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{ "dataset_link": "https://huggingface.co/datasets/ricardosantoss/ehrcomplete_icdfiltered", "dataset_name": "ehrcomplete-icdfiltered", "id": 8100 }
Medical Text: Admission Date: [**2111-10-9**] Discharge Date: [**2111-10-30**] Service: MEDICINE Allergies: Penicillins Attending:[**First Name3 (LF) 2186**] Chief Complaint: confusion, change in MS, hypoxia, humeral fracture Major Surgical or Invasive Procedure: None History of Present Illness: Patient is an 83 yo man w/ h/o CAD s/p CABG >25 yrs ago, s/p ICD, Afib not on coumadin, HTN who was admitted after mechanical fall with proximal left humeral fracture on [**2111-10-9**]. At time of initial admit, patient had rec'd 2 mg SC morphine, 2 percocets in the emergency room with subsequent dramatic change in mental status, but was noted to be clear and oriented prior to administration. He denied head trauma or LOC during fall. Has been having "almost" falls lately with some frequency. . Since admission, patient has been having waxing and [**Doctor Last Name 688**] mental status, worsened by narcotics and benzos, as above. Xray showed comminuted, displaced fracture of left proximal humerus. Seen by ortho, given sling, and told to be non-weight bearing. PT consult obtained. Had transient low bp on [**10-9**] to 80's/60's, thought to be due to wrong medication/antihypertensive doses (family unsure of doses/ meds). This improved with dose adjustments. Cr also elevated during admission, thought to be mostly chronic per notes (but no baseline), given hydration. . Past Medical History: information limited- no records here CAD s/p CABG [**31**] years ago CHF ICD early/mild dementia per medical record this admission CRI? baseline unclear Afib not on coumadin cataracts w/ ?left sided blindness Social History: visiting from berkshires; wife having surgery here; Family History: not elicited Physical Exam: T 101.1 BP 113/76 P 134 AF? Vpaced R 24 sat 93% 4L gen: elderly, dysarthric, garbled speaking man, agitated, calling out HEENT: MM dry; NC in place, left surgical pupil, right is 2 mm and reactive, EOMI intact but not to command, tongue midline NECK: JVP flat; supple CV: ICD palpated, midline scar; tachy, regular CHEST: poor effort/cooperation; decreased breath sounds at bases w/ some crackling; no wheeze ABD: soft, non tender, nabs EXTRM: thin; non edematous, left shoulder with severe ecchymoses; tender to palpation and any movement. In sling. NEURO: babbling, incoherent, responsive to voice/command/pain; CN exam limited [**2-25**] selective-command following but tongue midline, EOMI but not to command (spontaneous), slight left sided facial droop; down going toes bilaterally w/ withdrawal to pain, slightly rigid lower extremities- no clonus; hyper reflexive achilles, patellar, biceps (3+) bilaterally, squeezes hands and wiggles toes to command, moving all extrm spontaneously, speech is garbled with intact comprehension to some extent but unable to formulate meaningful sentences. Able to give one word answers. Pertinent Results: 2 views left shoulder: Comminuted, displaced fracture of the left proximal humerus. [**10-11**] CT head: There is no intraaxial hemorrhage. There is no shift of normally midline structures, acute fractures, loss of the [**Doctor Last Name 352**]-white matter differentiation, or major vascular territorial infarct. The ventricles and sulci are prominent consistent with mild brain atrophy. There is low attenuation of the centrum semi-ovale consistent with chronic microvascular ischemia. There is a low attenuation in the left basal ganglia consistent with an old lacunar infarct. This study is degraded secondary to patient motion and streak artifact. There are prominent low density extra-axial spaces over the right convexity and in the left parafalcine region, most likely representing subdural hygromas or chronic subdural collections. There is no evidence of an acute subdural hematoma. There is no mass effect. [**2111-10-12**] B/L LE dopplers:Negative bilateral lower extremity Doppler examination. . [**2111-10-12**] CT head: 1. No evidence of intracranial hemorrhage or edema. 2. Cerebral atrophy. 3. Widening of the right extra-axial space likely secondary to atrophy and/or a subdural hygroma. . [**2111-10-12**] CXR:Mild pulmonary edema has developed accompanied by numerous small right pleural effusion. Severe cardiomegaly is stable. Atrial biventricular pacer leads are in standard placements. No pneumothorax. . [**2111-10-12**]: EF 15-20% Mild pulmonary edema has developed accompanied by numerous small right pleural effusion. Severe cardiomegaly is stable. Atrial biventricular pacer leads are in standard placements. No pneumothorax. . [**2111-10-14**] CT OF THE LEFT SHOULDER WITHOUT CONTRAST: A reference is made to a prior radiograph dated [**2111-10-8**]. There is a complex, comminuted fracture through the surgical neck of the left humerus with anteromedial angulation of the humeral shaft. A small fracture involving the distalmost aspect of the clavicle is likely also present. The acromioclavicular joint is preserved. The humeral head is normally seated within the glenoid, without evidence of dislocation. An unusual dense ovoid bony "nodule" is present adjacent to the fracture site and is of unclear etiology. ? sclerotic focus within the bone (e.g. bone island which was "released" by the fracture or possibly a dense loose body in the joint space. There is surrounding soft tissue hematoma and effusion. Incidental note is made of a 3.3 x 1.7 cm lipoma along the lateral aspect of the proximal humeral shaft. IMPRESSION: Comminuted, displaced fracture through the surgical neck of the left humerus as above. Small distal clavicular fracture. Unusual ovoid density, as described. . [**2111-10-16**] RIGHT UPPER EXTREMITY ULTRASOUND: Grayscale, color, and Doppler son[**Name (NI) 1417**] of the right internal jugular, right subclavian, right axillary, right brachial, right basilic, and right cephalic veins were performed. The most superiorly located brachial vein is noncompressible and does not demonstrate any wall to wall color or venous waveforms. These findings are suggestive of thrombosis involving the superior brachial vein. The remaining veins otherwise appeared normal with wall-to-wall color flow, normal waveforms, and normal compressibility. IMPRESSION: Noncompressibility of the superior right brachial vein, with lack of color flow and absent venous waveforms, findings consistent with venous thrombosis. . [**2111-10-16**] Renal ultrasound: Large left renal cyst with a thick septation with calcification falling in the Bosniak II F category. A four to six month followup is recommended. There is no evidence of hydronephrosis or renal stones. . [**2111-10-19**] RIGHT UPPER QUADRANT ULTRASOUND: This examination was extremely limited due to altered mental status. No ascites is seen. This study should be repeated when the patient is more able to cooperate with the exam . [**2111-10-19**]: ABDOMINAL ULTRASOUND WITH LIVER DOPPLER EXAMINATION: The gallbladder is not visualized. The common bile duct is not dilated at 3 mm. The liver parenchyma is normal in echo texture without focal nodules or masses. There is a moderate right-sided pleural effusion. The right kidney measures 11.4 cm. There is an exophytic 2.9 x 2.8 x 2.5 cm simple cyst off the lateral aspect of the right kidney. The left kidney measures 12.4 cm, with a 7.5 x 6.2 x 6.9 cm cyst, which a thin septation and mild calcifications. The spleen is not enlarged. The pancreas is poorly visualized secondary to overlying bowel gas. Doppler examination reveals normal flow and phasicity within the main and right portal veins, demonstrating hepatopetal flow. Normal flow and phasicity is seen within the main hepatic artery. All hepatic veins are patent, with appropriate flow. Increased phasicity is consistent with underlying right heart failure. IMPRESSION: 1. All hepatic vessels are patent with normal directional flow. Increased phasicity within the hepatic veins is consistent with underlying right heart failure. 2. Normal appearing liver parenchyma without focal nodules or masses identified. 3. No evidence of hydronephrosis bilaterally. Simple cyst in right kidney. Cyst with internal calcification and thin septation within left kidney. 4. Moderate right-sided pleural effusion. . [**2111-10-21**] CXR: 1. Mild congestive heart failure. 2. Increasing atelectasis or pneumonia in the left lower lobe. . [**2111-10-22**] CXR: Low lung volumes have worsened; there is more consolidation at both lung bases, worrisome for pneumonia. Moderate cardiomegaly is stable. Upper lungs show pulmonary vascular congestion but no edema. Tip of the right PIC catheter is in the SVC. Right atrial and left ventricular pacers and right ventricular pacer defibrillator leads are unchanged in their respective positions. No pneumothorax. . [**2111-10-28**] Successful placement of a 37-cm 4 French single-lumen PICC by way of the right brachial vein with tip at the superior vena cava-right atrial junction. The catheter may be used immediately. . [**10-15**] blood cx: [**1-25**] with gram positive cocci [**10-18**]: blood cultures: [**1-25**] with gram positive cocci R femoral line tip for culture: final - no growth [**10-20**]: Blood culture off PICC - no growth [**10-21**]: Blood culture off PICC - no growth [**10-22**]: Blood culture peripheral - no growth [**10-23**]: Blood cultures: no growth [**10-21**]: urine culture - no growth . EKG: most recent from 23:37 with AF rate 138 normal axis; intermittent V pacing spikes; S1 QIII TIII present. IVCD, no ischemic changes. [**2111-10-9**] 06:30PM CK(CPK)-94 [**2111-10-9**] 06:30PM CK-MB-3 cTropnT-0.03* [**2111-10-9**] 07:45AM GLUCOSE-121* UREA N-43* CREAT-1.8* SODIUM-143 POTASSIUM-4.2 CHLORIDE-108 TOTAL CO2-26 ANION GAP-13 [**2111-10-9**] 07:45AM PLT COUNT-139* [**2111-10-9**] 07:45AM PT-14.0* PTT-27.3 INR(PT)-1.3 Brief Hospital Course: 83 M with multiple medical problems after mechanical fall with proximal humerus fracture complicated by delirium. . 1. Altered Mental status: Patient initially presented to medicine service with opiate induced delirium as he had been given 2 Percocet tablets and 4mg of Morphine for pain control before being seen by medicine service. His delirium, likely exacerbated by pain from recent fracture, hypoxia/infection from pneumonia, also may have some degree of uremia from rising creatinine and persistent renal failure. Fat emboli syndrome was also high on the differential given his elevated LFTs and worsening renal failure. PE was also on the differential, however this was felt to be less likely given the other reasons for hypoxia and delirium, and given his poor renal function, CTA was not done during admission. He was also ruled out for MI. Patient was intermittently agitated. He was hypotensive at 1 point and had limited IV access and was sent to the ICU, but did not require intubation. Opiates were avoided as much as possible. A pain consult was obtained hoping that pain control would help with his delirium. However, due to his multiple medical problems they felt that aggressive intervention would not be possible. They recommended Ultram and standing Tylenol. His delirium persisted and he became progressively more tachypneic and looked uncomfortable. Tiny doses of morphine were give (total of about 2 mg in 24 hours). He remained tachypneic and then became hypoxic and went into respiratory failure on [**10-22**]. He was intubated and sent back to the ICU. From a respiratory status he improved and it was felt that he could be extubated, however he remained heavily sedated after fentanyl and versed were discontinued. It was unclear if he would do well on extubation given his mental status, however he tolerated it well and sats were in high 90's in 4 L NC. He remained delirious only answering to what his name is, but otherwise was disoriented. A family meeting was held in the ICU, and it was decided that the patient would want to be DNR/DNI but medical management would be continued. Although they did not make him comfort measures only, the family stressed that he should be made as comfortable as possible. He occasionally became agitated and seemed somewhat uncomfortable when he returned to the floor. Ultram was restarted with hopes of controlling his pain without giving morphine and Zyprexa was ordered PRN. Geriatrics followed the patient throughout his hospital stay and they agreed that we should treat all of his medical issues and control his pain, given this was likely contributing to his delirium. Would continue scopolamine patch for secretions and suction PRN, continue aspiration precautions until mental status clears, ultram and tylenol for pain. . 2. ID: Patient developed pneumonia most likely secondary to aspiration given his altered mental status he was treated with 12 days of levofloxacin, 8 days of Flagyl and 10 days of vancomycin. His blood cultures from [**10-15**] and [**10-18**] grew coag negtaive staph sensitive to vancomycin. However, on [**10-22**] he spiked a fever to 104 and became hypoxic, chest x-ray looked like worsening pneumonia most likely to continued aspiration. He went into respiratory distress, was intubated, brought to the [**Hospital Unit Name 153**] where he was also on pressors and was started on Zosyn, He received a full 7 days of Zosyn, was afebrile with improving respiratory status, was extubated and began maintaining his sats at 98-100% on 4 L NC. At discharge, he was on no antibiotics and all cultures from [**10-20**] on were negative. . 3. Respiratory failure: It was thought that his respiratory failure was due to pulmonary edema along with pneumonia. It is likely that he was continuously aspirating. On serial CXR there was pulmonary edema and O2 sats did improve with diuresis. On [**10-22**] his respiratory status rapidly declined, blood gas showed a metabolic acidosis. CXR revealed worsening pneumonia and patient was tachypneic and hypoxic and eventually began having apneic episodes. He was intubated, sedated and taken to the ICU where he was started on pressors and Zosyn for pneumonia. It was thought that his rapid decline was secondary to worsening pneumonia and mucous plugging. He was extubated and was satting 98-100% on 4 L NC after treatment with 7 days of Zosyn. . 4. Access: Multiple attempts were made to get IV access including PIV in his foot, central lines and femoral lines. Lone placement was limited by his agitation, edema, pacemaker, right brachial artery thrombus, and fractured left arm. A femoral line was briefly placed as patient was in desperate need of hydration, but was discontinued after 2 days after which time a PICC line was place. However, patient was bacteremic and PICC was pulled and he was treated with antibiotics and then a PICC was replaced. At discharge he has a right PICC which was left in place given all of his issues with IV access. 5. Renal: Probably ARF on CRF. Patient had rising creatinine from PCP's office: Cr 1.7->2.2 (rising on 4 consecutive readings every 2-3 weeks) prior to admission. His creatinine peaked at 2.9, He did not receive any contrast, but has gotten some ibuprofen. No signs of active sediment with muddy brown casts consistent with ATN as well, good UOP and renal u/s showed no signs of obstruction. Urine lytes c/w prerenal etiology. Creatinine improved with hydration, but his fluid status was precarious given his low EF. He did have worsening pulmonary edema after hydration and responded well to 40 of IV Lasix. He was positive about 10 liters during admission but appears euvolemic on discharge. Also, patient was hypernatremic to 157 during the time it was difficult to gain IV access. A renal consult was obtained and agreed with our management of replete his free water. His free water deficit was estimated at 4-5 liters. He received 5 liters D5W and his sodium was within normal limits and remained normal for the rest of his hospital stay. His HCO3 remained about 18 throughout most of his hospital stay. The reason for this is unclear. It is possible that he has an RTA, but renal was not re consulted. Can consider further work up after resolution of his acute medical problems. . 6. Humerus fx/Pain control: Orthopedic consulted and had no plan for surgery and to follow as outpatient. They recommended continuing sling with swath for 6 weeks and non-weight bearing of left arm. His arm remained edematous and ecchymotic thorough out admission and the patient was reevaluated for possible compartment syndrome, but Ortho did not think this was likely. Pain control with Tylenol 1000 mg Q 6H and Ultram [**Hospital1 **]. He should follow up with orthopedics as an outpatient. 7. Cardiac: Patient has CAD and is s/p CABG and had an ICD placed for unknown reasons but likely due to low EF. Patient also has known ECHO in [**2109**] with EF of 30% (as per PMD)with ischemic changes including enlarged left ventricle and mitral and aortic regurgitation. On this admission ECHO was repeated and revealed EF 15-20%. He was ruled out for MI on admission as he complained of some mild substernal chest pain. Cardiac enzymes were negative and EKG revealed no ischemic changes. He had no further episodes throughout admission. His blood pressure medications were held for hypotension and renal failure. However, given his low EF and valvular disease would recommend titrating captopril as blood pressure tolerates. . 8. Heme: Patient's INR was 1.2 on admission and on HOD#3, INR peaked at 2.2; on HOD#[**5-3**] A hematology consult was obtained to evaluate for possible DIC/TTP picture given anemia and thrombocytopenia. However, there were no schistocytes on smear and these abnormalities began to normalize, therefore no further work up was pursued. it has been steady in the 1.8-2.0 range. . 9. Elevated LFTS: LFTS began to elevate on HOD#9. Abdominal ultrasound was negative and there was no other reason to explain this. He did become hypotension, but not to a significant extent and enzymes are not high enough to indicate shock liver. It was thought this may have been to an overall inflammatory response due to fat emboli syndrome. His LFTs continued to improve over the course of hospitalization. . 10. FEN: Patient was hypernatremic as mentioned above, but this has since resolved. Currently has NG in place with TF as 600 cc/hr and D5 1/2 NS at 50 cc/hr. Given his CHF and renal failure his fluid status had to be closely monitored. On discharge he appeared euvolemic. . 11. Code: DNR/DNI. Family would like complete medical management, but also think comfort is very important so would consider pain medications even if this worsened his mental status. Medications on Admission: levoflox 250 mg qd IV today day 1 metoprolol 12.5 qd changed to 5 mg IV q6 hr when made NPO isosorbide 40 mg po bid bisacodyl protonix 40 mg qd asa 162 po qd oxybutynin 5 mg tid lipitor 10 mg qd quinine 260 mg qod magnesium oxide 280 qd donepezil 10 mg qd heparin sc tid psyllium colace 100 mg [**Hospital1 **] doxepin 25 qd MVI tylenol 1 g q 4hr Discharge Medications: 1. Doxepin 25 mg Capsule Sig: One (1) Capsule PO HS (at bedtime). 2. Docusate Sodium 100 mg Capsule Sig: One (1) Capsule PO BID (2 times a day). 3. Senna 8.6 mg Tablet Sig: One (1) Tablet PO BID (2 times a day) as needed. 4. Psyllium 1.7 g Wafer Sig: One (1) Wafer PO DAILY (Daily). 5. Nitroglycerin 0.3 mg Tablet, Sublingual Sig: One (1) Tablet, Sublingual Sublingual PRN (as needed) as needed for chest pain. 6. Donepezil 10 mg Tablet Sig: One (1) Tablet PO HS (at bedtime). 7. Magnesium Oxide 400 mg Tablet Sig: Two (2) Tablet PO DAILY (Daily). 8. Quinine Sulfate 260 mg Tablet Sig: One (1) Tablet PO QHS QOD (). 9. Atorvastatin 10 mg Tablet Sig: One (1) Tablet PO DAILY (Daily). 10. Oxybutynin Chloride 5 mg Tablet Sig: One (1) Tablet PO TID (3 times a day). 11. Aspirin 81 mg Tablet, Delayed Release (E.C.) Sig: Two (2) Tablet, Delayed Release (E.C.) PO 2 CAPLETS DAILY (). 12. Pantoprazole 40 mg Tablet, Delayed Release (E.C.) Sig: One (1) Tablet, Delayed Release (E.C.) PO Q24H (every 24 hours). 13. Bisacodyl 10 mg Suppository Sig: One (1) Suppository Rectal DAILY (Daily) as needed. 14. Isosorbide Dinitrate Oral 15. Olanzapine 5 mg Tablet, Rapid Dissolve Sig: One (1) Tablet, Rapid Dissolve PO DAILY (Daily). 1. Doxepin 25 mg Capsule Sig: One (1) Capsule PO HS (at bedtime). 2. Docusate Sodium 100 mg Capsule Sig: One (1) Capsule PO BID (2 times a day). 3. Senna 8.6 mg Tablet Sig: One (1) Tablet PO BID (2 times a day) as needed. 4. Psyllium 1.7 g Wafer Sig: One (1) Wafer PO DAILY (Daily). 5. Nitroglycerin 0.3 mg Tablet, Sublingual Sig: One (1) Tablet, Sublingual Sublingual PRN (as needed) as needed for chest pain. 6. Donepezil 10 mg Tablet Sig: One (1) Tablet PO HS (at bedtime). 7. Magnesium Oxide 400 mg Tablet Sig: Two (2) Tablet PO DAILY (Daily). 8. Quinine Sulfate 260 mg Tablet Sig: One (1) Tablet PO QHS QOD (). 9. Atorvastatin 10 mg Tablet Sig: One (1) Tablet PO DAILY (Daily). 10. Oxybutynin Chloride 5 mg Tablet Sig: One (1) Tablet PO TID (3 times a day). 11. Aspirin 81 mg Tablet, Delayed Release (E.C.) Sig: Two (2) Tablet, Delayed Release (E.C.) PO 2 CAPLETS DAILY (). 12. Pantoprazole 40 mg Tablet, Delayed Release (E.C.) Sig: One (1) Tablet, Delayed Release (E.C.) PO Q24H (every 24 hours). 13. Bisacodyl 10 mg Suppository Sig: One (1) Suppository Rectal DAILY (Daily) as needed. 14. Isosorbide Dinitrate Oral 15. Olanzapine 5 mg Tablet, Rapid Dissolve Sig: One (1) Tablet, Rapid Dissolve PO DAILY (Daily). Discharge Disposition: Extended Care Facility: [**Hospital6 459**] for the Aged - [**Location (un) 550**] Discharge Diagnosis: Primary 1. Humeral fracture 2. Delirium 3. Acute renal failure 4. CHF Secondary 1. A. fib 2. cataracts Discharge Condition: Delirium, oriented to self only, respiratory status stable, afebrile, NGT in place Discharge Instructions: Please take all of your medications as directed. You should follow up with orthopedics for your humeral fracture. Followup Instructions: Call the orthopedics clinic for a follow up visit 4-6 weeks. ICD9 Codes: 5849, 4280, 2760, 5070, 4019
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Medical Text: Admission Date: [**2154-10-19**] Discharge Date: [**2154-10-30**] Date of Birth: [**2097-2-24**] Sex: M Service: NEUROSURGERY Allergies: Patient recorded as having No Known Allergies to Drugs Attending:[**First Name3 (LF) 1835**] Chief Complaint: CC:[**CC Contact Info 75294**] Major Surgical or Invasive Procedure: cerebral angiogram x 2 History of Present Illness: HPI: 57 y/o male in previously good health who was walking outside his house when he noted a sudden, severe headache unlike other headaches he had ever experienced. He described the experience as characterized by severe pressure in his head which also began to cause posterior neck pain. He was unable to flex or extend his neck without pain. He also noted feeling of nausea, but this was mild. He was taken to an outside hospital where CT of head revealed subarachnoid hemorrhage. He was transferred to [**Hospital1 18**] ER for neurosurgery eval. Past Medical History: PMHx: sleep apnea gum infection Social History: Social Hx: denies tobacco or IVDU, moderate EtOH use Family History: Family Hx:noncontributory Physical Exam: on arrival PHYSICAL EXAM: Gen: WD/WN, comfortable, NAD. HEENT: Pupils: [**1-18**] bilaterally EOMs intact Neck: Supple. Lungs: CTA bilaterally. Cardiac: RRR. S1/S2. Abd: Soft, NT, BS+ Extrem: Warm and well-perfused. Neuro: Mental status: Awake and alert, cooperative with exam, normal affect. Orientation: Oriented to person, place, and date. Recall: [**1-19**] objects at 5 minutes. Language: Speech fluent with good comprehension and repetition. Naming intact. No dysarthria or paraphasic errors. Cranial Nerves: I: Not tested II: Pupils equally round and reactive to light, to mm bilaterally. Visual fields are full to confrontation. III, IV, VI: Extraocular movements intact bilaterally without nystagmus. V, VII: Facial strength and sensation intact and symmetric. VIII: Hearing intact to voice. IX, X: Palatal elevation symmetrical. [**Doctor First Name 81**]: Sternocleidomastoid and trapezius normal bilaterally. XII: Tongue midline without fasciculations. Motor: Normal bulk and tone bilaterally. No abnormal movements, tremors. Strength full power [**3-23**] throughout. No pronator drift Sensation: Intact to light touch, propioception, pinprick and vibration bilaterally. Toes downgoing bilaterally Coordination: normal on finger-nose-finger, rapid alternating movements, heel to shin Pertinent Results: [**2154-10-20**] CT HEAD: Again seen is extensive subarachnoid hemorrhage involving the basal cisterns and the sylvian fissures as well as extending down to the pre-pontine cistern and also involving the sulci of the right frontal and occipital lobes bilaterally. Again seen is layering blood within the occipital horns of the lateral ventricles as well as within the fourth ventricle. The extent of the hemorrhage is not significantly changed. The ventricles are unchanged in size. The [**Doctor Last Name 352**]/white matter differentiation is maintained with no areas of infarcts by CT. The visualized orbits, paranasal sinuses, and mastoid air cells are clear. No suspicious bony abnormalities are seen. There is a periapical lucency around the roots of the left maxillary first molar. There is also a bony defect of the lateral wall of the left maxillary sinus which may represent a prior [**Location (un) 51681**]-[**Doctor Last Name **] procedure. There is minimal mucosal thickening of the left maxillary sinus. CTA HEAD: No aneurysms, stenoses, occlusions, or vascular malformations were seen. IMPRESSION: No aneurysms or vascular malformations. Extensive subarachnoid hemorrhage and intraventricular hemorrhage is not significantly changed compared to [**2154-10-19**]. Brief Hospital Course: Pt was admitted through the emergency room for c/o headache with noted SAH. Cerebral angiogram was done and was negative for aneurysm. On [**10-20**] he underwent MRI and CTA. Based on those results he was maintained in the ICU with close observation and an angiogram was set up for [**10-25**]. His exam remained stable and his bp was kept at a range of 90-130. His second angiogram showed no aneurysm on [**10-25**]. The patient continued to complain of neck pain and he had nuchal rigidity. He was allowed to start Motrin for the pain, which did not help. The patient was given oxycodone and fioricet which improved his pain. On [**10-27**] he was transferred to the step-down unit. He had a TCD on [**10-28**] which showed mild vasospasm. He was asymptomatic and was given fluids. He had a repeat TCD on [**10-29**] which showed that the vasospasm had resolved. A repeat TCD on [**10-30**] was also negative. The patient was neurologically stable and was cleared to go home by PT. He was ambulating, taking in food PO, voiding and his pain was under control prior to discharge. His nimodipine was pre-ordered at his pharmacy so it will be ready for him when he goes there tomorrow. Medications on Admission: Medications prior to admission: penicillin 500mg po QID Discharge Medications: 1. Oxycodone 5 mg Tablet Sig: 1-2 Tablets PO Q4H (every 4 hours) as needed for pain. Disp:*50 Tablet(s)* Refills:*0* 2. Butalbital-Acetaminophen-Caff 50-325-40 mg Tablet Sig: [**11-20**] Tablets PO Q6H (every 6 hours) as needed for headache. Disp:*30 Tablet(s)* Refills:*0* 3. Docusate Sodium 100 mg Capsule Sig: One (1) Capsule PO BID (2 times a day). Disp:*60 Capsule(s)* Refills:*0* 4. Levetiracetam 500 mg Tablet Sig: Two (2) Tablet PO BID (2 times a day). Disp:*120 Tablet(s)* Refills:*2* 5. Nimodipine 30 mg Capsule Sig: Two (2) Capsule PO Q4H (every 4 hours) for 9 days. Disp:*108 Capsule(s)* Refills:*0* Discharge Disposition: Home Discharge Diagnosis: subarachnoid hemorrhage Discharge Condition: Neurologically stable Discharge Instructions: DISCHARGE INSTRUCTIONS FOR CRANIOTOMY/HEAD INJURY ??????Have a family member check your incision daily for signs of infection ??????Take your pain medicine as prescribed ??????Exercise should be limited to walking; no lifting, straining, excessive bending ??????You may wash your hair only after sutures and/or staples have been removed ??????You may shower before this time with assistance and use of a shower cap ??????Increase your intake of fluids and fiber as pain medicine (narcotics) can cause constipation ??????Unless directed by your doctor, do not take any anti-inflammatory medicines such as Motrin, aspirin, Advil, Ibuprofen etc. ??????If you have been prescribed an anti-seizure medicine, take it as prescribed and follow up with laboratory blood drawing as ordered ??????Clearance to drive and return to work will be addressed at your post-operative office visit CALL YOUR SURGEON IMMEDIATELY IF YOU EXPERIENCE ANY OF THE FOLLOWING: ?????? New onset of tremors or seizures ?????? Any confusion or change in mental status ?????? Any numbness, tingling, weakness in your extremities ?????? Pain or headache that is continually increasing or not relieved by pain medication ?????? Any signs of infection at the wound site: redness, swelling, tenderness, drainage ?????? Fever greater than or equal to 101?????? F Followup Instructions: PLEASE CALL [**Telephone/Fax (1) **] TO SCHEDULE AN APPOINTMENT WITH DR. [**Last Name (STitle) **] TO BE SEEN IN 4 WEEKS. YOU WILL NEED A FOLLOW UP ANGIOGRAM with Dr. [**First Name (STitle) **] IN 6 WEEKS. Call [**Telephone/Fax (1) 1669**] to schedule an appointment. Completed by:[**2154-10-30**] ICD9 Codes: 431, 2761
{ "dataset_link": "https://huggingface.co/datasets/ricardosantoss/ehrcomplete_icdfiltered", "dataset_name": "ehrcomplete-icdfiltered", "id": 8102 }
Medical Text: Admission Date: [**2180-10-9**] Discharge Date: [**2180-10-12**] Date of Birth: [**2115-10-30**] Sex: M Service: MEDICINE Allergies: No Known Allergies / Adverse Drug Reactions Attending:[**Last Name (NamePattern4) 290**] Chief Complaint: Concern for cholangitis and need for urgent ERCP Major Surgical or Invasive Procedure: ERCP x2 History of Present Illness: 64 y/o M with PMH of CABG, DMII, and recent CCY on [**2180-9-24**] at [**Hospital1 **] for biliary colic who was transferred to [**Hospital1 18**] from [**Hospital3 **] with fever and concern for cholangitis. The patient was initially discharged home following the CCY in stable condition. On [**10-7**] he was eating breakfast when he developed RUQ abdominal pain similar in character to his prior biliary colic. Associated with N/V, loose stools and diaphoresis. Not relieved by tylenol. He presented to [**Hospital1 **] on [**2180-10-7**] where initial labs revealed a rising bili, elevated WBC and an elevated lipase. Diagnosed with gallstone pancreatitis and started on unasyn. Seen by GI team who recommended ERCP. On the morning of [**2180-10-8**], the patient spiked a fever to 101.0. Decision was made to transfer the patient to [**Hospital1 18**] for semi-urgent ERCP given concern for developing cholangitis. . On arrival to [**Hospital1 18**] the patient appeared stable with initial vitals 99.9 159/65 104 22 94%RA. He reports feeling generally well and denies any pain at present. Past Medical History: - s/p CCY [**2180-9-26**] - CAD s/p CABG [**2172**] - DM - HTN - HL - urinary retention s/p cyst removal Social History: Works part-time as a CPA. Lives at home with his wife. Former [**Name2 (NI) 1818**] but quit 13 years ago. Occasional EtOH. No other drug use. Family History: Father and brother with CAD. Brother had lymphoma. Father had lung CA Physical Exam: ADMISSION EXAM: Vitals: 99.9 159/65 104 22 94%RA General: Alert, oriented, no acute distress HEENT: PERRLA, EOMI, icteric sclera, MMM, oropharynx clear Neck: supple, JVP not elevated, no LAD Lungs: Clear to auscultation bilaterally, no wheezes, rales, ronchi CV: Regular rate and rhythm, normal S1 + S2, soft I/VI systolic murmur Abdomen: soft, non-distended, bowel sounds present, no rebound tenderness or guarding, no organomegaly. Mild TTP in RUQ and also in LUQ. Surgical wounds without surrouning erythema. Skin: Jaundiced Ext: No gross deformity or edema Neuro: Awake, alert and oriented. CN II-XII intact, strenght [**4-13**] throughout. DISCHARGE EXAM: General: Alert, oriented, no acute distress HEENT: PERRLA, EOMI, icteric sclera, MMM Lungs: Clear to auscultation bilaterally, no wheezes, rales, ronchi CV: Regular rate and rhythm, normal S1 + S2, soft I/VI systolic murmur Abdomen: soft, non-distended, bowel sounds present, no rebound tenderness or guarding, no organomegaly. Skin: Jaundiced Ext: No gross deformity or edema Pertinent Results: ADMISSION LABS: [**2180-10-9**] 04:31AM BLOOD WBC-17.7* RBC-3.72* Hgb-11.9* Hct-34.6* MCV-93 MCH-32.1* MCHC-34.4 RDW-13.6 Plt Ct-286 [**2180-10-9**] 04:31AM BLOOD Neuts-89.0* Lymphs-6.2* Monos-4.4 Eos-0.1 Baso-0.3 [**2180-10-9**] 04:31AM BLOOD PT-14.9* PTT-29.0 INR(PT)-1.3* [**2180-10-9**] 04:31AM BLOOD Glucose-187* UreaN-14 Creat-0.9 Na-136 K-4.3 Cl-101 HCO3-24 AnGap-15 [**2180-10-9**] 04:31AM BLOOD ALT-239* AST-107* AlkPhos-198* Amylase-397* TotBili-2.9* [**2180-10-9**] 04:31AM BLOOD Lipase-642* [**2180-10-9**] 04:31AM BLOOD Albumin-3.3* Calcium-8.2* Phos-1.8* Mg-1.8 [**2180-10-9**] 08:44AM URINE Color-Yellow Appear-Clear Sp [**Last Name (un) **]-1.015 [**2180-10-9**] 08:44AM URINE Blood-SM Nitrite-NEG Protein-30 Glucose-TR Ketone-10 Bilirub-NEG Urobiln-NEG pH-5.5 Leuks-MOD [**2180-10-9**] 08:44AM URINE RBC-4* WBC-16* Bacteri-NONE Yeast-NONE Epi-<1 TransE-<1 . MICROBIOLOGY [**2180-10-9**] 8:44 am URINE Source: CVS. **FINAL REPORT [**2180-10-10**]** URINE CULTURE (Final [**2180-10-10**]): NO GROWTH. . IMAGING: LENI: IMPRESSION: No evidence of DVT. . CXR: FINDINGS: No previous images. Cardiac silhouette is at the upper limits of normal in size in the patient with intact midline sternal wires after CABG procedure. Opacification at the right base medially most likely represents atelectasis and fibrous scarring. However, the lower right heart border is not sharply seen, and the possibility of supervening pneumonia would have to be considered in the appropriate clinical setting. Remainder of the study is within normal limits with no evidence of vascular congestion. . ERCP [**10-10**]: Impression: Normal Pancreatogram A 4cm by 5FR pancreatic stent was placed initially to facilitate cannulation. Cannulation of the bile duct was then successful. The main bile duct appeared normal. The intrahepatic ducts appeared to have smaller than expected caliber Sphincterotomy was extended in the 12 o'clock position using a sphincterotome over an existing guidewire. Multiple stone fragments and sludge were extracted successfully using a balloon. No pus noted. The pancreatic stent was then removed by using a snare. . ERCP [**10-9**]: Impression: Esophagitis was noted in the lower third of the esophagus Edema and distortion of the duodenal wall secondary to pancreatitis was noted An impacted stone was noted at distal CBD Normal pancreatogram Extremely stenotic papilla with impacted stone at distal CBD. Therefore, a small precut sphincterotomy was performed. Drainage of bile and small amount of sludge noted after sphincterotomy. No pus noted. Deep cannulation of bile duct was not achieved due to the edema Otherwise normal ercp to third part of the duodenum LE DOPPLER: No evidence of DVT. DISCHARGE LABS: [**2180-10-12**] 03:21AM BLOOD WBC-7.4 RBC-3.39* Hgb-10.8* Hct-30.9* MCV-91 MCH-31.8 MCHC-34.9 RDW-13.4 Plt Ct-283 [**2180-10-11**] 04:15AM BLOOD Neuts-81.1* Lymphs-10.6* Monos-6.2 Eos-1.6 Baso-0.5 [**2180-10-11**] 04:15AM BLOOD PT-12.7 PTT-26.6 INR(PT)-1.1 [**2180-10-12**] 03:21AM BLOOD Glucose-174* UreaN-11 Creat-0.6 Na-129* K-3.3 Cl-95* HCO3-25 AnGap-12 [**2180-10-12**] 03:21AM BLOOD ALT-73* AST-34 AlkPhos-160* TotBili-1.3 [**2180-10-12**] 03:21AM BLOOD Calcium-7.9* Phos-2.5* Mg-1.9 Brief Hospital Course: Mr. [**Known lastname 90500**] is a 64 y/o M with PMH of CABG, DMII, and recent CCY c/b likely retained stone and gallstone pancreatitis who was transferred to [**Hospital1 18**] due to concern for developing cholangitis and need for urgent ERCP. #. Abdominal pain - The patient most likely had a retained stone following CCY that lead to gallstone pancreatitis. There was initially some concern for developing cholangitis given fever to 101.0 and worsening LFTs; however he remained relatively pain free, normotensive and without mental status changes making this condition less likely. Pt had ERCP with sphincterotomy but was unable to canulate bile duct due to edema. He had repeat ERCP that showed only stone fragments and sludge. He was continued on unasyn and his LFTs and WBC trended downward. He was discharged on a course of augmentin for total 8 day antibiotic course. #. CAD - Pt is on lisinopril, aspirin and statin at home. These were initially held at the outside hospital and resumed here following successful ERCP. He was also started on metoprolol tartrate before transfer to ICU and this was continued while in ICU at 50mg po TID for rate control. Unclear if he was on metoprolol at home but given his CAD, he would likely benefit from long term beta blocker and has remained stable with the addition of this to his regimen. Recommend follow up with PCP. # hypertension: resumed home meds. Also started metoprolol tartrate 50mg po TID while in house to control heart rate and BP and patient remained stable with this addition to his regimen. Recommend follow up with PCP to cont to optimize HTN regimen. #. Dysuria - Patient describes dysuria on ROS. Had [**Last Name (un) **] on arrival to OSH which resolved with fluid resucitation. Initial urine culture negative. Pt was on antibiotics for cholecystitis so this would treat UTI as well. # diarrhea: developed diarrhea on day of discharge. unable to get stool sample before discharge. Thought to be secondary to cholecystitis but recommended follow up with PCP # hyponatremia: sodium low to 129 on day of discharge. thought to be secondary to recent resumption of po intake and subsequent water consumption. recommended recheck and follow up with PCP #. DM II: held oral meds and managed with SSI while in house, restarted home meds on discharge TRANSITIONAL ISSUES: 1. follow up repeat sodium labs to evaluate hyponatremia 2. follow up BP now that pt has been started on metoprolol 3. follow up diarrhea Medications on Admission: amlodipine 5mg glipizide 5mg [**Hospital1 **] niaspan 100mg daily lisinopril 10mg daily ASA 81mg daily fish oil vitamin C vitamin D multivitamin simvastatin 80mg actos 45mg Discharge Medications: 1. metoprolol tartrate 50 mg Tablet Sig: One (1) Tablet PO twice a day. 2. lisinopril 10 mg Tablet Sig: One (1) Tablet PO DAILY (Daily). 3. aspirin 81 mg Tablet, Chewable Sig: One (1) Tablet, Chewable PO DAILY (Daily). 4. amlodipine 5 mg Tablet Sig: One (1) Tablet PO DAILY (Daily). 5. amoxicillin-pot clavulanate 875-125 mg Tablet Sig: One (1) Tablet PO Q12H (every 12 hours) for 4 days. Disp:*8 Tablet(s)* Refills:*0* 6. glipizide 5 mg Tablet Sig: One (1) Tablet PO twice a day. 7. metformin 1,000 mg Tablet Sig: One (1) Tablet PO twice a day. 8. Actos 45 mg Tablet Sig: One (1) Tablet PO once a day. 9. Fish Oil 1,000 mg Capsule Sig: One (1) Capsule PO once a day. 10. simvastatin 80 mg Tablet Sig: One (1) Tablet PO once a day. Discharge Disposition: Home Discharge Diagnosis: PRIMARY: Gallstone pancreatitis SECONDARY: CAD diabetes HTN hypercholesterolemia Discharge Condition: Mental Status: Clear and coherent. Level of Consciousness: Alert and interactive. Activity Status: Ambulatory - Independent. Discharge Instructions: Dear Mr. [**Known lastname 90500**], It was a pleasure taking care of you at [**Hospital1 827**]. You were admitted for pancreatitis, likely caused by a gallstone and an infection in your biliary tract. You had an ERCP which showed an impacted stone at the common bile duct. We were unable to remove the stone initially, so you had a repeat ERCP which showed that the stone had disolved. We were able to advance your diet and you tolerated food well. You've had some diarrhea which here, that we feel is likely due to your recent cholecystectomy but you should be seen by your PCP for [**Name9 (PRE) 702**]. Your sodium was slightly low on the day you were discharged. . Please make the following changes to your medications: 1. START Amoxicillin-Clavulanic Acid 875 mg by mouth every 12 hours for 4 days. Take all other medications as prescribed. Followup Instructions: Name: [**Last Name (LF) **],[**First Name3 (LF) **] P. Location: [**Hospital **] MEDICAL ASSOCIATES Address: [**Apartment Address(1) 33524**], [**Hospital1 **],[**Numeric Identifier 4293**] Phone: [**Telephone/Fax (1) 26774**] [**2180-10-13**] at 11:45 am *** please have your electrolytes and blood counts check at this appointment. Also, please inform your PCP about your diarrhea *** [**Initials (NamePattern4) **] [**Last Name (NamePattern4) **] [**Name8 (MD) **] MD [**MD Number(1) 292**] ICD9 Codes: 2761, 4019, 2724
