[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"doc-seo-25623-105":3,"detail-sidebar-cat-0-en-105":64,"doc-detail-25623-en":114},{"code":4,"msg":5,"data":6},0,"ok",{"site_id":7,"language":8,"slug":9,"title":10,"keywords":11,"description":12,"schema_data":13,"social_meta":56,"head_meta":59,"extra_data":61,"updated_unix":63},105,"en","emergency-register-mr-derek-romano","Emergency Register - Mr. Derek Romano","","This document is an emergency register entry for Mr. Derek Romano, a 46-year-old insurance clerk diagnosed with an acute myocardial infarction. The entry details his medical history, including being a heavy smoker with insufficient exercise, a past history of high blood pressure, and a family history of myocardial infarction. Initial presentation on March 20, 1997, showed high blood pressure (150/100 mmHg), regular pulse (80 b/min), and overweight status (98 kg). He was advised on weight reduction, smoking cessation, and blood pressure monitoring, and was prescribed nifedipine 20 mg daily. A follow-up on April 23, 1997, indicated non-compliance with medication, leading to increased blood pressure and his attendance with mild epigastric pain after eating and walking, radiating retrosternally. Nifedipine was increased to 20 mg twice daily, with Mylanta added. One week later, he presented in distress with crushing retrosternal chest pain, sweating, and exertional dyspnea. His blood pressure was 160/100 mmHg with a pulse rate of 64 b/min, and crepitation was noted at the lung base. An ECG confirmed an acute inferior myocardial infarction. He was treated with oxygen, anginine sublingually, morphine 2.5 mg, and maxolon 10 mg intravenously stat. The document is a referral letter from Dr. Fahmida at the Royal Melbourne Hospital to another doctor. 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