, nondistended, and nontender.,EXTREMITIES:  Shows the patient's straight leg raising to be only up to 30% causing the patient severe back pain.,IMAGING: , The patient's x-ray of the lumbosacral spine done shows there is a L1 compression fracture with some osteophyte formation in the lumbar spine suggestive of degenerative joint disease.,LABORATORY DATA: , The patient's lab test is not done currently, but previous lab test done in 3/2009 seems to be in acceptable range.,IMPRESSION: , The patient, because of near syncopal episode and polypharmacy, almost passed out for about 3 to 4 minutes in front of me with a low blood pressure.,1"
"Tewali byafaayo bya kunywa mwenge oba okunywa ssigala.,OKWEKEBEJJA MUMUBIRI:,OKUWALA: Mu kiseera kino nga agalamidde mu buliri nga talina buzibu bulabika, nga mukoowu nnyo.,OBUBONERO OBUKOLA: Pulse rate of 55, blood pressure is 92/52, after IV fluid came up to 105 /58.,EKIFUBA: Kiraga okuyingira kw’empewo ku njuyi zombi nga kuliwo, nga kutegeerekeka bulungi okuwulira.,OMUTIMA: S1 ne S2 bulijjo.,OLUBUTO: Soft, nondistended, and nontender.,EXTREMITIES: Kiraga nti omulwadde okusitula amagulu amagolokofu kutuuka ku bitundu 30% byokka ekivaako omulwadde obulumi obw’amaanyi mu mugongo.,IMAGING: , Omulwadde x-ray y’omugongo gwa lumbosacral ekoleddwa eraga nti waliwo okumenya kwa L1 compression nga waliwo okutondebwa kw’amagumba mu mugongo ogulaga obulwadde bw’ekiwanga obuvunda.,LABORATORY DATA: , The patient’s lab okukebera tekukolebwa mu kiseera kino, naye okukebera kwa lab okwasooka okwakolebwa mu 3/2009 kulabika nga kuli mu bbanga erikkirizibwa.,IMPRESSION: , Omulwadde, olw’okuba kumpi syncopal episode ne polypharmacy, katono yazirika okumala eddakiika nga 3 ku 4 mu maaso gange nga puleesa ya wansi.,1"