{ "dataset_link": "https://huggingface.co/datasets/ricardosantoss/ehrcomplete_icdfiltered", "dataset_name": "ehrcomplete-icdfiltered", "id": 8103 }
Medical Text: Admission Date: [**2199-4-8**] Discharge Date: [**2199-4-16**] Date of Birth: [**2138-9-20**] Sex: M Service: MEDICINE Allergies: No Known Allergies / Adverse Drug Reactions Attending:[**First Name3 (LF) 1253**] Chief Complaint: overdose, suicide attempt Major Surgical or Invasive Procedure: None History of Present Illness: 60 M with PMH of Depression, Parkinson's, suicidal ideation/ attemps was found down face down by friends down since Saturday by report. He began taking colchicine 5-6 days ago and developed diarrhea as a side effect. On Saturday, he attempted suicide by overdose with Xanax and "parkinson's med". He took ~6 xanax, [**2-27**] pills of 5 mg percocet, 4 vicodin unknown strength, 2 colchicine 0.6 mg tabs, [**3-1**] acetaminophen tabs. He was found by his friends 2 days later who brought him to the ED. . In the ED, initial vs were: T 99.8 P:103 BP:137/75 RR:16 O2 sat 100% 2L. He smelled of EtOH, was soaked in urine and had the following pill bottles: Tramadol (empty), Colchicine (empty), Allopurinol (empty), Tylenol (empty), Sinemet (empty), Naproxen, Statin, Indomethacin, Flomax, Carbidopa, Keflex, Cyclobenzaprine, Urelle, Paroxetine, and some unlabeled pill bottles in possession. The following pills were unlabeled but were found by pill finder: Vicodin, Ambien. Physical exam was notable for pill rolling tremor, pressure sores on face, chest, knees. He was somnolent but following commands, answering questions, protecting airway but some with some gurgling of secretions. On rectal exam, he had decreased rectal tone, flecks of blood, empty vault. There was no clonus, asterixis, or hyperreflexia. Labs were notable for WBC 15.7 with 90% neutrophils, CK 5963, ALT 60, AST 117, Alk Phos 66, LDH 359, negative acetominophen level. His CXR, CT head and neck were negative. His EKG revealed EKG: ST@107 QRS 84 QTc 426. He was given NAC 150 mg IV over 1 hour. On transfer to the [**Hospital Unit Name 153**], his most recent VS were P: 105, BP: 153/85, RR: 18, O2 sat 100% on 5L NC. . . Review of sytems: (+) Per HPI, also occasional 'Parkinson's pain'. denies pain currently, + diarrhea after taking colchicine (-) Denies fever, chills, night sweats. Denies rhinorrhea or congestion. Denied cough, shortness of breath. Denied bloody or black stools. No dysuria. Denied arthralgias or myalgias. Past Medical History: Depression with hx of past suicidal ideation Parkinson's Hyperlipidemia Chronic Back Pain- managed on oxycodone Social History: Patient lives by himself. He is disabled and not currently working. He previously worked in contruction. He is divorced. Patient denies tobacco use. He states he drinks very rarely, drinking [**11-25**]- 1 glass of wine on those occasions. He smokes marijuana ~2x/month. He has used cocaine and heroine in the remote past. Patient states this is his first suicide attempt although he has had suicical ideations in the past. Family History: unable to obtain on admission Physical Exam: Admission: Vitals: T: 99.2, BP: 158/82 P: 109 R: 14 O2: 100% on 2L NC General: lethargic but arouable, oriented to person, place, month, year but not to day of the week or date, no acute distress, affected blunted, somewhat tearful during interview HEENT: Sclera anicteric, dry MM, dried blood on the lips, pressure ulcer on his chin Neck: supple, in cervical collar, no cervical pain Lungs: loud upper respiratory noises over anterior chest, otherwise CTAB, no wheezes, rales, rhonchi CV: tachy, reg rhythm, normal S1 + S2, no murmurs, rubs, gallops Abdomen: soft, non-tender, non-distended, bowel sounds present, no rebound tenderness or guarding, no organomegaly, erythema over bilateral ribs Ext: warm, well perfused, 2+ pulses, no clubbing, cyanosis or edema NEURO: exam somewhat limited by lethargy, CNII- surgical defect of right pupil, left pupil reactive, CN III/ IV- somewhat limited movements, CNV-XII intact; 4+ strength in bilateral upper/ lower extremities, sensation intact throughout to light touch; 2+ biceps, patellar, no dystonia, no rigidity, no tremor, patient unable to complete finger to nose exercise [**12-26**] inattention Pertinent Results: CXR [**4-8**] Bibasilar atelectasis, left greater than right. CT head [**4-8**] No acute intracranial process. CT C-spine [**4-8**]: No acute process Elbow x-ray [**4-8**]: No evidence of acute fracture [**2199-4-8**] 11:58AM BLOOD WBC-15.6*# RBC-4.70 Hgb-14.7 Hct-41.7 MCV-89 MCH-31.2 MCHC-35.1* RDW-13.7 Plt Ct-276# [**2199-4-13**] 07:15AM BLOOD WBC-8.4 RBC-3.98* Hgb-12.2* Hct-35.6* MCV-89 MCH-30.7 MCHC-34.3 RDW-13.4 Plt Ct-220 [**2199-4-8**] 11:58AM BLOOD PT-13.1 PTT-22.0 INR(PT)-1.1 [**2199-4-8**] 11:58AM BLOOD Glucose-131* UreaN-22* Creat-1.1 Na-142 K-4.4 Cl-106 HCO3-24 AnGap-16 [**2199-4-10**] 05:55AM BLOOD Glucose-99 UreaN-13 Creat-0.8 Na-140 K-3.8 Cl-108 HCO3-26 AnGap-10 [**2199-4-8**] 11:58AM BLOOD ALT-60* AST-117* LD(LDH)-359* CK(CPK)-5963* AlkPhos-66 TotBili-0.7 [**2199-4-9**] 04:38AM BLOOD ALT-43* AST-71* LD(LDH)-208 CK(CPK)-2559* AlkPhos-54 TotBili-0.6 [**2199-4-10**] 05:55AM BLOOD CK(CPK)-1121* [**2199-4-11**] 06:00AM BLOOD CK(CPK)-861* [**2199-4-13**] 07:15AM BLOOD CK(CPK)-451* [**2199-4-10**] 05:55AM BLOOD Calcium-8.6 Phos-2.2* Mg-1.8 [**2199-4-8**] 05:30PM BLOOD Acetmnp-NEG [**2199-4-8**] 11:58AM BLOOD ASA-NEG Ethanol-NEG Acetmnp-NEG Bnzodzp-NEG Barbitr-NEG Tricycl-NEG [**2199-4-8**] 12:20PM BLOOD Glucose-131* Lactate-2.1* Na-142 K-4.3 Cl-103 calHCO3-25 [**2199-4-9**] JOINT FLUID GRAM STAIN-FINAL; FLUID CULTURE-FINAL INPATIENT [**2199-4-8**] URINE URINE CULTURE-FINAL INPATIENT [**2199-4-8**] MRSA SCREEN MRSA SCREEN-FINAL INPATIENT [**2199-4-8**] BLOOD CULTURE Blood Culture, Routine-FINAL EMERGENCY [**Hospital1 **] [**2199-4-8**] BLOOD CULTURE Blood Culture, Routine-FINAL EMERGENCY [**Hospital1 **] Brief Hospital Course: 60 yo male with PMH of Parkinson's disease, depression, hx of suicical ideation who presents after being being found down for ~2 days after an intentional overdose Patient took excessive doses of several medications including benzodiazepines, opiates, tylenol, colchicine, carbidopa. Pt was found down after 2 days with pressure ulcers on chin, ribs and knees. Patient admitted that this was an attempt to "end it all." His CK was elevated and peaked at 6000 and he was volume depleted; he received 3L of IV normal saline in the ED and 1.2 L in the ICU for rhabdomyolysis. Given his significant elbow pain, elbow x-ray was done which showed no fracture and a moderate effusion. Joint was tapped with grossly bloody fluid, sent for culture and cell count. Psychiatry and social work were consulted for suicide attempt, he was monitored with a 1:1 sitter. He was noted to have a leukocytosis with WBC 15, and pulmonary infiltrate that may have been due to aspiration, but no fevers or other localizing symptoms, and his WBC decreased to 8.4. His sinemet for parkinson's disease was restarted (had missed 2 days), and the dose was adjusted by his outpatient Neurologist. He was started on Remeron on evening [**2199-4-15**] per psychiatry recs given complaints of insomnia. He has chronic back pain at SI joints for which he was taking opiates as an outpatient. Pt admitted to misuing the opiates prior to his suicide attempt. His back pain was managed with alternative agents to avoid narcotics. He was started on scheduled tylenol, naproxen, lidoderm patch, and warm packs. He was encouraged to ambulate and maintain activity, as bed rest will only make pain worse. He was noted to "inflate" his ratings of his pain, which he admitted when challenged about his reports of [**2198-7-2**] pain, then saying, "I exaggerate, may be more like a [**5-3**]." Pt was noted to have some mild hypertension, with SBP generally in mid-140's. He was started on low-dose HCTZ. He should have lytes, BUN, Cr check on [**2199-4-23**] to ensure he tolerates, and he should be monitored to ensure that he has sufficient po intake considering his depression so that he does not become dehydrated. He also complained of constipation, for which he has been started on a bowel regimen, and he will receive an enema. He is being discharged to an inpatient psychiatric facility for further treatment of his depression. Medications on Admission: Allopurinol 300 mg PO daily Tramadol 50 mg PO QID PRN Oxycodone 5 mg PO QID PRN Ambien 10 mg QHS PRN Colchicine 0.6 mg PO BID PRN Alprazolam 2 mg PO TID PRN Discharge Medications: 1. heparin (porcine) 5,000 unit/mL Solution Sig: One (1) inj Injection TID (3 times a day). 2. folic acid 1 mg Tablet Sig: One (1) Tablet PO DAILY (Daily). 3. multivitamin Tablet Sig: One (1) Tablet PO DAILY (Daily). 4. thiamine HCl 100 mg Tablet Sig: One (1) Tablet PO DAILY (Daily). 5. lidocaine 5 %(700 mg/patch) Adhesive Patch, Medicated Sig: One (1) Adhesive Patch, Medicated Topical DAILY (Daily). 6. naproxen 250 mg Tablet Sig: Two (2) Tablet PO Q8H (every 8 hours) as needed for pain. 7. acetaminophen 325 mg Tablet Sig: Two (2) Tablet PO TID (3 times a day). 8. carbidopa-levodopa 25-250 mg Tablet Sig: 1.5 Tablets PO TID (3 times a day): 8am, 12pm, 4pm. 9. carbidopa-levodopa 25-250 mg Tablet Sig: One (1) Tablet PO DAILY (Daily): 8pm . 10. allopurinol 300 mg Tablet Sig: One (1) Tablet PO once a day. 11. polyethylene glycol 3350 17 gram/dose Powder Sig: One (1) packet PO DAILY (Daily). 12. hydrochlorothiazide 12.5 mg Capsule Sig: One (1) Capsule PO DAILY (Daily): Please check lytes, BUN/Cr on [**2199-4-23**] to ensure tolerates. 13. senna 8.6 mg Tablet Sig: One (1) Tablet PO BID (2 times a day): hold for loose stools. 14. mirtazapine 15 mg Tablet Sig: 0.5 Tablet PO HS (at bedtime). Discharge Disposition: Home Discharge Diagnosis: Depression Suicide Attempt by Ingestion Parkinson's Disease Chronic back pain Discharge Condition: Mental Status: Clear and coherent. Level of Consciousness: Alert and interactive. Activity Status: Ambulatory - requires assistance or aid (walker or cane). Discharge Instructions: You were admitted to the intensive care unit following ingestion of multiple medications. You were found to have significant muscle breakdown (rhabdomyolysis) and a collection of fluid around your elbow. You were treated with IV fluids and your symptoms slowly improved. Your dose of Sinemet was also adjusted during this hospitalization. You are being discharged to a psyhiatric facility for further treatment of your depression. Followup Instructions: Please follow up with your PCP and your Neurologist upon discharge from your psychiatric facility. ICD9 Codes: 2749, 2724
{ "dataset_link": "https://huggingface.co/datasets/ricardosantoss/ehrcomplete_icdfiltered", "dataset_name": "ehrcomplete-icdfiltered", "id": 8104 }
Medical Text: Admission Date: [**2156-12-28**] Discharge Date: [**2157-2-4**] Date of Birth: [**2104-10-25**] Sex: F Service: MEDICINE Allergies: Talwin Nx Attending:[**First Name3 (LF) 1493**] Chief Complaint: Abdominal Pain Anasarca Transplant evaluation Major Surgical or Invasive Procedure: Ultrasound guided paracentesis [**2156-12-29**] Central Line Dialysis Catheter Placement History of Present Illness: 52-year-old female with history of alcoholic and hepatitis B cirrhosis, who was recently discharged from [**Hospital 1474**] hospital on [**12-15**] folling treatment for spontaneous bacterial peritonitis. She was seen in clinic today and was found with large ascites, profoundly distended, and notably jaundiced and in pain. She was admitted for a diagnostic and therapeutic paracentesis and further work up. . Recently she has had slightly worsening abdominal pain, increased [**Location (un) **] and some nausea and 1 episode of non-bloody emesis. Reports with weight gain 15 lbs. Past Medical History: # Alcoholic liver cirrhosis diagnosed in [**2134**] with ascites and esophageal varices. # Hepatitis B cirrhosis, which the patient states she contracted from her husband. Does not appear to have been completely treated in the past. The patient does report being enrolled in an interferon clinical trial at [**Hospital1 2025**] many years ago but was deemed to not be a "non-responder." # COPD. # Hypothyroidism. # Depression. # Status post cholecystectomy. # Sciatica status post back surgery x2 Social History: The patient has currently quit smoking for 2 weeks. She was previously smoking one pack per day for a total of 40 years. The patient is a former drinker with her last drink being on [**2155-3-29**]. She was drinking approximately four to six packs of beer per week along with binge-drinking with 40 beers on the weekends. She was drinking for a total of 30 years. Her last cocaine use was last year. Last marijuana use two years ago. She denies a history of IV drug abuse. She is not currently in substance abuse counseling or support, but states that she has not had any temptation to use illicits again. Family History: The patient reports alcoholism in both sides of her family. Mother deceased from bladder cancer at the age of 51. Father with heart disease and angina, but no history of myocardial infarction or coronary artery bypass grafts. The patient has three children with two girls at the ages of 23 and 21 with hepatitis B. the oldest son does not have hepatitis B Physical Exam: 98.6 112/69 72 20 94%RA GEN: illappearing, tearfull, obese HEENT: icteric sclera, jaundiced skin CV: rrr s1, s2, no M/g/R RESP: diffuse wheezing bilaterally ABD: tender to palpation, obese, +bs, site of paracentesis is still draining fluid EXT: tense pitting edema bilaterally Neuro: AAOx3, 5/5 strength, sensation intact, no flap. Pertinent Results: PARACENTESIS DIAG. OR THERAPEUTIC [**2156-12-29**] 4:45 PM PARACENTESIS DIAG. OR THERAPEU Reason: DIAGNOSTIC AND THERAPEUTIC paracentesis please send cell cou [**Hospital 93**] MEDICAL CONDITION: 52 year old woman with hep B/ETOH cirrhosis REASON FOR THIS EXAMINATION: DIAGNOSTIC AND THERAPEUTIC paracentesis please send cell count and differential, fluid for culture PARACENTESIS ON [**12-29**] CLINICAL HISTORY: ETOH cirrhosis. Diagnostic tap requested. PROCEDURE AND FINDINGS: A full discussion of pertinent risks, benefits, and alternatives to the procedure was performed, informed consent was obtained. Preprocedure timeout documents proper patient, site, and procedure. Using aseptic technique and ultrasound guidance, a 5 French [**Last Name (un) 11097**] centesis catheter was passed through anesthetized tissues in the left flank, to the peritoneal cavity from which approximately 1 liter of clear, straw-colored fluid was removed and sent for the requested labs. Hemostasis was then obtained, patient tolerated the procedure well without any immediate post-procedure complications. Dr. [**Last Name (STitle) 4401**] performed the procedure. IMPRESSION: Successful ultrasound-guided paracentesis. . CT ABDOMEN W/CONTRAST [**2157-1-1**] 5:41 PM CT ABDOMEN W/CONTRAST; CT PELVIS W/CONTRAST Reason: assess for loculation [**Hospital 93**] MEDICAL CONDITION: 52 year old woman with cirrhosis with large ascites, tap with only 1L removed, assess for loculation REASON FOR THIS EXAMINATION: assess for loculation CONTRAINDICATIONS for IV CONTRAST: not needed INDICATION: 52-year-old female with cirrhosis and large ascites with recent 1 liter of fluid removed via paracentesis. Assess for loculation. COMPARISON: [**2156-11-3**]. TECHNIQUE: MDCT acquired axial images of the abdomen and pelvis were obtained with IV contrast. Multiplanar reformations were performed. CT ABDOMEN WITH IV CONTRAST: There is a moderate right pleural effusion with associated atelectasis. There is airspace opacity within the left lung base, likely atelectasis. The liver is small and nodular consistent with cirrhosis. Metallic clips are present within the gallbladder fossa, consistent with prior cholecystectomy. The previously seen early enhancing lesions within the liver are not well demonstrated, given the lack of arterial phase timing. The pancreas and adrenal glands are unremarkable. The spleen is bulky, measuring 13 cm. The small bowel is filled with oral contrast with no evidence of obstruction. The large bowel is unremarkable. The rectum and sigmoid colon are stool filled. There is moderate amount of ascites located primarily along the pericolic gutters and extending down into the deep pelvis. There are no obvious septations or collection surrounded by soft tissue to suggest loculation. This examination is limited due to artifact created from the patient's body habitus, particularly on the right of the abdomen and pelvis. There is diffuse anasarca throughout the subcutaneous tissues of the abdomen and pelvis. CT PELVIS WITH IV CONTRAST: The uterus and adnexa are unremarkable. The urinary bladder is collapsed and contains a Foley catheter. There is no appreciable lymphadenopathy in the abdomen and pelvis. BONE WINDOWS: There are no suspicious lytic or sclerotic osseous lesions. IMPRESSION: 1. No loculation. Majority of fluid within the pericolic gutters and extending down into the deep pelvis. 2. Moderate right pleural effusion. 3. Cirrhotic liver and splenomegaly. . Echo: The left atrium is mildly dilated. The estimated right atrial pressure is 0-5 mmHg. Left ventricular wall thickness, cavity size and regional/global systolic function are normal (LVEF >55%) Transmitral Doppler and tissue velocity imaging are consistent with normal LV diastolic function. Right ventricular chamber size and free wall motion are normal. The aortic valve leaflets (3) are mildly thickened but aortic stenosis is not present. Trace aortic regurgitation is seen. The mitral valve leaflets are mildly thickened. An eccentric, posteriorly directed jet of Mild to moderate ([**12-15**]+) mitral regurgitation is seen. There is moderate pulmonary artery systolic hypertension. The pulmonic valve leaflets are thickened. Significant pulmonic regurgitation is seen. There is no pericardial effusion. IMPRESSION: Normal left ventricular function. Normal right ventricular function. Moderately elevated estimated pulmonary pressures. Compared with the prior study (images reviewed) of [**2156-11-3**], the estimated pulmonary pressures are moderately elevated and the severity of mitral regurgitation has increased. . US ABD LIMIT, SINGLE ORGAN [**2157-1-7**] 9:16 AM US ABD LIMIT, SINGLE ORGAN Reason: EVAL FOR ASCITES AND MARK THE SPOT FOR PARACENTESIS [**Hospital 93**] MEDICAL CONDITION: 52 year old woman with EtOH, Hep B cirrhosis, refractory ascites. REASON FOR THIS EXAMINATION: Please assess for degree of ascites. Anasarca vs. ascites. LIMITED ABDOMEN ULTRASOUND COMPARISON: None. HISTORY: Ascites. FINDINGS: Limited [**Doctor Last Name 352**]-scale imaging of the abdomen was performed to assess for underlying ascites. Minimal amounts of fluid are seen in all four quadrants and midline pelvic view. Subsequently, no spot was marked due to limited quantity of free fluid. IMPRESSION: Minimal amount of abdominal ascites, unable to mark spot for paracentesis. . These findings were discussed with Dr. [**Last Name (STitle) 656**] at the time of review. Brief Hospital Course: # Cirrhosis: The patient reported recent onset of jaundice and acute exacerbation of peripheral edema and abdominal ascites. An ultrasound guided paracentesis was performed but could only drain 1L. CT abdomen showed ascites fluid in difficult to reach locations, along paracolic gutters and in pelvis. In addition, it showed much of the fluid was in her subcutaneous tissues. Hepatitis B was thought to be a precipitating factor. A viral load was checked and came back at 6700 copies. She was thus started on entecavir. On initial presentaiton her sodium was low at 123 and her creatinine was elevated to 1.3. She was placed on a fluid restriction and her diuretics were held. Her creatinine improved but her urine output and peripheral edema remained unchanged. In an effort to mobilize her fluid, she was adminstered 50g of albumin daily followed by IV lasix. Her creatinine, sodium, and urine output remained unchanged. . She was titrated up to albumin 25g [**Hospital1 **] followed by lasix 80mg [**Hospital1 **] 30 minutes after giving albumin, and she began to respond with increased urine output, increased sodium, and decreased creatinine. The patient also reported feeling less edematous. Her nadolol, lactulose, and midodrine were continued. Her cipro was continued for SBP prophylaxis. . The team attempted to aggressively diurese her with albumin cover, and was successful; unfortunately she then went into renal failure, and was oliguric. HD (ultrafiltration) was attempted in order to take off more fluid but her blood pressures did not tolerate much fluid loss. Eventually after much discussion with the team, the patient, and the patient's family, we decided to send the patient to the MICU where she could get CVVH and potentially be able to tolerate a greater degree of fluid removal over 24 hour fluid removal cycles. She did not tolerate the CVVH secondary to hypotension and after further family meetings she was made comfort measures only and transferred back to the medical floor for placement in an inpatient hospice setting. In terms of pain and discomfort, morphine solution was given with good effect. . #Dyspnea:Patient reporting increased dyspnea when changing position from lying down to sitting up. Reporting mild exertional dyspnea as well. CXR showed vascular congestion. She also had a mild O2 desaturation 97 to 95 with sitting up. Her history and presentation was suggestive of hepatopulmonary syndrome. She reported improvement with increased diuresis. She had stable oxygenation on room air. . #Hyperkalemia: Earlier in admission, in setting of hyponatremia. She did not have a history of DM, not on NSAIDS, ACEI, or spironolactone. A morning cortisol was measured and was found to be normal. Her ekg did not show changes consistent with hyperkalemia. She was given kayexalate to keep her potassium under 5.0; this was not an issue later in the admission. Once she was made comfort measures only her labs were no longer obtained. . # Transplant workup: To be finished during hospitalization. Much of her workup was completed at outside hospitals. She recived a transplant workup and psychiatry consult during this hospitalization. A colonoscopy is being considered. The ultimate problem are two issues, as above: pulmonary function, and BMI. Thus because the fluid issues above influenced both, we saw diuresis and then CVVH as one way to bring the patient towards the possibility of going onto the transplant list. Given she did not tolerate CVVH she was made comfort measures and was comfortable on time of discharge. . #:Anemia: Patient reported chronic BRBPR since her hemmorrhoid surgery 1 month ago, and she ocntinued with brbpr here. No vomiting, no hematemesis, no melena. She received 1 unit prbcs he day of admission, and received 2 units of prbc's a week later. Through most of her admission, despite ongoing BRBPR, she had stable Hcts. The source of the BRBPR was not clear, since she sometimes also had maroon stool; the possibility existed that some food dye or medicine could have been responsible for some of the color; however, a colonoscopy and workup for GI bleeding was secondary to trying to see if the patient might become eligible for a liver. Her hematocrit was stable at last check before suspending lab draws. . # Goals of care: the patient became more discouraged during this lengthy admission, and frustrated by the experience of waiting for an uncertain and potentially grim outcome. She decided to change her code status and a family meeting affirmed her decision to be DNR/DNI in the presence of her children, ex-husband and current partner. She eventually decided to give CVVH a try as one last strategy to attempt to advance towards transplant, but with the understanding that if this did not work she might be more interested in trying to move to the goal of comfort care. Given the ineffect of CVVH she was made CMO and transferred to inpatient hospice. Medications on Admission: Lasix 40 mg daily spironolactone 100 mg daily midodrine 10 mg t.i.d. nadolol 20 mg daily lactulose t.i.d. folic acid 1 mg daily ferrous sulfate 300mg po BID Multivitamin Thiamine 100mg daily Magnesium Oxide 400mg po TID with meals levothyroxine 25 mcg daily combivent 2 puffs every four hours oxycodone 5 mg Q4 p.r.n. ciproflox 250mg PO Daily Discharge Medications: 1. Levothyroxine 75 mcg Tablet Sig: One (1) Tablet PO DAILY (Daily). 2. Metoclopramide 10 mg Tablet Sig: One (1) Tablet PO QID (4 times a day) as needed. 3. Albuterol Sulfate 2.5 mg/3 mL Solution for Nebulization Sig: One (1) Inhalation Q4H (every 4 hours) as needed. 4. Ipratropium Bromide 0.02 % Solution Sig: One (1) Inhalation Q6H (every 6 hours) as needed. 5. Hydroxyzine HCl 25 mg Tablet Sig: One (1) Tablet PO Q6H (every 6 hours) as needed. 6. Miconazole Nitrate 2 % Powder Sig: One (1) Appl Topical [**Hospital1 **] (2 times a day) as needed. 7. Nicotine 21 mg/24 hr Patch 24 hr Sig: One (1) Patch 24 hr Transdermal DAILY (Daily). 8. Lorazepam 0.5 mg Tablet Sig: 1-2 Tablets PO Q4H (every 4 hours) as needed for anxiety. 9. Morphine Concentrate 20 mg/mL Solution Sig: 5-20mg PO Q2H (every 2 hours) as needed for pain. 10. Lactulose 10 gram/15 mL Syrup Sig: Thirty (30) ML PO BID (2 times a day). 11. Senna 8.6 mg Tablet Sig: One (1) Tablet PO BID (2 times a day). 12. Docusate Sodium 100 mg Capsule Sig: One (1) Capsule PO BID (2 times a day). 13. Bisacodyl 5 mg Tablet, Delayed Release (E.C.) Sig: Two (2) Tablet, Delayed Release (E.C.) PO DAILY (Daily) as needed. Discharge Disposition: Extended Care Facility: [**Hospital 169**] Center Wedgemere Discharge Diagnosis: Liver Failure Cirrhosis End Stage Renal Disease Depression Discharge Condition: Fair, Hemodynamically Stable Discharge Instructions: You were admitted for your liver failure. Medical therapies were initiated and you also had hemodialysis which was ineffective. You are being discharged to a hospice center. If you experience increased pain, shortness of breath, nausea, vomitting or any other concerning symptom please contact your primary care doctor Followup Instructions: ICD9 Codes: 5849, 5990, 2761, 5119, 2875, 2767, 2859, 496, 2449
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Medical Text: Admission Date: [**2196-6-28**] Discharge Date: [**2196-7-1**] Date of Birth: [**2122-7-2**] Sex: M Service: MEDICINE Allergies: No Known Allergies / Adverse Drug Reactions Attending:[**First Name3 (LF) 12722**] Chief Complaint: Hyperkalemia with loss of access for hemodialysis Major Surgical or Invasive Procedure: AVF thrombectomy History of Present Illness: 73 year old Albanian speaking only male with hx of CAD, HTN, HL, CVA, PVD, and ESRD on HD T/Th/S was sent in from [**Location (un) **] [**Hospital **] [**Hospital **] clinic with concern for a clotted right UE HD AV graft. He recently had a thrombectomy to this graft about two weeks ago after the graft thrombosed. He had a usual session of HD on Saturday. He returned today for dialysis where they were unable to access the graft. Per Dr. [**Last Name (STitle) **] at AV Care, there was still a problem at the venous anastomosis of the graft. Presently has no numbness, tingling, pain in the RUE; denies any fever, chill, night sweats, CP or SOB. Of note, he is currently anticoagulated with aspirin and plavix. He was seen by cardiology in [**11/2192**] for atrial fibrillation, when at that time they recommended aspirin and warfarin instead of plavix. Note was made that he would need a PCP and [**Name Initial (PRE) **] [**Hospital 197**] clinic to manage his INR's but then it is unclear from the records thereafter if he ever used warfarin. In the ED, admission vitals: 96.7 60 137/63 18 100% RA. Exam was notable for a palpable radial pulse and axillary pulse in RUE. No bruit or thrill was noted over graft. Cardiac exam notable for irregular rhythm. Renal was contact[**Name (NI) **]. [**Name2 (NI) **] returned with hyperkalemia of 6.9 and EKG was notable for peaked T's. He was given Dextrose 50% 25gm IV ONCE, insulin 10 unit IV once, lasix 20mg IV once, and Kayexalate 30gm PO/NG ONCE. Transplant Surgery recommend a fistulagram and thrombectomy with IR. Femoral access was requested if urgent dialysis is required. Most Recent Vitals prior to transfer: 97.7 52 122/58 18 97% on RA. In the IR suite, he was noted to brady into the 30's transiently. His BP's were stable and he denied any CP or SOB throughout the procedure. On arrival to the MICU, he denies any pain or discomfort. He reports being thirsty and has to move his bowels. Review of systems: (+) Per HPI (-) Denies fever, chills, night sweats, recent weight loss or gain. Denies headache, sinus tenderness, rhinorrhea or congestion. Denies cough, shortness of breath, or wheezing. Denies chest pain, chest pressure, palpitations, or weakness. Denies nausea, vomiting, diarrhea, constipation, abdominal pain, or changes in bowel habits. Denies dysuria, frequency, or urgency. Denies arthralgias or myalgias. Denies rashes or skin changes. Past Medical History: -ESRD on HD T/Th/Sat since [**2190**] -Right AV graft placed [**2194-7-25**] s/p thrombectomies and revisions -Left AV graft placed [**4-/2193**], s/p several clots, thrombectomies, angioplasties, revision, and infection with MSSA s/p excision of graft. Not used since clotted 2/[**2193**]. Dialyzed through right IJ until R AV graft was mature in late [**2193**]. -Previous failed L AV graft w/ thrombosis and angioplasty [**7-/2192**], [**9-/2192**], and 1/[**2192**]. -Hypertension -Hyperlipidemia -Hyperthyroidism, not on medications -CAD -CVA [**85**] with residual left-sided weakness, managed with aspirin/plavix -Atrial Fibrillation -Aortic Atheroma -PVD --left-to-right femoral-femoral bypass with 6-mm PTFE graft in [**4-21**] --percutaneous angioplasty and stenting of left common iliac and external iliac arteries [**3-21**] -Left carotid endarterectomy [**4-21**] -Left Nephrectomy for hydronephrosis in [**Country 38213**] in [**2173**]'s Social History: Lives with wife. [**Name (NI) **] [**Name (NI) **] lives in NJ and works as a GI fellow. No current smoking but has 30 year history 1 ppd. He quit in [**2185**] after his stroke. Last drink was about 15 days prior to admission and he reportedly drinks very little because of "kidney problems". [**Name2 (NI) **] recreational drug use. Family History: Non contributory Physical Exam: On Admission: Vitals: 97.3 64 (40-64) 134/65 16 97% on RA General: Alert, oriented, no acute distress HEENT: Sclera anicteric, MMM, oropharynx clear, EOMI, PERRL Neck: supple, JVP not elevated, no LAD CV: Irregularly irregular, bradycardic, normal S1 + S2, no murmurs, rubs, gallops Lungs: bibasilar crackles, crackles at right base clear with inspiration Abdomen: +BS, soft, non-tender, non-distended, no organomegaly GU: no foley Ext: warm, well perfused, 2+ pulses, trace LE edema, RUE AV graft site without thrill or bruit. Left femoral catheter in place, dressing clean, dry, intact, no erythema. Neuro: CNII-XII intact and symmetric, strength 4/5 throughout upper and lower left extremities, [**3-19**] upper and lower right extremities. Discharge Exam: VS: T 98.4 BP 114/55 HR 70 RR 18 O2 100% RA Extr: Left femoral catheter removed, dressing clean, dry, intact, no erythema or swelling or ecchymoses. Exam otherwise unchanged from admission Pertinent Results: [**Month/Day (1) **] on Admission: ========================= [**2196-6-28**] 10:40AM BLOOD WBC-7.3 RBC-3.60* Hgb-11.5* Hct-34.6* MCV-96 MCH-31.8 MCHC-33.2 RDW-14.1 Plt Ct-191 [**2196-6-28**] 10:40AM BLOOD Neuts-70.4* Lymphs-21.8 Monos-4.7 Eos-2.5 Baso-0.4 [**2196-6-28**] 10:40AM BLOOD PT-10.2 PTT-26.6 INR(PT)-0.9 [**2196-6-28**] 10:40AM BLOOD Glucose-131* UreaN-93* Creat-10.2*# Na-139 K-6.9* Cl-99 HCO3-21* AnGap-26* [**2196-6-29**] 08:32AM BLOOD ALT-11 AST-12 TotBili-0.4 [**2196-6-28**] 05:45PM BLOOD Calcium-8.5 Phos-5.0* Mg-3.2* Studies/Procedures: Uncomplicated AV fistulagram with extensive intervention as above including chemical and mechanical thrombectomy, balloon dilatation of central venous strictures, dilatation and stenting of venous anastomosis, and removal of organized thrombus at the arterial anastomosis. Following the procedure the graft had a palpable thrill and may be used for dialysis immediately. [**Month/Day/Year **] Prior to Discharge: ========================== [**2196-7-1**] 07:05AM BLOOD WBC-7.0 RBC-2.89* Hgb-9.0* Hct-27.1* MCV-94 MCH-31.2 MCHC-33.3 RDW-14.4 Plt Ct-112* [**2196-7-1**] 07:05AM BLOOD Glucose-126* UreaN-77* Creat-10.7*# Na-136 K-5.0 Cl-98 HCO3-19* AnGap-24* [**2196-6-29**] 08:32AM BLOOD ALT-11 AST-12 TotBili-0.4 [**2196-7-1**] 07:05AM BLOOD Calcium-6.8* Phos-9.4*# Mg-2.4 Brief Hospital Course: Assessment and Plan 73 year old Albanian speaking only male with hx of CAD, HTN, HL, CVA, PVD, and ESRD on HD T/Th/S sent in from [**Location (un) **] [**Hospital **] [**Hospital **] clinic with concern for a clotted right UE HD AV graft. # Thrombosed AV graft: No palpable thrill or bruit noted on exam, with inability to access graft at HD. This graft has had multiple thrombectomies and revisions, including 10 days prior to admission. He has limited options for dialysis access as his left UE AV graft has been thrombosed since [**2193**]. Successful fistulogram and thrombectomy with palpable thrill afterward, restarted HD successfully in RUE. # Hyperkalemia: K 6.9 on initial lab draw in the setting of no HD for 3 days. Received insulin, glucose, lasix, and kayexalate in the ED and then improved with HD. Discharge K 5.0 with HD scheduled tomorrow. # ESRD: Nephrectomy done in mid [**2173**]'s for obstruction and hydronephrosis. ESRD was present by the time he immigrated to the US and was seen by nephrology. He was considered for transplant but was noted to have poor vascular disease and therefore was not a transplant candidate. He has been on HD since [**2190**]. He has had multiple problems with access sites including clotted and infected sites. Temporary femoral HD line placed on [**6-28**] for access until long term plan is decided. # Bradycardia: Slow afib during and after IR procedure. [**Month (only) 116**] have been vagal response vs metoprolol overload. Improved to 60s with holding Metoprolol. He maintained blood pressure and mental status at all times despite HR's in the 30's. Pt had no further events on tele and metoprolol was held for duration # HTN: Pressures remained stable except briefly hypotensive at the end of HD on day of discharge, improved with fluid replacement at end of HD. Discharged on metoprolol ER 50mg daily. # PVD: Hx of fem-fem bypass with iliac stenting, continued on ASA, Plavix 75mg, and simvistatin 20mg. # Atrial fibrillation: CHADS2 = 3 with prior CVA. Not on warfarin for concern for intracranial hemorrhage. Rate controlled with metoprolol at home, with some bradycardia evident on exam. Metoprolol resumed when reinitiated HD. Monitored on tele with no events, continued ASA 81 mg. Transitional Issues: Medication Changes: None Continuity of Care: Will see nephrology at [**Hospital **] clinic tomorrow. Medications on Admission: Preadmissions medications listed are incomplete and require futher investigation. Information was obtained from webOMR. 1. Amlodipine 10 mg PO DAILY 2. Aspirin 81 mg PO DAILY 3. Clopidogrel 75 mg PO DAILY 4. Lanthanum 1000 mg PO TID W/MEALS 5. Nephrocaps 1 CAP PO DAILY 6. Simvastatin 40 mg PO DAILY 7. Metoprolol Succinate XL 50 mg PO DAILY Discharge Medications: 1. Amlodipine 10 mg PO DAILY 2. Aspirin 81 mg PO DAILY 3. Clopidogrel 75 mg PO DAILY 4. Lanthanum 1000 mg PO TID W/MEALS 5. Nephrocaps 1 CAP PO DAILY 6. Simvastatin 40 mg PO DAILY 7. Metoprolol Succinate XL 50 mg PO DAILY Discharge Disposition: Home With Service Facility: Multicultural VNA Discharge Diagnosis: End stage renal disease Arterial-venous fistula thrombosis Discharge Condition: Mental Status: Clear and coherent. Level of Consciousness: Alert and interactive. Activity Status: Ambulatory - requires assistance or aid (walker or cane). Discharge Instructions: Dear Mr. [**Known lastname 68499**], It was a pleasure participating in your care at [**Hospital1 771**]. You were admitted because your potassium was very high and at the same time your right arm dialysis access clotted and was unusable. In the intensive care unit your potassium was normalized. A temporary dialysis access point was made in your left groin, and the clot in your right arm was cleaned out. After the clot was cleaned out, it was used to resume your dialysis treatments and the temporary line in your thigh was removed. Physical therapy evaluated you and determined that you need a visiting nurse assistant to work with you a few times weekly. Do not lift more than 5 pounds for one week. MEDICATION CHANGES: None Followup Instructions: Name: [**Last Name (LF) **],[**First Name3 (LF) **] J. Location: [**Hospital6 5242**] CENTER Address: [**Location (un) 5243**], [**Location (un) **],[**Numeric Identifier 2260**] Phone: [**Telephone/Fax (1) 798**] Appointment: Friday [**2196-7-15**] 11:40am [**Location (un) **] [**Location (un) **] Phone: [**Telephone/Fax (1) 5972**] Nephrologist-[**Name6 (MD) 4102**] [**Name8 (MD) 4090**],MD Schedule-T/TH/S *Dr. [**Last Name (STitle) 4090**] will follow up with you at your next diaylsis day for your hospitalization. Any questions or concerns please call the office. Department: CARDIAC SERVICES When: TUESDAY [**2196-8-9**] at 3:00 PM With: [**First Name11 (Name Pattern1) **] [**Last Name (NamePattern4) 1008**], M.D. [**Telephone/Fax (1) 62**] Building: SC [**Hospital Ward Name 23**] Clinical Ctr [**Location (un) **] Campus: EAST Best Parking: [**Hospital Ward Name 23**] Garage Department: MEDICAL SPECIALTIES When: FRIDAY [**2196-8-26**] at 2:20 PM With: [**First Name11 (Name Pattern1) **] [**Last Name (NamePattern4) 30470**], MD [**Telephone/Fax (1) 1803**] Building: [**Hospital6 29**] [**Location (un) **] Campus: EAST Best Parking: [**Hospital Ward Name 23**] Garage [**First Name11 (Name Pattern1) **] [**Initial (NamePattern1) **] [**Last Name (NamePattern4) **] DO 12-BWD ICD9 Codes: 5856, 2767, 2724
