Address	1129 Cottonwood Bend, San Antonio, TX 78259
Phone	(210) 555-0122
Emergency Contact	Linda Delgado (Spouse) · (210) 555-0187
Primary Care Physician	Dr. Aisha Kwan, Meridian Family Medicine

• I21.4 — Non-ST elevation myocardial infarction (NSTEMI), admitted 07/21/2026
• E11.9 — Type 2 diabetes mellitus without complications
• I10 — Essential (primary) hypertension

Allergy: Penicillin (rash/hives)

Atorvastatin 40mg	1 tablet PO nightly
Metoprolol succinate 50mg	1 tablet PO daily
Metformin 1000mg	1 tablet PO twice daily with meals
Aspirin 81mg	1 tablet PO daily

Patient is a 51-year-old male, POD1 s/p NSTEMI, hemodynamically stable overnight. Troponin trending down from 4.2 to 1.8 ng/mL. No chest pain, mild dyspnea on exertion. Blood glucose well-controlled on current metformin regimen (fasting 118 mg/dL this AM). Plan: continue dual antiplatelet therapy, cardiology to reassess for possible cath lab follow-up in 48 hours, diabetic diet, physical therapy consult for graduated ambulation. Discussed prognosis and discharge planning with patient and spouse.