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
500mgEmergency 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. Maria Rodriguez
Specialty
Emergency Medicine
Qualifications
MD, FACEP
maria.rodriguez@hospital.com
Phone
+1 (555) 876-5432
EKG
Electrocardiogram to record electrical activity of the heart
Wound Care
Treatment of minor wounds including cleaning, dressing, and bandaging
Spirometry
Lung function test to measure breathing capacity