Philadelphia College of Osteopathic Medicine - Synapsis Yearbook (Philadelphia, PA)

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10 2 70 (Freshman Year) SUBJECTIVE: Patient states that his only complaints are severe epigastric pain. fatigue, diarrhea, and palpita- tions at 1:00 P.M. Tuesdays and Thursdays. OBJECTIVE: On observation, the patient appeared disheveled, extremely fatigued, and was hyperventilating. His reactions were somewhat paranoid and he was wearing the color green exclusively because he declared. I don ' t with to be noticed. Hishair was extremely short and well groomed, and he had numerous scrapes on his lace which appeared to be the result of overzealous shaving. He wore a new white lab coat which, despite its newness, had already suffered the ravages of Anatomy Lab. His eyes were somewhat inflamed and he described the ailment as chemical conjunctivitis which was aggrivating his Tired Eye Syndrome. He intermittently babbled numerous Anatomical and Histological terms while alternating with the study of homemade flash cards of the blood constitu- ents. He was noted to have washed his hands three times during his brief examination. It was Friday afternoon but for some reason he seemed depressed. He leafed through his Grays Anatomy and muttered something about another Saturday of that stench. Chest and lungs were within normal limits. Extremities were normal except for chapped hands, bitten fingernails. and a slight tremor believed to be the result of fatigue. The patient contended that his diarrhea ensued with his admission physical and was later aggravated by Dr. Kline and has just now started to abate. NO A nmirrA DEPT. ANATOMY sit

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Be ye not the first to have tried. Nor the last to set the old aside

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ASSESSM ENT: Acute anxiety, depression. paranoia and fatigue. PLAN: 5 mg. Valium T.1.0., rest, will follow