<p>Cher Consoeur</p>
<p>Je vous remercie de m'avoir adress&eacute; pour avis M. NEGRI Franck, n&eacute; le 26/10/1959.</p>
<p>Il est fumeur non sevr&eacute; et totalise environ 40PA.</p>
<p>Il est electricien.Dans ses ant&eacute;c&egrave;dents on note un PNO droit op&eacute;r&eacute; .Il a &eacute;t&eacute; op&eacute;r&eacute; d'une fracture du bras droit et une appendicectomie.</p>
<p>Il est suivi pour HTA et AOMI.</p>
<p>Il pr&eacute;sente des ronflements nocturnes avec 2 nyctiuries.</p>
<p>Il pr&eacute;sente une toux matinale avec crachats verdatres.Son score d'Epworth est de 7/18 avec un&nbsp;&nbsp;score de Mallampati est de 2 /4.Le perim&egrave;tre cervical est de 42 cm avec un perim&egrave;tre abdominal de 103cm.On retrouve une grosse luette.</p>
<p>Il pr&eacute;sente une dyspn&eacute;e grade III de l'&eacute;chelle du Modified Medical Research Council.</p>
<p>Je demande &eacute;galement un TDM thoracique sans injection.Un TM6 est &eacute;galement programm&eacute;.&nbsp;</p>
<p>Je le place sous CHAMPIX pour le sevrage tabagique et sous SPIOLTO 2 B cons&eacute;cutives.&nbsp; &nbsp;</p>
<p>Avec mes remerciements, veuillez agr&eacute;er, chere Consoeur, l'assurance de mes sentiments distingu&eacute;s,</p>
<p>Dr. B. TANGUY</p>
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