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Medical Text: Admission Date: [**2155-10-15**] Discharge Date: [**2155-10-25**] Date of Birth: [**2081-7-29**] Sex: M Service: HISTORY OF PRESENT ILLNESS: This is a 74-year-old gentleman with a history significant for coronary artery disease, status post CABG times four in [**2147**], status post DDD, pacemaker placement in [**2155-7-27**], negative Persantine mibi test in [**2155-7-27**] and recent catheterization of his heart on [**2155-10-8**] showing an EF of 38%, three vessel disease, moderate aortic stenosis, moderate mitral regurgitation and moderate [**Date Range 16631**] and diastolic ventricular dysfunction, CHF, insulin dependent diabetes mellitus, hypertension, hypercholesterolemia and GI bleed with a recent admission between [**10-4**] and [**10-9**] for shortness of breath. The patient was discharged home on Lasix and now returns with increasing shortness of breath on exertion, greater than right, no chest pain, no nausea, vomiting, some abdominal pain, some lightheadedness and fatigue, no orthopnea, no PND, slight headache and decreased appetite. Patient's stools are chronically dark. In the Emergency Room the patient was found to be guaiac positive and with a blood pressure of 74/39, pulse of 80. He was started on Dopamine drip and given one liter of IV fluids. His urine output was 1.2 liters in 6 hours. The Dopamine was started at 5 mcg/kg/min. and then decreased to 2.5 mcg/kg/min. and then stopped, but his blood pressure did not tolerate this and dropped to 68/49 so he was restarted on the drip at 5 mcg/kg/minute. After he was transferred to the unit, right radial A line was placed, PA catheter was floated through his right IJ and initial pressures were CVP of 14, RV of 78/20, PA 60/25, wedge pressure of 33, PVR was calculated 3.3. Cardiac index 3.03, cardiac output 7, SVR between 500 to 800 on Dopamine drip. The patient was started on Dobutamine drip in the CCU on the night of admission but his blood pressure dropped within 20 minutes and this was stopped and he remained on only the Dopamine drip. He was also given two units of packed red blood cells on the night of admission with Lasix after each unit. PAST MEDICAL HISTORY: 1) Coronary artery disease status post CABG times four in [**2147**], status post DDD pacemaker placement [**2155-7-27**], Persantine mibi in [**2155-7-27**] showing no perfusion defects, EF of 56%, history of AS and possible prior MI catheterization in [**2155-12-27**] showing LVEF of 38%, anterolateral hypokinesis, apical dyskinesis, inferior akinesis, 3+ mitral regurgitation and aortic calcification. 2) CHF stage II. Echocardiogram in [**2155-5-27**] showed EF of 55% with regional wall motion abnormalities, moderate AS and moderate to severe mitral regurgitation. An echocardiogram in [**9-27**] showed septal and apical inferoapical hypokinesis, moderate MR, TR and 45% EF with moderate AS. 3) Insulin dependent diabetes mellitus diagnosed in [**2132**]. 4) Recurrent gastrointestinal bleed with extensive work-up including colonoscopy in [**2155-5-27**] and [**2155-7-27**] showing sigmoid diverticulosis and GI hemorrhoids. He is H. pylori negative. EGD in [**2155-5-27**] and [**2155-9-27**] showed Barrett's esophagus and mild gastritis. Abdominal CT in [**2155-7-27**] showed vascular calcifications and he recently had admission on [**9-27**] through [**2155-10-1**] for GI bleed leading to orthostasis. He also has a possible history of porcelain gallbladder. 5) Atrial fibrillation on Coumadin in the past, now with pacemaker in place and on Amiodarone. 6) Hypertension. 7) Hypercholesterolemia. 8) Peptic ulcer disease. 9) Iron deficiency anemia. 10) Cholelithiasis. 11) Peripheral vascular disease with neuropathy. MEDICATIONS: At home, Insulin NPH 34 units q a.m., 24 units q p.m., Insulin regular 10 units q a.m., Amiodarone 200 mg q d, Aspirin 81 mg q d, Cimetidine 400 mg q d, Lipitor 40 mg q d, Reglan 10 mg tid, Univasc 30 mg q d, Iron 65 mg tid, Lasix 40 mg q d, Imdur 30 mg q d. ALLERGIES: No known drug allergies. FAMILY HISTORY: Mother passed away from a brain tumor, no history of coronary artery disease or diabetes. SOCIAL HISTORY: The patient is a widow since [**2146**]. Patient did have a daughter who died in a train accident many years ago. He lives alone in [**Location (un) 2251**]. He has a brother and sister-in-law who he is in contact with and he does have a girlfriend. [**Name (NI) **] is an ex-smoker, quit smoking many years ago. He has a 60 pack year history and he does not drink alcohol. PHYSICAL EXAMINATION: Vital signs, temperature 96.8, blood pressure 80/45, pulse 80 and regular, respiratory rate 18, O2 saturation 99% on three liters nasal cannula. General, elderly gentleman in no apparent distress. HEENT: Normocephalic, atraumatic. Pupils equal, round and reactive to light. Extraocular movements intact. Oropharynx clear. Dry mucus membranes. Neck, no lymphadenopathy, jugulovenous distension to 14 cm. Cardiovascular, regular rate and rhythm, [**4-1**] late peaking [**Month/Day (4) 16631**] ejection murmur at left sternal border radiating to the aorta, [**3-4**] holosystolic murmur at the apex. Pulmonary, bilateral sided basilar crackles [**1-29**] to [**1-28**] way up. Abdomen, soft, non distended, nontender, normoactive bowel sounds, no hepatosplenomegaly. Rectal, guaiac positive. Extremities cool, 2+ pitting edema to upper calves, left dorsalis pedis 1+, right dorsalis pedis 2+. Neuro, alert and oriented times three, non focal exam. LABORATORY DATA: White blood cell count 8.5, hematocrit 25.8, platelet count 227,000, PT 13.2, PTT 26.9, INR 1.1, differential with 82% neutrophils, 11% lymphocytes, 4.5% monocytes, 1.8% eosinophils, .7% basophils. Sodium 135, potassium 4.5, chloride 99, CO2 24, BUN 34, creatinine 1.4, glucose 168, anion gap 17, calcium 8.7, magnesium 2. TSH from [**10-7**] 1.8, cholesterol panel from [**2155-5-27**], total cholesterol 21, HDL 24, LDL 76, triglycerides 107, troponin less than .3. CK #1 48, CK #2 39, CK #3 34. Urinalysis negative. Urine culture negative. ABG, PH 7.43, PCO2 36, PO2 73, 96% on four liters nasal cannula. Laboratory data from [**2155-9-27**], iron 46, ferritin 141, haptoglobin 287, LDH 187, retic count 3.5, TIBC 261. Chest x-ray, worsening CHF, satisfactory position of PA cath. Chest x-ray [**9-27**], mild CHF, small bilateral pleural effusions. EKG, AV paced at 80, left bundle branch block pattern. Catheterization [**2155-10-8**], right dominant three vessel coronary artery disease (RCA/CO middle segment, LAD proximal 60% and mid 70%, circumflex proximal 60%, mid 100%, distal 100%), patent grafts (LVMA to LAD, SVG to D1, OM1, PDA) moderate AS, moderate MR, moderate [**Month/Day/Year 16631**] and diastolic ventricular dysfunction, EF 38% (increased right sided intracardiac pressures, increased LVED pressure 21), aortic valve area .9 cm sq going to 1.2 cm sq with Dobutamine infusion, mean gradient 27 mmHg going to 39 mmHg with Dobutamine infusion and cardiac index 2.5 liters per minute per meter sq going to 3.7 liters per minute per meter sq with Dobutamine infusion. Catheterization pressures, right atrium 16/12 with a mean of 15, RV pressure 39/14, PA pressure 39/28 with a mean of 31. Pulmonary wedge pressure 22/23 with a mean of 29. LV pressure 134/17 and 169/20 and aortic pressure 103/57 with mean of 77 and 120/50 with a mean of 73. IMPRESSION: 74-year-old gentleman with a history of CAD, CHF, diabetes mellitus, hypertension, hypercholesterolemia and recurrent GI bleed with recent catheterization on [**2155-10-8**] showing patent graft, moderate severe AS, moderate MR [**First Name (Titles) **] [**Last Name (Titles) 16631**] and diastolic left ventricular dysfunction with an EF of 38% with improvement in AV area mean gradient and cardiac index with Dobutamine infusion, admitted with progressive dyspnea refractory to Lasix and guaiac positive stool. HOSPITAL COURSE: 1. Cardiovascular: A) Coronary artery disease - patient with patent graft on catheterization. He ruled out on this admission for a myocardial infarction with negative enzymes. The patient was continued on Aspirin and Lipitor. B) Contractility - a) Preload, patient has a complicated clinical picture with the aim to maintain preload for the aortic stenosis but at the same time avoiding fluid overload. The patient was transfused two units of packed red blood cells for hematocrit of 26. Each unit was followed by Lasix 40 mg IV. IT was decided to diurese him gently with Lasix with prn IV doses. His O2 sats and urine output were followed and improved. His goal net fluid balance initially was negative 500 to negative 1 liter. He had decreased requirement of oxygen over time, eventually being on room air on discharge. The patient was started on Aldactone during this admission. On [**10-19**] he was started on Lasix 40 mg po q d with addition of prn Lasix IV for maintaining his goal urine output. This was changed to 40 mg [**Hospital1 **] the following day. On [**8-21**] this was changed to 40 mg IV bid with prn Lasix in addition and then on [**10-23**] it was changed to 60 mg po q d and then finally upon discharge was changed to 60 mg po qid as a maintenance dose. Closer to discharge his Lasix dose was changed to lower equivalent dose of po Lasix because his BUN and creatinine bumped a little bit, giving us the impression that he had reached his threshold for Lasix diuresis. b) Inotropic - the patient was initially on a Dobutamine drip to maintain a map of greater than 55 and heart rate of less than 120. This was started because it had been shown to improve his aortic stenosis on his recent catheterization, however, his blood pressure did not tolerate Dobutamine drip and dropped dramatically so this was stopped and he was instead maintained on the Dopamine drip. This was weaned off by hospital day #2. On [**10-17**] the patient had a TEE to evaluate his valves and this showed LVEF of 45-50% mildly depressed LV [**Month/Year (2) 16631**] function, RV function normal, simple atheroma in the descending thoracic aorta, aortic valve heavily calcified with restricted motion, mild AS, trace AR, severe 4+ mitral regurgitation, no pericardial effusion. It was decided that his mitral regurgitation was most likely the most significant cause behind his CHF. On [**10-19**] the patient was started on Digoxin .125 mg q d. His PA catheter was removed and he was transferred to the floor on [**8-18**]. On [**8-22**] his Digoxin level was .6 and his Digoxin was therefore increased to .25 mg q d. c) Afterload - patient also had a complicated balance between decreasing his afterload to improve his mitral regurgitation without decreasing it too much because of his aortic stenosis. His home afterload reducers were held off initially. He had a low SVR and sepsis was ruled out with blood cultures. His a.m. Cortisol level was also normal. His low SVR could also be due to diabetic autonomic dysfunction. TSH on recent testing was also within normal limits. Urine culture was negative. Sputum culture was negative. LFTs were within normal limits. The patient did have a low grade fever on [**8-15**] with an increase in white blood cell count. Differential was added without bands. The patient's SVR came up by itself on [**10-17**], even off of the Dopamine drip. His hypotension was thought also to perhaps be due to his increased ACE inhibitor dose at home. On [**10-18**] the patient was restarted on ACE inhibitor, he was started on Captopril 12.5 mg tid. This was further increased to 25 mg tid on [**8-18**]. C) Conduction - patient is AV paced. His lytes were followed. He did not have any arrhythmias on the Dopamine or Dobutamine drip. The possibility for the future may be to decrease the rate of his AV pacemaker to less than its present setting of 80. He was continued on his regular dose of Amiodarone throughout his hospital stay. D) Valves - On admission it was decided that once the patient was hemodynamically stable and the source of the GI bleed elucidated, that perhaps surgery with mitral valve and aortic valve replacement would be an option. On echocardiogram on [**8-16**] TEE showed severe mitral regurgitation, mild to moderate aortic stenosis. It was felt that he may still benefit from at least mitral valve replacement, however, his mortality and morbidity risks from the surgery were extremely high given his comorbid state up to 20% mortality. This was discussed with the patient and he was willing to undergo CT surgery evaluation. On [**10-18**] CT surgery fellow evaluated the patient and indicated that they would be willing to operate on the patient if his cardiologist approved and despite his GI bleed. It was decided by Dr. [**Last Name (STitle) **], the patient's primary cardiologist, that he should be medically treated, first given the high risks of operation and at that time aggressive diuresis was implemented. The patient had a PT and social services consult. 2. Pulmonary: On admission the patient was in CHF by exam, PA catheter numbers and chest x-ray showing failure. Initially he was gently diuresed with prn Lasix and his O2 sats were followed as well as his urine output and both improved over time. When the question of sepsis came up, the question of pneumonia also was brought up. Sputum culture was negative. In addition, there was a low suspicion for a PE in the patient. There was no evidence of pneumonia on chest x-ray. 3. GI: The patient has a history of chronic recurrent GI bleed. He was guaiac positive on admission with a hematocrit dropped to 24 from 30 a few days previously as an outpatient. He was transfused two units on his first night and it was decided to maintain his hematocrit above or equal to 27. His hematocrit was initially checked every 8 hours. Given the possibility of CT surgery for valvular replacement, a valvuloplasty, a GI consult was requested despite his recent extensive negative GI work-up including colonoscopy, EGD and small bowel follow through showing small lesions which could be intermittently bleeding but not explaining his anemia. His hematocrit had a good response to the transfusions. He was started on Protonix. The iron was briefly discontinued for one day because of the thought that GI might want to evaluate him but then restarted once it was clear that GI would not do anymore procedure to evaluate his GI bleed. On [**8-15**] the GI team commented on the patient's GI bleed, that there was no more work-up to be done for him and that the next step would be an outpatient small bowel capsule enteroscopy. They believe that the source of his bleeding is probably a small bowel source and believe that his GI bleed does not preclude him from having CT surgery although he may bleed with Heparinization. The patient required one unit of transfusion also on the second day of admission. The patient did have small elevation in his total bilirubin of 1.7 with direct being .4 and indirect being 1.3. This was probably thought to be due to his chronic cholelithiasis. The history of porcelain gallbladder may be precancerous and this should be reviewed on ultrasound if and when he should go to surgery. On [**8-17**] his total bilirubin was rechecked and was within normal limits. The patient was initially constipated but this was resolved with Dulcolax suppositories. He was guaiac positive. On [**8-21**] the patient did complain of some nausea and he was started back on his Reglan home regimen. 4. Heme: The patient's hematocrit was initially checked q 8 hours and he was transfused to maintain hematocrit of greater or equal than 27. He required a total of 3 units of packed red blood cells with good response. Despite his guaiac positive stools, his stable hematocrit indicated that he was probably not actively bleeding. 5. Infectious Disease: On the second day of admission the patient had an increase in his white blood cell count and low grade temperature. Differential was added which showed no bands. He had clammy, diaphoretic skin, feeling cool to the touch. The question of sepsis came up with a low SVR and his hypotension and blood culture, urine culture, sputum culture and chest x-ray as well as urinalysis were all negative. It was felt maybe to start empiric antibiotics but initially this was held off. He did not require antibiotics throughout this admission. On the third day of admission he became afebrile, his white blood cell count came down and sepsis seemed an unlikely explanation for his hypotension and low SVR. 6. Endocrine: The patient was continued on his home regimen of NPH and regular insulin with sliding scale of regular insulin for back-up. His fingerstick blood glucoses were checked qid. Recent TSH on [**10-7**] was 1.8, within normal limits. On [**10-17**], because of the patient's poor po intake, it was decided to have his NPH and regular insulin dose. On [**10-22**], because of his improved appetite and increased po intake, his regular insulin NPH doses were increased back to his preadmission doses. His blood glucose remained stable throughout his hospital stay. 7. Renal: The patient was admitted with an increased BUN and creatinine of 34 and 1.4. This was thought to be prerenal azotemia secondary to his CHF with a component of increased BUN secondary to his GI bleed. It was decided to gently diurese him on admission, to follow his urine output. His BUN and creatinine continued to improve and resolved within a few days. Aggressive diuresis was started once it was decided to treat him medically rather than surgically. The [**Initials (NamePattern4) 228**] [**Last Name (NamePattern4) **] was calculated at 2%. This is in the setting of Lasix so this was deemed not to be accurate. 8. Fluids, Electrolytes & Nutrition: The patient was gently diuresed initially and this became aggressive diuresis once medical management was chosen. Fluid balance initially was negative 500 to negative 1 liter. His electrolytes were followed carefully. He was placed on a diabetic and cardiac diet. His initial PA catheter goal for wedge pressure was 20-25. When the patient was being aggressively diuresed with Lasix, his goal fluid balance was negative two liters and he met this well with successful response to aggressive Lasix. 9. Psychiatry: On [**10-17**] the patient was started on Celexa 20 mg po q d after it was noted that this is what he had been on for the last four days at home. The patient did appear depressed while in the hospital, especially given his status of living alone and dealing with his medical problems and frequent hospital stays. On [**10-22**] the patient had a psychiatry consult who recommended that he be continued on the same dose as Celexa given the delay in its effectiveness being felt by patient may take up to weeks. 10. Code: Full. The patient was transferred to the floor on [**10-19**] and did well. Physical therapy saw him and ambulated with him and recommended that he go to rehab center short-term after being discharged from the hospital. CONDITION ON DISCHARGE: Stable. DISCHARGE STATUS: To [**Hospital3 **] Center. DISCHARGE INSTRUCTIONS: 1. Please check BUN, creatinine and potassium three times a week and adjust Lasix and Aldactone accordingly. 2. Please weigh patient every day and aim to maintain current weight and adjust Lasix accordingly. 3. Please check qid fingerstick blood glucose. 4. Consider changing Captopril to Zestril 10 mg q day if patient is stable. 5. Please check Digoxin level three days after discharge and change the medication accordingly. 6. [**Doctor First Name **] cardiac diet q day physical therapy. 7. Please have patient follow-up with his cardiologist, Dr. [**Last Name (STitle) **], [**Telephone/Fax (1) 25135**] within 1-2 weeks after discharge. DISCHARGE MEDICATIONS: Lasix 60 mg po bid, Digoxin .25 mg po q d, Regular insulin 10 units subcu q a.m., NPH 34 units q a.m., 24 units q p.m., enteric coated Aspirin 325 mg po q d, Captopril 25 mg po tid, Reglan 10 mg po tid, Colace 100 mg po bid, Iron Sulfate 325 mg po tid, Aldactone 25 mg po q d, Celexa 20 mg po q d, Amiodarone 200 mg po q d, Lipitor 40 mg po q h.s. and Protonix 40 mg po q d. DISCHARGE DIAGNOSIS: 1. Congestive heart failure. 2. Coronary artery disease. 3. Aortic stenosis. 4. Mitral regurgitation. 5. GI bleed. 6. Diabetes mellitus. [**First Name11 (Name Pattern1) **] [**Initials (NamePattern4) **] [**Last Name (NamePattern4) **], M.D. [**MD Number(1) 4786**] Dictated By:[**Last Name (NamePattern1) 7069**] MEDQUIST36 D: [**2155-10-24**] 14:38 T: [**2155-10-24**] 15:45 JOB#: [**Job Number 25136**] cc:[**Hospital6 25137**] ICD9 Codes: 4280, 5789, 4019, 2720, 2859
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Medical Text: Admission Date: [**2105-2-21**] Discharge Date: [**2105-2-24**] Service: MEDICINE Allergies: Penicillins Attending:[**First Name3 (LF) 443**] Chief Complaint: chest pain, transferred from OSH for STEMI Major Surgical or Invasive Procedure: Cardiac catheterization s/p Cypher stenting of LCX and OM1 History of Present Illness: 83 y/o man with "on and off" chest pain for several weeks who presented to [**Hospital 882**] Hospital today complaining of pain that was persistent. His ECG showed inferior ST elevations with reciprocal changes. While at [**Hospital1 882**], his exam was consistent with CHF, as well as CXR. He was given IV lasix, heparin, integrelin, plavix loaded. He was additionally noted to be bradycardic to HR 39. He was given atropine 1 mg twice without response. His BP was 74 systolic, so peripheral dopamine was started, and he was sent to [**Hospital1 **] for intervention. . In cath here he was found to have 90% occlusion of the L Cx, as well as diffuse disease of a dominant OM1 - cypher stents to both. There was also 90% mid vessel RCA lesion (non-dominant vessel). . PCWP was 25. Past Medical History: - CVA (hemorrhagic) X 2: [**7-29**] and [**2099**] - not on ASA due to this; no known residual deficits - Retroperitoneal fibrosis with mult SBO from this and chronic pain - DM2 on oral agents only - HTN Social History: Social history is significant for the absence of current tobacco use. There is no history of alcohol abuse. Family History: There is no family history of premature coronary artery disease or sudden death. Physical Exam: Blood pressure was 132/64 mm Hg while supine. Pulse was 73 beats/min and regular, respiratory rate was 20 breaths/min. Generally the patient was well developed, well nourished and well groomed. The patient was oriented to person only. . There was no xanthalesma and conjunctiva were pink with no pallor or cyanosis of the oral mucosa. The neck was supple with JVP of 8 cm. The carotid waveform was normal. There was no thyromegaly. The were no chest wall deformities, scoliosis or kyphosis. The respirations were not labored and there were no use of accessory muscles. The lungs were clear to ascultation bilaterally with normal breath sounds and no adventitial sounds or rubs. . Palpation of the heart revealed the PMI to be located in the 5th intercostal space, mid clavicular line. There were no thrills, lifts or palpable S3 or S4. The heart sounds revealed a normal S1 and the S2 was normal. There were no rubs, murmurs, clicks or gallops. . The abdominal aorta was not enlarged by palpation. There was no hepatosplenomegaly or tenderness. The abdomen was soft nontender and nondistended. The extremities had no pallor, cyanosis, clubbing or edema. There were no abdominal, femoral or carotid bruits. Inspection and/or palpation of skin and subcutaneous tissue showed no stasis dermatitis, ulcers, scars, or xanthomas. . Pulses: Right: Carotid 2+ Femoral 2+ DP 2+ Left: Carotid 2+ Femoral 2+ DP 2+ Pertinent Results: [**2105-2-21**] 11:00AM CALCIUM-7.9* PHOSPHATE-4.1 MAGNESIUM-1.6 [**2105-2-21**] 11:00AM cTropnT-2.73* [**2105-2-21**] 11:00AM CK(CPK)-534* [**2105-2-21**] 11:00AM estGFR-Using this [**2105-2-21**] 11:00AM GLUCOSE-310* UREA N-32* CREAT-1.4* SODIUM-131* POTASSIUM-3.6 CHLORIDE-99 TOTAL CO2-18* ANION GAP-18 [**2105-2-21**] 06:58PM PLT COUNT-312 [**2105-2-21**] 06:58PM CK-MB-291* MB INDX-11.5* [**2105-2-21**] 06:58PM CK(CPK)-2535* [**2105-2-21**] 06:58PM POTASSIUM-4.6 [**2105-2-21**] 08:54PM PT-11.4 PTT-22.3 INR(PT)-1.0 [**2105-2-21**] 08:54PM PLT COUNT-302 [**2105-2-21**] 08:54PM WBC-17.0* RBC-3.54* HGB-10.0* HCT-29.9* MCV-85 MCH-28.3 MCHC-33.5 RDW-14.1 . IMAGING/STUDIES: [**2105-2-21**] CARDIAC CATHETERIZATION: COMMENTS: 1. Coronary angiography in this right dominant system demonstrated an LMCA with mild proximal disease. The LAD had minimal luminal irregularities. The LCX was a dominant vessel with diffuse disease; the mid-LCX had an average 90% stenosis with evident thrombus, the dominant OM had severe diffuse disease and evident thrombus as well; both the LCX and OM had TIMI II slow flow. The RCA was a small nondominant vessel wtih a 90% lesion in its mid segment. 2. Limited resting hemodynamics revealed normal systemic arterial pressure (on dopamine gtt). Right sided filling pressures were mildly elevated. 3. Peripheral angiography demonstrated a 95% lesion in the right external iliac artery at the bifurcation with the internal iliac artery. 4. PCI: Successful PTCA and stenting was performed of the AV CX with a 3.5x18 mm Cypher stent postdilated to 3.75 mm with an NC balloon. Successful PTCA and stenting was performed of the OM1 with a 3.0x33 mm Cypher stent which was postdilated with a 2.5 mm NC balloon. Final angiography revealed 0% residual stenosis, no dissection, and TIMI 3 flow in both vessels. (see PTCA comments). FINAL DIAGNOSIS: 1. Two vessel coronary artery disease. 2. Acute inferior myocardial infarction, managed by acute ptca of the LCX. 3. Successful PTCA and stenting of the AV CX and OM1 was performed with drug eluting stents. . [**2105-2-23**] ECHOCARDIOGRAM: The left atrium is normal in size. There is mild symmetric left ventricular hypertrophy. The left ventricular cavity is mildly dilated. No masses or thrombi are seen in the left ventricle. Overall left ventricular systolic function is mildly depressed with inferior and infero-lateral akinesis, EF = 40-45%. There is no ventricular septal defect. There is focal hypokinesis of the apical free wall of the right ventricle. The aortic root is mildly dilated at the sinus level. The aortic valve leaflets (3) are mildly thickened but aortic stenosis is not present. Trace aortic regurgitation is seen. The mitral valve leaflets are mildly thickened. Trivial mitral regurgitation is seen. The tricuspid valve leaflets are mildly thickened. There is severe pulmonary artery systolic hypertension, PASP = 63. There is no pericardial effusion. Brief Hospital Course: Mr. [**Known lastname 19371**] is an 83 year old male with a past medical history significant for HTN, DM II, hemorrhagic CVA x 2, and retroperitoneal fibrosis who presented with STEMI. . 1. STEMI: Mr. [**Known lastname 19371**] presented to an OSH with chest pain. He was found to have ST elevations in the inferior leads with reciprocal changes. He was transferred to [**Hospital1 18**] for cardiac catheterization. His troponin peaked at 2.73 pre-catheterization. He underwent successful Cypher stenting of the LCX and OM1. Catheterization also demonstrated 90% lesion of the RCA mid-segment which was nondominant and a 95% lesion in the right external iliac artery at the bifurcation with the internal iliac artery. Echocardiography demonstrated an EF of 40-45%, mild dilatation of the left ventricular cavity is mildly dilated with inferior and infero-lateral akinesis. His post-catheterization course was complicated by a bump in creatinine and CHF, as well as hematemesis in the setting of Integrilin, heparin, Plavix and aspirin use (see below). He was continued on his beta-blocker which was increased for improved heart rate and pressure control. High-dose statin therapy was initiated. At home, he is on an ACE inhibitor which was held in the setting of rising creatinine. . 2. CHF: Volume overload was likely secondary to recent STEMI with mildly depressed LV function. CHF was managed with aggressive diuresis and his beta blocker was continued. He had no oxygen requirement at discharge. Echo as above. . 3. CREATININE ELEVATION: Mr. [**Known lastname 72329**] creatinine increased from 1.4 to 1.9 post-catheterization. Baseline was unknown. This acute rise was most likely secondary to contrast nephropathy. His ACE inhibitor was held, but can be restarted as an outpatient. Mr. [**Known lastname 19371**] was instructed to have lab work after discharge. His PCP, [**Last Name (NamePattern4) **]. [**Last Name (STitle) 35888**] will monitor the results. . 4. UGIB: The patient had one episode of Guiaic (+) maroon-colored emesis that occurred post-catheterization in the setting of Integrilin, Plavix, ASA and recent heparin bolus. Colostomy contents were Guiaic negative. Integrilin was stopped and aspirin was decreased to 81mg. Plavix was continued given his recent stenting. His pre-transfer HCT at the OSH was 35.2. Post-emesis HCT dropped to 26.7. He received 1 unit of PRBCs with an appropriate response in HCT and remained stable for the remainder of his hospitalization. Repeat HCT was 29.9, then 26.7 post-cath and post-emesis. He was instructed to have a CBC after discharge. Results will be faxed to Dr. [**Last Name (STitle) 35888**]. He is scheduled for outpatient GI follow up in 2 weeks. . 5. DM II: Glyburide and metformin were initially held. He was managed with sliding scale insulin only until the day prior to discharge when Glyburide was restarted. We continued to hold metformin given his elevated creatinine, but this may be restarted on an outpatient basis after blood work is reviewed by Dr. [**Last Name (STitle) 35888**]. . 6. RP FIBROSIS: Fentanyl patch was continued per home regimen. Medications on Admission: Atenolol 100 Lisinopril 10 HCTZ 25 Metformin Glipizide 5mg daily Fentanyl patch 100 mcg Zantac Discharge Medications: 1. Aspirin 81 mg Tablet, Delayed Release (E.C.) Sig: One (1) Tablet, Delayed Release (E.C.) PO DAILY (Daily). Disp:*30 Tablet, Delayed Release (E.C.)(s)* Refills:*0* 2. Atorvastatin 80 mg Tablet Sig: One (1) Tablet PO DAILY (Daily). Disp:*30 Tablet(s)* Refills:*0* 3. Clopidogrel 75 mg Tablet Sig: One (1) Tablet PO DAILY (Daily). Disp:*30 Tablet(s)* Refills:*0* 4. Fentanyl 100 mcg/hr Patch 72 hr Sig: One (1) Patch 72 hr Transdermal Q72H (every 72 hours). 5. Glipizide 5 mg Tablet Sig: One (1) Tablet PO once a day. 6. Zantac 150 mg Tablet Sig: One (1) Tablet PO twice a day as needed for heartburn. Disp:*60 Tablet(s)* Refills:*0* 7. Metoprolol Tartrate 100 mg Tablet Sig: One (1) Tablet PO twice a day. Disp:*60 Tablet(s)* Refills:*0* Discharge Disposition: Home With Service Facility: [**Hospital 119**] Homecare Discharge Diagnosis: Primary: 1. STEMI 2. CHF 3. acute renal failure 4. upper GI bleed . Secondary: 1. HTN 2. DM II 3. retroperitoneal fibrosis s/p colostomy 4. hemorrhagic CVA x 2 Discharge Condition: Stable. Afebrile. Tolerating PO. Ambulates with assistance. Chest pain free. Discharge Instructions: You were admitted to the hospital because you had a heart attack and required cardiac catheterization. You should return to the ER or call your doctor if you experience any of the following symptoms: fever > 101.4, chest pain, shortness of breath, numbness/weakness/dizziness or any other concerning symptoms. . Please take all medications as prescribed. You should not take your metformin (also called Glucophage) until you follow up with Dr. [**Last Name (STitle) 35888**]. . Please follow up with all appointments as instructed. . During this admission, you underwent cardiac catheterization and stenting. Please carry the stent information card in your wallet at all times. Followup Instructions: 1. CHEM-7 and CBC check on Wednesday (to be drawn by VNA), results should be sent to Dr. [**First Name8 (NamePattern2) **] [**Last Name (NamePattern1) 35888**] (Fax: [**Telephone/Fax (1) 14391**], Phone: [**Telephone/Fax (1) 13745**]). Metformin and ACE-I to be restarted as indicated by laboratory data. 2. The following appointment with Gasteroenterology at [**Hospital1 18**] ([**Hospital Ward Name 516**], [**Hospital Ward Name 452**]-[**First Name5 (NamePattern1) **] [**Last Name (NamePattern1) **], [**Location (un) **]) has been made for you. Provider: [**Name10 (NameIs) **] [**Name8 (MD) **], MD Phone:[**Telephone/Fax (1) 463**] Date/Time:[**2105-3-10**] 2:00. 3. A Cardiology follow up appointment has been made for you. Provider: [**First Name8 (NamePattern2) **] [**Last Name (NamePattern1) **], MD Phone:[**Telephone/Fax (1) 1989**] Date/Time:[**2105-3-25**] 9:40 ICD9 Codes: 4280, 5849, 5789, 4019
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Medical Text: Admission Date: [**2134-8-20**] Discharge Date: [**2134-9-8**] Date of Birth: [**2053-12-18**] Sex: F Service: MEDICINE Allergies: Patient recorded as having No Known Allergies to Drugs Attending:[**First Name3 (LF) 2009**] Chief Complaint: Nausea and vomiting Major Surgical or Invasive Procedure: None History of Present Illness: 80 yo Armenian-speaking F with a history of multiple myeloma, hypertension, and [**First Name3 (LF) 2320**], who was discharged two days prior from [**Hospital1 18**] after being admitted for constipation, now with nausea and vomiting. . She was admitted here from [**Date range (1) 85266**] for constipation, thought to be due to chronic narcotic use (fentanyl patches, dilaudid pca, tramadol, and oxycodone in recent past) for her multiple myeloma pain. She was started on an aggressive bowel regimen and oral naloxone. Of note, she was admitted to [**Hospital1 2177**] for similar symptoms from [**Date range (1) 33692**]. . Since being discharged to rehab two days ago, she has had persistent nausea and vomiting. According to her grandson, she has attempted to drink juices and Ensure, and has vomited it all soon after drinking. Last night there was some brown clots in the vomit. She has not had a BM since being discharged. She denies abdominal pain or feeling bloated. . In the ED her vitals were 98.4, 136/80, 90, 18, 98%RA. She received Zofran for nausea. An NG tube was placed with 700cc of bilious output. She was guaiac negative. A CT was done, and she was started on heparin gtt for a R common femoral vein DVT. . On ROS, she endorses weakness in her LE bilaterally. She denies fevers, chills, night sweats, recent weight changes, rinorrhea, confusion, chest pain, SOB, urinary retention or dysuria, rash or joint pain. Past Medical History: 1. Kappa light chain multiple myeloma. Diagnosed approximately one and a half years ago, and has been treated with velcade/bortezomib and dexamethasone. She has significant pain and is on chronic narcotics. Oncologist: Dr. [**Last Name (STitle) 85264**] at [**Hospital6 **], phone [**Telephone/Fax (1) 63775**]. 2. Hypertension 3. HLD 4. [**Telephone/Fax (1) 2320**] 5. Cataracts 6. Arthritis 7. Recent oral candidiasis Social History: Lives with daughter and grandson. She does not smoke, drink or use illicit drugs. Family History: Both parents were ~age [**Age over 90 **] years when they died and were healthy. Her sister has Type II DM. Also a family history of cataracts. Physical Exam: ADMISSION: VS 97.2 122/64 100 18 100/2LNC Gen: Fatigued-appearing, speaks quietly with grandson [**Name (NI) 4459**]: NC/AT, NGT to wall suction w/ dark brown fluid draining Neck: Supple, no LAD CV: Tachy w/ regular rhythm, nl S1/S2 Pulm: Auscultated anteriorly, CTAB Abd: Soft, nontender, nondistended, striae present, hypoactive BS Ext: Warm, 2+ pitting edema to mid-calf Pertinent Results: Chemistries: - [**2134-8-20**] 02:10AM GLUCOSE-115* UREA N-12 CREAT-1.3* SODIUM-142 POTASSIUM-4.0 CHLORIDE-105 TOTAL CO2-29 ANION GAP-12 LACTATE-1.5 - [**2134-8-27**] 07:12AM BLOOD Glucose-102* UreaN-11 Creat-1.1 Na-137 K-4.1 Cl-104 HCO3-24 AnGap-13 - [**2134-8-31**] 09:20AM BLOOD TSH-3.4 Hematology: - [**2134-8-20**] 02:10AM WBC-10.0 (NEUTS-78.9* LYMPHS-15.8* MONOS-3.8 EOS-1.1 BASOS-0.3) RBC-3.71* HGB-10.2* HCT-32.7* MCV-88 MCH-27.5 MCHC-31.2 RDW-17.6* PLT COUNT-201 - [**2134-8-27**] 07:12AM BLOOD WBC-6.0 RBC-3.43* Hgb-9.5* Hct-30.9* MCV-90 MCH-27.7 MCHC-30.8* RDW-17.3* Plt Ct-303 Coagulation Studies: - [**2134-8-20**] 02:10AM PT-11.4 PTT-25.6 INR(PT)-0.9 [**2134-8-16**] CT Abdomen without IV contrast: IMPRESSION: 1. Diffuse gaseous distension and borderline dilation of small bowel without evidence of obstruction. Findings could represent ileus secondary to narcotic use. 2. Subtle nodularity and bronchial wall thickening in the RLL suggestive of aspiration. 3. Bilateral femoral head lucencies may represent multiple myeloma lesions. Correlate with prior imaging if available. 4. Cholelithiasis. [**2134-8-20**] CT Abdomen with IV contrast: 1. Left pelvic sidewall mass extending through the left obturator foramen is concerning for plasmocytoma. 2. Clot in the right common femoral vein. The thrombus does not extend into the iliac vein. The distal extent of this thrombus is not visualized however. 3. Gallstone within the gallbladder, but no evidence for cholecystitis. [**2134-8-24**] KUB: Slight progression of diffuse gaseous distention of small bowel with increasingly collapsed colon distally, suggestive of ileus versus early or partial small-bowel obstruction. No free air. [**2134-8-26**] Upper Extremity CT: 1. Large destructive lesion in the left humeral head extending into the diaphysis of the humerus as well as large external soft tissue component as described above. Numerous additional lesions with and without soft tissue component, including incompletely imaged lesions in the cervical spine. Findings are consistent with stated history of multiple myeloma. 