27/37
(Transfer summary of Intern Laurel Mayer, 8/27/93.  This is noted as a Continuation
Sheet.  Part 1. of it with the initial history and treatment is missing.)
S (?)        Patient without complaints
O(?)     vitals     160/110                                   2800/2850       90    20
HEENT  PERRL,  EOMI                                 ABD      benign  +BS
LUNGS  Clear                                                 EXT       no C/C/E.
HEART   S1S2, normal              em/a/r (?)
LABS
          ANA (-)     9.0  158  .71.3  39     PT  12.7/11.8      143  110  4  <84
            ESR 20     3.7    6.5   80   216   PTT  29.6/29.7       3.7   25 .9
                             4.4    3.9   59   1011                                     12.9
                                                                                            8.5>-----<188
                                                                                                   34.2
7:36/40/89       97/.
creatinine        328
U(rine) Na      207
U  k                  54
U  cl                275
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Imp(ression)/   23 year old white male  panic disorder  admitted with
benzodiazepine withdrawal.
now stable - 
1.  withdrawal   patient fully oriented - on 2mg PO ativan every 4 (hours).
             Doing well.  No seizures, delirium or agitation.  Transfer psych.
2.  CPK (Creatine Phospho Kinase)     decreasing.  continue PO
              hydration - 
             Medically cleared
             Stable for transfer.
                                                                     Laurel Mayer (M.D.)
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8/27         ICU Attending
         Mr. Speken is alert, oriented, and conversant.
Blood Pressure and Heart Rate   mildly elevated likely secondary   anxiety
       &  ? secondary withdrawal.   Continue Ativan.   Transfer to psych
       today.
                                                      (initials of Debra Aronson, M.D.)
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