Name
John Smith
Date of Birth
3/15/1980
Gender
Male
Contact
john.smith@email.com
+1 (555) 123-4567
History
5 consultations
Last visit: 3/1/2024
Lisinopril
10mgMetformin
500mgInitial Consultation
Insights
Current Medication
Patient is on Lisinopril which may cause dizziness as a side effect
Stress Factors
Recent work-related stress reported, potentially contributing to symptoms
Sleep Pattern
Irregular sleep schedule noted - averaging 5-6 hours per night
Symptoms
Persistent headache
Frontal area pain
Throbbing sensation
Worse in morning
Diagnosis
Tension headache - Primary diagnosis
Possible migraine - Secondary consideration
Recommendations
Prescription-strength pain relief
Keep headache diary
Stress management techniques
Follow-up
Schedule follow-up in 2 weeks if symptoms persist
Name
Dr. Robert Chen
Specialty
Internal Medicine
Qualifications
MD, FACP
robert.chen@hospital.com
Phone
+1 (555) 987-6543
EKG
Electrocardiogram to record electrical activity of the heart
Spirometry
Lung function test to measure breathing capacity
Chest X-Ray
Radiographic examination of the chest to evaluate heart, lungs, and other structures
Basic Metabolic Panel
Blood test measuring glucose, calcium, electrolytes, and kidney function