2. Small left pleural effusion. [**2134-8-30**] CXR: No evidence of pneumonia. Small left pleural effusion and erosion of the right humeral head. [**2134-8-30**] Echo: The left atrium is moderately dilated. There is mild symmetric left ventricular hypertrophy with normal cavity size. There is moderate global left ventricular hypokinesis (LVEF = 35-40 %). Tissue Doppler imaging suggests an increased left ventricular filling pressure (PCWP>18mmHg). Right ventricular chamber size and free wall motion are normal. The aortic valve leaflets (3) are mildly thickened but aortic stenosis is not present. Trace aortic regurgitation is seen. The mitral valve leaflets are mildly thickened. There is no mitral valve prolapse. Mild (1+) mitral regurgitation is seen. The pulmonary artery systolic pressure could not be determined. Brief Hospital Course: Ms. [**Known lastname 85265**] was admitted to the floor with n/v on [**2134-8-20**]; an NGT suctioned ~1000cc bilious fluid in the ED. #Nausea and Vomiting: The abdominal CT revealed no mechanical obstruction; her ileus was presumed to be due to the high dose of narcotics she was on for her bone pain. On the floor, the patient's NGT remained in for 24 hours, with minimal residuals. Her PO fluid intake were minimal initially, thought to be due to remaining ileus. Her hospital course was marked by increasing nausea/vomiting when her narcotics were provided, and a KUB on hospital day 4 revealed an ileus consistent with medications. When she ultimately transitioned to standing tylenol for her pain, her PO remained poor. Because of malnutrition, her family maintained a strong interest in having her start TPN. They were counseled about the challenges of TPN, including the lack of an end point, but wanted to have it started. A double lumen PICC was placed on [**9-4**] and TPN was started. TPN will continue and should be adjusted based on daily chem 10s by nutrition. #DVT: On admission CT scan she was found to have a R common femoral vein DVT. She was started on heparin gtt. Discussion of an IVC filter was postponed until after this hospitalization. On [**2134-8-22**] there was difficulty obtaining blood draws and monitoring her PTT. She was transitioned to lovenox. Her lovenox was held on [**9-3**] and [**9-4**] out of concern for a LGIB (? LGIB versus bleeding hemorroid), but was restarted on [**9-5**]. Hct 26 on discharge and stable. #Pain Control: On admission she had a 100mcg/hr fentanyl patch on her arm dated [**2134-8-17**]. In an attempt to decrease her potential for narcotic-related ileus, the patch was not replaced; she was placed on oxycodone for pain. On [**2134-8-22**], the patient (through her family) reported a significant increase in her joints where she is known to have lytic lesions. A 50mcg/hr fentanyl patch was placed. However, her ileus persisted, and she was transitioned to standing tylenol with ultram for breakthrough (which she had been on before) with good response. . Given her continued nausea and poor PO intake, a KUB was done and revealed an ileus. Her fentanyl patch and oxycodone were again discontinued; she was left on standing tylenol. Ultram was written for breakthrough pain, but she did not require it. Rad-onc and heme-onc were consulted for palliative radiation and chemotherapy, in an effort to wean her off pain meds. A CT of her shoulder revealed significant lytic lesions, and rad-onc felt it was amenable to XRT as an outpatient (started [**9-2**]). The family reported on [**9-3**] that they would like to hold the XRT while she starts getting the TPN and will resume as an outpatient. . #Multiple myeloma: The abdominal/pelvic CT revealed a mass concerning for a plasmacytoma. Her outpatient oncologist at [**Hospital1 2177**] reported that this was an amyloidoma, and has been known since her diagnosis 1.5 years ago. No further workup on this mass was done. The patient's family expressed an interest in having a second opinion by [**Hospital1 18**] oncologists and her oncology care transferred to [**Hospital1 18**]. An appointment was made to be seen as an outpatient by Dr. [**Last Name (STitle) **] in [**Hospital1 18**] oncology, but her new medical problems during this hospitalization prompted involvement of the inpatient heme-onc consult service. Their advice was solicited to help establish goals of care. A family meeting was held on [**9-6**] with oncology, after they had time to review her [**Hospital1 2177**] records. It was felt that she currently is not a good candidate for more aggressive chemotherapy given her clinical status and ongoing medical issues. The family decided they will consider a outpatient opinion once she spends time at rehab to regain strength. Palliative care was also involved in the discussions with the family and the family is not ready at this time to begin a palliative approach. The patient would also like to be aggressive at this time. The plan on discharge was to continue TPN to improve the patients nutritional status/strength and the family would like time to see how she progresses and get ongoing further treatment options. #Hypertension: On admission her BP was 122/64 and she was continued on her home medications of metoprolol, amlodipine and lasix. Her lasix and amlodipine was held on [**8-21**] after a BP of 99/38 and poor PO intake. Her metoprolol was continued given her a.fibb and the dose was adjusted to keep her BP stable and HR under control. She was discharged on 12.5mg PO q6. #[**Month/Year (2) 2320**]: She was hypoglycemic on the floor initially, requiring dextrose 50% and glucagon per hypoglycemia protocol. Subsequent AM glucose were 90-115, and her finger sticks were d/c'ed. They were restarted on [**9-3**] because of starting TPN. She was subsequently started on Lantus 6U qhs with ISS. This should be adjusted based on daily fingersticks with sliding scale. #Anemia: At the time of her [**2134-8-18**] discharge her Hct was 34.4, thought to be due to her chronic disease. When she arrived on this admission it was 32.7, and trended down to 27.8 one day after being admitted. There was a question of heme-positive residuals from her NGT, but this could not be verified. Her Hct rebounded and stablized in the low 30s, before dropping to 24.8 on [**9-2**]. Because she was on lovenox and noted to have dark maroon stools, it was suspected that she had a LGIB. Her lovenox was held. Her hct then stabilized and her bleeding was thought to be due to her hemorrhoid. She was transfused 1U on [**9-3**], with appropriate increase in her hct. Her Hct susbequently remained stable around 26-28. #Wound care: Noted on admission to have a clean wound on coccyx. Subsequently noted to have ecchymotic perianal tissue, described as 2 small open areas at 3 and 7 o'clock, also 0.2 cm pink ulcer on large external hemorrhoid. Wound care was consulted. Recommended gentle foam cleaner and dry patting. On hospital day 11 she wound care noted significant blistering in the skin folds of her breast and groin, as well as an ulcerous periurethral lesion. Through a translator, these were neither painful nor pruritic. Dermatology was consulted, and recommended nystatin and zinc oxide for suspected contact vs irritant dermatitis. Derm did not suspect HSV for her periurethral lesion. . #Afib: Was tachycardic on [**8-30**], thought to be due to dehydration in the setting of poor PO intake. She remained asymptomatic, denying chest pain or shortness of breath. Telemetry suggested that she was in afib with RVR. Her metoprolol was increased to 25mg TID. The next day her HR was intermittently in the 160s. An EKG revealed no ischemic changes or R heart strain. A CXR revealed no focal consolidation. She was given IVF and her metoprolol was increased to 37.5mg TID. Her HR decreased to 80s and 90s. An echo showed moderate LV hypokinesis (LVEF = 35-40%), increased LV filling pressure (PCWP>18mmHg), and no evidence of R ventricular strain or wall motion abnormalities. Rate control was obtained with metoprolol 12.5mg PO QID. This should be adjusted as needed. . #ACS/Demand Ischemia: Elevated troponins x 2. No EKG changes suggestive of MI; elevated enzymes thought to be due to new-onset afib. Cardiology was consulted, recommended medical management. ASA and statin were started, as she was already on lovenox and metoprolol at the time. The ASA and lovenox were held on [**9-3**] and [**9-4**] out of concern for a LGIB (? LGIB versus bleeding hemorroid), but restarted on [**9-5**]. Lisinopril was started given low EF. . #hyponatremia- Pt noted to have Na 126 and remained stable; initially thought to be hypovolemic hyponatremia but did not respond to IVF. Pt had urine lytes which showed an SIADH picture. Pt was not taking in much PO; and given diffuse anasarca trial of Lasix was done (20mg IV on [**9-6**]) which she responded to well. She should continue to get Lasix as needed. Her Na on discharge was 128. . #Decreased urinary output: On [**9-2**] she was noted to have decreased urine output, thought to be due to decreased intravascular volume in the setting of poor PO intake. A foley was placed (rather than having to repeatedly straight cath her given her periurethral lesion), and she had adequate UOP following IVF. #Arthritis: Stable. Her pain was addressed with the standing tylenol described above. #Social: Several conversations were held with the family (most often the grandson) about their goals for her long term care. He stated that they remain optimistic for her, and would like to pursue rehab for physical therapy and further outpatient oncology opinions relative to future treatment. Medications on Admission: 1. Multivitamin Tablet Sig: One (1) Tablet PO DAILY (Daily). 2. Trazodone 50 mg Tablet Sig: 0.5 Tablet PO HS (at bedtime) as needed for insomnia. 3. Nystatin 500,000 unit Tablet Sig: One (1) Tablet PO Q8H (every 8 hours). 4. Omeprazole 20 mg Capsule, Delayed Release(E.C.) Sig: One (1) Capsule, Delayed Release(E.C.) PO DAILY (Daily). 5. Citalopram 20 mg Tablet Sig: 0.5 Tablet PO DAILY (Daily). 6. Clotrimazole 1 % Cream Sig: One (1) Appl Topical [**Hospital1 **] (2 times a day). 7. Fluconazole 100 mg Tablet Sig: One (1) Tablet PO Q24H (every 24 hours). 8. Prednisolone Acetate 1 % Drops, Suspension Sig: One (1) Drop Ophthalmic [**Hospital1 **] (2 times a day). 9. Insulin Glargine 100 unit/mL Solution Subcutaneous 10. Lantus 100 unit/mL Cartridge Sig: 15 units Subcutaneous at bedtime. 11. Acetaminophen 325 mg Tablet Sig: Two (2) Tablet PO Q6H (every 6 hours) as needed for pain. 12. Furosemide 20 mg Tablet Sig: Three (3) Tablet PO DAILY (Daily). 13. Amlodipine 2.5 mg Tablet Sig: One (1) Tablet PO DAILY (Daily). 14. Metoprolol Tartrate 50 mg Tablet Sig: One (1) Tablet PO BID (2 times a day). 15. Heparin (Porcine) 5,000 unit/mL Solution Sig: One (1) Injection TID (3 times a day). 16. Senna 8.6 mg Tablet Sig: One (1) Tablet PO BID (2 times a day). 17. Docusate Sodium 100 mg Capsule Sig: One (1) Capsule PO BID (2 times a day). 18. Polyethylene Glycol 3350 17 gram/dose Powder Sig: One (1) PO DAILY (Daily). 19. Bisacodyl 10 mg Suppository Sig: One (1) Suppository Rectal DAILY (Daily) as needed for constipation. 20. Prochlorperazine Maleate 5 mg Tablet Sig: 1-2 Tablets PO Q6H (every 6 hours) as needed for nausea/vomiting. 21. Fentanyl 100 mcg/hr Patch 72 hr Sig: [**2-13**] Patch 72 hrs Transdermal Q48H (every 48 hours). 22. Naloxone 1 mg/mL Syringe Sig: One (1) 3mg Injection TID (3 times a day): Please give 3mg PO TID. . 23. Oxycodone 5 mg Tablet Sig: 1-2 Tablets PO every four (4) hours as needed for pain. Discharge Medications: 1. Multivitamin Tablet Sig: One (1) Tablet PO DAILY (Daily). 2. Citalopram 20 mg Tablet Sig: 0.5 Tablet PO DAILY (Daily). 3. Prednisolone Acetate 1 % Drops, Suspension Sig: One (1) Drop Ophthalmic [**Hospital1 **] (2 times a day). 4. Polyethylene Glycol 3350 17 gram/dose Powder Sig: One (1) dose PO DAILY (Daily) as needed for constipation: hold for >2 BM daily. 5. Bisacodyl 10 mg Suppository Sig: One (1) Suppository Rectal HS (at bedtime) as needed for constipation. 6. Acetaminophen 325 mg Tablet Sig: Two (2) Tablet PO Q6H (every 6 hours). Disp:*112 Tablet(s)* Refills:*0* 7. Ondansetron 4 mg Tablet, Rapid Dissolve Sig: One (1) Tablet, Rapid Dissolve PO Q8H (every 8 hours) as needed for nausea, before meals. Disp:*42 Tablet, Rapid Dissolve(s)* Refills:*0* 8. Senna 8.6 mg Tablet Sig: One (1) Tablet PO BID (2 times a day) as needed for constipation. 9. Docusate Sodium 100 mg Capsule Sig: One (1) Capsule PO BID:PRN as needed for constipation. 10. Trazodone 50 mg Tablet Sig: 0.5 Tablet PO HS (at bedtime) as needed for insomnia. 11. Heparin Flush (10 units/ml) 2 mL IV PRN line flush PICC, heparin dependent: Flush with 10mL Normal Saline followed by Heparin as above daily and PRN per lumen. 12. Enoxaparin 80 mg/0.8 mL Syringe Sig: One (1) Subcutaneous Q12H (every 12 hours). 13. Pantoprazole 40 mg Tablet, Delayed Release (E.C.) Sig: One (1) Tablet, Delayed Release (E.C.) PO Q12H (every 12 hours). 14. Aspirin 325 mg Tablet Sig: One (1) Tablet PO DAILY (Daily). 15. Simvastatin 40 mg Tablet Sig: Two (2) Tablet PO DAILY (Daily). 16. Miconazole Nitrate 2 % Powder Sig: One (1) Appl Topical [**Hospital1 **] (2 times a day). 17. Tramadol 50 mg Tablet Sig: One (1) Tablet PO every six (6) hours as needed for pain. 18. Metoprolol Tartrate 25 mg Tablet Sig: 0.5 Tablet PO every six (6) hours. 19. Insulin Glargine 100 unit/mL Cartridge Sig: 6 units Subcutaneous at bedtime. 20. Insulin Regular Human 100 unit/mL Cartridge Sig: Sliding scale Injection once a day: Please see sliding scale per attached. Discharge Disposition: Extended Care Facility: [**Hospital **] Hospital - [**Hospital1 8**] Discharge Diagnosis: Primary: N/V secondary to narcotic-related ileus, R common femoral DVT, perianal wound Secondary: Multiple myeloma, HTN, diabetes II, anemia Discharge Condition: Ms. [**Known lastname 85265**] is being discharged from the hospital in stable condition, at normal mental status (per her family) and in a wheelchair. Discharge Instructions: Dear Ms. [**Known lastname 85265**], You were admitted to the hospital with concern for your nausea and vomiting. After an evaluation consisting of a history, physical exam, imaging and blood tests, it was suspected that it was due to your high levels of pain medications. These can cause your stomach and digest food slowly. The CT scan showed no physical obstruction. We decreased the doses of your pain medications, and it appeared that your nausea and vomiting improved. You should continue to try to take the Boost shakes and eat whatever you can tolerate. The CT of your abdomen also showed a blood clot in your right leg. We are treating this with the appropriate blood-thinning medication called Lovenox. You should continue to take this until you follow-up with your outpatient doctor. During your hospitalization your heart rate was noted to be in an irregular rhythm called atrial fibrillation. Your Metoprolol was changed to help control the heart rate. You were also found to have a silent heart attack, which may have been due to the demand on your heart from the fast heart rate. You were seen by the cardiology team and started on new medications to help manage this. You were also not eating very well during your hospitalization and the decision was made with your family to begin nutrition through an IV, called TPN. You will continue TPN until you get your strength back and your nausea improves enough for you to eat by mouth. Medications that were changed during this admission are: 1. STARTED Acetaminophen (Tylenol) 325mg, you can take this every 8 hours as needed for pain. 3. STARTED Zofran 4mg PO - This is another medication for your nausea. You should take this before your meals as needed. 4. STARTED Lovenox injections - This is a medication for the blood clot in your leg. 5. STOPPED Amlodipine 6. STOPPED Oxycodone 7. STOPPED Fentanyl Patch 8. STOPPED Furosemide 9. CHANGED Metoprolol to 12.5 mg four times/day 10. STARTED Simvastatin 80mg daily 11. Started aspirin 325mg daily 12. Started Miconazole powder for a rash 13. Started Tramadol 50mg as needed for pain 14. CHANGED Lantus to 6units every evening 15. Stopped Compazine Followup Instructions: We understand that you would like to transfer your oncology care from [**Hospital6 **] to our hospital. Once you complete your stay at rehab and make a decision regarding further desire for chemo or radiation, please call [**Hospital1 18**] for an appointment in oncology. You will be seen by the oncologist at the rehab which you are going. ICD9 Codes: 5789, 5070, 5845, 5990, 4275, 4280, 4019
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Medical Text: Admission Date: [**2194-10-24**] Discharge Date: [**2194-11-4**] Date of Birth: [**2127-3-23**] Sex: M Service: CARDIOTHORACIC Allergies: Morphine Attending:[**First Name3 (LF) 281**] Chief Complaint: Shortness of breath Major Surgical or Invasive Procedure: Diagnosis and therapeutic thoracentesis Flexible bronchoscopy History of Present Illness: 67M with h/o chronic lymphangioma s/p debulking of lymphangioma mass engulfing R hilum and much of the right mid chest and mediastinum presents with complaints of SOB for several days. Pt was seen by PCP for SOB. A CXR was obtained suspicious for pneumonia. Pt. was admitted to the OSH and a CT scan was obtained showing a cavitated density in the superior segment of the LLL with narrowing of the airway. Pt is transferred to [**Hospital1 18**] for bronchoscopy and possible stenting. Pt denies fevers, chills. Positive cough with white mucous production. Past Medical History: Lymphangioma s/p debulking HTN atrial flutter s/p ablation Social History: Fomerly smoked 1.5-2 packs/day x 5 years but does not smoke anymore. Is a retired electrician and lives with wife . Family History: Father died of MI @ 50yoa Pertinent Results: [**2194-10-29**] 10:33 pm CATHETER TIP-IV Source: R-IJ. WOUND CULTURE (Pending): [**2194-10-28**] 6:03 pm PLEURAL FLUID PH. GRAM STAIN (Final [**2194-10-28**]): 2+ (1-5 per 1000X FIELD): POLYMORPHONUCLEAR LEUKOCYTES. NO MICROORGANISMS SEEN. FLUID CULTURE (Preliminary): NO GROWTH. ANAEROBIC CULTURE (Preliminary): NO GROWTH. [**2194-10-26**] 12:33 pm PLEURAL FLUID GRAM STAIN (Final [**2194-10-26**]): 3+ (5-10 per 1000X FIELD): POLYMORPHONUCLEAR LEUKOCYTES. NO MICROORGANISMS SEEN. FLUID CULTURE (Final [**2194-10-29**]): NO GROWTH. ANAEROBIC CULTURE (Preliminary): NO GROWTH. [**2194-10-28**] 06:03PM PLEURAL WBC-5556* RBC-4667* Polys-88* Lymphs-1* Monos-8* NRBC-2* Macro-1* [**2194-10-26**] 12:33PM PLEURAL WBC-1175* RBC-375* Polys-81* Lymphs-6* Monos-0 Macro-13* [**2194-10-28**] 06:03PM PLEURAL TotProt-3.4 Glucose-89 LD(LDH)-1263 [**2194-10-26**] 12:33PM PLEURAL TotProt-4.0 Glucose-94 LD(LDH)-1257 Albumin-2.1 [**2194-10-31**] 09:51AM BLOOD WBC-17.9* [**2194-10-30**] 06:41AM BLOOD WBC-16.4* RBC-4.13* Hgb-13.5* Hct-39.0* MCV-95 MCH-32.7* MCHC-34.6 RDW-14.0 Plt Ct-429 [**2194-10-29**] 10:20AM BLOOD WBC-20.2* RBC-4.19* Hgb-13.5* Hct-39.1* MCV-93 MCH-32.3* MCHC-34.6 RDW-13.9 Plt Ct-406 [**2194-10-28**] 06:38AM BLOOD WBC-21.0* RBC-4.09* Hgb-13.1* Hct-38.4* MCV-94 MCH-32.0 MCHC-34.0 RDW-14.0 Plt Ct-453* [**2194-10-27**] 03:05AM BLOOD WBC-22.1* RBC-4.15* Hgb-13.1* Hct-39.3* MCV-95 MCH-31.7 MCHC-33.4 RDW-14.1 Plt Ct-446* [**2194-10-26**] 03:11AM BLOOD WBC-19.3* RBC-4.34* Hgb-14.0 Hct-40.9 MCV-94 MCH-32.2* MCHC-34.2 RDW-14.0 Plt Ct-422 [**2194-10-29**] 10:20AM BLOOD Neuts-84* Bands-0 Lymphs-4* Monos-8 Eos-0 Baso-0 Atyps-0 Metas-0 Myelos-4* [**2194-10-30**] 06:41AM BLOOD Glucose-79 UreaN-28* Creat-0.8 Na-139 K-4.7 Cl-102 HCO3-30 AnGap-12 [**2194-10-29**] 10:20AM BLOOD Glucose-86 UreaN-32* Creat-0.9 Na-140 K-4.7 Cl-102 HCO3-32 AnGap-11 [**2194-10-28**] 12:17PM BLOOD Glucose-153* UreaN-37* Creat-0.9 Na-139 K-4.8 Cl-101 HCO3-31 AnGap-12 [**2194-10-26**] 03:11AM BLOOD TSH-0.81 Brief Hospital Course: Mr. [**Known lastname 19205**] was admitted to Dr.[**Name (NI) 14680**] service in Interventional Pulmonology at the [**Hospital1 69**] on [**2194-10-24**] for further evaluation of a cavitated density in the superior segment of the LLL with narrowing of the airway. On [**2194-10-26**], he underwent a diagnostic and therapeutic thoracentesis for a large left pleural effusion for which cytology was negative for malignant cells. The next day, he underwent a flexible bronchoscopy to assess for airway patency. During the procedure, moderate tracheomalacia, moderate to severe left bronchomalacia, and a right main stem endobronchial lesion was found. For details of each procedure, please see dictations. For his airway compromise, he was started on a prednisone taper at 60mg for two days to decrease by 10mg every two days until he reaches 5mg. (At discharge, [**2194-11-3**], he took the second/last dose of 30mg). Mr. [**Known lastname 19205**] course was complicated by atrial fibrillation the night of his admission (HR as high as 160s bpm) which forestalled his bronchoscopy. A cardiology consult was obtained. the decision by the consulting team was for rate control given his history of ablation for atrial flutter. Also, given his history of hemoptysis and current disease, no anticoagulation and only aspirin was deemed appropriate currently. Mr. [**Known lastname 19205**] was deemed appropriate to be discharged to a rehab facility on [**2194-10-31**]. He is to continue his course of prophylactic Unasyn for presumed pneumonia. Lastly, he is to follow-up with Dr. [**Last Name (STitle) **] in 3 weeks by calling his office for an appointment. As his WBC was elevated during his stay and at discharge, a CBC with differential is to be drawn on [**2194-11-3**] and the result paged to Dr. [**Last Name (STitle) **] (Fellow-Interventional Pulmonology): [**Telephone/Fax (1) 9986**], pager [**Numeric Identifier 34656**]. Medications on Admission: Lopressor 25" Hydrochlorthiazide 25' Motrin 800''' Discharge Medications: 1. Hydromorphone 2 mg/mL Syringe Sig: [**11-25**] Injection Q6H (every 6 hours) as needed. Disp:*qs 1* Refills:*0* 2. Acetaminophen 325 mg Tablet Sig: Two (2) Tablet PO Q4-6H (every 4 to 6 hours) as needed. Disp:*30 Tablet(s)* Refills:*0* 3. Magnesium Hydroxide 400 mg/5 mL Suspension Sig: Thirty (30) ML PO Q6H (every 6 hours) as needed. Disp:*qs ML(s)* Refills:*0* 4. Pantoprazole 40 mg Tablet, Delayed Release (E.C.) Sig: One (1) Tablet, Delayed Release (E.C.) PO Q24H (every 24 hours). Disp:*30 Tablet, Delayed Release (E.C.)(s)* Refills:*2* 5. Heparin (Porcine) 5,000 unit/mL Solution Sig: One (1) Injection TID (3 times a day). Disp:*qs 1* Refills:*2* 6. Calcium Carbonate 500 mg Tablet, Chewable Sig: One (1) Tablet, Chewable PO QID (4 times a day) as needed. Disp:*30 Tablet, Chewable(s)* Refills:*0* 7. Ipratropium Bromide 0.02 % Solution Sig: One (1) Inhalation Q2H as needed for copd. Disp:*qs 1* Refills:*0* 8. Senna 8.6 mg Tablet Sig: One (1) Tablet PO HS (at bedtime) as needed for Bowel regimen. Disp:*30 Tablet(s)* Refills:*0* 9. Alprazolam 0.25 mg Tablet Sig: One (1) Tablet PO TID (3 times a day) as needed. Disp:*30 Tablet(s)* Refills:*0* 10. Aspirin 325 mg Tablet, Delayed Release (E.C.) Sig: One (1) Tablet, Delayed Release (E.C.) PO DAILY (Daily). Disp:*30 Tablet, Delayed Release (E.C.)(s)* Refills:*2* 11. Insulin Lispro (Human) 100 unit/mL Solution Sig: One (1) Subcutaneous ASDIR (AS DIRECTED): 0-60....[**11-25**] amp D50; 61-120....0 Units; 121-160....2 Units; 161-200....4 Units; 201-240....6 Units; 241-280....8 Units;. Disp:*qs 1* Refills:*2* 12. Hydrochlorothiazide 25 mg Tablet Sig: One (1) Tablet PO DAILY (Daily). Disp:*30 Tablet(s)* Refills:*2* 13. Trazodone 50 mg Tablet Sig: 0.5 Tablet PO HS (at bedtime) as needed. Disp:*30 Tablet(s)* Refills:*0* 14. Heparin Lock Flush (Porcine) 100 unit/mL Syringe Sig: One (1) ML Intravenous DAILY (Daily) as needed. Disp:*qs ML(s)* Refills:*0* 15. Ampicillin-Sulbactam [**12-25**] g Recon Soln Sig: 3 grams Recon Solns Injection Q6H (every 6 hours) for 17 days. Disp:*qs Recon Soln(s)* Refills:*0* 16. Prednisone 20 mg Tablet Sig: Two (2) Tablet PO Qday () for 2 doses: taper as follows: 30mg x2days 20mg x2days 10mg x2days 5mg x2days. Disp:*4 Tablet(s)* Refills:*0* 17. Percocet 5-325 mg Tablet Sig: 1-2 Tablets PO every [**2-27**] hours. Disp:*30 Tablet(s)* Refills:*0* 18. Metoprolol Tartrate 50 mg Tablet Sig: Three (3) Tablet PO TID (3 times a day) as needed for afib. Disp:*30 Tablet(s)* Refills:*0* 19. Diltiazem HCl 30 mg Tablet Sig: Four (4) Tablet PO QID (4 times a day) as needed for Afib. Disp:*30 Tablet(s)* Refills:*0* 20. Furosemide 20 mg Tablet Sig: One (1) Tablet PO BID (2 times a day). Disp:*60 Tablet(s)* Refills:*2* Discharge Disposition: Extended Care Facility: [**Hospital 1263**] Hospital - [**Hospital1 **] unit Discharge Diagnosis: Moderate tracheomalacia Moderate to severe left bronchomalacia Right main stem endobronchial lesion Left-sided pleural effusion Atrial fibrillation Discharge Condition: Good Discharge Instructions: Go to an Emergency Room if you experience new and continuing nausea, vomiting, fevers (>101.5 F), chills, or shortness of breath. No driving while taking pain medications. Narcotics can cause constipation. Please take an over the counter stool softener such as Colace or a gentle laxative such as Milk of Magnesia if you experience constipation. Be sure to your course of intravenous antibiotics. You may have a low-fat, heart healthy regular diet as tolerated. You may resume all of your previously prescribed medications. You may take showers. Followup Instructions: Please follow-up with Dr. [**Last Name (STitle) **] in 3 weeks. Call his office at [**Telephone/Fax (1) 3020**] for an appointment and to arrange the following: bronchoscopy, CT scan and Radiation Oncology follow-up plans. Please make an appointment to see your Primary Care Doctor (Dr. [**Last Name (STitle) **], [**Telephone/Fax (1) 58696**]) regarding your atrial fibrillation and new heart medications. He will decide on whether you need to follow-up with a Cardiologist. [**Name6 (MD) **] [**Name8 (MD) **] MD [**MD Number(2) 286**] ICD9 Codes: 5119, 486, 4019
{ "dataset_link": "https://huggingface.co/datasets/ricardosantoss/ehrcomplete_icdfiltered", "dataset_name": "ehrcomplete-icdfiltered", "id": 8110 }
Medical Text: Admission Date: [**2141-12-31**] Discharge Date: [**2142-1-9**] Date of Birth: [**2065-5-1**] Sex: M Service: CARDIOTHORACIC Allergies: No Known Allergies / Adverse Drug Reactions Attending:[**First Name3 (LF) 1406**] Chief Complaint: Chest pain, transfer for STEMI Major Surgical or Invasive Procedure: [**2142-1-1**] Cardiac Cath [**2142-1-4**] Coronary artery bypass grafting x4, with the left internal mammary artery to the left anterior descending artery and reversed saphenous vein grafts to the posterior descending artery and first and second diagonal arteries. History of Present Illness: 76 year old male who presented to OSH for ED with sudden onset of [**9-19**] chest pressure, similar to prior chest pain. Attempted to fall asleep however could not and so called EMS who brought him to [**Hospital3 **]. At OSH, EKG revealed ST elevations in anterior leads. Pt was started heparin gtt and transferred to [**Hospital1 18**] emergently for further evaluation. Code STEMI was called after EKG showed ~2mm ST elevations in V3-V4. Labs were significant for mild troponin of 0.09. He was found to have two vessel disease and he is now being referred to cardiac surgery for revascularization. Past Medical History: Diabetes Dyslipidemia Hypertension 2 stents at [**Hospital1 3278**] in [**2129**] (not on plavix because of CVA) Atrial fibrillation not on Coumadin because of CVA MCA stroke with hemorrhagic conversion s/p craniectomy in [**2132**] at Southshore B12 deficiency BPH s/p craniectomy in [**2132**] Social History: Race:Caucasian Last Dental Exam:>1 year ago Lives with:wife, Wheelchair bound. Wife is primary caretaker Contact: [**Name (NI) 18380**] (wife) Phone #[**Telephone/Fax (1) 85652**] Occupation:retired business man Cigarettes: Smoked no [] yes [x] Hx:quit 20 years ago, has a greater than 20 pack year history of smoking Other Tobacco use:denies ETOH: < 1 drink/week [x] [**1-16**] drinks/week [] >8 drinks/week [] Illicit drug use:denies Family History: No premature coronary artery disease- Father had an MI at age 70 Physical Exam: Pulse:97 Resp:26 O2 sat:96/2L B/P 109/66 Height:65" Weight:83kgs General: Skin: Dry [x] intact [x] HEENT: PERRLA [x] EOMI [x] Neck: Supple [x] Full ROM [x] Chest: Lungs clear bilaterally [x] Heart: RRR [x] Irregular [] Murmur [] grade ______ Abdomen: Soft [x] non-distended [x] non-tender [x] bowel sounds + [x] Extremities: Warm [x], well-perfused [x] Edema [] _____ Varicosities: None [x] Contracted left knee Neuro: Grossly intact [] Pulses: Femoral Right: palp Left: palp DP Right: palp Left: palp PT [**Name (NI) 167**]: palp Left: palp Radial Right: palp Left: palp Carotid Bruit Right: none Left: none Discharge Exam: VS: T: 97.6 HR: 65-100 SR BP: 105-125/60-70 Sats: 96% RA General: 76 year-old male in no apparent distress HEENT: normocephalic, mucus membranes moist Neck: supple no lymphadenopathy Card: RRR normal S1,.S2 no murmur Resp: diminished breath sounds bilateral with fine crackles right 1/4 up, no wheezes GI: obese, bowel sounds positive, abdomen soft Extr: warm no edema Incision: sternal and left lower extremity clean, dry margins well approximated with no erythema Skin: ecchymosis right hip, Left papula rash left upper, lower and groin region. Neuro: awake, alert, oriented to person, place and time. Mild left facial droop Strengths R 3-3/4, Left 0-/4 (old CVA) Pertinent Results: [**2142-1-1**] Cardiac Cath: 1. Selective coronary angiography in this right dominant system demonstrated two vessel CAD. The LMCA was patent. The LAD had diffuse plaquing throughout and tapers to 90% beyond the patent proximal to mid LAD stent and the D2 takeoff. The D2 is diffusely diseased with 40% at ostium and 50% proximally. The D1 is a substantive bifricating vessel with 70% ostial stenosis (partially jailed by the LAD stent). The LCx had mild plaquing throughout. The proximal OM1 and mid OM2 (both small vessels) have focal 70% stenosis with normal flow. The RCA was subselectively engaged due to ostial stent and calcifications. The ostial stent was patent with instent restenosis (mild, nonflow-limiting). Serial focal stenosis (1st 65-70%) just beyond the acute marginal takeoff and second (90%) about 2 cm downstream. The PL has 70-80% ostially but overall this is a small diffusely diseased vessel. The R-PDA is patent. 2. Limited resting hemodynamics revealed moderately elevated systemic arterial systolic pressures with an SBP of 150 mmHg. 3. Abdominal aortography was performed using a pigtail catheter via power injection and showed diffuse plaquing in the infra-renal aorta, possible moderate L renal artery stenosis, calcific right common iliac artery stenosis (difficulty passing the wire through the common iliac into the aorta). . [**2142-1-3**] Carotid U/S: Right ICA <40% stenosis. Left ICA no stenosis. . [**2142-1-4**] Echo: Pre-CPB: The patient is in A.Fib. No spontaneous echo contrast is seen in the left atrial appendage. Overall left ventricular systolic function is low normal (LVEF 50-55%). The right ventricular cavity is mildly dilated with mild global free wall hypokinesis. The ascending aorta is mildly dilated. There are complex (>4mm) atheroma in the descending thoracic aorta. The aortic valve leaflets are severely thickened/deformed. There is moderate aortic valve stenosis (valve area 1.0-1.2cm2). In the face of more modest peak and mean gradients across the valve, a discussion led to the decision to not replace it. Dr. [**Last Name (STitle) 4901**] offered his opinion also. Trace aortic regurgitation is seen. The mitral valve leaflets are moderately thickened. Mild (1+) mitral regurgitation is seen. There is no pericardial effusion. Post-CPB: The patient is on an AV-Pacer, though there is no atrial response. No inotropes. Preserved biventricular systolic fxn. 1+MR, trace AI. Aorta intact. . [**2142-1-9**] WBC-10.4 RBC-3.14* Hgb-9.3* Hct-27.7* MCV-89 MCH-29.6 MCHC-33.5 RDW-13.9 Plt Ct-308 [**2141-12-31**] WBC-11.5* RBC-4.95 Hgb-14.6 Hct-43.0 MCV-87 MCH-29.6 MCHC-34.0 RDW-13.0 Plt Ct-205 [**2142-1-9**] Glucose-136* UreaN-23* Creat-1.0 Na-140 K-4.5 Cl-103 HCO3-32 [**2141-12-31**] Glucose-172* UreaN-21* Creat-0.9 Na-141 K-4.4 Cl-106 HCO3-22 [**2142-1-3**] ALT-27 AST-29 LD(LDH)-260* AlkPhos-61 TotBili-0.4 Micro: [**2142-1-3**] URINE CULTURE (Final [**2142-1-4**]): <10,000 organisms/ml. MRSA SCREEN NASAL SWAB. MRSA SCREEN (Final [**2142-1-6**]): No MRSA isolated PICC line [**2141-1-7**]: Right jugular line has been removed. Tip of the new right PIC line is in the right atrium. It should be withdrawn 3.5 cm to position it low in the SVC. Mild pulmonary edema has developed, most readily appreciated in the right lower lung. Severe cardiomegaly is longstanding, but mediastinal and hilar vascular engorgements have worsened. There is greater consolidation at the left lung base, presumably atelectasis though pneumonia is not excluded, and an increase in small-to-moderate left pleural effusion. There is no pneumothorax. CXR: [**2142-1-6**] There is a questionable tiny left pneumothorax. The pulmonary edema has almost resolved. There are persistent low lung volumes with bibasilar atelectasis. Cardiomediastinal silhouette is unchanged. Right IJ catheter remains low in the right atrium and can be withdrawn 3-4 cm for more standard position. If any there are small bilateral pleural effusions. The sternal wires are aligned. Brief Hospital Course: As mentioned in the HPI, Mr. [**Known lastname 47059**] was transferred from outside hospital with an ST-elevation myocardial infarction. He underwent a cardiac cath on [**1-1**] which revealed severe three vessel coronary artery disease. He then underwent appropriate surgical work-up while awaiting Plavix to wash-out. On [**1-4**] he was brought to the operating room where he underwent a coronary artery bypass graft x 4. Please see operative note for surgical details. Following surgery he was transferred to the CIVCU for invasive monitoring in stable condition. Within 24 hours he was weaned from sedation, awoke neurologically intact and extubated. On post-op day one he was started on beta-blockers and diuretics and diuresed towards his pre-op weight. On post-op day two he was transferred to the telemetry floor for further care. Chest tubes and epicardial pacing wires were removed per protocol. On post-op day three he had episode of rapid atrial fibrillation IV/PO amiodarone was started. He converted to sinus rhythm (pre-op history of AF but not on Coumadin d/t hemorrhagic stroke). A Non-heparin PICC line was placed for IV access. His Foley was removed and a condom cath was placed for incontinence. He was bladder scanned for 300. He continued to make good progress while working with physical therapy. On post-op day 5 he was discharged to rehab with the appropriate medications and follow-up appointments. Medications on Admission: Medications at home: metoprolol tartarte 50mg [**Hospital1 **] lisinopril 10mg daily simvastatin 20mg daily tamsulosin 0.4mg daily escitalopram 20mg daily finasteride 4mg senna-docunsate 1 tab TID NPH/Novolin 10 units SC daily NPH 15 units SC at dinner ascorbic acid 500mg daily folic acid-vit b2-vit b6-vit b 1 tab [**Hospital1 **] ergocalciferol 1000 units daily trazodone 50mg daily aspirin 81mg daily Discharge Medications: 1. aspirin 81 mg Tablet, Delayed Release (E.C.) Sig: One (1) Tablet, Delayed Release (E.C.) PO DAILY (Daily). 2. docusate sodium 100 mg Capsule Sig: One (1) Capsule PO BID (2 times a day). 3. simvastatin 10 mg Tablet Sig: Two (2) Tablet PO DAILY (Daily). 4. tamsulosin 0.4 mg Capsule, Ext Release 24 hr Sig: One (1) Capsule, Ext Release 24 hr PO HS (at bedtime). 5. escitalopram 10 mg Tablet Sig: Two (2) Tablet PO DAILY (Daily). 6. magnesium hydroxide 400 mg/5 mL Suspension Sig: Thirty (30) ML PO HS (at bedtime) as needed for constipation. 7. bisacodyl 10 mg Suppository Sig: One (1) Suppository Rectal DAILY (Daily) as needed for constipation. 8. finasteride 5 mg Tablet Sig: One (1) Tablet PO DAILY (Daily). 9. ranitidine HCl 150 mg Tablet Sig: One (1) Tablet PO DAILY (Daily). 10. albuterol sulfate 2.5 mg /3 mL (0.083 %) Solution for Nebulization Sig: Three (3) mL Inhalation Q6H (every 6 hours). 11. ipratropium bromide 17 mcg/Actuation HFA Aerosol Inhaler Sig: Two (2) Puff Inhalation Q6H (every 6 hours). 12. metoprolol tartrate 25 mg Tablet Sig: One (1) Tablet PO BID (2 times a day). 13. tramadol 50 mg Tablet Sig: One (1) Tablet PO Q4H (every 4 hours) as needed for pain. Disp:*50 Tablet(s)* Refills:*0* 14. amiodarone 200 mg Tablet Sig: Two (2) Tablet PO BID (2 times a day): 400mg [**Hospital1 **] x 7 days then 400 mg daily x 7 days then 200 mg daily. 15. potassium chloride 10 mEq Tablet Extended Release Sig: Two (2) Tablet Extended Release PO DAILY (Daily). 16. miconazole nitrate 2 % Powder Sig: One (1) Appl Topical QID (4 times a day) as needed for rash: apply to rash. 17. acetaminophen 325 mg Tablet Sig: Two (2) Tablet PO Q6H (every 6 hours) as needed for PAIN/TEMP. 18. PICC Line Non-Heparin: FLUSH with 10 mL of Normal Saline Discharge Disposition: Extended Care Facility: [**Hospital1 700**] - [**Location (un) 701**] Discharge Diagnosis: Coronary artery disease s/p Coronary artery bypass graft x 4 Past medical history: Diabetes Dyslipidemia Hypertension 2 stents at [**Hospital1 3278**] in [**2129**] (not on plavix because of CVA) atrial fibrillation not on Coumadin because of CVA MCA stroke with hemorrhagic conversion s/p craniectomy in [**2132**] at Southshore B12 deficiency BPH s/p craniectomy in [**2132**] Discharge Condition: Alert and oriented with Left Hemi-paresis Ambulating with Max assist Incisional pain managed with Tramadol Incisions: Sternal - healing well, no erythema or drainage Leg Right/Left - healing well, no erythema or drainage. Edema Discharge Instructions: Please shower daily including washing incisions gently with mild soap, no baths or swimming until cleared by surgeon. Look at your incisions daily for redness or drainage Please NO lotions, cream, powder, or ointments to incisions Each morning you should weigh yourself and then in the evening take your temperature, these should be written down on the chart No driving for approximately one month and while taking narcotics, will be discussed at follow up appointment with surgeon when you will be able to drive No lifting more than 10 pounds for 10 weeks **Please call cardiac surgery office with any questions or concerns [**Telephone/Fax (1) 170**]. Answering service will contact on call person during off hours** Followup Instructions: You are scheduled for the following appointments Surgeon: Dr. [**Last Name (STitle) **] on [**2142-2-8**] at 1:15PM in the [**Last Name (un) 2577**] Building [**Last Name (NamePattern1) 10357**] [**Hospital Unit Name **] Cardiologist/PCP: [**Last Name (NamePattern4) **]. [**Last Name (STitle) 10165**] [**Name (STitle) 31187**] [**2142-1-22**] 12:00 **Please call cardiac surgery office with any questions or concerns [**Telephone/Fax (1) 170**]. Answering service will contact on call person during off hours** Completed by:[**2142-1-9**] ICD9 Codes: 2930, 4280, 4019, 2724, 4241
{ "dataset_link": "https://huggingface.co/datasets/ricardosantoss/ehrcomplete_icdfiltered", "dataset_name": "ehrcomplete-icdfiltered", "id": 8111 }
