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.