Michelle Adams

Encounter Note by Dr Bryan Young (DOS: 11-03-2015) 
 Michelle Adams 
 37 year old Male (D.O.B: 27-03-1996) 
 Vitals: 
 Height: 
 Weight: 265 lbs 
 BP: 
 Pulse: 
 75 beats/min 
 Temp: 
 Resp: 
 Vitals General 
 Measure 
 4/27/10 
 11/29/10 
 8/30/11 
 9/26/11 
 9/30/11 
 9/30/11 
 3/19/12 
 Habitus 
 Height (inches) 
 79.0 
 79.0 
 79.0 
 Weight (pounds) 
 248.3 
 242.6 
 244.0 
 240.0 
 Weight comments? 
 BMI (kg/m2) 
 27.969059 
 27.326999 
 Neck circum. (inches) 
 comment - 1 
 Temperature 
 Temperature 
 Temp Location 
 Oral 
 Oral 
 Oral 
 Oral 
 Oral 
 Oral 
 Oral 
 Chief Complaint: 
 Routine follow up 
 Onset Date: 
 not entered 
 Progress report: 
 Mr. Michelle Adams has done well since the last visit with no cardiac symptoms. He denies any palpitations, chest pain or 
 dizziness. 
 Cardiac testing: 
 Echocardiogram, April 2010: Ejection fraction 55-60%. 1+ regurgitation. 1+ aortic insufficiency. Aortic root diameter 
 4.4 cm at the sinuses and 4.1 above the sinuses. 
 Labs: 
 January 2010: Cholesterol 143 triglycerides 71 LDL 87. 
 September 8, 2011: Blood sugar 98 BUN 19 creatinine 0.88. Normal electrolytes and CBC with hemoglobin of 14.3.