Medical Text: Admission Date: [**2133-2-8**] Discharge Date: [**2133-2-11**] Service: NEUROLOGY Allergies: No Known Allergies / Adverse Drug Reactions Attending:[**First Name3 (LF) 2569**] Chief Complaint: CODE STROKE (@[**Hospital1 18**] ED, called for right facial droop, right hemiparesis and receptive aphasia) Major Surgical or Invasive Procedure: IV-tPA History of Present Illness: Ms. [**Known lastname **] is an 88 year-old right handed woman with a history including dementia with delusions, hypertension, and hyperlipidemia who presented about one hour after the acute onset of right facial droop, right hemiparesis and receptive aphasia for whom a code stroke was called. . According to the [**Hospital 228**] nursing home, she was in her usual state of health until this afternoon. She was in the dining room, enjoying dinner. She was apparently chatty, wishing everyone a happy new year. She was last known well at about 4:30 pm. Between 4:45 and 5 pm, she developed sudden onset right sided weakness. She also devloped slurred speech and was making non-sensical statements. Concerned she was having a stroke, the patient was transferred to the [**Hospital1 18**]. . Upon arrival, a code stroke was called. Glucose was 122. Although the examination fluctuated, initial NIH stroke scale score was 12 for inability to answer month and age (2), failure to follow commands (2), right facial droop (1), decreased movement of both lower extremities - likely a function of comprehension difficulties (2, 2), severe aphasia characterized by relatively fluent non-sensical speech and poor comprehension (2), and dysarthria (1). Within about 20 minutes, she her right upper extremity was completely paretic. Although a stat CT scan was unrevealing, the examination findings were considered concerning for a left MCA stroke. After discussions with her health care proxy about the benefits and risks of the therapy, t-pa was administered. . Past Medical History: PMH: # Senile Dementia with Delusional Features # Osteoporosis # Osteoarthritis # Recurrent UTIs: 2 since [**1-13**]. # Hypertension: +fluctuations in BP with spells of anxiety # Spinal stenosis # Anxiety # S/p rheumatic fever as a child # Congestive heart failure # Depression and Anxiety Social History: SOCIAL HISTORY: Lives close to nephew in [**Hospital3 **] facility Falls at Cordingly [**Doctor Last Name **] ([**State 55056**], [**Location (un) 745**], MA. Tel. [**Telephone/Fax (1) 55057**], primary nurse: [**Doctor First Name **]) with private nursing staff/aides. Social EtOH, denies tobacco and illicits. Born in [**Country 4754**] - moved here in [**2068**]. Family History: FAMILY HISTORY: -Mother died of complications of tuberculosis in her 30s. -Father died in his 80s. -She had 2 brothers and 1 sister all of whom died of childhood diseases including scarlet fever and diphtheria. - 1 remote relative w/ early CVA o./w no premature CAD/ CVA/ - no familia malignancies Physical Exam: PHYSICAL EXAMINATION <<on admission>>: Vitals: P: 74 R: 15 BP: 152/68 SaO2: 97 RA General: Awake, NAD HEENT: Normocepahlic, atruamatic, no scleral icterus noted. Neck: No carotid bruits appreciated. Cardiac: Regular rate, normal S1 and S2 - some occasional extra beats. Pulmonary: Lungs clear to auscultation bilaterally anteriorly. Abdomen: Round. Normoactive bowel sounds. Soft. Non-tender, non-distended. Extremities: Warm, well-perfused. Skin: no rashes or concerning lesions noted. NEUROLOGIC EXAMINATION: Mental Status: * Degree of Alertness: Alert. * Language: Language is fluent but non-sensical. Unable to follow verbal commands, can mimic some actions. . Cranial Nerves: * I: Olfaction not evaluated. * II: very difficult to perceive response - pupils 2mm. blinks to threat with possible restriction on right * III, IV, VI: EOM grossly intact * VII: right facial * VIII: Hearing intact to voice (turns head to speaker) Motor: * Tone: possible cogwheeling at left elbow, seems slightly decreased in right extremities Strength: * Left Upper Extremity: lifts at least versus gravity * Right Upper Extremity: initially lifts versus gravity --> completely paretic * Left Lower Extremity: lifts at least versus gravity * Right Lower Extremity: able to withdraw at least in plane of bed Reflexes: * Left: brisk throughout Biceps, Triceps, Bracheoradialis, Patella * Right: brisk thoughout Biceps, Triceps, Bracheoradialis, Patella * Babinski: toes tonically up given structure of foot . Sensation: * Nailbed pressure: withdraws all limbs purposefully Coordination * difficult to evaluate Gait: * Description: deferred Pertinent Results: [**2133-2-11**] 07:10AM BLOOD WBC-7.6 RBC-4.21 Hgb-12.7 Hct-36.8 MCV-87 MCH-30.2 MCHC-34.5 RDW-14.0 Plt Ct-230 [**2133-2-10**] 02:20AM BLOOD WBC-8.4 RBC-3.98* Hgb-11.8* Hct-34.7* MCV-87 MCH-29.7 MCHC-34.0 RDW-13.8 Plt Ct-219 [**2133-2-9**] 05:10AM BLOOD WBC-8.1 RBC-4.02* Hgb-11.9* Hct-35.0* MCV-87 MCH-29.7 MCHC-34.1 RDW-13.8 Plt Ct-219 [**2133-2-8**] 09:37PM BLOOD WBC-9.0 RBC-4.11* Hgb-12.5 Hct-36.2 MCV-88 MCH-30.4 MCHC-34.6 RDW-14.2 Plt Ct-237 [**2133-2-8**] 06:05PM BLOOD WBC-8.1 RBC-4.37 Hgb-13.4 Hct-38.7# MCV-88 MCH-30.6 MCHC-34.6 RDW-14.3 Plt Ct-233 [**2133-2-8**] 06:05PM BLOOD PT-12.9 PTT-25.8 INR(PT)-1.1 [**2133-2-11**] 07:10AM BLOOD Glucose-91 UreaN-7 Creat-0.5 Na-138 K-3.3 Cl-104 HCO3-24 AnGap-13 [**2133-2-10**] 02:20AM BLOOD Glucose-88 UreaN-12 Creat-0.7 Na-136 K-3.4 Cl-103 HCO3-26 AnGap-10 [**2133-2-9**] 05:10AM BLOOD Glucose-97 UreaN-16 Creat-0.6 Na-133 K-4.2 Cl-101 HCO3-24 AnGap-12 [**2133-2-8**] 09:37PM BLOOD Glucose-122* UreaN-19 Creat-0.7 Na-137 K-3.3 Cl-99 HCO3-27 AnGap-14 [**2133-2-8**] 06:05PM BLOOD UreaN-19 Creat-0.7 Na-138 K-3.6 Cl-101 HCO3-22 AnGap-19 [**2133-2-9**] 05:10AM BLOOD CK-MB-2 cTropnT-0.04* [**2133-2-8**] 09:37PM BLOOD CK-MB-2 cTropnT-0.02* [**2133-2-8**] 06:05PM BLOOD cTropnT-0.04* [**2133-2-11**] 07:10AM BLOOD Calcium-9.4 Phos-2.3* Mg-1.8 [**2133-2-10**] 02:20AM BLOOD Calcium-8.6 Phos-2.8 Mg-1.8 [**2133-2-9**] 05:10AM BLOOD Calcium-9.3 Phos-3.1 Mg-2.3 [**2133-2-8**] 09:37PM BLOOD Calcium-10.1 Phos-4.6* Mg-1.5* Cholest-190 [**2133-2-8**] 06:05PM BLOOD Calcium-10.4* Phos-3.7# Mg-1.7 [**2133-2-8**] 09:37PM BLOOD %HbA1c-5.9 eAG-123 [**2133-2-8**] 09:37PM BLOOD Triglyc-124 HDL-59 CHOL/HD-3.2 LDLcalc-106 [**2133-2-8**] 06:05PM BLOOD ASA-NEG Ethanol-NEG Acetmnp-NEG Bnzodzp-NEG Barbitr-NEG Tricycl-NEG ECG on admission: Cardiology Report ECG Study Date of [**2133-2-8**] 6:54:46 PM Sinus rhythm and frequent atrial ectopy. Diffuse ST-T wave changes as recorded [**2133-1-10**]. The rate has slowed and the ST-T wave changes are somewhat less prominent. Frequent atrial ectopy has appeared. Otherwise, no diagnostic interim change. Read by: [**Last Name (LF) 578**],[**First Name8 (NamePattern2) **] [**Last Name (NamePattern1) 579**] Intervals Axes Rate PR QRS QT/QTc P QRS T 70 160 102 462/479 104 -16 152 CXR on admission: UPRIGHT AP VIEW OF THE CHEST: The heart size remains mildly enlarged. The aorta is tortuous and calcified, but the mediastinal contours are unchanged from prior. Low lung volumes are again noted. There is mild atelectatic changes noted in the left lung base. The right lung is grossly clear. Degenerative changes are seen within the left glenohumeral joint. There are no pneumothoraces or pleural effusions. IMPRESSION: Mild left basilar atelectasis. NCHCT on admission: FINDINGS: There is no acute intracranial hemorrhage. The [**Doctor Last Name 352**]-white matter differentiation is largely preserved. The ventricles and sulci appear prominent due to involutional change but not overtly changed from prior study and likely appropriate given the patient's age. There is no edema or mass effect. The paranasal sinuses and mastoid air cells are clear. In the left parotid gland, there is a hypodense round mass that measures 19 x 17 mm (2;3) which has increased in size from the prior study. IMPRESSION: 1. No evidence of acute intracranial hemorrhage or mass effect. If clinical concern for stroke persists, MR is more sensitive in detecting acute ischemia. 2. Left parotid mass which has increased in size since [**2127**]; nonemergent MR imaging is recommended with contrast. MRI/MRA [**2133-2-9**]: MRI BRAIN: There is a moderate to large acute infarct in the left middle cerebral artery territory, involving the parietal lobe and insula. Gradient echo images demonstrate increased susceptibility artifact in a small left parietal portion of the infarct, consistent with blood products. There is unchanged severe ventricular enlargement and moderate sulcal enlargement, most likely due to atrophy with central predominance. There are multiple foci of T2 hyperintensity in the supratentorial white matter, suggesting chronic small vessel ischemia. The known left parotid mass is poorly assessed due to motion. MRA BRAIN: Motion artifact severely degrades image quality. There is flow in the internal carotid and vertebral arteries, without evidence of occulsion. The anterior and middle cerebral arteries appear patent proximally. Flow within these arteries appears diffusely attenuated, possibly due to motion, but it is not possible to accurately assess for stenoses. Evaluation for aneurysms is suboptimal. IMPRESSION: 1. Acute left middle cerebral artery territory infarct, involving the left parietal lobe and insula, with hemorrhagic transformation. 2. Motion-degraded head MRA with limited diagnostic utility. No evidence of occlusion of the left internal carotid or proximal left middle cerebral artery. Limited evaluation for stenoses or aneurysms. 3. Unchanged severe ventricular and moderate sulcal enlargement, likely due to central atrophy. However, please correlate clinically whether the patient may have symptoms of communicating hydrocephalus. Carotid duplex doppler U/S bilateral [**2133-2-9**]: Findings: Duplex evaluation was performed of bilateral carotid arteries. On the right there is mild heterogeneous plaque in the ICA. On the left there is mild heterogeneous plaque seen in the ICA. On the right systolic/end diastolic velocities of the ICA proximal, mid and distal respectively are 56/13, 60/13, 53/9 cm/sec. CCA peak systolic velocity is 55 cm/sec. ECA peak systolic velocity is 71 cm/sec. The ICA/CCA ratio is 1.1. These findings are consistent with <40% stenosis. On the left systolic/end diastolic velocities of the ICA proximal, mid and distal respectively are 36/7, 42/11, 33/9 cm/sec. CCA peak systolic velocity is 55 cm/sec. ECA peak systolic velocity is 47 cm/sec. The ICA/CCA ratio is .76. These findings are consistent with <40% stenosis. Right vertebral antegrade artery flow. Left vertebral antegrade artery flow. Impression: Right ICA stenosis <40%. Left ICA stenosis <40%. Brief Hospital Course: Overall, the patient remained comfortable and HDS, with normal and unremarkable VS. By system: Neuro: Patient had a stroke, Left M2-inferior division, as evidenced by DWI/MRI (see report, above). Her initial exam findings improved after receiving IV-tPA (right arm regained nearly full strength). She was started on aspirin 81mg. Her LDL was 106, and it was decided at this level, the risks of statin Tx probably outweight the benefits. Donepazil was cont'd for dementia/cognitive Sx. Her current deficit, c/w the location of her stroke, is a predominantly receptive Wernike's-type aphasia (preserved repetition) with frequent made-up words and paraphasic word/syllable substitutions. Echocardiogram was not pursued at this time. Carotid imaging was relatively clean (see above). HbA1c was wnl. LDL cholesterol was 106. CV: Home BP meds were held on admission for permissive hypertension post-stroke. 3d later, after her SBPs ranged up into the 180s (yet as low as 110s), her labetalol was restarted at home-dose (150mg [**Hospital1 **]) and her HCTZ was re-started initially at half-dose (12.5mg daily). Her amlodipine was not as yet restarted, to avoid causing hypotension / hypoperfusion of the brain. Please monitor her BPs and re-start this medication if needed for hypertension (>140/90). Pulm: Inh Tx for COPD (Advair) was cont'd. GU: Also, Ms. [**Known lastname **] was found to have a UTI on admission (her UA showed leukocytosis to >50 WBC, +nitrites, moderate leuk.esterase, many bacteria). Pt had h/o several prior UTI with 3x pan-sensitive E coli and very recently a partially-resistent Proteus sp., and was initially started on IV cefepime by ICU team. Her UCx revealed a multi-drug-resistant E coli species (resistant to Bactrim, Cipro, Ampicillin). It was sensitive to cefazolin, cefepime, ceftazidime, ceftriaxone, gent/tobra, nitrofurantoin (Macrobid). Macrobid not started [**3-11**] recommendation against use in geriatrics pt [**Name (NI) 2793**] risk), and instead she was switched to PO Cefpodoxime to finish a 7d total course ending [**2133-2-16**]. Of note, pt. had been on Bactrim DS PO bid, presumably for chronic/recurrent UTI. Given that her current E coli infection is Bactrim-resistant, this plan should be re-evaluated by her PCP (Bactrim was not re-started). Of note, oxybutinin was not continued (anti-cholinergic medication in a patient with dementia who is being actively treated with a cholinesterase inhibitor). Please re-assess the symptomatic risks/benefits of this medication in this patient. Endo: Evista was continued. VitD/Ca++ continued. Prednisone 5mg daily was continued (per the ICU team, pt's [**Hospital1 1501**] said it was "for COPD" -- the indication was not substantiated; please verify and re-assess the need for this medication. GI: PPI and bowel regimen (senna/colace) were continued. No active issues. Other: other home meds were continued, except as above. Also, there was an incidental parotid-gland finding on her MRI (see report, above). This can be followed up with repeat imaging in the future at the discretion of her PCP. Medications on Admission: - ensure 120 ml po bid - amlodipine 5 mg po daily - evista 60 mg po daily - ferrous 325 mg po daily - hctz 25 mg po daily - kcl 10 meq po daily - citalopram 20 mg po daily - prednisone 5 mg po daily - apap/codeine 300.30 mg po bid - oxybutinin ER 5 mg po bid - ca 500 mg po bid - vit d 200 mg po bid - labetalol 150 mg po bid - advair 250/50 1 p q 12h - protonix 40 mg po bid - donepezil 10 mg po bid - bactrim DS po bid - bowel reg Discharge Medications: 1. senna 8.6 mg Tablet Sig: One (1) Tablet PO BID (2 times a day) as needed for constip. 2. docusate sodium 100 mg Capsule Sig: One (1) Capsule PO BID (2 times a day). 3. citalopram 20 mg Tablet Sig: One (1) Tablet PO DAILY (Daily). 4. raloxifene 60 mg Tablet Sig: One (1) Tablet PO DAILY (Daily). 5. ferrous sulfate 300 mg (60 mg Iron) Tablet Sig: One (1) Tablet PO DAILY (Daily). 6. calcium carbonate 200 mg (500 mg) Tablet, Chewable Sig: One (1) Tablet, Chewable PO BID (2 times a day). 7. cholecalciferol (vitamin D3) 400 unit Tablet Sig: 0.5 Tablet PO BID (2 times a day). 8. fluticasone-salmeterol 250-50 mcg/dose Disk with Device Sig: One (1) Disk with Device Inhalation [**Hospital1 **] (2 times a day). 9. donepezil 5 mg Tablet Sig: Two (2) Tablet PO HS (at bedtime). 10. prednisone 5 mg Tablet Sig: One (1) Tablet PO DAILY (Daily). 11. pantoprazole 40 mg Tablet, Delayed Release (E.C.) Sig: One (1) Tablet, Delayed Release (E.C.) PO Q24H (every 24 hours). 12. aspirin 81 mg Tablet, Chewable Sig: One (1) Tablet, Chewable PO DAILY (Daily) as needed for stroke. 13. labetalol 100 mg Tablet Sig: 1.5 Tablets PO BID (2 times a day) as needed for hypertension/heart (home med). 14. hydrochlorothiazide 25 mg Tablet Sig: One (1) Tablet PO once a day as needed for htn. 15. cefpodoxime 100 mg Tablet Sig: Two (2) Tablet PO Q12H (every 12 hours) as needed for UTI with MDR-E coli sp. 16. potassium chloride 10 mEq Capsule, Sustained Release Sig: One (1) Capsule, Sustained Release PO once a day: potassium repletion while on HCTZ (previous home medication). Discharge Disposition: Extended Care Facility: [**First Name4 (NamePattern1) **] [**Last Name (NamePattern1) **] Nursing Care Center Discharge Diagnosis: Primary diagnoses: - Stroke (ischemic Left-inferior-M2 division of MCA), s/p tPA with improvement - Urinary tract infection (multiple-drug-resistant E coli sp.), s/p IV cefepime, now finishing 7d PO abx course Secondary diagnoses: - Senile Dementia with Delusional Features - Osteoporosis - Osteoarthritis - Recurrent UTIs: 2 since [**1-13**]. - Hypertension: +fluctuations in BP with spells of anxiety - Spinal stenosis - Anxiety - S/p rheumatic fever as a child - h/o Congestive heart failure - h/o Depression and Anxiety Discharge Condition: Mental Status: Confused - always. Level of Consciousness: Alert and interactive. Activity Status: Ambulatory - requires assistance or aid (walker or cane). Discharge Instructions: You were admitted because you had a stroke. You were given an intravenous clot-busting medicine called tissue plasminogen activator (tPA), and your symptoms improved somewhat afterwards, particularly the strength in your Right arm. You were started on aspirin to prevent future strokes. You were also treated for a UTI, with antibiotics to continue for 5 days longer. Most of your previous medications were continued, and your PCP can start the rest as needed. It was a pleasure caring for you. Best of luck, Ms. [**Known lastname **]! Followup Instructions: 1. With your Nursing-home PCP, [**Name10 (NameIs) 3**] soon as able (per protocol, after inpatient admission) 2. With Dr. [**First Name8 (NamePattern2) 2530**] [**Name (STitle) **], stroke/Vascular Neurology attending physician: [**Name10 (NameIs) 766**], [**4-13**] at 2:00pm in the [**Hospital1 18**] [**Hospital Ward Name 23**] Clinical Center, [**Location (un) 442**] (at [**Hospital1 1426**] and [**Location (un) **] Aves.) [**Telephone/Fax (1) 2574**] [**First Name8 (NamePattern2) **] [**Name8 (MD) 162**] MD [**MD Number(2) 2575**] Completed by:[**2133-2-11**] ICD9 Codes: 5990, 4019, 4280
{ "dataset_link": "https://huggingface.co/datasets/ricardosantoss/ehrcomplete_icdfiltered", "dataset_name": "ehrcomplete-icdfiltered", "id": 8112 }
Medical Text: Admission Date: [**2124-3-1**] Discharge Date: [**2124-3-9**] Date of Birth: [**2054-3-31**] Sex: F Service: MEDICINE Allergies: Penicillins / Sulfonamides / Atenolol Attending:[**First Name3 (LF) 1711**] Chief Complaint: Chest pain, shortness of breath. Major Surgical or Invasive Procedure: cardiac catheterization PICC line placed and removed History of Present Illness: 69 year old female with CAD s/p MI and CABG '[**09**] presents with intermittent chest pain x 1 week, worse in last 3 days with shortness of breath, lower extremity swelling. Patient was recently seen by PCP and aldactazide was d/c'ed on [**12-19**] and lasix was d/c'ed on [**2124-1-19**] (in setting of worsening renal function -lasix d/c'ed). In past couple weeks she notes increasing SOB, 10-lb wt gain and increasing dyspnea on exertion. She also noted intermittent chest pain during this period but worse in past 3 days. She has slept sitting up for the past 8 months. She came to ED after becoming very short of breath on morning of admission. EKG q wave anterior ?ST elevation in III. She was started on heparin gtt and nitro gtt. She went to cath lab and found to have 90%lesion in OM which was ballooned opened (couldn't stent). In the recovery area, patient SOB lying flat (likely h/o OSA although none diagnosed). She was on a non-rebreather satting 97%. . She was transferred to the CCU for further management. ABG in the holding area on NRB was 7.29/57/148. On arrival to the CCU she was placed on BiPAP, PS 10 PEEP 5, FiO2 50%. Her ABG on noninvasive ventilation was 7.36/53/146. After approximately [**12-14**] hours, she was feeling sufficiently less short of breath to be weaned to nasal cannula, at which point her ABG was 7.39/49/67. . Initial vitals in the ED: 97.8, 98, 152/72, 20, 88% on RA. She was given ASA, heparin gtt, lasix and sent to the cath lab. . On review of systems, + for non-productive cough X 3 weeks, and post-nasal drip. She has gained 10 pounds over the past 2 weeks. She denies any prior history of stroke, TIA, deep venous thrombosis, pulmonary embolism, bleeding at the time of surgery, myalgias, joint pains, hemoptysis, black stools or red stools. She denies recent fevers, chills or rigors. All of the other review of systems were negative. Past Medical History: 1. Coronary artery disease status post MI in [**2101**] and CABG in [**2109**] 2. Diabetes mellitus type II, requiring large amounts of insulin (last HgA1c 7.9) 3. CHF, last EF per echocardiogram 55% Hypertension 4. Hypercholesterolemia 5. History of metastatic left-sided infiltrating ductal breast cancer s/p chemo/XRT (post-CABG) dx'ed [**2111**] 6. Hypothyroidism 7. UTIs (h/o recurrent Ecoli UTI in past) 8. COPD 9. Anxiety 10. Postmenopausal bleeding status post D&C procedure on [**2120-5-28**] 11. Obesity Social History: +70 pack-year history but quit in [**2101**], no EtOH or other drug use. Widowed 5 years ago. Three grown children. Lives in her own apt in her son's townhouse. Her daughter has helped her with her ADLs over the past couple of days and does help her with her shopping. Family History: No family history of premature coronary artery disease or sudden death. Brother with both multiple myeloma and "thyroid problems." [**Name2 (NI) **] mother had ?oral cancer. Physical Exam: VS - 120/64, 86, 19, 100% on CPAP 50% FiO2 Gen: Obese, elderly female in NAD. Oriented x3. Mood, affect appropriate. On CPAP HEENT: NCAT. Sclera anicteric. Conjunctiva were pink, no pallor or cyanosis of the oral mucosa. No xanthalesma. Neck: Supple, unable to appreciate JVD [**1-14**] obesity CV: Unable to palpate PMI. RR, normal S1, S2. No m/r/g. No thrills, lifts. No S3 or S4. Chest: Midline surgical scar. Resp were unlabored, no accessory muscle use. CTAB, no crackles, wheezes or rhonchi anteriorly. Radiation skin changes to L breast. Abd: Obese, soft, NTND. No HSM or tenderness. Abd aorta not enlarged by palpation. No abdominial bruits. Ext: 2+ Bilateral LE edema to mid-shins. No femoral bruits. R femoral sheath with minimal ooze. Skin: no ulcers, rash Pulses: Dopplerable dp/pt pulses Pertinent Results: Labwork on admission: [**2124-3-1**] 09:40AM WBC-14.3* RBC-4.00* HGB-10.6* HCT-33.3* MCV-83 MCH-26.4* MCHC-31.8 RDW-16.7* [**2124-3-1**] 09:40AM PLT COUNT-273 [**2124-3-1**] 09:40AM PT-13.2* PTT-23.9 INR(PT)-1.2* [**2124-3-1**] 09:40AM NEUTS-83.7* LYMPHS-12.2* MONOS-3.1 EOS-0.3 BASOS-0.7 [**2124-3-1**] 09:40AM GLUCOSE-277* UREA N-41* CREAT-1.2* SODIUM-141 POTASSIUM-4.6 CHLORIDE-104 TOTAL CO2-24 ANION GAP-18 [**2124-3-1**] 09:40AM CK(CPK)-159* [**2124-3-1**] 09:40AM cTropnT-.48* [**2124-3-1**] 09:40AM CK-MB-33* MB INDX-20.8* proBNP-6666* . Pertininent labs: Creatinine: baseline 1.1, peak 6.1, on discharge 2.0 Hct: Baseline 26-27, Hct on discharge 24 (prior to receiving 1UPRBCs) . IMAGING . CHEST (PORTABLE AP) [**2124-3-1**] This AP bedside radiograph is limited by patient's large size. The heart is probably enlarged with previous CABG. No vascular congestion. I doubt the presence of consolidations. I cannot exclude effusions particularly on the right. Other than the equivocal pleural changes on current examination there is a little change from more satisfactory bedside exam [**2123-10-11**]. IMPRESSION: Suboptimal exam. No pneumonia and I doubt the presence of CHF. . [**2124-3-1**] CARDIAC CATH: report pending . [**2124-3-2**] ECHO The left atrium is mildly dilated. There is mild symmetric left ventricular hypertrophy. The left ventricular cavity size is normal. No masses or thrombi are seen in the left ventricle. Overall left ventricular systolic function is moderately-to-severely depressed (30 percent) secondary to global hypokinesis with regional variation (the inferior and posterior walls appear more hypokinetic). There is no ventricular septal defect. Right ventricular chamber size and free wall motion are normal. The aortic valve leaflets (3) are mildly thickened but aortic stenosis is not present. No aortic regurgitation is seen. The mitral valve leaflets are mildly thickened. There is no mitral valve prolapse. Mild to moderate ([**12-14**]+) mitral regurgitation is seen. [Due to acoustic shadowing, the severity of mitral regurgitation may be significantly UNDERestimated.] There is no pericardial effusion. Compared with the findings of the prior study (images reviewed) of [**2122-2-24**], the left ventricular ejection fraction now appears reduced, but the technically suboptimal nature of both studies precludes certainty. Brief Hospital Course: 69 year old female with CAD s/p MI and CABG, DMII, obesity, CHF p/w NSTEMI in setting of CHF exacerbation. . #. Congestive heart failure. Ejection fraction on this admission 30% from 45% on last stress test [**2121**]. The patient was volume overload on admission and soon became oliguric as below despite escalating doses of lasix. The patient's oxygen saturations remained stable. The patient was followed by Renal and may need dialysis if urine output does not improve. The patient's ACE-inhibitor was held for renal failure. The patient has not tolerated a beta-blocker in the past and had one episode of junctional bradycardia during admission. The patient should have a repeat echocardiogram in two months for consideration of ICD placement. . #. Acute renal failure. The patient remained oliguric/anuric and volume overloaded but oxygen saturations remained stable. The renal failure is likely contrast nephropathy. Her Diovan and HCTZ were stopped given renal failure. The patient was followed by Renal during admission, and creatinine gradually improved from 6.1 to 2.0 on day of discharge. She will need to follow-up with PCP one week after discharge to have kidney function evaluated and further address resuming [**Last Name (un) **] and/or diuretics. . #. Coronary artery disease. The patient is status post CABG in [**2109**] and admitted with NSTEMI on this admission now status post cardiac catheterization on [**2124-3-1**] with no obvious source for STEMI. The patient received PCTA to 90% stenosis of OM2. The NSTEMI was likely demand ischemia from CHF exacerbation in setting of discontinuation of diuretics. The patient was continued on ASA, plavix, statin. The patient received integrilin and heparin gtt on admission. The patient's ACE-inhibitor was held for renal failure. The patient has not tolerated a beta-blocker in the past and had one episode of junctional bradycardia during admission. . #. Rhythm. Sinus rhythm. The patient hd one episode of junctional bradycardia of unclear etiology but no subesequent episodes. Electrophysiology followed the patient during admission. . #. Hypoxemia, hypercarbic respiratory failure. Now resolved. The patient has a 70 pack year smoking history with COPD and likely restrictive defect secondary to obesity. The patient had an additional element of pulmonary edema in the setting of anxiety post-cath/lying flat/copious fluids peri-cath. The patient was continued on albuterol/atrovent nebs. . #. Anemia. Stable. Iron studies consistent with iron-deficiency. The patient also has a history of ACD and mild B12 deficiency. The patient was started on iron supplementation, and prior to discharge, she was transfused 1U PRBC for Hct 24 given her extensive cardiac history. After discharge, she was monitored for several hours for SOB, worsening DOE. She was able to ambulate and dress herself with baseline shortness of breath, oxygenation remained 97%. . #. Diabetes mellitus, type 2. Not well-controlled based on last HgA1c. The patient was continued on lantus and HISS. . # Urinary tract infection. The patient was given a dose of levaquin in the ED, but this was changed to ceftriaxone and then cefpodoxime as the patient had a history of quinonlone-resistant UTI in the past. Urine culture on this admission showed sensitivity to quinolones and cephalosporins. . # Hypothyroidism. TSH 3.1 during this admission. The patient was continued on her outpatient levothyroxine. . #. FEN : cardiac/[**Last Name (un) **] diet . #. Access: R PICC was placed for blood draws and d/c'd on discharge . #. PPx: - heparin sc . #. Code: FULL (confirmed with patient but would not want prolonged intubation) . Post Discharge Follow-up by PCP [**Name Initial (PRE) 105948**]: 1) Repeat creatinine, hct one week post discharge 2) Address whether to restart Diovan 160, HCTZ 25, and/or other diuretics 3) Repeat echo in 2 months to reassess EF and need for ICD placement Medications on Admission: diovan 160mg po qday aspirin 325 simvastatin 80 mg qday LANTUS 100 U/ML--155 units sq every morning LEVOTHYROXINE 150 MCG--One every day HCTZ 25mg qday levothyroxine 150mcg qday metformin 1000mg po bid lantus 155u sc qam HISS sliding scale FLONASE 50 mcg/Actuation--2 sprays each nostril once a day lasix 40mg qod (on hold on [**2124-1-19**]) spironolactone 25mg po qday (D/c'ed on [**2123-12-19**]) cranberry tablets (UTI prevention) Discharge Medications: 1. Aspirin 325 mg Tablet, Delayed Release (E.C.) Sig: One (1) Tablet, Delayed Release (E.C.) PO DAILY (Daily). 2. Clopidogrel 75 mg Tablet Sig: One (1) Tablet PO DAILY (Daily). Disp:*30 Tablet(s)* Refills:*2* 3. Fluticasone 50 mcg/Actuation Aerosol, Spray Sig: Two (2) Spray Nasal DAILY (Daily). 4. Levothyroxine 75 mcg Tablet Sig: Two (2) Tablet PO DAILY (Daily). Disp:*30 Tablet(s)* Refills:*2* 5. Simvastatin 40 mg Tablet Sig: Two (2) Tablet PO DAILY (Daily). Disp:*60 Tablet(s)* Refills:*2* 6. Cyanocobalamin 100 mcg Tablet Sig: 0.25 Tablet PO DAILY (Daily). Disp:*15 Tablet(s)* Refills:*2* 7. Ferrous Sulfate 325 (65) mg Tablet Sig: One (1) Tablet PO once a day. Disp:*30 Tablet(s)* Refills:*2* 8. Insulin Please continue your outpatient insulin (Lantus) regimen as before Discharge Disposition: Home With Service Facility: [**Hospital 119**] Homecare Discharge Diagnosis: Primary: coronary artery disease Non ST segment elevation myocardial infarction congestive heart failure acute renal insufficiency urinary tract infection . Secondary: diabetes mellitus obesity hypothyroidism iron deficiency anemia Discharge Condition: stable, saturating at baseline on room air Discharge Instructions: You had a heart attack as well as congestive heart failure. During cardiac catheterization, you had an occlusion in one of your coronary arteries which was subsequently opened. After this, you also had renal failure, which is now improving significantly. You will need to have your kidney function checked regularly until it returns to baseline. Please continue to take all of your medications as prescribed. Please weight yourself every day, maintain a low salt diet and call your doctor if you have a greater than 3 pound weight gain in [**12-14**] days, worsening swelling in your feet, or shortness of breath. Please call 911 or go to the emergency room if you have chest pain, chest pressure, shortness of breath, fever, chills, nausea/vomiting, or any other concerning symptoms. Followup Instructions: Please call [**Hospital3 **], [**Telephone/Fax (1) 250**], and schedule an appointment with your primary care physician or [**Name Initial (PRE) **] nurse practioner, to have your kidney function (creatinine) rechecked early next week. You already have to following appointments scheduled: Provider: [**First Name8 (NamePattern2) **] [**Last Name (NamePattern1) **], MD Phone:[**Telephone/Fax (1) 250**] Date/Time:[**2124-3-28**] 2:30 Provider: [**First Name11 (Name Pattern1) **] [**Last Name (NamePattern4) 647**], MD Phone:[**Telephone/Fax (1) 22**] Date/Time:[**2124-5-16**] 10:00 ICD9 Codes: 496, 5859, 5845, 412, 2449
{ "dataset_link": "https://huggingface.co/datasets/ricardosantoss/ehrcomplete_icdfiltered", "dataset_name": "ehrcomplete-icdfiltered", "id": 8113 }
Medical Text: Admission Date: [**2134-3-2**] Discharge Date: [**2134-3-14**] Date of Birth: [**2065-12-31**] Sex: M Service: MEDICINE Allergies: Patient recorded as having No Known Allergies to Drugs Attending:[**First Name3 (LF) 9554**] Chief Complaint: congestive heart failure Major Surgical or Invasive Procedure: cardiac catheterization History of Present Illness: This is a 68yo M with h/o IPF(on 4L home O2), h/o PE/DVT, diastolic heart failure with EF 55% who was admitted to the [**Hospital Unit Name 196**] service on [**3-5**] for severe CHF. According to the patient, he gained 10lbs and has increasing orthopnea despite increased lasix dose. On admission, pro-BNP noted to be 23K. Patient did not tolerate lasix and natrecor gtt secondary to hypotension. Patient also did not tolerate dopamine gtt secondary to tachycardia. Patient was evaluated by the CHF service and was electively cathed to evaluate right sided pressure. Catheterization showed mild pulmonary hypertension(34/20) with minimal improvement with 100% O2 and NO(38/22 and 32/19 respectively). ALso RA 19, RVEDP 19, PCWP 19 suggestive of restrictive cardiomyopathy. CI 1.8(4LO2) to CI 2.09(NO) cath completed by right femoral arterial sheath with minimal bleeding. Of note, patient had atrial fibrillation responding to beta blockade Past Medical History: 1. Idopathic pulmonary fibrosis, followed by Dr. [**First Name (STitle) **] and undergoing pulmonary rehab. Chronic home O2, 4 L. 2. htn 3. Pulm embolism '[**31**] 4. DVT '[**29**] 5. hyperlipidemia 6. CRI, baseline creat at 1.5 7. depression 8. diastolic CHF: EF 50-55% 9. hearing loss 10. macular degeneration 11. cholelithiasis 12.?sarcoidosis Social History: Retired in [**2127**]. Worked at [**Company 2676**] for 20 years as metal worker. social EtOH. one pack-year tobacco history. quit 35 years ago. Lives with wife.H as 1 son and 1 grandson. They live 25 minutes away. Family History: Mother passed from CAD, father from brain tumor. Physical Exam: T96.6 P90 RR11 BP 95/84 100% on 4L Gen- NAD caucasian gentleman HEENT-unremarkable, no carotid bruit CV_RRR, no r/m/g resp-crackles [**1-21**] bilaterally [**Last Name (un) 103**]-soft, nontender/nondistended ext-right groin swan in place, no hematoma, no femoral bruit, 2+pitting edema Pertinent Results: pro BNP 23, 485 bilateral LENI -no DVT TTE [**3-4**] EF50%2+TR 2+MT pMIBI [**10-22**]:normal without perfusion defects Brief Hospital Course: This is a 68yo M with h/o IPF(4L home O2), h/o PE/DVT, diastolic heart failure with EF 55%, now has restrictive cardiomyopathy. He was admitted in CCU for tailored diuresis.Despite aggresive diuresis with natrcor, lasix drip, bumex and metolazone, he fails to diurese. A search for the cause of restrictive cardiomyopathy included fat pad biopsy of the heart to rule out amyloidosis which was negative. Pyrophosphate scan and cardiac MRI was impossible since patient was unable to lie flat. Renal team was consulted for renal biopsy. According to them, since there is no protein in the urine, this is not consistent with renal amyloidosis and hence biopsy was not indicated. ULtrafiltration was considered but this is not a long term solution. Goal of care was discussed extensively with patient and family. Patient opted for comfort measures and hence was sent home with hospice. Discharge Medications: 1. Senna 8.6 mg Tablet Sig: One (1) Tablet PO BID (2 times a day) as needed. Disp:*30 Tablet(s)* Refills:*0* 2. Docusate Sodium 100 mg Capsule Sig: One (1) Capsule PO BID (2 times a day). Disp:*60 Capsule(s)* Refills:*0* 3. Morphine Concentrate 20 mg/mL Solution Sig: One (1) PO Q4-6H (every 4 to 6 hours) as needed: titrate to patient comfort. Disp:*QS QS* Refills:*0* 4. Trazodone HCl 50 mg Tablet Sig: 0.5 Tablet PO HS (at bedtime) as needed. Disp:*30 Tablet(s)* Refills:*0* 5. Scopolamine Base 1.5 mg Patch 72HR Sig: One (1) Transdermal q 3 days as needed for secretions: may place more than one patch to control secretions as needed. Disp:*30 30* Refills:*0* 6. Bisacodyl 5 mg Tablet Sig: One (1) Tablet PO DAILY (Daily) as needed. Disp:*30 Tablet(s)* Refills:*0* 7. Lorazepam 0.5 mg Tablet Sig: One (1) Tablet PO Q4-6H (every 4 to 6 hours) as needed: titrate to patient comfort. Disp:*30 Tablet(s)* Refills:*2* 8. Bumex 2 mg Tablet Sig: Two (2) Tablet PO twice a day. Disp:*60 Tablet(s)* Refills:*2* 9. Oxycodone-Acetaminophen 5-325 mg/5 mL Solution Sig: 5-10 MLs PO Q4-6H (every 4 to 6 hours) as needed. Disp:*QS ML(s)* Refills:*0* Discharge Disposition: Home With Service Facility: All Care VNA of Greater [**Location (un) **] Discharge Diagnosis: restrictive cardiomyopathy Idopathic pulmonary fibrosis, followed by Dr. [**First Name (STitle) **] and undergoing pulmonary rehab. Chronic home O2, 4 L. hypertension Pulm embolism '[**31**] DVT '[**29**] hyperlipidemia Chronic renal insufficiency, baseline creat at 1.5 depression diastolic congestive heart failure hearing loss macular degeneration cholelithiasis sarcoidosis Discharge Condition: poor Discharge Instructions: This patient's goals revolve around comfort. All reasonable efforts should be made to relieve pain or shortness of breath or whatever other discomforts the patient experiences. To this end, his ativan, scopolamine patch, and morphine should be titrated accordingly. Followup Instructions: PCP: [**Name10 (NameIs) 1576**],[**Name11 (NameIs) 1575**] [**Telephone/Fax (1) 1144**] [**First Name8 (NamePattern2) 2064**] [**Last Name (NamePattern1) **] MD [**MD Number(2) 2139**] Completed by:[**2134-3-14**] ICD9 Codes: 4280, 4254, 9971, 4271, 4168, 4019
{ "dataset_link": "https://huggingface.co/datasets/ricardosantoss/ehrcomplete_icdfiltered", "dataset_name": "ehrcomplete-icdfiltered", "id": 8114 }
Medical Text: Admission Date: [**2166-11-8**] Discharge Date: [**2166-11-13**] Date of Birth: [**2103-10-1**] Sex: F Service: [**Hospital1 **] CHIEF COMPLAINT: Hypotension HISTORY OF PRESENT ILLNESS: This is a 63-year-old woman with a history of hypertension, admitted to the Emergency Department after a fall. The patient states that she had about three-fourths of a glass of wine earlier in the night. She said she got out of bed to urinate, did not feel intoxicated, but did feel sleepy and tired. She was also walking in the dark. The patient then fell to the ground, and she believes she had loss of consciousness. She did not remember falling. She hit her left upper face and left elbow on the furniture. She denied any nausea, vomiting, diarrhea, lightheadedness, headache, weakness. She did not have any chest pain, palpitations, or sweating. After falling, the patient could not pick herself up. Every time she tried to pick herself up, she continued to fall again. She described her feeling as generalized weakness. The patient was then found by her daughter, sitting on the floor and unable to move. The daughter described her mother as being very short of breath and staring off into space. EMS was called, who brought the patient to [**Hospital1 69**]. In the Emergency Department, the patient's pressure was initially 90/60, which then dropped to 60/palp. Heart rate continued to stay in the 80s. Initial laboratories revealed white blood cells of 29.4, with a low-grade temperature. Sodium 118. She was treated with aggressive intravenous fluids and dopamine. She was also noted to have elevated CK, MB and troponin, with ST elevations in V2 through V4 in the Emergency Department. Echocardiogram performed in the Emergency Department did not demonstrate any wall motion abnormalities. The patient was transferred to the Intensive Care Unit, and she received a dose of stress-dose steroids. She was weaned off the dopamine. She was given a presumptive diagnosis of adrenal insufficiency, and transferred to the floor. PAST MEDICAL HISTORY: 1. Hypertension of several years' duration 2. Glaucoma 3. Status post cholecystectomy [**96**] years ago for cholangitis MEDICATIONS: 1. Candesartan 60 mg by mouth once daily 2. Lorazepam 0.5 mg by mouth daily at bedtime as needed 3. Timolol 0.5% one drop to both eyes twice a day ALLERGIES: Eggs - diarrhea and fever. FAMILY HISTORY: Father died at age 61 with coronary artery disease, myocardial infarction, question of arrhythmia. Mother had gastric cancer, bleeding ulcers, diabetes, died at 82. Sister died at age 38 with cancer of unknown origin. A brother died of lung cancer at age 67. A brother died of cancer at 58 with question of bone cancer. Her brother is living at 73 with prostate and bladder cancer. SOCIAL HISTORY: The patient lives in a house with her husband. She has been married since [**2127**]. She has a daughter and a son who help care for her husband because he is physically challenged. The patient has six children, all of whom are healthy. She used to smoke approximately 67 pack years, but quit recently. She drinks occasional alcohol, up to three glasses of wine on the weekends. She states that she feels safe at home, and denies any history of domestic violence. PHYSICAL EXAMINATION: In the Medical Intensive Care Unit, general is quiet, pleasant, in no acute distress. Head, eyes, ears, nose and throat: Ecchymosis and swelling at the left periorbital area. Visual acuity roughly intact, oropharynx dry, no lymphadenopathy, wasting of cheeks, temporal area, prominent forehead. Heart: Regular rate and rhythm, no murmurs, gallops or rubs. Lungs: Coarse breath sounds throughout. Abdomen: No hepatosplenomegaly, no inguinal lymphadenopathy. Extremities: No cyanosis, clubbing or edema. Neurologic: Grossly intact. LABORATORY DATA: White blood cells 29.4, hematocrit 41, platelets 405. Differential: 92 neutrophils, 0 bands, 4.6 lymphs. Urinalysis: Large blood, nitrate negative, 30 protein, white blood cells [**11-19**], 0 red blood cells. Chem 7: Sodium 115, potassium 5.1, chloride 79, bicarbonate 17, BUN 8, creatinine 0.8, glucose 80, anion gap 19. CK ranging from 468 to 875 to 933, MB of 12 and 32, MB index of 2.6 and 3.7, troponin 2.8 and 8.5. Toxicology screen: Ethanol 32. Serum osmolality 257. HOSPITAL COURSE: 1. Endocrine: The patient was initially admitted to the Medical Intensive Care Unit. After her blood pressure was unresponsive to a few liters of intravenous fluids and dopamine, the patient was given a stress dose of steroids, with rapid correction of her blood pressure. An initial diagnosis of adrenal insufficiency was made. However, after being transferred to the floor, the patient's cortisol, which was drawn prior to starting on the steroids, came back at 25. Endocrine consult was obtained, and they felt this was inconsistent with adrenal insufficiency. The patient was taken off her stress-dose steroids, and her blood pressure remained stable. Although it appears that the initial cortisol was drawn prior to getting the steroids, the patient will be referred for outpatient ACTH stim test to ensure the patient does not have any underlying adrenal insufficiency. 2. Cardiac: The patient had elevated cardiac enzymes and ST elevations in the setting of hypotension. The patient likely had a small myocardial infarction secondary to decreased blood supply in the setting of hypotension. The patient had initial echocardiogram in the Emergency Department, which was read as mildly depressed systolic function with apical akinesis to hypokinesis. The patient was sent for repeat echocardiogram three days after admission, which revealed an ejection fraction of greater than 50%, a left-to-right shunt across the intra-atrial septum, consistent with a secundum-type atrioseptal defect. Right ventricle was mildly dilated, aortic valve mildly thickened, mitral valve mildly thickened, trivial mitral regurgitation, mild pulmonary artery systolic hypertension. The patient remained stable, with no events on telemetry. Her electrocardiogram continued to demonstrate T wave inversions laterally. The patient was referred for ETT echo. The patient had normalization of her T wave inversions laterally, with mild 0.5 mm of ST segment depression which returned to [**Location 213**] after stopping. This occurred at a high double product. These were not felt to be significant. Echocardiogram final report is unavailable, but preliminary report revealed no wall motion abnormalities, consistent with ischemia. It is unlikely that the patient had a myocardial infarction precipitating her hypotension. 3. Hypotension: The exact cause of the patient's hypotension remains unclear. Should the patient turn out to be adrenally insufficient, this would provide an explanation. This does, however, appear unlikely. Her history is inconsistent with a seizure or cerebrovascular accident. The patient did receive 1 gram of ceftriaxone in the Emergency Department. It is possible she had some type of infection which this treated and allowed her immune system to recover. Again this is not clear to have occurred. It is possible the patient took more substantial doses of her medications than she stated. However, she appears to be a good historian and denies doing this. The patient was observed in-house for five days, and had normal to hypertensive blood pressures. The patient was restarted on her candesartan, and was started on Lopressor 12.5 mg by mouth twice a day, which the patient remained on and had high normal blood pressures. She remained stable and was ready for discharge. Of note, the patient also had a CT of the chest with contrast which demonstrated extensive emphysematous changes, small bilateral pleural effusions, and a multi-nodular goiter. No evidence of pulmonary embolism was seen. She had a CT of the abdomen and pelvis which did not reveal any evidence of hemorrhage. She had a cervical spine film which did not reveal fracture. She had a head CT which did not reveal acute intracranial bleed. It did show an old left caudate head lacunar infarct. 4. Elevated liver enzymes: The patient's liver enzymes initially went up into the several hundreds. This was believed to be the result of her hypotension and the patient having shock liver. Her liver function tests continued to decrease throughout her admission. Hepatitis serologies were drawn, but these are pending at the time of discharge. 5. Fluids, electrolytes and nutrition: The patient was volume depleted on admission. She was given intravenous fluids with some improvement in her symptoms. This may have occurred from decreased oral intake and alcohol use. 6. Alcohol use: The patient admits to drinking up to three glasses of wine on a weekend day. She was advised about the risks of drinking excessive amounts of alcohol, and its possibility to include fall, liver damage. 7. Weight loss: The patient notes a 60 pound weight loss over the past many months. She states this is unintentional, but she has noticed a decrease in her appetite. She had negative head CT, chest, abdomen and pelvis CT, and has had negative colonoscopy in the past year. There is no clear etiology to her weight loss, and this needs to be followed up as an outpatient. CONDITION AT DISCHARGE: Stable. DISCHARGE STATUS: The patient was discharged to home with her family. She will follow up on the day after discharge to have ACTH stim test performed. She will then follow up with her primary care physician in one week. DISCHARGE DIAGNOSIS: 1. Hypotension of unclear etiology 2. Myocardial infarction secondary to hypotension 3. Shock liver 4. Volume depletion 5. Multi-nodular goiter 6. Hypertension 7. Weight loss DISCHARGE MEDICATIONS: 1. Candesartan 60 mg by mouth once daily 2. Lopressor 12.5 mg by mouth twice a day 3. Lorazepam 0.5 mg by mouth daily at bedtime 4. Timolol 0.5% one drop to both eyes twice a day [**First Name11 (Name Pattern1) 2515**] [**Last Name (NamePattern4) 4517**], M.D. [**MD Number(1) 4521**] Dictated By:[**Name8 (MD) 17420**] MEDQUIST36 D: [**2166-11-13**] 21:32 T: [**2166-11-14**] 02:44 JOB#: [**Job Number **] ICD9 Codes: 4589, 2765, 4019
