6/14/2021
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Thickened aortic [cusps] with discrete calcification at the margin of
right aortic cusp and non coronary cusp without restriction of
motion.
Structurally normal tricuspid valve and pulmonic valve with good
opening and closing motion.
Normal main pulmonary artery.
Normal aortic root.
No pericardial effusion.
Doppler:
Mitral regurgitation - mild
Tricuspid regurgitation - mild
Pulmonic regurgitation - mild
Normal pulmonary artery systolic pressure by [pulmonary]
acceleration time
Normal mitral inflow pattern and mitral annular velocity by tissue
Doppler imaging[12]
On March 13, 2013, petitioner's attending physician, Dr. Konrad Lazaro (Dr. Lazaro), a
neurologist, diagnosed him with Cerebral Infarction and Hypertension. He was then
advised to rest and to undergo physical rehabilitation. He was also allowed to travel via
plane one (1) month post stroke (March 25, 2013).[13] During his follow-up check-up
on August 24, 2013, Dr. Lazaro certified that petitioner has partially recovered but
nevertheless advised the latter to engage in light activities only as he was allegedly
susceptible to recurrent stroke.[14]
On November 14, 2013, petitioner underwent a Computed Tomography (CT) Scan with
the following result:
IMPRESSION:
No acute infarcts or hemorrhage in the present study. Chronic infarcts, right
corona radiata, right capsula-ganglionic region and the right caudate body.
[15]
Not contented, petitioner sought the expertise of Dr. May Donato Tan (Dr. Tan), a
cardiologist, to provide a medical opinion on the result of the CT Scan and to conduct
additional tests on his illness. Subsequent examination result revealed the following:
Physical Examination:
General Survey: Conscious, coherent, apprehensive
Vital Signs : BP:
CR: 90/in
140/90 150-90
HEENT
: non-icteric sclera, pink palpebral conjuctivae
Heart
: gr. 1-2/9 systolic murmur at erb's
Lungs
: clear bs
Abdomen
: no masses palpable
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