5.      A brief medical history, diagnostic studies, state of the disease, appropriate treatment, state of health before referral to treatment, state of health at discharge:

After a road accident, the patient consult a doctor with complaints of damage, asthenia, chilly sensation, temperature rise to 38 ° C, dry cough (from February 7, 2012), chest pain.

Medical examination: the state of health is satisfactory, the body temperature 37,6 ° C, blood pressure 130/80. In the lungs, breathing hard tone, dry rales on the front surface. Respiratory rate 18 breaths per minute.

The patient has taken the following drugs: Cetrinal, Askoril, Nimesil. Carried out rubbing his chest.

February 10, 2012

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