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Medical Text: Admission Date: [**2153-7-15**] Discharge Date: [**2153-8-10**] Date of Birth: [**2070-7-21**] Sex: F Service: SURGERY Allergies: No Known Allergies / Adverse Drug Reactions Attending:[**First Name3 (LF) 17197**] Chief Complaint: Left Lower Quadrant pain s/p fall Major Surgical or Invasive Procedure: [**2153-7-18**]:Endovascular repair of abdominal aortic aneurysm History of Present Illness: 82F w/ h/o chronic LE venous stasis disease w/ LLE swelling and multiple falls s/p mechanical fall two days ago that caused LUE injuries including possible regional hand/wrist fracture, elbow lac and hand/arm ecchymosis/pain. She was attempting to get up from chair but felt weak and couldn't support herself. She denies head trauma/LOC. Presented to [**Hospital1 18**] [**Location (un) 620**] ED and was discharged after negative work-up. The patient also c/o LLQ/flank pain that had started shortly after fall but this has been persistently intermittent and worse with movement. She is unable to definitively state if she had hit her LLQ/flank w/ fall. She returned to the [**Hospital1 18**] [**Location (un) 620**] ED earlier today. She denies F/C/N/V/SOB/CP/changes in bowel/bladder function. On w/u a CT torso w/ contrast was performed that demonstrated incidental finding of 6x5.6cm infrarenal AAA w/o any evidence of extravasation. We are consulted for AAA. Past Medical History: Hypertension Hypothyroidism LLE DVT Dementia Chronic LLE edema/rash Multiple falls Frontal hematoma cholecystectomy Social History: lives in senior housing, lives alone and ambulates w/ walker, has remote smoking history, denies ETOH/IVDU Family History: NC Physical Exam: PHYSICAL EXAM Vital Signs: Temp: 96.8 RR: 16 Pulse: 70 BP: 190/91 O2 Sat: 96%3L Neuro/Psych: Oriented x3, Affect Normal, NAD. Heart: Regular rate and rhythm. Lungs: Clear, Normal respiratory effort. Gastrointestinal: Non distended, Obese, +LLQ/flank TTP mostly localized to ASIS/lat abdomen, no ecchymosis, no TTP otherwise, no guarding/rebound. Rectal: Not Examined. Extremities: Abnormal: LLE edema/erythema/scaling w/ venous stasis changes. Pulse Exam (P=Palpation, D=Dopplerable, N=None) RLE Femoral: P. Popiteal: D. DP: D. PT: N. LLE Femoral: P. Popiteal: D. DP: D. PT: N. Pertinent Results: [**2153-7-15**] 06:38AM BLOOD WBC-7.8 RBC-3.95* Hgb-12.1 Hct-35.9* MCV-91 MCH-30.6 MCHC-33.6 RDW-14.5 Plt Ct-153 [**2153-8-4**] 03:28AM BLOOD WBC-8.1 RBC-3.16* Hgb-9.4* Hct-29.3* MCV-93 MCH-29.8 MCHC-32.2 RDW-16.6* Plt Ct-204 [**2153-8-5**] 12:26AM BLOOD WBC-7.1 RBC-2.78* Hgb-8.5* Hct-25.7* MCV-93 MCH-30.5 MCHC-33.0 RDW-16.8* Plt Ct-189 [**2153-8-6**] 03:41AM BLOOD WBC-6.3 RBC-2.76* Hgb-8.6* Hct-26.0* MCV-94 MCH-31.2 MCHC-33.1 RDW-16.9* Plt Ct-156 [**2153-8-7**] 02:21AM BLOOD WBC-5.9 RBC-2.74* Hgb-8.4* Hct-26.0* MCV-95 MCH-30.8 MCHC-32.5 RDW-17.1* Plt Ct-163 [**2153-8-8**] 04:00AM BLOOD WBC-5.7 RBC-2.75* Hgb-8.2* Hct-25.5* MCV-93 MCH-29.9 MCHC-32.2 RDW-17.2* Plt Ct-136* [**2153-8-9**] 04:35AM BLOOD WBC-5.9 RBC-2.58* Hgb-8.0* Hct-24.3* MCV-94 MCH-31.1 MCHC-33.0 RDW-17.3* Plt Ct-139* [**2153-8-10**] 06:42AM BLOOD WBC-4.9 RBC-2.84* Hgb-8.9* Hct-26.5* MCV-93 MCH-31.3 MCHC-33.6 RDW-17.4* Plt Ct-129* [**2153-8-9**] 04:35AM BLOOD PT-13.0 PTT-63.6* INR(PT)-1.1 [**2153-8-10**] 06:42AM BLOOD Plt Ct-129* [**2153-7-15**] 06:38AM BLOOD Glucose-111* UreaN-26* Creat-1.1 Na-142 K-3.9 Cl-104 HCO3-28 AnGap-14 [**2153-8-4**] 03:28AM BLOOD Glucose-117* UreaN-41* Creat-1.4* Na-146* K-3.9 Cl-104 HCO3-35* AnGap-11 [**2153-8-5**] 12:26AM BLOOD Glucose-112* UreaN-40* Creat-1.3* Na-144 K-3.7 Cl-103 HCO3-34* AnGap-11 [**2153-8-6**] 03:41AM BLOOD Glucose-110* UreaN-36* Creat-1.4* Na-139 K-3.9 Cl-100 HCO3-33* AnGap-10 [**2153-8-7**] 02:21AM BLOOD Glucose-122* UreaN-38* Creat-1.3* Na-138 K-4.1 Cl-99 HCO3-34* AnGap-9 [**2153-8-8**] 04:00AM BLOOD Glucose-122* UreaN-43* Creat-1.3* Na-139 K-4.5 Cl-100 HCO3-34* AnGap-10 [**2153-8-9**] 04:35AM BLOOD Glucose-243* UreaN-59* Creat-1.4* Na-140 K-4.0 Cl-101 HCO3-31 AnGap-12 [**2153-7-18**] 06:41PM BLOOD CK(CPK)-78 [**2153-7-19**] 03:59AM BLOOD CK(CPK)-146 [**2153-7-19**] 12:27PM BLOOD CK(CPK)-651* [**2153-7-20**] 03:07AM BLOOD CK(CPK)-1134* [**2153-7-20**] 10:32AM BLOOD CK(CPK)-952* [**2153-7-21**] 03:06AM BLOOD CK(CPK)-1518* [**2153-7-30**] 02:59AM BLOOD ALT-18 AST-20 AlkPhos-92 TotBili-0.3 [**2153-8-5**] 12:26AM BLOOD ALT-23 AST-23 LD(LDH)-193 AlkPhos-92 TotBili-0.4 [**2153-7-18**] 06:41PM BLOOD CK-MB-4 cTropnT-<0.01 [**2153-7-19**] 03:59AM BLOOD CK-MB-4 cTropnT-<0.01 [**2153-7-19**] 12:27PM BLOOD CK-MB-7 cTropnT-<0.01 [**2153-7-20**] 03:07AM BLOOD CK-MB-6 [**2153-7-21**] 03:06AM BLOOD CK-MB-14* MB Indx-0.9 [**2153-7-27**] 02:09AM BLOOD calTIBC-190* Ferritn-285* TRF-146* [**2153-7-28**] 02:09AM BLOOD calTIBC-196* Ferritn-270* TRF-151* [**2153-8-4**] 06:41PM BLOOD %HbA1c-5.5 eAG-111 [**2153-7-17**] 04:15PM BLOOD T4-8.2 [**2153-8-9**] 09:15PM BLOOD T4-5.4 T3-46* [**2153-8-3**] 05:50AM BLOOD Vanco-26.5* [**Known lastname **],[**Known firstname 95**] [**Medical Record Number 97044**] F 83 [**2070-7-21**] Radiology Report MR HEAD W/O CONTRAST Study Date of [**2153-8-4**] 9:19 AM [**Last Name (LF) **],[**First Name7 (NamePattern1) **] [**Initial (NamePattern1) **] [**Last Name (NamePattern4) 6889**] CSRU [**2153-8-4**] 9:19 AM MR HEAD W/O CONTRAST Clip # [**Clip Number (Radiology) 97045**] Reason: eval for stroke [**Hospital 93**] MEDICAL CONDITION: 83 year old woman with left sided weakness REASON FOR THIS EXAMINATION: eval for stroke CONTRAINDICATIONS FOR IV CONTRAST: None. Provisional Findings Impression: AFSN SAT [**2153-8-4**] 12:56 PM Somewhat limited study by motion. Acute right periventricular subcortical infarct is seen. Other hyperintensities on diffusion images could be due to shine through or subacute infarcts. Severe changes of small vessel disease are seen. Also noted is a 2-cm mass partially visualized on diffusion images within the right parotid. This can be further evaluated with CT of the neck or MRI of the neck as clinically appropriate. Final Report EXAM: MRI of the brain. CLINICAL INFORMATION: Patient with left-sided weakness. TECHNIQUE: T1 sagittal and FLAIR T2 susceptibility and diffusion axial images of the brain were acquired. Correlation was made with CT of [**2153-7-24**]. FINDINGS: Diffusion images demonstrate an area of acute subcortical periventricular infarct in the right periventricular region adjacent to the posterior portion of the body of the right lateral ventricle. Subtle hyperintensities in the left periventricular region and right occipital region on diffusion images appear to be T2 shine through or could be due to subacute infarcts. Diffuse small vessel disease is identified in the white matter. Several subcortical lacunes are seen in both basal ganglia region. Thalami also demonstrate chronic infarcts. There is mild to moderate brain atrophy seen. Vascular flow voids are maintained. IMPRESSION: Somewhat limited study by motion. Acute right periventricular subcortical infarct is seen. Other hyperintensities on diffusion images could be due to shine through or subacute infarcts. Severe changes of small vessel disease are seen. Also noted is a 2-cm mass partially visualized on diffusion images within the right parotid. This can be further evaluated with CT of the neck or MRI of the neck as clinically appropriate. [**Known lastname **],[**Known firstname 95**] [**Medical Record Number 97044**] F 83 [**2070-7-21**] Radiology Report CHEST (PORTABLE AP) Study Date of [**2153-8-5**] 1:22 PM [**Last Name (LF) **],[**First Name7 (NamePattern1) **] [**Initial (NamePattern1) **] [**Last Name (NamePattern4) 6889**] CSRU [**2153-8-5**] 1:22 PM CHEST (PORTABLE AP) Clip # [**Clip Number (Radiology) 97046**] Reason: please eval interval change [**Hospital 93**] MEDICAL CONDITION: 83 year old woman with s/p EVAR, post-op course c/b respiratory failure REASON FOR THIS EXAMINATION: please eval interval change Final Report HISTORY: Status post EVAR, respiratory failure. CHEST, SINGLE AP PORTABLE VIEW. A stent overlies the midline in the upper abdomen, presumably an aortic stent. An oral-type tube is present, extending beneath diaphragm, overlying stomach. Right IJ central line is present, tip over distal SVC. There is mild cardiomegaly. The left hemidiaphragm is slightly elevated, with patchy opacity at the left base with possible minimal pleural effusion. Upper zone redistribution, without overt CHF. Minimal atelectasis right base. No focal consolidation or pleural effusion on the right. ? background COPD. [**Known lastname **],[**Known firstname 95**] [**Medical Record Number 97044**] F 83 [**2070-7-21**] Radiology Report VIDEO OROPHARYNGEAL SWALLOW Study Date of [**2153-8-9**] 1:10 PM [**Last Name (LF) **],[**First Name7 (NamePattern1) **] [**Initial (NamePattern1) **] [**Last Name (NamePattern4) 6889**] FA5 [**2153-8-9**] 1:10 PM VIDEO OROPHARYNGEAL SWALLOW Clip # [**Clip Number (Radiology) 97047**] Reason: video swallow eval [**Hospital 93**] MEDICAL CONDITION: 83 year old woman with swallowing difficulty REASON FOR THIS EXAMINATION: video swallow eval Wet Read: [**First Name9 (NamePattern2) **] [**Doctor First Name **] [**2153-8-9**] 1:40 PM 1. Mild penetration with thin barium. 2. Difficulty and delay in bolus formation in the oral cavity at the initiation of the oropharyngeal phase of swallowing. Wet Read Audit # 1 Final Report HISTORY: 83-year-old woman, with swallowing difficulty. COMPARISON: None. TECHNIQUE: Swallowing oropharyngeal fluoroscopy was performed in conjunction with the speech and swallow division. Multiple consistencies of barium were administered. FINDINGS: The patient continues to demonstrate difficulty in initiation of bolus formation. There is also reduced hyolaryngeal excursion. Minimal penetration is noted with thin barium, but there is no frank aspiration. There is no induced gag reflex or cough. IMPRESSION: 1. Mild penetration with thin barium. 2. Difficulty and delay in bolus formation, and reduced hyolaryngeal excursion. Please refer to the speech therapist's report for detailed evaluation and recommendation. [**Hospital1 18**] ECHOCARDIOGRAPHY REPORT [**Known lastname **], [**Known firstname 95**] [**Hospital1 18**] [**Numeric Identifier 97048**]TTE (Complete) Done [**2153-7-23**] at 11:48:27 AM FINAL Referring Physician [**Name9 (PRE) **] Information [**Name9 (PRE) **], [**First Name11 (Name Pattern1) **] [**Initial (NamePattern1) **] [**Last Name (NamePattern4) 18**], Division of Vascular [**Last Name (un) **] [**Hospital Unit Name 22682**] [**Location (un) 86**], [**Numeric Identifier 718**] Status: Inpatient DOB: [**2070-7-21**] Age (years): 83 F Hgt (in): 67 BP (mm Hg): 149/53 Wgt (lb): 173 HR (bpm): 77 BSA (m2): 1.90 m2 Indication: New atrial fibrillation. ?thrombus. ICD-9 Codes: 427.31, 424.0, 424.2 Test Information Date/Time: [**2153-7-23**] at 11:48 Interpret MD: [**First Name11 (Name Pattern1) **] [**Last Name (NamePattern4) 4083**], MD Test Type: TTE (Complete) Son[**Name (NI) 930**]: [**First Name8 (NamePattern2) 2270**] [**Last Name (NamePattern1) **] Doppler: Full Doppler and color Doppler Test Location: West Echo Lab Contrast: None Tech Quality: Suboptimal Tape #: 2011W000-0:00 Machine: Vivid q-1 Echocardiographic Measurements Results Measurements Normal Range Left Atrium - Long Axis Dimension: 2.6 cm <= 4.0 cm Left Atrium - Four Chamber Length: *5.8 cm <= 5.2 cm Right Atrium - Four Chamber Length: *5.3 cm <= 5.0 cm Left Ventricle - Septal Wall Thickness: *1.4 cm 0.6 - 1.1 cm Left Ventricle - Inferolateral Thickness: *1.2 cm 0.6 - 1.1 cm Left Ventricle - Diastolic Dimension: 3.4 cm <= 5.6 cm Left Ventricle - Systolic Dimension: 2.1 cm Left Ventricle - Fractional Shortening: 0.38 >= 0.29 Left Ventricle - Ejection Fraction: >= 60% >= 55% Left Ventricle - Stroke Volume: 71 ml/beat Left Ventricle - Cardiac Output: 5.46 L/min Left Ventricle - Cardiac Index: 2.87 >= 2.0 L/min/M2 Left Ventricle - Lateral Peak E': 0.14 m/s > 0.08 m/s Left Ventricle - Septal Peak E': *0.06 m/s > 0.08 m/s Left Ventricle - Ratio E/E': 10 < 15 Aorta - Sinus Level: 3.5 cm <= 3.6 cm Aorta - Ascending: 3.2 cm <= 3.4 cm Aorta - Arch: 2.7 cm <= 3.0 cm Aortic Valve - Peak Velocity: 1.9 m/sec <= 2.0 m/sec Aortic Valve - LVOT VTI: 25 Aortic Valve - LVOT diam: 1.9 cm Aortic Valve - Pressure Half Time: 553 ms Mitral Valve - E Wave: 1.0 m/sec Mitral Valve - E Wave deceleration time: 219 ms 140-250 ms TR Gradient (+ RA = PASP): *36 mm Hg <= 25 mm Hg Findings LEFT ATRIUM: Elongated LA. No LA mass/thrombus (best excluded by TEE). RIGHT ATRIUM/INTERATRIAL SEPTUM: Mildly dilated RA. LEFT VENTRICLE: Mild symmetric LVH with normal cavity size and regional/global systolic function (LVEF>55%). Estimated cardiac index is normal (>=2.5L/min/m2). No resting LVOT gradient. RIGHT VENTRICLE: Normal RV chamber size and free wall motion. AORTA: Normal diameter of aorta at the sinus, ascending and arch levels. AORTIC VALVE: Mildly thickened aortic valve leaflets (3). No AS. Trace AR. MITRAL VALVE: Mildly thickened mitral valve leaflets. Mild mitral annular calcification. Mild (1+) MR. TRICUSPID VALVE: Normal tricuspid valve leaflets. Mild [1+] TR. Mild PA systolic hypertension. PULMONIC VALVE/PULMONARY ARTERY: Pulmonic valve not visualized. No PS. Physiologic PR. PERICARDIUM: No pericardial effusion. GENERAL COMMENTS: Suboptimal image quality - poor echo windows. The patient appears to be in sinus rhythm. Frequent atrial premature beats. Conclusions The left atrium is elongated. No left atrial mass/thrombus seen (best excluded by transesophageal echocardiography). There is mild symmetric left ventricular hypertrophy with normal cavity size and regional/global systolic function (LVEF>55%). The estimated cardiac index is normal (>=2.5L/min/m2). Right ventricular chamber size and free wall motion are normal. The diameters of aorta at the sinus, ascending and arch levels are normal. The aortic valve leaflets (3) are mildly thickened but aortic stenosis is not present. Trace aortic regurgitation is seen. The mitral valve leaflets are mildly thickened. Mild [1+] mitral regurgitation is seen. There is mild pulmonary artery systolic hypertension. There is no pericardial effusion. IMPRESSION: Suboptimal image quality. Mild symmetric left ventricular hypertrophy with preserved global and regional biventricular systolic function. Pulmonary artery systolic hypertension. Mild mitral regurgitation. No intra-atrial thrombus seen (best excluded by TEE). Brief Hospital Course: [**7-17**]- Cleared by Medicine team for OR. Underwent emergent EVAR that evening for worsening abdominal pain. [**7-18**]- Intubated for resp distress and pressors started. Transferred to CVICU. Underwent emergent Bronch for RLL collapse [**7-19**]- Intubated, sedated. CTA done, negative for PE. LENIs neg for clot. [**7-20**]- Started Vanc and Zosyn for VAP. Continue diuresis [**7-21**]- Tube feeds started via dobhoff. Continue diuresis. [**7-22**]- Extubated. Tube feeds at goal. Antibiotics discontinued. [**7-23**]-Amiodarone gtt started for intermittent rapid atrial fibrillation. Continue diuresis.Echo done- EF >60%. [**7-24**]-Continue aggressive pulm toilet. Continue Tube feeds.Geriatrics consulted for lethargy/ICU delirium.CT head negative. [**7-25**]- Converted to Sinus rhythm. Reintubated overnight for somnolence, inability to clear secretions. [**7-26**]-Intubated. Started on Vanc/Zosyn for hospital aquired pneumonia, GNR in sputum. Bronchoscopy showed left pleural effusion, BAL with GN diplococci and Staph auresu coag +.. [**7-27**]-Continue lasix with diamox. [**7-28**]-mental status improving. Extubated. [**7-29**]-SVT. Vancomycin discontinued. Requiring bipap PRN and NT suctioning. Family meeting [**7-30**]- [**7-31**]-Bursts of Afib.Episode of emesis with turning, concerning for possible aspiration. Tube feeds held. Bedside swallow eval done-pt made NPO. CXR done. Still lethargic with minimal left arm movement. Neurology consulted and recommended MRI brain and to continue aspirin. [**8-1**]- Pt more awake. Back in atrial fibrillation- titrated lopressor and continue amiodarone. [**8-2**]-Improving mental status. Bedside swallow re-eval: continue NPO. [**8-3**]- Amiodarone changed to 400mg po BID. No Coumadin secondary to fall risk. PT eval. [**8-4**]-MRI:acute right periventricular subcortical infart. Likely embolic per Neuro. with left sided weakness. Heparin gtt started per Neurology recomendations as not a coumadin candidate given history of falls. Aspirin d/c'd. [**8-5**]- Tube feeds restarted. [**8-6**]- Antibiotics discontinued. Statin started. Carotid ultrasound done- <30% [**Doctor First Name 3098**], [**Country **] cannot be seen due to presence of dressing. PT re-eval. Speech and swalllow: ground solids/thin liqs. Nutrition consult. [**8-7**]-Neurology signed off. Dobhoff removed. Diet advanced. Heparin gtt continues.Continue diuresis. OT eval. [**8-8**]-Continues on Heparin gtt. Calorie counts for poor po intake. Speech and Swallow recommended ground solids and thin liquids, meds crushed in applesauce. [**8-9**]-Transferred to floor. ? aspirated while eating breakfast. Speech and Swallow re-eval with video swallow: rec nectar thick liqs and moist soft diet with 1:1 supervision. Transfused 1unit of PRBCs for hct 24.3. [**8-10**]-Heparin gtt discontinued. Started on 325mg of Aspirin for embolic stroke.Hct stable at 26 Medications on Admission: amlodipine 10', levothyroxine 112mcg', valsartan [Diovan] 320', vit B1' Discharge Medications: 1. albuterol sulfate 2.5 mg /3 mL (0.083 %) Solution for Nebulization [**Month/Year (2) **]: One (1) neb Inhalation Q4H (every 4 hours) as needed for wheeze. 2. ipratropium bromide 0.02 % Solution [**Month/Year (2) **]: One (1) neb Inhalation Q6H (every 6 hours) as needed for wheeze. 3. docusate sodium 50 mg/5 mL Liquid [**Month/Year (2) **]: Fifty (50) mg PO BID (2 times a day): Hold for loose stools. 4. levothyroxine 112 mcg Tablet [**Month/Year (2) **]: One (1) Tablet PO DAILY (Daily). 5. acetaminophen 325 mg Tablet [**Month/Year (2) **]: 1-2 Tablets PO Q6H (every 6 hours) as needed for pain/fever. 6. lansoprazole 30 mg Tablet,Rapid Dissolve, DR [**Last Name (STitle) **]: One (1) Tablet,Rapid Dissolve, DR [**Last Name (STitle) **] DAILY (Daily). 7. valsartan 160 mg Tablet [**Last Name (STitle) **]: Two (2) Tablet PO DAILY (Daily). 8. amiodarone 200 mg Tablet [**Last Name (STitle) **]: Two (2) Tablet PO BID (2 times a day) for 1 weeks. 9. amiodarone 200 mg Tablet [**Last Name (STitle) **]: One (1) Tablet PO twice a day for 1 weeks: Start after 400 [**Hospital1 **] taper finished. 10. amiodarone 200 mg Tablet [**Hospital1 **]: One (1) Tablet PO once a day: Continue after 200mg [**Hospital1 **] taper until follow up with PCP. 11. simvastatin 10 mg Tablet [**Hospital1 **]: One (1) Tablet PO DAILY (Daily). 12. metoprolol tartrate 25 mg Tablet [**Hospital1 **]: One (1) Tablet PO TID (3 times a day). 13. hydralazine 10 mg Tablet [**Hospital1 **]: One (1) Tablet PO q6H PRN as needed for SBP>140. 14. miconazole nitrate 2 % Powder [**Hospital1 **]: One (1) Appl Topical TID (3 times a day) as needed for yeast. 15. dextrose 50% in water (D50W) Syringe [**Hospital1 **]: One (1) Intravenous PRN (as needed) as needed for hypoglycemia protocol. 16. glucagon (human recombinant) 1 mg Recon Soln [**Hospital1 **]: One (1) Recon Soln Injection Q15MIN () as needed for hypoglycemia protocol. 17. Regular Insulin Sliding Scale Breakfast Lunch Dinner Bedtime Regular 0-70 Proceed with hypoglycemia protocol 71-150 0Units 0Units 0Units 0Units 151-200 3Units 3Units 3Units 3Units 201-250 6Units 6Units 6Units 6Units 251-300 9Units 9Units 9Units 9Units 301-350 12Units 12Units 12Units 12Units > 350 Notify M.D. Notify 18. aspirin 325 mg Tablet, Delayed Release (E.C.) [**Hospital1 **]: One (1) Tablet, Delayed Release (E.C.) PO once a day: for stroke prophylaxis as coumadin contraindicated. 19. heparin [**Hospital1 **]: 5000 (5000) units Subcutaneous three times a day: For DVT prophylaxis. [**Month (only) 116**] discontinue when ambulating TID. Discharge Disposition: Extended Care Facility: [**Hospital3 1107**] [**Hospital **] Hospital - [**Location (un) 38**] Discharge Diagnosis: Abdominal Aortic Aneurysm Respiratory Failure Embolic CVA Atrial Fibrillation Anemia Discharge Condition: Mental Status: Confused - sometimes. Level of Consciousness: Lethargic but arousable. Activity Status: Out of Bed with assistance to chair or wheelchair. Discharge Instructions: Division of Vascular and Endovascular Surgery Endovascular Abdominal Aortic Aneurysm (AAA) Discharge Instructions Medications: ?????? Take Aspirin 325mg (enteric coated) once daily ?????? Do not stop Aspirin unless your Vascular Surgeon instructs you to do so. ?????? Continue all other medications you were taking before surgery, unless otherwise directed ?????? You make take Tylenol or prescribed pain medications for any post procedure pain or discomfort What to expect when you go home: It is normal to have slight swelling of the legs: ?????? Elevate your leg above the level of your heart (use [**3-22**] pillows or a recliner) every 2-3 hours throughout the day and at night ?????? Avoid prolonged periods of standing or sitting without your legs elevated It is normal to feel tired and have a decreased appetite, your appetite will return with time ?????? Drink plenty of fluids and eat small frequent meals ?????? It is important to eat nutritious food options (high fiber, lean meats, vegetables/fruits, low fat, low cholesterol) to maintain your strength and assist in wound healing ?????? To avoid constipation: eat a high fiber diet and use stool softener while taking pain medication What activities you can and cannot do: ?????? When you go home, you may walk and go up and down stairs ?????? You may shower (let the soapy water run over groin incision, rinse and pat dry) ?????? Your incision may be left uncovered, unless you have small amounts of drainage from the wound, then place a dry dressing or band aid over the area that is draining, as needed ?????? No heavy lifting, pushing or pulling (greater than 5 lbs) for 1 week (to allow groin puncture to heal) ?????? After 1 week, you may resume sexual activity ?????? After 1 week, gradually increase your activities and distance walked as you can tolerate ?????? No driving until you are no longer taking pain medications ?????? Call and schedule an appointment to be seen in [**5-23**] weeks for post procedure check and CTA What to report to office: ?????? Numbness, coldness or pain in lower extremities ?????? Temperature greater than 101.5F for 24 hours ?????? New or increased drainage from incision or white, yellow or green drainage from incisions ?????? Bleeding from groin puncture site SUDDEN, SEVERE BLEEDING OR SWELLING (Groin puncture site or incision) ?????? Lie down, keep leg straight and have someone apply firm pressure to area for 10 minutes. If bleeding stops, call vascular office. If bleeding does not stop, call 911 for transfer to closest Emergency Room. Followup Instructions: Provider: [**First Name11 (Name Pattern1) **] [**Last Name (NamePattern4) 20205**], MD Phone:[**Telephone/Fax (1) 20206**] Date/Time:[**2153-9-14**] 12:30 Provider: [**Name10 (NameIs) **] SCAN Phone:[**Telephone/Fax (1) 327**] Date/Time:[**2153-9-14**] 11:30 Completed by:[**2153-8-10**] ICD9 Codes: 5185, 5070, 2930, 5180, 2449, 412
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Medical Text: Admission Date: [**2143-4-14**] Discharge Date: [**2143-5-13**] Date of Birth: [**2143-2-17**] Sex: M Service: NBB Interim summary covering [**2143-4-8**] to [**2143-5-13**]. SUMMARY OF HOSPITAL COURSE BY SYSTEMS: Respiratory: He had no apnea or bradycardia during the time covered in this interim dictation. He did have some desaturations associated with feeding, but none were associated with color change. He did have 1 desaturation on [**5-8**], not associated with a feeding. At the time of his discharge, he was free of desaturations or apnea greater than 5 days prior to his discharge. Cardiovascular: He was cardiovascularly stable during this interim period. Fluids, Electrolytes and Nutrition: He was decreased in his calories to Similac 20 calories per ounce. He was taking ad lib feedings with a minimum of 130 ml/kg/day. His discharge weight was 3585 g. Hematology: His most recent hematocrit from the [**5-17**] was 27.6%. He will be discharged home on iron supplementation. Neurology: He had a left subgaleal shunt placed at [**Hospital3 18242**] on the [**5-8**]. He stayed at [**Hospital3 18242**] for 1 week after that. He came back to [**Hospital3 **] Hospital and was managed with neurosurgical removal of fluid around the shunt intermittently at the bedside. At the time of his discharge, he had had 3 stable head ultrasound without interval removal of fluid. Head ultrasound findings were summarized as follows - he continued to have asymmetric right ventricle and left ventricle with normal amount of cerebrospinal fluid, no ventriculomegaly on the left, small area of cystic development in the periventricular white matter on the left, evidence of bilateral subgaleal shunt placement. His resistive indices remained elevated with compression, but were otherwise normal. He has been seen frequently by Neurosurgery and Neurology and will have follow- up on Thursday, [**5-16**] with Neurosurgery as an outpatient with ultrasound to be performed at that time. He will also have close follow-up with Dr. [**First Name8 (NamePattern2) **] [**Name (STitle) **] in Pediatric Neonatal Neurology in [**3-1**] weeks' time. Referral has been made to Neonatal [**Hospital 878**] Clinic and they will contact parents with appointment information. Neurosurgical clinical coordinator, [**Female First Name (un) 60451**], will also be contacting the parents for appointments. Her contact phone number is [**Telephone/Fax (1) 60452**]. Audiology: He passed his hearing screening. Ophthalmology: Most recent ophthalmological examination showed mature retinas. He will need follow-up in [**6-5**] months' time with Pediatric Ophthalmology. Immunizations: He received hepatitis B vaccination. His car seat position testing was passed. CONDITION ON DISCHARGE: Stable. DISCHARGE DISPOSITION: Home. NAME OF PRIMARY PEDIATRICIAN: Dr. [**First Name4 (NamePattern1) **] [**Last Name (NamePattern1) **], phone number [**Telephone/Fax (1) 37802**], fax number [**Telephone/Fax (1) 38332**], [**Hospital 1426**] Pediatrics. CARE AND RECOMMENDATIONS: Feeds at Discharge: Similac 20 ad lib. Medications: Ferrous sulfate 0.35 ml by mouth daily. DISCHARGE DIAGNOSES: Prematurity at 28 2/7 weeks, respiratory distress syndrome, resolved, staph aureus sepsis status post 30 day course of oxacillin, patent ductus arteriosus status post indomethacin, post-hemorrhagic hydrocephalus status post bilateral subgaleal shunt placement. HEALTH CARE MAINTENANCE: [**Known lastname **] was circumcised on [**5-10**]. There is a small amount of swelling without evidence of induration or infection at the inferior incision. [**First Name11 (Name Pattern1) 449**] [**Last Name (NamePattern1) **], [**MD Number(1) 54604**] Dictated By:[**Last Name (NamePattern1) **] MEDQUIST36 D: [**2143-5-13**] 12:37:28 T: [**2143-5-13**] 13:08:09 Job#: [**Job Number 60453**] ICD9 Codes: V290
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Medical Text: Admission Date: [**2136-2-26**] Discharge Date: [**2136-3-14**] Date of Birth: [**2136-2-26**] Sex: M Service: Neonatology HISTORY: [**Known lastname **] [**Known lastname 49913**], Twin #1 was born at 35-1/7 weeks gestation by cesarean section for onset of labor and known breech presentation of Twin #2. The mother is a 37-year-old gravida 4, para 3, now 5 woman. Prenatal screens were blood type O+, antibody negative, rubella immune, RPR nonreactive, and hepatitis surface antigen negative, and group B Strep positive. This was a spontaneous twin pregnancy. The pregnancy was complicated by anemia. The rupture of membranes occurred at the time of delivery. There was no antepartum fever. This twin emerged vigorous. Apgars were eight at one minute and eight at five minutes. Birth weight is 2,410 grams, birth length 47.5 cm, and birth head circumference 32 cm. ADMISSION PHYSICAL EXAMINATION: Vigorous, nondysmorphic preterm male infant. Anterior fontanel is soft and flat. Positive bilateral red reflex, intact palate. Positive substernal intercostal retractions and grunting, decreased air entry, but breath sounds equal. Heart with regular, rate, and rhythm, no murmur. Pink and well perfused. Femoral pulses +2. Abdomen is soft and nontender without masses. Three vessel umbilical cord. Testes descending, patent anus. Sacrum without dimples. Stable hip examination and age appropriate tone and reflexes. HOSPITAL COURSE BY SYSTEMS: Respiratory status: The infant was intubated soon after admission to the NICU for respiratory distress. He received one dose of surfactant and then weaned to room air within the first 24 hours and has remained on room air since that time. He had occasional episodes of apnea and bradycardia never requiring any methylxanthine treatment. His last episode of bradycardia occurred on [**2136-3-9**]. On examination his respirations are comfortable. Lung sounds are clear and equal. Cardiovascular status: He has remained normotensive throughout his NICU stay. There are no cardiovascular issues. Fluids, electrolytes, and nutrition status: Enteral feeds were begun on day of life #1, advanced without difficulty to full volume feedings by day of life #3. At the time of discharge, he is eating Enfamil 20 calories per ounce on an adlib schedule. At the time of discharge, his weight is 2,585 grams. His length is 45 cm and his head circumference is 33 cm. Gastrointestinal status: His peak bilirubin occurred on day of life #4, total was 10.4, direct 0.3. He never required any phototherapy. Hematocrit: His hematocrit done on day of life #1 was 46.5. He has never received any blood product transfusions during his NICU stay. Infectious disease status: [**Known lastname **] was started on ampicillin and gentamicin at the time of admission for sepsis risk factors. The antibiotics were discontinued after 48 hours when the infant was clinically well and the blood cultures were negative. Sensory status: Audiology: Hearing screening was performed with automated auditory brain stem responses and the infant passed in both ears. Psychosocial: Parents have been very involved in the infant's care throughout his NICU stay. His sibling preceded him home by several days. CONDITION ON DISCHARGE: The infant is discharged in good condition home with his parents. PRIMARY PEDIATRIC CARE: Dr. [**First Name8 (NamePattern2) **] [**Last Name (NamePattern1) **] of [**Hospital1 **], [**Last Name (LF) 49914**], [**First Name3 (LF) **], [**Numeric Identifier 49915**], telephone #[**Telephone/Fax (1) 47371**]. CARE AND RECOMMENDATIONS AFTER DISCHARGE: 1. Feedings: Enfamil 20 cal/oz with iron on an adlib schedule. 2. The infant is discharged on no medications. 3. The infant passed a car seat position screening test. 4. State screens were sent on [**2-29**] and [**2136-3-12**]. 5. The infant received his first hepatitis B vaccine on [**2136-2-26**]. RECOMMENDED IMMUNIZATIONS: 1. Synagis RSV prophylaxis should be considered from [**Month (only) 359**] through [**Month (only) 547**] for infants who meet any of the following three criteria: 1) Born at less than 32 weeks, 2) born between 32 and 35 weeks with plans for daycare during RSV season, with a smoker in the household, or with preschool siblings, or 3) with chronic lung disease. 2. Influenza immunization should be considered annually in the fall for preterm infants with chronic lung disease once they reach six months of age. Before this age, the family and other caregivers should be considered for immunization against influenza to protect the infant. DISCHARGE DIAGNOSES: 1. Status post prematurity 35-1/7 week gestation. 2. Twin #1. 3. Status post respiratory distress syndrome. 4. Sepsis ruled out. 5. Status post apnea of prematurity. [**First Name8 (NamePattern2) 36400**] [**Name8 (MD) **], M.D. [**MD Number(1) 37201**] Dictated By:[**Last Name (NamePattern1) 49916**] MEDQUIST36 D: [**2136-3-14**] 03:44 T: [**2136-3-14**] 04:16 JOB#: [**Job Number 49917**] ICD9 Codes: 769, V290, V053
