allergies: pt states however codiene appears on his history. pt states no allergy to codeine. sx: . lives with girlfriend phone: . mother : . ppd. socialy. pt takes dilaudid, vicodan, furocet. condition update: d/a: temp 98.7 neuro: pt alert, oriented x3 however "groggy". mae's with 5/5 strengths. c/o of severe headache . morphine given with poor effect. perl. tongue midline. no drift noted. speech slightly slurred. cv: hr 50's-60's nsr/sb. nbp ~ 130/60. + ppp bilat, no edema. p-boots ordered. x1 hl. resp: ls exp wheeze, pt smoker. no breathing difficulties per pt. o2 sats 95-99% on room air. gi: npo. + bs, pt states very hungry. ns @ 100. gu: voids spontaneously per ew. skin: rash noted on torso, baseline per pt. sx: girlfriend of 10 years is present. r: afebrile, vss, severe ha, neuro status unchanged from ew eval. p: per dr. - to round shortly to discuss plan. npo, sbp < 140, p boots. ? to place drain tonight -vs- to or in am. neuro checks q 1 hour. Procedure: Other incision of brain Diagnoses: Accidental fall on or from other stairs or steps Other and unspecified alcohol dependence, unspecified Subdural hemorrhage following injury without mention of open intracranial wound, with loss of consciousness of unspecified duration