🩺 Record Detail

Patient Info

Name: Anuj
Age: 52 years
Date: 2025-07-18 05:22:35

Transcript

[00:00 → 00:11] Hi, my name is Anuj, so I'm facing a couple of respiratory problems in the last 30 days.
[00:11 → 00:16] I'm on a blood pressure medicines and I'm 52 years old doctor.
[00:16 → 00:21] So can you tell me what is the reason of my breathlessness?
[00:21 → 00:24] So some more information about that.
[00:24 → 00:30] I am into smoking and off late I'm feeling a blood pressure, so can you just give me some

Clinical Notes

Subjective

  • Patient: Anuj, 52 years old.

  • Primary Concern: Facing respiratory problems in the last 30 days, experiencing breathlessness.

  • Medical History:

  • On blood pressure medication.

  • Lifestyle Factors:

  • Smoker.

  • Symptoms:

  • Feeling blood pressure.

Objective

  • No relevant data.

Assessment

  1. Respiratory Problems: Presenting with breathlessness, possibly exacerbated by smoking.

  2. Hypertension: History of blood pressure issues.

Plan

  1. Management:

  2. Evaluate respiratory symptoms further.

  3. Consider pulmonary function tests.

  4. Discuss smoking cessation strategies.

  5. Blood Pressure Control:

  6. Review current blood pressure medication efficacy.

  7. Follow-Up:

  8. Schedule a follow-up appointment to review test results and adjust treatment plan accordingly.

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