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Medical Text: Admission Date: [**2114-4-10**] Discharge Date: [**2086-4-15**] Date of Birth: [**2056-10-30**] Sex: F Service: CHIEF COMPLAINT: Shortness of breath. HISTORY OF PRESENT ILLNESS: This is a 57 year-old female with a history of inflammatory breast cancer, morbid obesity, obesity hypoventilation syndrome, obstructive sleep apnea, systolic and diastolic heart failure, hypertension, gastroesophageal reflux disease and anemia who felt short of breath on the morning of [**2114-4-10**]. The patient reports that at baseline she has shortness of breath, however, on the day of admission the patient's shortness of breath did not resolve with supplemental oxygen. She reports low grade fevers with chills and sweats with reported temperature to 100.1 with increased fatigue. She reports cough occasional production of clear sputum. She denies chest pain, abdominal pain, diarrhea, nausea or vomiting. She denies urinary tract infection like symptoms. Denies recent sick contacts, travel or varying from her routine. She reports medical compliance with her medications. Consequently she was brought to the Emergency Department this a.m. where she was found to be hypoxic with O2 sats in the approximately 75%, hypotensive with blood pressure 90/50 and was treated with supplemental oxygen, intravenous fluids, broad spectrum antibiotics initially on Dopamine drip and started on a sepsis protocol. PAST MEDICAL HISTORY: 1. Asthma. 2. Obesity hypoventilation syndrome. 3. Obstructive sleep apnea. 4. Morbid obesity. 5. Congestive heart failure systolic and diastolic dysfunction with an EF of approximately 30 to 35%. 6. Inflammatory breast cancer recently treated with Herceptin and Navelbine. 7. Hypertension. 8. Gastroesophageal reflux disease. 9. Anemia. 10. Depression. MEDICATIONS: 1. Lisinopril 40 q.d. 2. Aspirin 325 q.d. 3. Lasix. 4. Flovent. 5. Protonix. 6. Lactulose. 7. Toprol XL 12.5 q.d. 8. Epogen. ALLERGIES: Penicillin causes hives. SOCIAL HISTORY: Smoked one pack per day times 10 to 15 years. She quit approximately 20 years ago. PHYSICAL EXAMINATION: The patient was afebrile on Intensive Care Unit evaluation. Tachycardic to 106. Blood pressure 92/50, 25, 96% on 2 liters. She was comfortable. She was described as mild tachypneic with some accessory muscle use. JVD was difficult to assess. She had coarse breath sounds anteriorly with moderate air flow throughout. Heart tachycardic, regular rhythm, normal S1 and S2. No audible murmurs, rubs or gallops. Belly was soft, nontender, nondistended with active bowel sounds. She had 1 to 2+ edema peripherally and evidence of chronic venostasis. No rash was present. LABORATORY: White blood cell count 2.9, 59 polys, 32 lymphocytes, hematocrit 23.9, platelets 404. Her chem 7 was within normal limits. CKs of 167, troponin 0.07. She had a chest x-ray, which showed a question of a retrocardiac opacity. She had a CTPA, which was a poor quality study, but was negative for any obvious signs of PE. She had an electrocardiogram that was alternating between normal sinus rhythm and ventricular bigeminy. No acute changes or ischemia were noted. HOSPITAL COURSE: In summary this is a 57 year-old female Jehovah's witness with a history of morbid obesity, obstructive sleep apnea requiring BiPAP at night, congestive heart failure, hypertension, anemia and inflammatory breast cancer who was originally admitted [**4-10**] from her nursing home for hypoxia and hypotension and treated in the Intensive Care Unit. The patient was initially treated with Levofloxacin for pneumonia, BiPAP and noninvasive pressure ventilation for hypoxia without intubation. She was subsequently transferred to the floor to continue treatment for pneumonia and hypoxia. CTPA was negative for evidence of PE. She was doing well on the floor until [**4-14**] when the patient was again noted to become dyspneic with oxygen saturations into the 80%. Repeat chest x-ray showed worsening shortness of breath. She was treated with Lasix for diuresis and moderate improvement of respiratory status. Given her complex medical history she was transferred to the Intensive Care Unit for closer monitoring. On representation to the Intensive Care Unit [**2114-4-15**] the patient spiked a fever to 104, developed significant respiratory distress and was then emergently intubated semiemergently admitted and initially treated with broad spectrum antibiotics for her continued respiratory distress. 1. Respiratory failure: The patient is currently being treated for multifactorial respiratory failure in the setting of congestive heart failure, marked obesity, obesity hypoventilation syndrome and obstructive sleep apnea who was semiemergently intubated [**3-/2039**] for progressive hypercarbic respiratory failure and a newly developing sepsis. The patient's blood gas prior to intubation was 7.23, 68 and 385. The patient was intubated and continued on her settings. She ultimately had tracheostomy performed on [**2114-4-26**] per the ENT Service. The goal had been to attempt a trial of extubation on the patient on recovery of her MRSA/sepsis. However, she remained difficult intubation and exacerbated primarily by her recurrent congestive heart failure and over 30 liters positive, fluid balance since her admission. At this point in time she remains trached on pressure support ventilation and has been doing quite well. The goal would be to continue diuresis gently approximately 500 cc to negative one liter per day in order to avoid intravascular of the patient and acute renal failure. Additionally the patient was treated aggressively for her MRSA sepsis. She completed a course of antibiotics for presumed pneumonia and subsequent treatment for urinary tract infection as well. She continues with trach care and nebulizers prn and aggressive suctioning as needed. 2. Congestive heart failure: The patient has known congestive heart failure with an EF of approximately 30 to 35% with no systolic and diastolic dysfunction. She was approximately 30 liters positive for fluid following treatment for MRSA sepsis and remains volume overloaded at this time. Goal has been for gentle diuresis. She was initially started on a Lasix drip and subsequently developed acute renal failure and that was discontinued and the patient was started on Nesiritide with minimal effect on diuresis. Ultimately Nesiritide was discontinued minimizing her fluid intake and she responded to Lasix intravenously prn as needed for goal as stated above. She was seen on the CH Service by Dr. [**First Name (STitle) 2031**] and upon resolution of her hypotension the patient was started on low dose beta blocker and treatment of her congestive heart failure. 3. MRSA/sepsis: On readmission to the Intensive Care Unit the patient had a temperature of 104 and blood pressures in the 70s. She ultimately had a positive right IJ culture tip for MRSA and positive blood cultures from the [**2-12**] for MRSA bacteremia 4 out of 4 bottles. The patient was treated with Vancomycin and subsequent surveillance cultures were negative. The patient's antibiotics course will be extended for a minimum of four to six weeks intravenous Vancomycin for an underlying right IJ clot that is being followed serially. The patient was enrolled in the sepsis protocol. She was given intravenous fluids, starting on intravenous Hydrocortisone 50 gallop or murmur intravenously q.i.d. and required Dopamine for blood pressure support. As stated the patient's sepsis resolved and surveillance cultures were negative. She will be continued on Vancomycin for approximately one month. 4. Urinary tract infection: The patient had a urinary tract infection from the 28th that was positive for E-coli that was sensitive to Ceftazidine. The patient was treated with a seven day course of Ceftazidine. Repeat urine cultures were negative. 5. Hypotension: The patient had known hypotension in relation to her sepsis, however, her hospital course was complicated by persistent hypotension following resolution of her sepsis. Empirically while the patient did not demonstrate evidence of adrenal insufficiency removal of intravenous steroids complicated the patient's picture and she subsequently became hypotensive. In addition, the patient responded poorly to Natrecor requiring Dopamine for blood pressure support in attempt for diuresis. With subsequent discontinuation of the Natrecor and continuing of the intravenous Hydrocortisone the patient was effectively diuresed and continued to be diuresed at the time of this dictation without significant hypotension. 6. Acute renal failure: The patient has a baseline creatinine of .5 to .7 and subsequently developed acute renal failure with a creatinine rising to 2.1 with diuresis presumed to be prerenal. With gentle diuresis her creatinine slowly improved and it was approximately 1.3 at the time of this dictation. Goal was to continue diuresis gently in order to avoid acute renal failure. 7. Right IJ thrombus: The patient has a known right IJ thrombus as a presumed complication from right IJ line placement in the setting of sepsis. The clot is being followed serially with weakly ultrasound with noticeable resolution in the proximal right subclavian clot that is no more seen as of the ultrasound from [**2114-4-30**]. The patient was not anticoagulated given her Jehovah's witness status and will be continued to follow serially with ultrasounds. 8. Inflammatory breast cancer: The patient is a patient of Dr. [**First Name (STitle) **]. She has a recent history of inflammatory breast cancer and had been receiving weekly Navelbine and Herceptin. The plan was to try to reduce the size of her left breast mass so she could become a candidate for a mastectomy. However, given her repeated decline in her physical condition her chemotherapy has been changed multiple times. She is unable to be staged appropriately because of her weight. However, recent CTPA did not show any obvious metastatic disease. There was some concern that her preexisting lower extremity edema prior to this admission was secondary to a carcinous meningitis, however, that seems to be unfounded and neurology was unable to obtain LP for diagnostic purposes. Consequently the plan at this point in time is that the patient will be reconsidered for additional chemotherapy if she is able to become discharged from the hospital and improves her performance status. 9. Anemia: The patient is a known Jehovah's witness and would significantly benefit from blood transfusions. On presentation her hematocrit was approximately 23 had decreased to 19. Heparin products had been avoided and she has not been anticoagulated. She continues on Epogen and iron and her hematocrit seems to stabilize between the 23 and 26 range. 10. Vaginal spotting: During her hospitalization in the Intensive Care Unit the patient had repeated vaginal spotting with an associated drop in her hematocrit. Gynecology was consulted and it was thought that this bleeding was unrelated to her anemia. She does have multiple risk factors for endometrial cancer and the goal would be to image her with a transvaginal ultrasound to sample her endometrium again, however, at this point in time any additional studies were deferred and she is to be contact[**Name (NI) **] for follow up in the [**Hospital 111518**] Clinic as her condition improves and she becomes an outpatient. 11. Rectal fistula: The patient had a noticeable perirectal fistula on examination with concern that this may have been contributing to her fever and sepsis. Surgery was consulted and determined this unlikely as the nidus of infection based on clinical examination findings. No perirectal cellulitis and no obvious abscess formation. Unfortunately imaging studies were unable to be obtained given the patient's body habitus. Perirectal swab was polymicrobial in nature including MRSA, however, it was thought that this was unlikely to be the source of the patient's MRSA bacteremia though should be considered if the patient has recurrent event without additional line placement. The patient continues to be followed serially with examinations with no obvious signs of infection. 12. FEN: The patient remained NPO and during the initial part of her hospitalization was started on tube feeds. The patient continues with tube feeds at this time. She unfortunately was not a candidate for PEG or open G tube placement given her [**Doctor Last Name **] habitus and potential surgical risks. She continues on her tube feeds at this time. 13. Code status: The patient is a Jehovah's witness and remains full code at the time of this dictation. DISPOSITION: The patient's disposition is pending based upon improvement in her respiratory status with a goal for subsequent transfer to a nursing facility for continued trach care and pulmonary rehabilitation. The remainder of this dictation will be completed by the next medical Intensive Care Unit intern. [**First Name4 (NamePattern1) **] [**Last Name (NamePattern1) **], M.D. [**MD Number(1) 4561**] Dictated By:[**Last Name (NamePattern1) 1303**] MEDQUIST36 D: [**2114-5-5**] 04:08 T: [**2114-5-7**] 08:28 JOB#: [**Job Number 111519**] ICD9 Codes: 5990, 4280
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Medical Text: Admission Date: [**2131-1-14**] Discharge Date: [**2131-1-19**] Date of Birth: [**2131-1-14**] Sex: M Service: NB HISTORY: This twin infant was born at 33 1/7 weeks to a 44 year old gravida III, para I mother with [**Name2 (NI) **] type A negative, antibody negative, unknown group B stress status, hepatitis B surface antigen negative and RPR nonreactive. Prenatal course notable for in [**Last Name (un) 5153**] fertilization conception with donor eggs. The mother was admitted in the beginning of [**Month (only) **] from [**12-11**] to [**12-15**] for cervical shortening. She received magnesium sulfate and betamethasone at that time. Unremarkable course until the morning of delivery on [**2131-1-14**] for which she was admitted with premature rupture of membranes. She later developed mild contractions so the decision was made to deliver the twins by repeat cesarean section under spinal anesthesia. There was no maternal fever. Mother did receive intrapartum ampicillin and infant was born with Apgars were 8 and 9. PHYSICAL EXAMINATION: On admission weight of 2250 grams, length of 47 cm, head circumference of 30.5 cm. Examination was remarkable for well appearing preterm infant with pink color, soft anterior fontanel, normal facies, intact palate. No grunting, flaring or retractions. Clear breath sounds. No murmur. Femoral pulses present. Flat, soft, nontender abdomen, normal phallus. Testes in scrotum, stable hips. Normal perfusion. Normal tone and activity. SUMMARY OF HOSPITAL COURSE BY SYSTEMS: RESPIRATORY: Infant without any evidence of respiratory distress during the entire stay. CARDIOVASCULAR: Infant without murmur during stay. No spells noted. FLUIDS, ELECTROLYTES AND NUTRITION: Infant birth weight of 2250 grams. Weight on [**1-18**] was 2145 grams. Infant started feedings within 24 hours of age and is currently at Special Care 20 calories at 110 cc per kilogram per day with total fluids of 150 cc per kilogram per day, advancing 15 cc per kilogram B.I.D D-sticks have been stable throughout the infant's course. Voiding normally. Stooling normally. Had one set of electrolytes on 24 hours of life. Sodium of 141, potassium of 3.8, chloride of 109, bicarb of 23. GASTROINTESTINAL: Infant did have a maximum bilirubin of 10.5/0.4 on day of life number three on [**1-17**] and was started on single phototherapy. Bilirubin was 9.2 on [**1-18**] and phototherapy was discontinued in the evening of [**1-18**] to be rechecked for rebound on [**2131-1-19**]. HEMATOLOGY: Infant's [**Date Range **] type is A positive, Coombs negative. Infant did not receive any transfusions. Recent hematocrit on day of life number 1 was 45 percent. INFECTIOUS DISEASE: Infant had a [**Date Range **] culture and an initial CBC with a white count of 8.8, 16 polys, 0 bands, 73 lymphs, hematocrit of 45, platelet count of 264. He received Ampicillin and Gentamicin for 48 hours and with negative [**Date Range **] cultures, antibiotics were discontinued. NEUROLOGY: No significant issues during stay. SENSORY: Hearing screening was not performed and one is recommended prior to discharge. OPHTHALMOLOGY: Eyes were not needed to be examined. CONDITION ON DISCHARGE: Good. DISCHARGE DISPOSITION: To level 2, [**Hospital **] Hospital. Name of primary pediatrician is Dr. [**First Name4 (NamePattern1) **] [**Last Name (NamePattern1) **], in [**Location (un) 14663**]. CARE RECOMMENDATIONS: A. FEEDS AT DISCHARGE: Continue to advance Special Care 20, until a total volume of 150 cc per kilogram per day. B. MEDICATIONS: None. C. CAR SEAT POSITION SCREENING: Infant will require car seat test prior to discharge. D. STATE NEWBORN SCREENING STATUS: Newborn screens were sent on day of life number three, will need to be followed. E. IMMUNIZATIONS RECEIVED: None. F. IMMUNIZATIONS RECOMMENDED: 1. Synagis RSV prophylaxis should be considered from [**Month (only) **] through [**Month (only) 958**] for infants who meet any of the following three criteria: 1) Born at less than 32 weeks. 2) Born between 32 and 35 weeks with two of the following - day care during RSV season, a smoker in the household, neuromuscular disease, airway abnormalities, or school age siblings, or 3) With chronic lung disease. 1. Influenza immunization is recommended annually in the fall for all infants once they reach six months of age. 2. Before this age and for the first 24 months of the child's life, immunization against influenza is recommended for household contact and out of home care givers. G. FOLLOW UP APPOINTMENT SCHEDULE RECOMMENDATION: Infant will follow up with pediatrician after discharge. DISCHARGE DIAGNOSES: 1. Prematurity at 33 1/27 weeks. 2. Twin. 3. Physiologic jaundice. 4. Status post rule out sepsis. [**First Name11 (Name Pattern1) **] [**Last Name (NamePattern4) **], [**MD Number(1) 56662**] Dictated By:[**Last Name (NamePattern4) 57175**] MEDQUIST36 D: [**2131-1-18**] 16:00:00 T: [**2131-1-18**] 16:48:54 Job#: [**Job Number 60112**] ICD9 Codes: 7742, V290
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Medical Text: Admission Date: [**2121-9-1**] Discharge Date: [**2121-9-15**] Date of Birth: [**2064-12-26**] Sex: M Service: SURGERY Allergies: Motrin / Glyburide / Glucophage Attending:[**Last Name (NamePattern1) 4659**] Chief Complaint: 4cm sessile mass in colon, not biopsied seconday to anticoagulation Major Surgical or Invasive Procedure: Right colectomy, laparoscopy assisted ([**2121-9-4**]) History of Present Illness: 56 yo male with multiple medical problems with 4cm sessile polyp in mid R ascending colon. Past Medical History: IDDM anemia Mechanical valve, AVR for MRSA endocarditis BKA Toe amp appy Social History: Cig 1ppd -> quit Pipe 3-4 qd Currently on disability. Lives at home with his partner, Ms. [**Name13 (STitle) **]. Denies alcohol, drugs, or tobacco. No pets. Family History: Family ALW. No hx of MI, CAD, or DM. Physical Exam: Afebrile, HR92 BP162/82 RR16 General: Large black male walking with cane accompanied by fiance, comfortable Neck: Normal thyroid, no masses, no LA, nl airway, 4+ carotid, radiating murmur and mechanical click Chest: Clear, well healed sternotomy COR: RRR with 2/6 creshendo/decreshendo SEM and soft mechanical click Back: No CVAT, or spine pain Abd: Indented RLQ appi scar in pannus, floppy pannus (overall has lost about 100lbs from his max wt, stable over last few months), ND, soft, no mass palpable, NT, no r/g, no hepatosplenomegaly Ext: 4+ femoral pulse b/l, no right popleteal pulse, R foot brace, no edema, L BKA with prosthesis. Pertinent Results: CHEST (PRE-OP PA & LAT) [**2121-9-1**] 4:54 PM IMPRESSION: Left-sided chest opacity could represent loculated fluid collection. CT is suggested for further characterization. CT PELVIS ABD W&W/O CONTRAST [**2121-9-2**] 11:49 AM IMPRESSION: 1. Large loculated left pleural effusion with a thick rim. The differential diagnosis includes an empyema or prior hemothorax. The finding is new since the postoperative studies from aortic valve replacement as of [**2120-8-20**]. Neoplastic involvement of the pleura cannot be excluded. 2. Large multilobulated low-density splenic lesion, which extends up to the posterior wall of the gastric fundus, and may extend into the gastric wall. The findings would be highly atypical for metastatic colon cancer given the lack of liver metastases, although this cannot be excluded. possible etiologies include prior trauma and embolic disease (including septic emboli given prosthetic aortic valve/endocarditis). Pancreas is unremarkable without evidence for pseudocyst extension into spleen/stomach. Correlate with history of trauma to this area. MRI may provide additional diagnostic information. Endoscopy could also be considered for assessment of the gastric fundal abnormality. Results and potential recommendations were called to Dr. [**First Name8 (NamePattern2) 96487**] [**Last Name (NamePattern1) 61028**] at 5:00 p.m. on [**2121-9-2**]. Cardiology Report ECG Study Date of [**2121-9-4**] 9:06:06 PM Sinus rhythm with 1st degree A-V block Since previous tracing, no significant change CHEST PORT. LINE PLACEMENT [**2121-9-5**] 6:25 PM IMPRESSION: Satisfactorily positioned right internal jugular central venous catheter, without a pneumothorax seen. Pathology Examination DIAGNOSIS: Terminal ileum and right colon, ileocolectomy: Adenoma of the right colon (3.8 x 2.5 cm) with foci of high-grade dysplasia, see note. Separate adenoma of the right colon (0.8 cm). Ileal mucosa with no diagnostic abnormalities recognized. Regional lymph nodes with no diagnostic abnormalities recognized. Note: No invasive carcinoma is identified. The adenoma is entirely submitted and an additional level of each block examined. The findings were discussed with Dr. [**Last Name (STitle) **] [**Last Name (NamePattern4) **] by Dr. [**Last Name (STitle) **] [**Last Name (NamePattern4) **] on [**2121-9-12**]. [**2121-9-1**] 03:00PM BLOOD WBC-13.1* RBC-3.81* Hgb-7.9* Hct-25.1* MCV-66*# MCH-20.6*# MCHC-31.3 RDW-16.1* Plt Ct-564* [**2121-9-2**] 09:45AM BLOOD WBC-11.9* RBC-3.86* Hgb-8.0* Hct-25.4* MCV-66* MCH-20.6* MCHC-31.4 RDW-16.2* Plt Ct-493* [**2121-9-3**] 10:10AM BLOOD WBC-15.6* RBC-4.83# Hgb-11.1*# Hct-33.0*# MCV-68* MCH-22.9*# MCHC-33.5 RDW-17.5* Plt Ct-535* [**2121-9-5**] 06:12PM BLOOD WBC-27.7*# RBC-5.20 Hgb-11.8* Hct-37.2* MCV-72* MCH-22.6* MCHC-31.6 RDW-19.3* Plt Ct-520* [**2121-9-6**] 02:10AM BLOOD WBC-28.6* RBC-4.57* Hgb-10.4* Hct-32.6* MCV-71* MCH-22.8* MCHC-32.0 RDW-19.1* Plt Ct-496* [**2121-9-7**] 02:20AM BLOOD WBC-20.7* RBC-3.71* Hgb-8.5* Hct-26.6* MCV-72* MCH-22.8* MCHC-31.8 RDW-19.7* Plt Ct-357 [**2121-9-8**] 01:58AM BLOOD WBC-16.9* RBC-3.65* Hgb-8.3* Hct-26.3* MCV-72* MCH-22.7* MCHC-31.5 RDW-19.8* Plt Ct-361 [**2121-9-9**] 04:42AM BLOOD WBC-11.8* RBC-3.51* Hgb-8.2* Hct-25.2* MCV-72* MCH-23.4* MCHC-32.5 RDW-19.8* Plt Ct-379 [**2121-9-12**] 01:30AM BLOOD Hct-25.4* [**2121-9-1**] 03:00PM BLOOD PT-20.4* PTT-31.0 INR(PT)-2.0* [**2121-9-1**] 03:00PM BLOOD Plt Ct-564* [**2121-9-2**] 01:00AM BLOOD PTT-39.7* [**2121-9-2**] 09:40AM BLOOD PT-19.5* PTT-49.0* INR(PT)-1.9* [**2121-9-2**] 09:45AM BLOOD Plt Ct-493* [**2121-9-2**] 03:00PM BLOOD PT-18.9* PTT-41.6* INR(PT)-1.8* [**2121-9-2**] 09:21PM BLOOD PT-18.2* PTT-53.6* INR(PT)-1.7* [**2121-9-3**] 10:10AM BLOOD PT-17.2* PTT-39.9* INR(PT)-1.6* [**2121-9-3**] 10:10AM BLOOD Plt Ct-535* [**2121-9-3**] 07:19PM BLOOD PTT-45.0* [**2121-9-4**] 12:55PM BLOOD PTT-41.1* [**2121-9-5**] 06:12PM BLOOD Plt Ct-520* [**2121-9-6**] 02:10AM BLOOD Plt Ct-496* [**2121-9-6**] 05:49PM BLOOD PTT-92.6* [**2121-9-7**] 02:20AM BLOOD PT-16.4* PTT-81.4* INR(PT)-1.5* [**2121-9-7**] 02:20AM BLOOD Plt Ct-357 [**2121-9-7**] 11:39AM BLOOD PT-16.5* PTT-57.4* INR(PT)-1.5* [**2121-9-7**] 10:26PM BLOOD PT-15.7* PTT-74.7* INR(PT)-1.4* [**2121-9-8**] 01:58AM BLOOD Plt Ct-361 [**2121-9-8**] 06:29AM BLOOD PT-15.3* PTT-56.2* INR(PT)-1.4* [**2121-9-8**] 08:55PM BLOOD PT-13.9* PTT-52.0* INR(PT)-1.2* [**2121-9-9**] 04:42AM BLOOD PT-15.2* PTT-50.7* INR(PT)-1.4* [**2121-9-9**] 04:42AM BLOOD Plt Ct-379 [**2121-9-9**] 03:38PM BLOOD PTT-58.5* [**2121-9-10**] 12:08AM BLOOD PTT-82.2* [**2121-9-10**] 06:02AM BLOOD PT-17.7* PTT-93.4* INR(PT)-1.6* [**2121-9-10**] 01:35PM BLOOD PTT-71.9* [**2121-9-10**] 09:00PM BLOOD PTT-68.5* [**2121-9-11**] 03:39AM BLOOD PT-21.1* PTT-84.4* INR(PT)-2.0* [**2121-9-11**] 03:38PM BLOOD PT-22.1* PTT-70.9* INR(PT)-2.2* [**2121-9-12**] 01:30AM BLOOD PT-22.3* PTT-77.0* INR(PT)-2.2* [**2121-9-12**] 09:09AM BLOOD PT-21.9* PTT-65.2* INR(PT)-2.1* [**2121-9-12**] 05:09PM BLOOD PT-22.3* PTT-56.2* INR(PT)-2.2* [**2121-9-13**] 01:29AM BLOOD PT-23.4* PTT-75.4* INR(PT)-2.3* [**2121-9-14**] 04:30AM BLOOD PT-23.7* PTT-57.3* INR(PT)-2.4* [**2121-9-15**] 05:55AM BLOOD PT-26.2* PTT-65.1* INR(PT)-2.7* [**2121-9-1**] 03:00PM BLOOD Glucose-258* UreaN-28* Creat-1.5* Na-133 K-4.0 Cl-100 HCO3-24 AnGap-13 [**2121-9-2**] 09:45AM BLOOD Glucose-207* UreaN-26* Creat-1.1 Na-134 K-4.1 Cl-100 HCO3-25 AnGap-13 [**2121-9-3**] 10:10AM BLOOD Glucose-206* UreaN-20 Creat-1.3* Na-132* K-4.3 Cl-98 HCO3-23 AnGap-15 [**2121-9-5**] 06:12PM BLOOD Glucose-160* UreaN-15 Creat-1.1 Na-134 K-4.5 Cl-104 HCO3-20* AnGap-15 [**2121-9-6**] 02:10AM BLOOD Glucose-218* UreaN-20 Creat-1.6* Na-132* K-5.8* Cl-104 HCO3-21* AnGap-13 [**2121-9-6**] 06:20AM BLOOD Glucose-151* UreaN-19 Creat-1.5* Na-135 K-5.3* Cl-106 HCO3-22 AnGap-12 [**2121-9-6**] 05:49PM BLOOD Glucose-127* UreaN-20 Creat-1.3* Na-138 K-5.1 Cl-107 HCO3-21* AnGap-15 [**2121-9-7**] 02:20AM BLOOD Glucose-117* UreaN-18 Creat-1.3* Na-136 K-4.6 Cl-104 HCO3-25 AnGap-12 [**2121-9-8**] 01:58AM BLOOD Glucose-80 UreaN-14 Creat-1.2 Na-136 K-4.2 Cl-101 HCO3-28 AnGap-11 [**2121-9-9**] 04:42AM BLOOD Glucose-106* UreaN-11 Creat-1.1 Na-136 K-3.9 Cl-102 HCO3-30 AnGap-8 [**2121-9-1**] 03:00PM BLOOD Lipase-31 [**2121-9-1**] 03:00PM BLOOD Albumin-3.4 Calcium-8.7 Phos-2.6*# Mg-2.2 [**2121-9-2**] 09:45AM BLOOD Calcium-8.7 Phos-2.7 Mg-2.0 [**2121-9-3**] 10:10AM BLOOD Calcium-8.5 Phos-3.2 Mg-2.0 [**2121-9-5**] 06:12PM BLOOD Calcium-9.0 Phos-3.7 Mg-1.7 [**2121-9-6**] 02:10AM BLOOD Calcium-8.7 Phos-4.9* Mg-2.5 [**2121-9-6**] 06:20AM BLOOD Calcium-8.5 Phos-4.2 Mg-2.5 [**2121-9-6**] 05:49PM BLOOD Calcium-8.5 Phos-3.4 Mg-2.4 [**2121-9-7**] 02:20AM BLOOD Calcium-8.3* Phos-3.3 Mg-2.2 [**2121-9-8**] 01:58AM BLOOD Calcium-8.4 Phos-3.3 Mg-2.2 [**2121-9-9**] 04:42AM BLOOD Calcium-8.2* Phos-3.3 Mg-2.1 [**2121-9-2**] 09:45AM BLOOD CEA-1.8 [**2121-9-5**] 02:30PM BLOOD Type-ART pO2-160* pCO2-32* pH-7.46* calTCO2-23 Base XS-0 Intubat-INTUBATED Vent-CONTROLLED [**2121-9-5**] 03:45PM BLOOD Type-ART pO2-172* pCO2-31* pH-7.44 calTCO2-22 Base XS--1 Intubat-INTUBATED [**2121-9-6**] 02:38AM BLOOD Type-ART pO2-163* pCO2-39 pH-7.32* calTCO2-21 Base XS--5 [**2121-9-6**] 06:38AM BLOOD Type-ART pO2-136* pCO2-43 pH-7.34* calTCO2-24 Base XS--2 [**2121-9-7**] 02:32AM BLOOD Type-ART pO2-108* pCO2-44 pH-7.39 calTCO2-28 Base XS-0 [**2121-9-5**] 02:30PM BLOOD Glucose-102 Lactate-0.9 Na-131* K-4.2 Cl-106 [**2121-9-5**] 03:45PM BLOOD Glucose-115* Lactate-1.3 Na-136 K-4.3 Cl-110 [**2121-9-6**] 06:38AM BLOOD Lactate-2.5* [**2121-9-5**] 02:30PM BLOOD Hgb-9.4* calcHCT-28 [**2121-9-5**] 03:45PM BLOOD Hgb-10.1* calcHCT-30 [**2121-9-5**] 02:30PM BLOOD freeCa-1.11* [**2121-9-5**] 03:45PM BLOOD freeCa-1.05* Brief Hospital Course: 56 yo male admitted preop for anticoagulation adjustment secondary to mechanical valve for a R colectomy scheduled for HD5. Heparin gtt was started on HD1, and titrated accordingly for a goal PTT of 60-70 until 4am day prior to surgery. A CXR was done also for preop work up on HD1, which showed L-sided chest opacity that could represent loculated fluid collection, and a follow up CT was performed for further characterization on HD2. CT revealed new loculated left pleural effusion with a thick rim; multilobulated low-density splenic lesion, which extends up to the posterior wall of the gastric fundus, and may extend into the gastric wall. Cardiothoracic surgery team was consulted, and a decision not to work up the L lung or splenic fluid collection further was made as they are highly unlikely to represent metastatic colon CA, given nl liver and low CEA. Details of both the CXR and CT are available in the respective radiology reports elsewhere. Pt was also transfused with 1u PRBC on HD2, given a Hct of 25.1, which responded to the treatment, and the hct went up to 33.1. Cardiology team was consulted, and recommended prophylactic antibiotics prior to surgery. On day of surgery, PTT was appropriate at goal, and antibiotics were given as recommended. Pt [**Month/Day/Year 1834**] R hemicolectomy, the details of the procedure are available in the operative report elsewhere. Pt had uncomplicated intraoperative course; was transferred to the SICU POD0 overnight for monitoring. Pt was restarted on heparin for mechanical valve; not coumadin. Insulin gtt was started for better blood glucose control. Pt was transferred back to the floor on POD3. Pt's diet was started on sips and advance as tolerated and with respect to return of bowel function on POD3. Pt had no problems with n/v throughout his hospital stay. Coumadin was restarted on POD3, and heparin gtt continued to be titrated appropriately. INR was followed throughout the rest of the [**Hospital **] hospital course for a goal INR of 2.5-3.5. By POD10, pt was tolerating regular diabetic po, had return of bowel function, ambulant, pain controlled, and was found to have an INR of 2.7. Pt was d/c home in good condition on POD10, with PT to do home visits, to have INR checked at the [**Hospital 882**] Hospital on [**2121-9-17**], and to follow up with Dr. [**Last Name (STitle) **] on [**2121-9-22**]. Medications on Admission: coumadin 10mg' (tues-[**Last Name (un) **], sat, sun) coumadin 7.5mg' (m+f) protonix FeSO4 ASA 81' folate 1mg' colace 100mg" senna prn insulin NPH 16u qam, 10u qpm, sliding scale if BS>200 Discharge Medications: 1. Folic Acid 1 mg Tablet Sig: One (1) Tablet PO DAILY (Daily). Disp:*30 Tablet(s)* Refills:*2* 2. Metoprolol Tartrate 25 mg Tablet Sig: One (1) Tablet PO BID (2 times a day). Disp:*60 Tablet(s)* Refills:*2* 3. Ferrous Sulfate 325 (65) mg Tablet Sig: One (1) Tablet PO DAILY (Daily). Disp:*30 Tablet(s)* Refills:*2* 4. Docusate Sodium 100 mg Capsule Sig: One (1) Capsule PO BID (2 times a day). Disp:*60 Capsule(s)* Refills:*2* 5. Omeprazole 20 mg Capsule, Delayed Release(E.C.) Sig: One (1) Capsule, Delayed Release(E.C.) PO twice a day. Disp:*60 Capsule, Delayed Release(E.C.)(s)* Refills:*2* 6. Insulin NPH Human Recomb 100 unit/mL Suspension Sig: Sixteen (16) units Subcutaneous qAM (). Disp:*QSx 1 month QS* Refills:*2* 7. Insulin NPH Human Recomb 100 unit/mL Suspension Sig: Ten (10) units Subcutaneous qPM (). Disp:*QS x 1month QS* Refills:*2* 8. Lancets & Strips Lancets and glucose monitoring strips sufficient for 4 times daily fingersticks please. 2 refills. 9. Outpatient Lab Work Please have your PT, PTT, INR checked at the [**Hospital 882**] Hospital on [**2121-9-17**]. Please have the result reported to Dr. [**First Name4 (NamePattern1) **] [**Last Name (NamePattern1) **], [**Telephone/Fax (1) 8792**]. 10. Coumadin 10 mg Tablet Sig: One (1) Tablet PO once a day: On Tues, Wed, Thurs, Sat, Sunday. Disp:*30 Tablet(s)* Refills:*2* 11. Coumadin 7.5 mg Tablet Sig: One (1) Tablet PO once a day: On Monday and Friday. Disp:*30 Tablet(s)* Refills:*2* Discharge Disposition: Home With Service Facility: [**Hospital 119**] Homecare Discharge Diagnosis: Colon mass Discharge Condition: Vital signs stable, afebrile, tolerating po, ambulant, pain controlled, INR at therapeutic range between 2.5-3.5. Discharge Instructions: You may resume your pre-hospital medications and activity - just take it easy in the beginning! No heavy lifting (greater that 10 pounds!) for 4 weeks after surgery. This could give you a hernia. You may shower, but no soaking in a tub for 4 weeks after surgery. Please call doctor [**First Name (Titles) **] [**Last Name (Titles) **] greater than 101, nausea/vomiting, inability to eat, wound redness, swelling, foul smelling drainage, or anything else that concerns you. Followup Instructions: Please call Dr.[**Name (NI) 6218**] office at ([**Telephone/Fax (1) 96488**] to schedule a follow up appointment for Monday, [**2121-9-22**]. Please follow up at the [**Hospital 882**] Hospital for your INR check on Wednesday, [**2121-9-17**]. [**First Name4 (NamePattern1) **] [**Last Name (NamePattern1) **] [**Name8 (MD) **] MD, [**MD Number(3) 4661**] Completed by:[**2121-9-15**] ICD9 Codes: 5119, 2859
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Medical Text: Admission Date: [**2110-11-13**] Discharge Date: [**2110-11-18**] Date of Birth: [**2045-1-13**] Sex: M Service: CARDIOTHORACIC Allergies: Patient recorded as having No Known Allergies to Drugs Attending:[**First Name3 (LF) 922**] Chief Complaint: exertional chest tightness Major Surgical or Invasive Procedure: coronary artery bypass grafting x 3 (LIMA->LAD, SVG->diag, SVG->OM) History of Present Illness: The patient is a 65 year old avid squash player with a six month history of "walk-through angina". He mentioned this to his PCP who arranged an ETT for [**2110-11-13**] which was markedly abnormal. Subsequent cardiac catheterization revealed severe coronary artery disease. He was referred for consideration of surgical revascularization. Past Medical History: dyslipidemia gastroesophageal reflux disease s/p removal of pylonidal cyst Social History: tobacco: quit 30 years ago alcohol: [**12-6**] glasses daily worked in several different jobs lives with wife in [**Name (NI) 5169**], [**Name (NI) **] Family History: mother with coronary artery disease before 55 years of age Physical Exam: Admission: General: pleasant, appropriate Skin: unremarkable HEENT: NCAT, EOMI, PERRL Neck: supple with full range of motion Chest: lungs CTAB Heart: RRR Abdomen: soft, non-distended, non-tender, +bowel sounds Extremities: warm, well-perfused, no edema, no varicosities Neuro: grossly intact Discharge: VS: 98.5, 112/68, 79, 18, 95%RA Gen: NAD Chest: lungs CTAB Heart: RRR Abd: soft, non-tender, non-distended, +BS Ext: warm, trace edema Incisions: sternum stable, no erythema or drainage about incision, EVH c/d/i Neuro: grossly intact Pertinent Results: [**2110-11-17**] 05:19AM BLOOD WBC-7.7 RBC-3.09* Hgb-9.8* Hct-27.9* MCV-91 MCH-31.8 MCHC-35.1* RDW-12.8 Plt Ct-130* [**2110-11-17**] 05:19AM BLOOD Glucose-105 UreaN-17 Creat-0.8 Na-136 K-3.9 Cl-98 HCO3-35* AnGap-7* [**Hospital1 18**] ECHOCARDIOGRAPHY REPORT [**Known lastname **], [**Known firstname **] [**Hospital1 18**] [**Numeric Identifier 81622**]TTE (Complete) Done [**2110-11-13**] at 4:23:11 PM FINAL Referring Physician [**Name9 (PRE) **] Information [**Name9 (PRE) **], [**First Name3 (LF) 177**] C. [**Hospital Unit Name 927**] [**Location (un) 86**], [**Numeric Identifier 718**] Status: Inpatient DOB: [**2045-1-13**] Age (years): 65 M Hgt (in): 71 BP (mm Hg): 130/80 Wgt (lb): 183 HR (bpm): 61 BSA (m2): 2.03 m2 Indication: Left ventricular function. Preoperative assessment. Coronary artery disease. ICD-9 Codes: 414.8, 424.1, 424.0 Test Information Date/Time: [**2110-11-13**] at 16:23 Interpret MD: [**Initials (NamePattern4) **] [**Last Name (NamePattern4) **] [**Last Name (NamePattern1) **], MD Test Type: TTE (Complete) Son[**Name (NI) 930**]: [**First Name8 (NamePattern2) 4134**] [**Last Name (NamePattern1) 4135**], RDCS Doppler: Full Doppler and color Doppler Test Location: West Echo Lab Contrast: None Tech Quality: Adequate Tape #: 2008W000-0:00 Machine: Vivid [**6-10**] Echocardiographic Measurements Results Measurements Normal Range Left Atrium - Long Axis Dimension: 3.4 cm <= 4.0 cm Left Atrium - Four Chamber Length: 4.7 cm <= 5.2 cm Left Atrium - Peak Pulm Vein S: 0.7 m/s Left Atrium - Peak Pulm Vein D: 0.5 m/s Left Atrium - Peak Pulm Vein A: 0.3 m/s < 0.4 m/s Right Atrium - Four Chamber Length: *5.6 cm <= 5.0 cm Left Ventricle - Septal Wall Thickness: 1.0 cm 0.6 - 1.1 cm Left Ventricle - Inferolateral Thickness: 1.0 cm 0.6 - 1.1 cm Left Ventricle - Diastolic Dimension: 4.6 cm <= 5.6 cm Left Ventricle - Systolic Dimension: 3.0 cm Left Ventricle - Fractional Shortening: 0.35 >= 0.29 Left Ventricle - Ejection Fraction: >= 60% >= 55% Left Ventricle - Lateral Peak E': *0.07 m/s > 0.08 m/s Left Ventricle - Septal Peak E': *0.07 m/s > 0.08 m/s Left Ventricle - Ratio E/E': 9 < 15 Aorta - Sinus Level: *4.0 cm <= 3.6 cm Aorta - Ascending: 3.2 cm <= 3.4 cm Aorta - Arch: 2.8 cm <= 3.0 cm Aortic Valve - Peak Velocity: 1.3 m/sec <= 2.0 m/sec Mitral Valve - E Wave: 0.6 m/sec Mitral Valve - A Wave: 0.5 m/sec Mitral Valve - E/A ratio: 1.20 Mitral Valve - E Wave deceleration time: 225 ms 140-250 ms TR Gradient (+ RA = PASP): 14 to 20 mm Hg <= 25 mm Hg Findings LEFT ATRIUM: Normal LA size. RIGHT ATRIUM/INTERATRIAL SEPTUM: Mildly dilated RA. LEFT VENTRICLE: Normal LV wall thickness, cavity size and regional/global systolic function (LVEF >55%). No resting LVOT gradient. No VSD. RIGHT VENTRICLE: Normal RV chamber size and free wall motion. AORTA: Moderately dilated aortic sinus. Normal ascending aorta diameter. Normal aortic arch diameter. No 2D or Doppler evidence of distal arch coarctation. AORTIC VALVE: Mildly thickened aortic valve leaflets (3). No AS. Trace AR. MITRAL VALVE: Normal mitral valve leaflets with trivial MR. No MVP. Normal LV inflow pattern for age. TRICUSPID VALVE: Normal tricuspid valve leaflets with trivial TR. Normal PA systolic pressure. PULMONIC VALVE/PULMONARY ARTERY: Pulmonic valve not visualized. No PS. Physiologic PR. PERICARDIUM: No pericardial effusion. Conclusions The left atrium is normal in size. Left ventricular wall thickness, cavity size and regional/global systolic function are normal (LVEF >55%). There is no ventricular septal defect. Right ventricular chamber size and free wall motion are normal. The aortic root is moderately dilated at the sinus level. The aortic valve leaflets (3) are mildly thickened but aortic stenosis is not present. Trace aortic regurgitation is seen. The mitral valve appears structurally normal with trivial mitral regurgitation. There is no mitral valve prolapse. The estimated pulmonary artery systolic pressure is normal. There is no pericardial effusion. IMPRESSION: Normal global and regional biventricular systolic function. No diastolic dysfunction, pulmonary hypertension or significant valvular disease seen. Dilated aortic sinus. Electronically signed by [**Initials (NamePattern4) **] [**Last Name (NamePattern4) **] [**Last Name (NamePattern1) **], MD, Interpreting physician [**Last Name (NamePattern4) **] [**2110-11-13**] 17:35 [**Hospital1 18**] ECHOCARDIOGRAPHY REPORT [**Known lastname **], [**Known firstname **] [**Hospital1 18**] [**Numeric Identifier 81623**] (Complete) Done [**2110-11-14**] at 9:28:25 AM FINAL Referring Physician [**Name9 (PRE) **] Information [**Name9 (PRE) **], [**First Name3 (LF) 177**] C. [**Hospital Unit Name 927**] [**Location (un) 86**], [**Numeric Identifier 718**] Status: Inpatient DOB: [**2045-1-13**] Age (years): 65 M Hgt (in): 72 BP (mm Hg): 130/80 Wgt (lb): 180 HR (bpm): 64 BSA (m2): 2.04 m2 Indication: CABG ICD-9 Codes: 786.05 Test Information Date/Time: [**2110-11-14**] at 09:28 Interpret MD: [**Name6 (MD) 3892**] [**Name8 (MD) 3893**], MD Test Type: TEE (Complete) Son[**Name (NI) 930**]: [**Initials (NamePattern4) **] [**Last Name (NamePattern4) 3893**], MD Doppler: Full Doppler and color Doppler Test Location: Anesthesia West OR cardiac Contrast: None Tech Quality: Adequate Tape #: 2008AW01-: Machine: AW1 Echocardiographic Measurements Results Measurements Normal Range Left Ventricle - Septal Wall Thickness: *1.4 cm 0.6 - 1.1 cm Left Ventricle - Inferolateral Thickness: *1.4 cm 0.6 - 1.1 cm Left Ventricle - Diastolic Dimension: 4.2 cm <= 5.6 cm Left Ventricle - Ejection Fraction: 55% >= 55% Aorta - Sinus Level: *3.9 cm <= 3.6 cm Aorta - Ascending: *3.7 cm <= 3.4 cm Aortic Valve - Peak Velocity: 1.0 m/sec <= 2.0 m/sec Findings LEFT ATRIUM: No spontaneous echo contrast or thrombus in the LA/LAA or the RA/RAA. RIGHT ATRIUM/INTERATRIAL SEPTUM: Normal RA size. No ASD by 2D or color Doppler. LEFT VENTRICLE: Mild symmetric LVH with normal cavity size. Overall normal LVEF (>55%). RIGHT VENTRICLE: Normal RV chamber size and free wall motion. AORTA: Mildly dilated aortic sinus. Focal calcifications in aortic root. Mildly dilated ascending aorta. Focal calcifications in ascending aorta. Normal aortic arch diameter. Focal calcifications in aortic arch. Normal descending aorta diameter. Simple atheroma in descending aorta. AORTIC VALVE: Mildly thickened aortic valve leaflets (3). No AS. Trace AR. MITRAL VALVE: Mildly thickened mitral valve leaflets. Trivial MR. TRICUSPID VALVE: Normal tricuspid valve leaflets with trivial TR. PULMONIC VALVE/PULMONARY ARTERY: Normal pulmonic valve leaflet. No PS. Physiologic PR. PERICARDIUM: No pericardial effusion. GENERAL COMMENTS: A TEE was performed in the location listed above. I certify I was present in compliance with HCFA regulations. The patient was under general anesthesia throughout the procedure. No TEE related complications. The patient appears to be in sinus rhythm. Results were personally reviewed with the MD caring for the patient. See Conclusions for post-bypass data REGIONAL LEFT VENTRICULAR WALL MOTION: N = Normal, H = Hypokinetic, A = Akinetic, D = Dyskinetic Conclusions PRE-BYPASS: No spontaneous echo contrast or thrombus is seen in the body of the left atrium/left atrial appendage or the body of the right atrium/right atrial appendage. No atrial septal defect is seen by 2D or color Doppler. There is mild symmetric left ventricular hypertrophy with normal cavity size. Overall left ventricular systolic function is normal (LVEF>55%). Right ventricular chamber size and free wall motion are normal. he aortic root is mildly dilated at the sinus level. The ascending aorta is mildly dilated. There are focal calcifications in the aortic arch. There are simple atheroma in the descending thoracic aorta. he aortic valve leaflets (3) are mildly thickened but aortic stenosis is not present. Trace aortic regurgitation is seen. he mitral valve leaflets are mildly thickened. Trivial mitral regurgitation is seen. There is no pericardial effusion. Dr. [**Last Name (STitle) 914**] was notified in person of the results on Mr.[**Known lastname 7356**] at 8:30AM POST-BYPASS: Preserved biventricular systolic function. LVEF 55%. Intact thoracic aortic contour. No other new abnormalities seen. I certify that I was present for this procedure in compliance with HCFA regulations. Electronically signed by [**Name6 (MD) 3892**] [**Name8 (MD) 3893**], MD, Interpreting physician [**Last Name (NamePattern4) **] [**2110-11-14**] 11:57 Brief Hospital Course: The patient was admitted for coronary revascularization. He was brought to the operating room on [**11-14**] where he underwent coronary artery bypass grafting x 3. See operative note for full details. Overall the patient tolerated the procedure well and post-operatively was transferred to CVICU in stable condition for recovery and further invasive monitoring. By POD 1 the patient was extubated, alert and oriented, neurologically intact and hemodynamically stable. He was found suitable for transfer to telemetry at this point. Chest tubes and pacing wires were discontiued without complication. The patient made excellent progress with physical therapy, showing good strength and balance before discharge. He was gently diuresed toward his preoperative weight. By the time of discharge on POD 4 the patient was ambulating freely, the wound was healing and pain was controlled with oral analgesics. Medications on Admission: aspirin, protonix Discharge Medications: 1. Pantoprazole 40 mg Tablet, Delayed Release (E.C.) Sig: One (1) Tablet, Delayed Release (E.C.) PO Q24H (every 24 hours). Disp:*30 Tablet, Delayed Release (E.C.)(s)* Refills:*0* 2. Aspirin 81 mg Tablet, Delayed Release (E.C.) Sig: One (1) Tablet, Delayed Release (E.C.) PO DAILY (Daily). Disp:*30 Tablet, Delayed Release (E.C.)(s)* Refills:*0* 3. Atorvastatin 10 mg Tablet Sig: One (1) Tablet PO DAILY (Daily). Disp:*30 Tablet(s)* Refills:*0* 4. Oxycodone-Acetaminophen 5-325 mg Tablet Sig: 1-2 Tablets PO Q4H (every 4 hours) as needed for pain. Disp:*60 Tablet(s)* Refills:*0* 5. Docusate Sodium 100 mg Capsule Sig: One (1) Capsule PO BID (2 times a day) for 1 months. Disp:*60 Capsule(s)* Refills:*0* 6. Acetazolamide 250 mg Tablet Sig: Two (2) Tablet PO Q12H (every 12 hours) for 2 doses. Disp:*4 Tablet(s)* Refills:*0* 7. Metoprolol Tartrate 25 mg Tablet Sig: 1.5 Tablets PO BID (2 times a day). Disp:*90 Tablet(s)* Refills:*2* 8. Potassium Chloride 20 mEq Tab Sust.Rel. Particle/Crystal Sig: One (1) Tab Sust.Rel. Particle/Crystal PO Q12H (every 12 hours) for 2 days. Disp:*4 Tab Sust.Rel. Particle/Crystal(s)* Refills:*0* Discharge Disposition: Home With Service Facility: Interim Home Care Discharge Diagnosis: coronary artery disease Discharge Condition: good Discharge Instructions: Please shower daily including washing incisions, no baths or swimming Monitor wounds for infection - redness, drainage, or increased pain Report any fever greater than 101 Report any weight gain of greater than 2 pounds in 24 hours or 5 pounds in a week No creams, lotions, powders, or ointments to incisions No driving for approximately one month No lifting more than 10 pounds for 10 weeks Please call with any questions or concerns [**Telephone/Fax (1) 170**] Followup Instructions: Dr. [**Last Name (STitle) **] in 6 weeks [**Telephone/Fax (1) 75345**] Dr. [**Last Name (STitle) 914**] in 2 weeks ([**Telephone/Fax (1) 170**]) Dr. [**Last Name (STitle) 39975**] in 4 weeks Please call for appointments Wound check appointment [**Hospital Ward Name 121**] 6 as instructed by nurse ([**Telephone/Fax (1) 3071**]) Completed by:[**2110-11-18**] ICD9 Codes: 2724
