Senthilkumar Clinical Data

NAME: Senthilkumar S/O Dhakshinamurthy AGE: 32 SEX:Male ADDRESS: Samattikuppam, Village and Po Panruti Tk., Cuddalore Dt DIAGNOSIS:Rheumatic mitral restenosis, Moderate Mitral regurgitatin, Aortic regurgitation and stenosis, Tricuspid regurgitation, PAH Class III OPERATION: Triple valve surgery. Mitral valve replacement Aortic valve replacement and Tricuspid valve repair. Open heart surgery COMPLAINTS HISTORY: Class III dyspnea nd effort intolerance. Recurrent cough. No Hx of syncope, CVA PAST HISTORY:Hx of closed mitra valvotomy about 13 years ago. FAMILY HX:Nil particular ALLERGY None GENERAL EXAMINATION: Pallor- Icterus- Cyanosis- Clubbing- Pedal edema- Genel. LympnadenopathyHR 86/ mt reg BP 138/68 Torr HT Cm Wt Kg CVS: JVP 0 S1 N S2 N Middiastolic, ejection systolic and early diastolic murmur No gallop RS: Trachea midline Air entry equal. No added sounds ABD: LiverNot palpably enlarged Spleen- Not palpably enlarged Mass None Ascites None Renal angles Free Hernial orifices Normal MSK: No deformity . Gait Normal CNS: Normal Higher functions. Cranial Nerves ( N) Motor Fn ( N) Sensory Fn (N) LABORATORY: HB 14.1 TC11,200 ESR BT B Sugar 98 mg % Urea

DC P 72 L20 CT 28 mg % Creatinine

E 8 0.8 mg5

Elisa Antigen for Hepatitis B Negative ELISA HIV Nonreactive CXR: CTR 70 % Lung fields clear . No opacities.CP angles free. Domes of Dia. Normal. LV ++ ECG: Normal Sinus rhythm No T / ST abnormalities suggestive of ischemia. Normal QRS axis LAE ABD SCAN: Normal ECHO Moderately severe mitral restenosis and regurgitation, aortic regurgitation and stenosis and moderate tricuspid regurgitation OPERATION Planned: MV, AV replacement & De Vega Procedure. Open heart surgery Tentative Date of Admission 24.11.09 Tentative Date of Operation 28.11.09 Tentative date of Discharge 10.12.09