Patient’s Profile

Jun 21st, 2015
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This is a case of Riva Sanders, 34 years old, female, presently residing at North York, Toronto, Ontario. Client came to doctor’s office at 13:10 complaining about flu like symptoms, stiff neck and fever.

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Patients ProfileName: Riva SandersAddress: North York, Toronto, OntarioAge: 34 yrs. old Sex: FemaleBirth Date: December 25, 1980Religion: ChristianCivil Status: MarriedPhysician: Dr. Annalyn YuNurse on Duty: Edgar S., RNDate and Time: September 1, 2014; 13:10 Chief Complaint: fever and flu like symptomsFinal Diagnosis:Lyme diseaseEthnicity:HispanicOHIP number :**** - *** - ***- DGGeneral Data:This is a case of Riva Sanders, 34 years old, female, presently residing at North York, Toronto, Ontario. Client came to doctors office at 13:10 complaining about flu like symptoms, stiff neck and fever. Temperature at 38.83 C (101.9 F). Client stated that she had recently gone in week long Camping and fishing trip along with her husband Sebastian and their Three year old daughter Coraline in Lake Erie on Norfolk County, Ontario on August 24, 2014. August 26, 2014, Both Riva and Coraline appears to have an allergic reaction to typical bug bite, rashes were seen near the bug bite. Riva also reckoned that a tick were spotted on her left gastrocnemius muscle. At August 28, 2014 symptoms such as stiff neck and chills were reported by the client. Bulls eye rash noted on left gastrocnemius History of Present Illness:FeverFatigueChillsHeadacheStiff neckMalaise/weaknessPast Medical History:No past medical historyFamily History:(+) hypertensio

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