2026-02-24 Requested Hospital

Sent 02/23/2026 12:10:22, Bage~ 4

FRASER HEALTH AUTHORITY. Emerg Note ~ Compiex
Royal Columbian Hospital HOLAND,MARK THOMAS

RCO437508/25

‘The ear canals were normal. Cranial nerve examination was normal. There was no carotid bruits,
Renee and Webber tests were normal.

I discussed the caéga. briefty with Dr. Zahab! from ENT. Dr. Zahabi does not think this is ENT of origin
given the ‘audiology tests atid the year examination were completely normal, The ENT specialist
suspect that tha nolsy environment.might have triggered his migraine headache feaging to the
patient's symptoms. both EfiT. and Heurology does not think outpatient follow up is warranted at this
point. é

‘On reassessment at 2145 hours, thé’patient’s migraine headache improved. He is frustrated with the
Worsening symptoms and the persistent migraine. He asked for 6 Prescription for sumatriptan. He
agreed toa trial of prednisone 50 mg once daily for thenext 5 days. I gave him a 2 weeks worth of
Pantoloc 40 mg once dally to protect his stomach while he Is taking the prednisone. I have suggested
him to follow-up with his famlly doctor after the completion of the prednisone.

Medications and Allergies

Allergies:
Allergies
Allergy/AdvRoac ___ Type] Saverity_[ Reaction, | status | Date/Time
| No Known Drug Allergies Allergy | Unknown | Not Verfied i 25/01/2026 16:41

Applicable} |
Unknown | Uncodad T: 25/01/2026 16:47

t {
_ LACTOSE Allergy TUnknown

Exam
Physical ecam

Glasgow Coma Scale total ecore Tapes rr EL
(Glasgow Coma Scale total scoxe 15/75

“This tetera contains confidential Informarion which must be protected Any UnaTherized tee nr dleciosure te atrienty peobibirest

Maditach Repon 1D: 3001-00357 2ats

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