Patient Details
Name |
Ian Makepeace |
Age |
57 |
Sex |
M |
Medications |
Pantoprazole 40mg daily Salbutamol PRN Spiriva daily |
HPC |
Patient has had chronic right-sided hearing loss for four years, and tinnitus for three years associated with mild vertiginous symptoms. He has noticed right-sided facial paraesthesia over the last year and a dry right eye. |
PSxHx |
Laparoscopic, bilateral inguinal hernia repair in 2013 |
PMHx |
Moderate COPD, FEV1/FVC 65% predicted |
Allergies |
Aspirin, urticarial and angioedema |
FHx |
Father died of laryngeal cancer; mother is alive and in high level care nursing home with end stage renal disease. No siblings. |
SHx |
Patient lives with wife and three children in Armidale. He works as a librarian in the town library. He quit smoking four years ago when he was first diagnosed with COPD; he has a 20 pack year history. He does not drink alcohol and follows a strict vegan diet. He is a member of a local swim squad that meets three times a week. |