Thread: New Member

Hi everyone.....................I have recently come back from Spain as I was admitted to hospital there, and got quite scared and discharged myself, as I felt I needed to be home, the hospital gave me a medical report in Spanish.is there any kind person out there who would be willing to help me translate it?

I would be very grateful

thanks

Hi Did, if you want to post some lines here? I am sure you can give your won try first and then we will help you correct it.

saludos

CARDIOCIRCULATORIO:no ortopnea, no ingurgitacion yugular, edemes sin fovea en EE11 hasta rodillas, pulsos perifericos presentes y simetricos, Auscultacion cardiaca: tonos ritmicos sin soplos audibles.
RESPIRATORIO: eupneico, auscultacion pulmonar:mumuillo vesicular conservado sin ruidos sobreanadidos.
ABDOMEN: blando y depresible, no defensa muscular, peristaltismo conservado, molestias a nivel de hipocondrio Derecho.
NEUROLOGICO: ausencia de signos meningeos, funciones mentales superiores conservadas, normotonia muscular sin focalidad motora.
ECG ritmo sinusal, segmento PR normal, complejo QRS normal, depresion ST de 1mm en precordiales anteriores, falta de progresion de ondas R en precordiales anteriores.
EVOLUCION: se informa a la paciente de que debe permanacer ingresada pues en este momento la sospecha clinica es de un angor alto riesgo, requerira mas prubas complementaries no accesibles en urgencias, pero la paciente solciita alta voluntaria para regresar a su pais a pesar de que le informamos de que puede sufrir un nuevo episodio de angor o incluso infarto. La paciente entiende las complicaciones que puede tener pero igualmente firma alta volutaria.
ORIENTACION DIAGNOSTICA ANGOR DE ALTO REISGO
ORIENTACION DIAGNOSTICA 2 INSUFICIENICA CARDIACA

thanks everyone
Dale x

Dids, I´ll try to help; I will translate this epicrisis into plain english (not so medical) so you can understand what you had.
Cardiocirculatory: Without shortness of breath at rest (orthopnea), no neck vein distention (jugular distention), edema without fovea (a skin depression when you press the edema to the bone o muscle) up to the knees, peripheral pulses present and symmetrical. Auscultation: Rhythmic tones without audible murmurs.
Respiratory: Eupneic (normal respiratory rate), pulmonary auscultation: normal breath sounds without any other pathological sounds.
Abdomen: Tender, no muscular defense, preserved peristaltic movement, discomfort on the right hypochondrium.
Neurological: Without meningeal signs, preserved superior mental functions, normal muscular tone without motor focus.
ECG: Sinus rhythm, normal PR segment, normal QRS complex, ST depression of 1 mm in anterior leads, lack of R progression in precordial leads.
Progress note: We tell the patient that she must remain admitted at the hospital due to the suspicion of a high risk angina. More tests are required not accessible in the emergency department. The patient requests to be discharged voluntarily so she can get back to her country. We inform her that she can suffer a new episode of angina or even a heart attack. The patient understands the possible complications that this discharge can have, nevertheless she signs her discharge.
Working diagnosis 1: High risk angina
Working diagnosis 2: Heart failure

THANKYOU so much for taking the time to do that for me...............I know it will help my doctor considerably..............what a fantastic sight to find...................thanks again

Dale ***