EMR — Encounter #1247
AI Active
J
James Turner
M · 34 yrs · Last visit 14 days ago · Dr. Aisha · Cardiology
⚠ Penicillin
Hypertension
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A — Assessment
Chest pain, likely musculoskeletal. Rule out cardiac origin. BP elevated at 148/94.
⚠ Contraindication — Amoxicillin
Patient has documented penicillin allergy (anaphylaxis). Risk: severe anaphylactic reaction.
BLOCK
Differential — Chest pain, 3 candidates
1. Costochondritis (78%) 2. Hypertensive crisis (14%) 3. GERD (8%)
78%
Suggestion — Ibuprofen 400mg (RxNorm: 197805)
Appropriate for costochondritis. Monitor BP — NSAID use with hypertension requires caution.
Rx safe
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