HISTORY OF PRESENT ILLNESS: This is a 51-year-old female admitted through the emergency room with syncopal episode with chest pain and also noted to have epigastric discomfort.

HOSPITAL COURSE AND TREATMENT: The patient was admitted and started on Lovenox and nitroglycerin paste. The patient had serial cardiac enzymes and ruled out for myocardial infarction. The patient underwent a dual isotope stress test. There was no evidence of reversible ischemia on the Cardiolite scan. The patient has been ambulated. The patient had a Holter monitor placed but the report is not available at this time. The patient has remained hemodynamically stable. Will discharge.

DIAGNOSTIC IMPRESSION:
1. Chest pain, ruled out myocardial infarction.
2. Syncope, workup in progress.
3. History of hyperlipidemia.
4. History of gastroesophageal reflux disease.

FURTHER PLAN: Will discharge.

DISCHARGE MEDICATIONS: Include:
1. Prevacid 30 mg p.o. every day.
2. Lipitor 10 mg every day.
3. Premarin 0.625 mg every day.
4. Enteric-coated aspirin 325 mg every day.

Test done on infants/newborns: (Sometimes dictated on Discharge Summaries)

Barlow's test identifies unstable hip that lies in the reduced position but can be passively dislocated (and hence unstable).

Ortolani’s sign is the palpable sensation of the gliding of the femoral head in and out of the acetabulum.