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Medical Text: Admission Date: [**2192-11-4**] Discharge Date: [**2192-11-19**] Date of Birth: [**2149-1-1**] Sex: M Service: [**Last Name (un) **] ADMITTING DIAGNOSIS: A 43 year-old with HCV cirrhosis, status post liver transplant [**2192-11-4**]. HISTORY OF PRESENT ILLNESS: The patient is a 43 year-old male with history of HCV and cirrhosis on transplant list who now presents for liver transplant. Patient has had several admissions including the most recent on [**2192-10-8**] during which time a TIPS procedure was performed for diuretic resistant ascites and hyponatremia which has helped in control of his ascites. But eventually he became jaundiced with the bilirubin rising to 11. The patient was notified on [**2192-10-30**] that there was a potential liver transplant. However, it did not occur. The patient has no episodes of confusion although his wife does say that he is somewhat drowsy and sleeps quite a bit. His abdominal pain has improved. His abdominal distention and ankle edema has improved too. Baseline he is treated with lactulose. Patient has no recent fevers, chills, nausea, vomiting. PAST MEDICAL HISTORY: HCV cirrhosis. History of hemorrhoids, anal fissure, hyponatremia. Echocardiogram that was performed in [**2192-3-9**] demonstrated an ejection fraction of 55. PAST SURGICAL HISTORY: Clubbed foot, repaired when young. ALLERGIES: Erythromycin, gastrointestinal upset. MEDICATIONS ON ADMISSION: Quinine 325 mg q day, coprostanol 750 q week, spironolactone 100 mg q day, Lasix 80 mg q day, Protonix 40 mg q day, lactulose b.i.d. - t.i.d., Senna, Colace, Gas-Ex, calcium, vitamin D. SOCIAL HISTORY: Patient is married with three children, no tobacco. No current alcohol. Patient had a history of alcohol abuse, quit in [**2172**] and IV drug abuse. Patient does have _____. FAMILY HISTORY: Uncle had alcohol abuse-induced liver cirrhosis. PHYSICAL EXAMINATION: Patient is afebrile. Vital signs are stable. Weight 91.3 kilograms, 4 feet 8. Patient is awake, alert, positive scleral icterus. Extraocular movements are full. Pupils are equal, round and reactive to light. Lungs clear to auscultation bilaterally. Cardiovascular: Regular rate and rhythm. Normal S1 and S2 without murmurs. Abdomen distended but nontender. No organomegaly palpated. No hernias. No fluid wave. Extremities: Warm, +1 edema noted. So patient was admitted. Patient was kept n.p.o. Work up included chest x-ray, electrocardiogram, laboratories, type and screen and then patient was ordered for fluconazole, Unasyn, Cellcept, Solu-Medrol to be on call for the operating room. Patient did go to the operating room on [**2192-11-4**]. Patient had an orthotopic deceased donor liver transplant (piggyback, portal vein, portal vein anastomosis, common hepatic artery (recipient to common hepatic donor, common bile duct - common bile duct anastomosis over a French T tube performed by [**Last Name (NamePattern4) 24748**] [**Last Name (NamePattern4) **], [**First Name3 (LF) **] and [**Doctor Last Name **]. Please see the operating room note for detailed information about the surgery. Postoperatively the patient did go to the unit. Patient was intubated and sedated. Patient had serial hematocrits, coagulations x24 hours. Patient received Solu- Medrol, MMF, subcutaneous heparin, Protonix. Patient had a nasogastric tube placed. Patient had a central line, triple lumen placed. Postoperative day #1 patient did have a duplex liver ultrasound demonstrating unremarkable hepatic vasculature and transplanted liver perfusion on the right. [**Last Name (un) **] was consulted because of steroid-induced diabetes mellitus and had followed patient while patient was an inpatient. Patient had two J tubes, one medial and one lateral and a T tube, was on antibiotics postoperatively, Vancomycin, Zosyn. Patient was started on tacrolimus 2 and 2, MMF 1,000 b.i.d., Solu-Medrol. Patient had received a total of 5 doses of _____. On [**2192-11-5**] platelets slowly dropped. Blood test was sent off which was negative. Patient was getting out of bed, tolerating p.o. intake. On [**2192-11-9**] patient had a postoperative T tube cholangiogram that demonstrated that there was no evidence of extravasation. Luminal narrowing of the anastomosis with delayed passage of contrast which could be secondary to postoperative edema. So T tube was capped. One of the [**First Name8 (NamePattern2) 1661**] [**Last Name (NamePattern1) 1662**] drains because of decreased output was removed. Physical and occupational therapy saw the patient. On postoperative day 7 the second [**First Name8 (NamePattern2) 1661**] [**Last Name (NamePattern1) 1662**] drain was removed because of no output. Patient's liver function tests were slightly elevated after capping T tube. Tacrolimus was slowly increased due to the low level. A duplex ultrasound was performed on [**2192-11-12**] because of slightly elevated liver function tests demonstrating that there was a 5 x 5.8 x 3.5 fluid collection adjacent to the right lobe consistent with a biloma. 2) There was dilation of the common bile duct, common hepatic duct and central intrahepatic duct consistent with a substantial obstruction/stenosis. Because patient was distended in the abdomen a KUB was performed demonstrating: 1. Nonspecific bowel gas patterns which could represent ileus with many air fluid levels. CT of the abdomen was obtained the following day on [**2192-11-13**] demonstrating there is mild central intrahepatic biliary ductal dilatation and the common duct measures 11 mm to the level of the T tube. The common duct is collapsed distal to the T tube. 2. There are patent portal veins, hepatic artery and hepatic veins. 3. Ascites fluid within the abdomen greatest inferior to the right lobe of the liver. No discrete fluid collection is identified. There is also fluid adjacent to the spleen within the lesser sac and within the pelvis. 4. Possible ileus. 5 Minimal right basilar atelectasis. This prompted to have a T tube cholangiogram which demonstrated that there was post liver transplant T tube cholangiogram demonstrated filling of the native common bile duct and no opacification of the transplant biliary tree. Contrast was infused by gravity. Another T tube cholangiogram was performed on [**2192-11-16**] to evaluate all of the biliary tree demonstrating that there is post liver transplant T tube cholangiogram demonstrates prompt filling of the native common bile duct with prompt drainage into the small bowel. Filling of the right and possible also left intrahepatic bile duct in Trendelenburg position demonstrates normal appearing intrahepatic bile duct. Patient continued to have a great deal of stool. Patient had increased amount of stool and placed originally on Flagyl, then this was discontinued, but on [**2192-11-17**] because he was having increased stool on tube feeds and although multiple stool cultures were obtained which demonstrated that there was no C difficile, but because he improved clinically with his stools with the frequency of loose stools lessened with Flagyl, it was decided to place him back on Flagyl. After the cholangiogram on [**2192-11-16**] T tube was recapped. FK level ranged from 5.4 to 16.8. 5.4 was when he just started taking the tacrolimus. While he was an inpatient hepatitis surface antibody and hepatitis surface antigen were obtained which were quantitative. On [**2192-11-11**], [**2192-11-14**] and [**2192-11-18**] the hepatitis B surface antigen were negative and the hepatitis surface antibody had a titer of greater than 450 MIU per ml. So patient was discharged on [**2192-11-18**] to home with [**Hospital3 **] VNA. So patient went home with the following medications: Aluminum hydroxy gel 600 mg per 5 ml suspension, 10 to 30 ml p.o. q 8 hours p.r.n. for heartburn. Protonix 40 mg q 12. Prednisone 20 mg q day. Fluconazole 400 mg q day. Lamivudine 100 mg q day. Bactrim SS 1 tablet q day. MMF 500 mg q.i.d. Oxycodone 5 mg q 4 hours p.r.n. Tylenol 325 1 p.o. q 6 hours p.r.n. Tacrolimus 3 mg b.i.d. Flagyl 500 mg t.i.d. for 12 days. Valganciclovir 900 mg q day. Patient was discharged on the insulin sliding scale with fingersticks. Patient is to have laboratories drawn every Monday and Thursday and have the results faxed immediately to [**Telephone/Fax (1) 24749**]. Patient is to call transplant surgery immediately at [**Telephone/Fax (1) 673**] if any fevers, chills, nausea, vomiting, abdominal pain, increase in abdominal birth. To call if there is any change in the incision any discharge to the incision. Also notify transplant if he has difficulty with appetite, urination or bowel movements. FINAL DIAGNOSES: 1. HCV cirrhosis, status post liver transplant [**2192-11-4**]. 2. Steroid induced hyperglycemia. 3. Question of C difficile treated with Flagyl. SECONDARY DIAGNOSIS: Hemorrhoids. Anal fissure. Chronic hyponatremia. Patient is to follow up with transplant surgery next week. Please call [**Telephone/Fax (1) 673**] for an appointment. [**First Name11 (Name Pattern1) **] [**Last Name (NamePattern4) **], [**MD Number(1) 3432**] Dictated By:[**Last Name (NamePattern1) 4835**] MEDQUIST36 D: [**2192-11-27**] 13:43:15 T: [**2192-11-27**] 15:48:13 Job#: [**Job Number 24750**] ICD9 Codes: 5715, 2761
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Medical Text: Admission Date: [**2112-4-28**] Discharge Date: [**2112-5-8**] Date of Birth: [**2058-11-17**] Sex: M Service: SURGERY Allergies: Kiwi (Actinidia Chinensis) Attending:[**First Name3 (LF) 1384**] Chief Complaint: HCC/HCV cirrhosis, liver failure Major Surgical or Invasive Procedure: Liver [**First Name3 (LF) 1326**] [**2112-4-28**] History of Present Illness: 53 M diagnosed with HCC and HCV cirrhosis in [**6-/2111**], presents for OLT. He was last seen by Hepatology (Dr [**Name (NI) **]) in [**Month (only) 404**] at which time his MELD was 28. Past Medical History: He was diagnosed with cirrhosis and HCC in [**6-/2111**] for which he underwent cyberknife therapy in 6/[**2111**]. He has been listed for liver [**Year (4 digits) **] since 6/[**2111**]. He has had an EGD at an OSH in [**2110-8-13**] with grade 2 esophageal varices and portal hypertensive gastropathy. He also had a colonoscopy in [**Month (only) 956**] [**2110**] which showed rectal varices. He was last seen by Hepatology on [**2111-11-18**] at which time his MELD was 25 and his diurectics were increased for ongoing lower extremity edema. He has also had ongoing issues with poor sleep. Social History: Positive for EtOH abuse but sober seven years. Positive for tobacco. Question of past cocaine use. Lives alone. Not currently working. Family History: Mother - colon cancer Father - ESRD Physical Exam: Afebrile, vitals wnl Gen - A&O x 3 NAD Pulm - CTAB CV - rrr no m/g/r Abd - +BS, ND, mild TTP near subcostal and midline incisions Extrem - no c/c/e Pertinent Results: [**2112-4-28**] WBC-5.3 Hct-37.6* Plt Ct-92* [**2112-4-28**] WBC-12.9* Hct-29.4* Plt Ct-105* [**2112-4-28**] WBC-21.7* Hct-24.5* Plt Ct-77* [**2112-4-29**] WBC-14.7* Hct-30.6* Plt Ct-89* [**2112-4-30**] WBC-14.4* Hct-28.7* Plt Ct-78* [**2112-4-30**] WBC-19.2* Hct-31.0* Plt Ct-72* [**2112-5-2**] WBC-14.3* Hct-30.3* Plt Ct-81* [**2112-4-28**] PTT-32.7 INR(PT)-1.3* [**2112-4-28**] PTT-150* INR(PT)-3.1* [**2112-4-28**] PTT-150* INR(PT)-2.9* [**2112-4-28**] PTT-72.1* INR(PT)-2.2* [**2112-4-29**] PTT-26.2 INR(PT)-1.3* [**2112-4-29**] PTT-25.9 INR(PT)-1.2* [**2112-4-30**] PTT-23.6 INR(PT)-1.1 [**2112-5-2**] PTT-23.0 INR(PT)-1.0 [**2112-4-28**] Creat-0.8 Na-139 K-3.7 [**2112-4-29**] Creat-1.5* Na-137 K-4.0 [**2112-4-29**] Creat-1.6* Na-138 K-4.1 Cl-104 [**2112-4-30**] Creat-1.4* Na-138 K-3.6 Cl-102 [**2112-5-2**] Creat-0.8 Na-135 K-4.2 Cl-102 [**2112-4-28**] ALT-226* AST-303* AlkPhos-95 TBili-1.3 [**2112-4-28**] ALT-1444* AST-[**2126**]* AlkPhos-51 Amylase-33 TBili-2.4* LD(LDH)-3050* [**2112-4-29**] ALT-1155* AST-1646* AlkPhos-52 TBili-2.6* DBili-1.9* IBili-0.7 [**2112-4-29**] ALT-749* AST-727* AlkPhos-52 TBili-4.0* [**2112-4-30**] ALT-621* AST-501* AlkPhos-50 TBili-2.3* [**2112-5-1**] ALT-485* AST-253* AlkPhos-70 TBili-1.6* [**2112-5-2**] ALT-399* AST-122* AlkPhos-75 TBili-1.3 LD(LDH)-398* [**2112-5-3**] ALT-318* AST-105* AlkPhos-74 TBili-1.4 [**2112-5-4**] ALT-316* AST-110* AlkPhos-91 TBili-1.3 [**2112-5-5**] ALT-270* AST-118* AlkPhos-119 TBili-2.5* [**2112-5-6**] ALT-272* AST-92* AlkPhos-197* TBili-4.5* [**2112-4-29**] POD 1 Liver U/S - IMPRESSION: 1. Status post liver [**Month/Day/Year **] with patent vasculature. 2. 9-cm hematoma inferior to the porta hepatis and small amount of free fluid throughout the abdomen and pelvis. [**2112-5-5**] Liver U/S: IMPRESSION: 1. Status post liver [**Month/Day/Year **] with patent vasculature. 2. Two focal fluid collections adjacent to the left lateral segment (measuring 3 cm) and inferior to the right lobe of the liver (measuring approximately 1.4 cm) are noted. 3. Two echogenic structures within the transplanted liver may represent surgical clips versus calcifications and less likely pneumobilia and are in unchanged position compared to [**2112-4-29**]. [**5-6**] ERCP - Impression: The [**Month/Year (2) **] bile duct above the stricture was approximately 5mm and the native CBD was approximately 8mm. Given the small contrast leak at the anastomosis, balloon dilation of the stricture was not performed. A sphincterotomy was performed in 12 o'clock position with a sphincterotome successfully. A 10Fr x 9cm Advanix plastic biliary stent was placed across the stricture with excellent drainage of bile and contrast. Brief Hospital Course: The patient was admitted to the [**Month/Year (2) 1326**] surgery service on [**2112-4-28**] and had an Orthotopic liver [**Date Range **]. Surgeon was Dr. [**First Name8 (NamePattern2) **] [**Last Name (NamePattern1) 816**]. Please refer to operative note for further details. The patient tolerated the procedure well and was transferred intubated to the SICU for management. On POD 1 he was found to have a large hematoma near the porta and was taken back to the OR for washout and evacuation of the hematoma. This procedure was also well tolerated. Neuro: Post-operatively, the patient received Fentanyl & Dilaudid IV with good effect and adequate pain control. When tolerating oral intake, the patient was transitioned to oral pain medications. CV: The patient was hypertensive on beginning POD 1 and initially required hydralazine IV. Once tolerating Po he was switched to PO Norvasc and Lopressor. The patient was otherwise stable from a cardiovascular standpoint; vital signs were routinely monitored. Pulmonary: Following extubation, the patient was stable from a pulmonary standpoint; vital signs were routinely monitored. GI/GU: IV fluids were given until tolerating oral intake. His diet was advanced to clears on POD 3 and to a regular diet on POD 4, which was tolerated well. Patient had lower extremity edema and rhonchi on auscultation. The lateral JP, located in the hepatic/diaphragmatic gutter was discontinued on POD [**5-3**] and the medial JP, located near the porta hepatis was discontinued on [**5-8**]. He was thought to be fluid oveloaded and on POD 3, 4, & 6 and was administered Lasix IV. Foley was removed on POD 4, once his fluid status had stabalized. Intake and output were closely monitored. The patients LFT's increased on POD 7&8 and he underwent an unremarkable liver U/S. on POD 8 he had an ERCP that showed a stricture and a small bile leak at the CBD anastamosis. A plastic stent was placed by GI. The patient tolerated the procedure well and his LFT's trended down after the procedure. Endo: He experienced hyperglycemia from the steroids and required and insulin drip for several days. This was transitioned to Glargine and a Humalog sliding scale per the consulting [**Name8 (MD) **] MD. He was taught how to check his blood glucose and how to draw up and administer insulin. VNA services were arranged to assist at home as insulin was new for him. ID: Post-operatively, the patient was started on Bactrim, Valcyte, and Fluconazole for PCP, [**Name Initial (NameIs) 1074**]/EBV, and [**First Name5 (NamePattern1) 564**] [**Last Name (NamePattern1) **]. The patient's temperature was closely watched for signs of infection. Immunosuppression: He received induction immunosuppression (solumedrol and cellcept). Postop, solumedrol was taperedb by post op day 6 to prednisone 20mg daily. Cellcept 1 gram [**Hospital1 **] was well tolerated. Prograf was initiated on postop day 1 and dose adjusted per daily trough levels. Prophylaxis: The patient received subcutaneous heparin during this stay, and was encouraged to get up and ambulate as early as possible. At the time of discharge on POD [**11-20**], the patient was doing well, afebrile with stable vital signs, tolerating a regular diet, ambulating, voiding without assistance, and pain was well controlled. PT cleared him for home. VNA for medication (newly on insulin) was arranged. Medications on Admission: Pantoprazole 40mg Daily, Nadolol 20mg Daily, Lasix 80mg Daily, Spironolactone 200mg daily, MVI, Fish oil Discharge Medications: 1. fluconazole 200 mg Tablet Sig: Two (2) Tablet PO Q24H (every 24 hours). 2. prednisone 5 mg Tablet Sig: Four (4) Tablet PO DAILY (Daily). 3. docusate sodium 100 mg Capsule Sig: One (1) Capsule PO BID (2 times a day). 4. sulfamethoxazole-trimethoprim 400-80 mg Tablet Sig: One (1) Tablet PO DAILY (Daily). 5. mycophenolate mofetil 500 mg Tablet Sig: Two (2) Tablet PO BID (2 times a day). 6. pantoprazole 40 mg Tablet, Delayed Release (E.C.) Sig: One (1) Tablet, Delayed Release (E.C.) PO DAILY (Daily). 7. amlodipine 5 mg Tablet Sig: Two (2) Tablet PO DAILY (Daily). Disp:*60 Tablet(s)* Refills:*2* 8. metoprolol tartrate 50 mg Tablet Sig: 1.5 Tablets PO BID (2 times a day). Disp:*90 Tablet(s)* Refills:*2* 9. tacrolimus Oral 10. valganciclovir 450 mg Tablet Sig: Two (2) Tablet PO DAILY (Daily). 11. oxycodone 5 mg Tablet Sig: 1-2 Tablets PO Q4H (every 4 hours) as needed for pain. Disp:*30 Tablet(s)* Refills:*0* 12. insulin glargine 100 unit/mL Solution Sig: Twenty Nine (29) units Subcutaneous once a day. Disp:*1 bottle* Refills:*2* 13. insulin lispro 100 unit/mL Solution Sig: follow sliding scale units Subcutaneous four times a day. Disp:*1 bottle* Refills:*2* 14. tacrolimus Oral 15. insulin lispro 100 unit/mL Solution Sig: follow sliding scale units Subcutaneous four times a day. Disp:*1 bottle* Refills:*2* 16. FreeStyle Lite Meter Kit Sig: One (1) kit Miscellaneous four times a day. Disp:*1 kit* Refills:*1* 17. FreeStyle Lite Strips Strip Sig: One (1) Miscellaneous four times a day. Disp:*1 bottle* Refills:*2* 18. FreeStyle Lancets Misc Sig: One (1) Miscellaneous four times a day. Disp:*1 box* Refills:*2* 19. insulin syringe-needle U-100 1 mL 26 x [**2-14**] Syringe Sig: One (1) Miscellaneous four times a day: Low dose syringes. Disp:*1 box* Refills:*2* 20. Augmentin 875-125 mg Tablet Sig: One (1) Tablet PO twice a day for 7 doses. Disp:*7 Tablet(s)* Refills:*0* 21. Outpatient Lab Work Labs for AM Monday [**5-9**]: CBC, Chem 10, LFT's, Tacrolimus level 22. FreeStyle Lite Lancets and Strips Dispense 2 boxes of sterile lancets and test strips for glucose monitoring. FreeStyle Lite Refills: 2 Discharge Disposition: Home With Service Facility: [**Hospital 119**] Homecare Discharge Diagnosis: HCC HCV cirrhosis HA anastomosis bleeding Hyperglycemia Discharge Condition: Mental Status: Clear and coherent. Level of Consciousness: Alert and interactive. Activity Status: Ambulatory - Independent. Discharge Instructions: Please call the [**Hospital 1326**] Office [**Telephone/Fax (1) 673**] if you have any of the following: fever, chills, nausea,vomiting, inability to take any of your medications, jaundice, increased abdominal/incision pain, incision redness/bleeding/drainage, constipation or diarrhea You will need to have blood drawn every Monday and Thursday at [**Last Name (NamePattern1) 439**] Lab on [**Location (un) 453**] You may not drive while taking pain medication. No heavy lifting/straining You may shower with soap and water, but do not put powder/ointment or lotion on your incision Followup Instructions: Provider: [**Name10 (NameIs) **] [**Hospital 1389**] CLINIC Phone:[**Telephone/Fax (1) 673**] Date/Time:[**2112-5-18**] 11:20 Provider: [**First Name11 (Name Pattern1) 819**] [**Last Name (NamePattern4) 820**], MD Phone:[**Telephone/Fax (1) 673**] Date/Time:[**2112-5-12**] 9:30 Provider: [**First Name11 (Name Pattern1) 674**] [**Last Name (NamePattern4) 675**], MD Phone:[**Telephone/Fax (1) 673**] Date/Time:[**2112-5-19**] 2:00 Provider: [**First Name11 (Name Pattern1) 674**] [**Last Name (NamePattern4) 675**], MD Phone:[**Telephone/Fax (1) 673**] Date/Time:[**2112-5-26**] 1:40 ICD9 Codes: 3051
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Medical Text: Admission Date: [**2187-3-27**] Discharge Date: [**2187-3-29**] Date of Birth: [**2187-3-27**] Sex: F Service: NEONATOLOG HISTORY: Baby girl [**Known lastname 916**] was born on [**2187-3-27**] at full term to a 33-year-old gravida 2, para 1 mother with unremarkable prenatal labs and unremarkable pregnancy. Delivery was spontaneous and vaginal after rupture of membranes for appropriate 12 hours prior to delivery. Maternal group B strep status was negative. Amniotic fluid was meconium stained; infant emerged vigorous and did not require resuscitation in the delivery room. Apgar scores were 7 and 8. Birth weight was 3305 grams. Infant was initially admitted to the well-baby nursery, where jitteriness was noted at the three hours of age; DC at that time was 36, which did increase to 60 at feeding, but fell again to 41 two hours after feeding. Infant's temperature was 97 degrees at two hours of age, 97.3 at four hours of age. The infant was then transferred to the Newborn Intensive Care Unit for further evaluation of the hypoglycemia and hypothermia. PHYSICAL EXAMINATION: Examination on admission revealed the following: The infant was well appearing and vigorous. Weight was 3,305 grams which is approximately the 50th to 75th percentile. Head circumference is 34.5 cm, which is also the 75th percentile. Vital signs were stable in room air. The infant was nondysmorphic appearing. Fontanelles were soft and flat; palate intact; nares and ears were normal. Red reflex was present bilaterally. Chest was clear without increased work of breathing. Heart was regular rate and rhythm without murmur of gallop. Abdomen was soft without hepatosplenomegaly. Genitalia were that of a normal female. Infant was mildly jittery with appropriate tone and moving all extremities. Reflexes were intact. Skin was normal. HOSPITAL COURSE: Infant was admitted to the newborn Intensive Care Unit for evaluation and treatment of the hypoglycemia and hypothermia. RESPIRATORY: The infant remained stable from a respiratory standpoint throughout admission. Mild desaturations were noted on day #1 of life, which had resolved by day #2. CARDIOVASCULAR: The infant remained hemodynamically stable with normal blood pressure and heart rate throughout the admission. FLUIDS, ELECTROLYTES, AND NUTRITION: The infant was initially begun on IV fluids of D10 in response to the hypoglycemia, as well as allowed to feed p.o.ad lib. Over the two days of admission, the IV fluids were able to be gradually weaned to off with stable blood sugars as feeding improved. By day of life #2, the infant was feeding well on an ad lib basis, breasting feeding and bottle with blood sugars stable, 58 to 66 off IV fluids. Birth weight of 3305 was followed by weight of 3340 grams on day of life #2. Urine and sugar level were normal. Electrolytes were checked on day #1 and were within normal limits, including a calcium level of 8.7. GASTROINTESTINAL: The infant had normal stools throughout admission. Bilirubin of 24 hours of life was 5.3/0.3. INFECTIOUS DISEASE: Initial CBC revealed a white count of 19.7, hematocrit of 45, platelet count of 277 with a differential of 66 polys, 0 bands. Blood cultures were sent. Ampicillin and Gentamicin were begun given the hypoglycemia and hypothermia pending cultures; these are discontinued after 48 hours with a benign clinical course and negative cultures. SENSORY: The infant passed hearing screen with automated auditory brain stem responses. DISPOSITION: The infant is being transferred to the Well Baby Nursery for further monitoring. If the infant does well it is anticipated that the infant will be able to be discharged to home in 24 hours. CONDITION ON DISCHARGE: Stable. PEDIATRICIAN: Primary pediatrician is Dr. [**Last Name (STitle) 42007**] at Missing [**Hospital **] Pediatrics in [**Location (un) 1468**], [**State 350**]. CARE RECOMMENDATIONS: Breast feed with bottle supplements on an ad lib basis. MEDICATIONS ON DISCHARGE: None. NEWBORN SCREENING STATUS: Sent. IMMUNIZATIONS RECEIVED: Hepatitis B vaccination is pending. DISCHARGE DIAGNOSES: 1. Term infant. 2. Hypoglycemia resolved. 3. Hypothermia resolved. [**First Name11 (Name Pattern1) **] [**Last Name (NamePattern1) 36142**], M.D. [**MD Number(1) 36143**] Dictated By:[**Last Name (NamePattern4) 42008**] MEDQUIST36 D: [**2187-3-29**] 12:46 T: [**2187-3-29**] 12:50 JOB#: [**Job Number 42009**] ICD9 Codes: V053, V290
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Medical Text: Admission Date: [**2112-5-19**] Discharge Date: [**2112-5-20**] Date of Birth: [**2076-7-18**] Sex: F Service: MEDICINE Allergies: Patient recorded as having No Known Allergies to Drugs Attending:[**First Name3 (LF) 398**] Chief Complaint: Suicide attempt - tylenol, effexor overdose Major Surgical or Invasive Procedure: None History of Present Illness: The patient is a 35 year old female with a history of depression on Effexor 150 mg (no prior psych admission, suicide attempt) who presented to the ED on [**2112-5-18**] after her boyfriend called EMS after he was unable to reach her multiple times by phone. The patient was found by the police attempting to cut her right wrist with a razor and admitted to having drank alcohol (unknown amount, usually drinks beer + vodka) and took a "whole bottle" of Effexor 150 mg and an unknown quantity of tylenol pm in an attempt to take her life, approximately around midnight. The patient states "I can't take it any more". She denies any instigating factors but states that she has been depressed for "a long time". She has no psychiatrist but instead was given Effexor by her PCP. [**Name10 (NameIs) **] denies feeling unsafe at harm and denies that she feels threatened by anyone. The patient admits to feeling very depressed. She admits to trying to cut her right wrist with a razor but "it hurt too much and I couldn't do it." There was also a report that she may have taken advil as well. . The police were able to restrain her from cutting her wrist and brought her to the ED where her tylenol level was found to be 74, alcohol level 174, serum and urine toxicology otherwise negative. LFTs were within normal range. . The patient's vitals in the ED were 97.4, P 117, BP 133/91, RR 19, 98% on RA. She was given activated charcoal as well as 8400 mg IV NAC, 2 gm magnesium IV and then placed on NAC 4500 mg PO Q4. She was transferred to the ICU with a 1:1 sitter for further monitoring. . ROS: . Otherwise negative. No CP/SOB/abdominal pain. No nausea/vomiting. Past Medical History: Depression, denies past SI Cervical cancer s/p radical hysterectomy . Past Surgical History: . Hysterectomy Social History: The patient works as a police dispatcher for the [**Location (un) 1411**] police department. She has a 17 year old daughter who lives with her at home and is now staying with her father. The patient has a boyfriend who called EMS initially. She smokes 1 ppd. Admits to alcohol use and admits a history of alcohol abuse (vodka + beer) but says she has been cutting down. Denies drinking on a daily basis. Denies drug use. Family lives in the area Family History: Noncontributory. Physical Exam: Tc=97.8 P=104 BP = 132/86 RR= 20 100% on RA . Gen - Teary eyed, depressed, alert and oriented x 3 HEENT - PERLA, eyes injected, smells of alcohol Heart - Increased rate, regular rhythm, no M/R/G Lungs - CTAB Abdomen - Soft, NT, ND + BS, no hepatosplenomegaly Ext - No C/C/E, right wrist 3-4 cm linear superficial laceration over palmaris longus, positive for ecchymosis along bilateral shins on lower extremities Back - no CVAT Skin - As noted above, otherwise no jaundice Neuro - CN II-XII intact Psych - Depressed Pertinent Results: [**2112-5-19**] 09:49AM ACETMNPHN-9.5 [**2112-5-19**] 09:49AM PT-12.5 PTT-27.5 INR(PT)-1.1 [**2112-5-19**] 05:00AM ACETMNPHN-50.8* [**2112-5-19**] 02:25AM URINE bnzodzpn-NEG barbitrt-NEG opiates-NEG cocaine-NEG amphetmn-NEG mthdone-NEG [**2112-5-19**] 02:25AM URINE COLOR-Straw APPEAR-Clear SP [**Last Name (un) 155**]-1.005 [**2112-5-19**] 02:25AM URINE BLOOD-NEG NITRITE-NEG PROTEIN-NEG GLUCOSE-NEG KETONE-NEG BILIRUBIN-NEG UROBILNGN-NEG PH-5.0 LEUK-NEG [**2112-5-19**] 01:50AM GLUCOSE-91 UREA N-9 CREAT-0.8 SODIUM-140 POTASSIUM-4.6 CHLORIDE-102 TOTAL CO2-24 ANION GAP-19 [**2112-5-19**] 01:50AM ALT(SGPT)-20 AST(SGOT)-21 ALK PHOS-60 AMYLASE-34 TOT BILI-0.5 [**2112-5-19**] 01:50AM ASA-NEG ETHANOL-174* ACETMNPHN-73.9* bnzodzpn-NEG barbitrt-NEG tricyclic-NEG [**2112-5-19**] 01:50AM WBC-7.1 RBC-4.38 HGB-14.0 HCT-39.0 MCV-89 MCH-32.1* MCHC-36.0* RDW-13.7 [**2112-5-19**] 01:50AM PLT COUNT-372 [**2112-5-19**] 01:50AM PT-10.9 PTT-26.9 INR(PT)-0.9 Brief Hospital Course: The patient is a 35 year old female with a history of depression status post suicide attempt with tylenol overdose, alcohol and Effexor ingestion.\ who had no significant liver damage from her intoxications and did quite well. She is now ready for discharge to an inpatient psychiatric facility. Plan: # Tylenol and Effexor overdose. She was originally given activated charcoal in the ED and NAC. Continued NAC 4500 mg PO Q4 until HD #1 when, per toxicology recs and normal LFTs, this was stopped. Her initial tylenol level was 74 and may have been within <4 hours after ingestion, suggesting borderline to no hepatotoxicity. Subsequent Acetaminpophen levels dropped quickly and LFTs remained quite stable. EKG had normal QRS with RSR' pattern. She supposedly also overdosed with Effexor 150 mg - so we monitored QRS for widening which was not apparant. We continued folic acid, thiamine, MVI given history of alcohol use. She is now medically stable. # Depression. Psychiatry followed and recommended inpatient treatment. We retained a 1:1 sitter throughout the admission. The patient remained very depressed and admitted on HD #1 that she made a clear attempt to take her life in the setting of a breakup with her boyfriend related to her alcohol intake. She is being discharged for further management at an inpatient psychiatric facility # FEN - regular, monitor lytes, IVF # PPX - She refused Heparin SQ TID and pneumoboots #Code - FULL code #Dispo - To an inpatient psychiatric facility #Communication - with patient and her mother Medications on Admission: Effexor 150 mg PO QD Discharge Medications: 1. Hexavitamin Tablet Sig: One (1) Cap PO DAILY (Daily). 2. Thiamine HCl 100 mg Tablet Sig: One (1) Tablet PO DAILY (Daily). 3. Folic Acid 1 mg Tablet Sig: One (1) Tablet PO DAILY (Daily). Discharge Disposition: Extended Care Discharge Diagnosis: Drug overdose Suicidality Depression Discharge Condition: Stable Discharge Instructions: Please take all medications as prescribed. You were admitted for depression and an overdose on Tylenol and Effexror with Benadryl. You are being discharged for further psychiatric evaluation at an inpatient facility. Follow up as per below. Seek medical attention immediately if you experience abdominal pain, headache, desire to hurt yourself or others. Followup Instructions: call [**Last Name (LF) **],[**First Name3 (LF) **] S [**Telephone/Fax (1) 8506**] for an appointment when you get out of the hospital ICD9 Codes: 311, 3051
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Medical Text: Admission Date: [**2108-2-13**] Discharge Date: [**2108-2-15**] Date of Birth: [**2042-10-15**] Sex: M Service: MEDICINE Allergies: Codeine / Amoxicillin Attending:[**First Name3 (LF) 2891**] Chief Complaint: chest pain Major Surgical or Invasive Procedure: [**2108-2-14**] left heart catheterization with bare metal stent placed in left circumflex History of Present Illness: 65 year old male w/ PmHx of HTN and longstanding GERD (s/p Nissen procedure) who presented to OSH with chest pain and found to have elevated troponin without EKG changes, diagnosed with NSTEMI and transfered to [**Hospital1 18**] for further evaluation. Mr. [**Known lastname 73466**] reports that around 10am in the morning he developed a pressure-like sensation around his sternum. He has prominent GERD symptoms chronically and takes [**Hospital1 **] omeprazole, but this felt different than his GERD symptoms and didn't feel like anything he's ever had before. He devleoped diaphoresis, SOB, and nausea with dry heaving shortly after the chest discomfort started. He went to [**Hospital3 **] around 2pm. Initial EKG showed no ischemic changes but troponin I there was elevated at 3.54. He was given 325mg ASA, 75mg clopidogrel, 2SL nitro, nitro past, 4mg IV morphine, and 40mg simvastatin. Cardiology at [**Hospital1 2436**] recommended transfer to [**Hospital1 18**]. On arrival to the [**Hospital1 18**] ED, inital VS: 97.4 67 147/107 18 100% 2L. EKG showed no ischemic changes. Guiac negative and started on heparin gtt for troponin of 0.47 with CK 144 and CKMB 16. Since chest pain was still present, was given 5mg IV morphine. He was chest pain free at transfer to [**Hospital Ward Name 121**] 2 with Vs at transfer 97.8, 71, 162/90, 16, 99%RA. Currently, symptom free. Only other thing that has been going on recently is severe lower back/Left SI pain with radiation down the left leg which got much worse over weekend. Started having issues with this after hurting his back lifting furniture a few months back. Has received steroid injections in his back in the past. Over weekend got so bad his feet became a bit numb and that he couldn't walk much, but this has resolved. Is in process of being evaluated by a spinal surgeon for this issue. Also reports intermittent diarrhea with food for many months. REVIEW OF SYSTEMS: Denies fever, chills, night sweats, headache, vision changes, rhinorrhea, congestion, sore throat, cough, constipation, BRBPR, melena, hematochezia, dysuria, hematuria. Past Medical History: Hiatal hernia, Nissen fundoplication [**2105-7-16**] GERD s/p ACL repair in [**2099**] HTN Depression Peroneal nerve entrapemnt s/p surgical decompression in [**2102**] B/l inguinal hernia repair in [**2102**] Anemia R should rotator cuff tear and biceps tendon tear in [**1-28**] Social History: Wroked as a painter, physically active. Divorced, in a monogamous relationship with girlfriend. [**Name (NI) 1139**] - greater than 30 pack years, quit in [**2088**], began smoking at age 12. Alcohol - 1-2 drinks beer daily, almost never binge drinks. No illicit/IV drug use. Family History: Father died of MI at age 70, mother and siblings are healthy Physical Exam: ADMISSION PHYSICAL EXAM: VS - Temp 98.0F, BP 166/99, HR 77, R 18, O2-sat 100% RA GENERAL - Alert, interactive, well-appearing in NAD HEENT - PERRLA, EOMI, sclerae anicteric, MMM, OP clear NECK - Supple, no JVD HEART - PMI non-displaced, RRR, nl S1-S2, no MRG LUNGS - CTAB, no r/rh/wh, good air movement, resp unlabored ABDOMEN - NABS, soft/NT/ND, no masses or HSM EXTREMITIES - WWP, no c/c/e, 2+ peripheral pulses SKIN - no rashes or lesions LYMPH - no cervical LAD NEURO - awake, A&Ox3, no focal deficits, intact sensation in both LE without areas of numbness or paresthesias BACK: mild pain to palpation over lower back and left SI joint . DISCHARGE PHYSICAL EXAM VS Tmax 99.5, BP 110-140s/68-96, HR 60s, RR18, sats 100% RA unchanged Pertinent Results: ADMISSION LABS [**2108-2-13**] 09:50PM BLOOD WBC-6.8 RBC-3.85* Hgb-11.9* Hct-38.6* MCV-100* MCH-31.1 MCHC-30.9* RDW-11.8 Plt Ct-415 [**2108-2-13**] 09:50PM BLOOD Neuts-87.9* Lymphs-8.8* Monos-2.6 Eos-0.7 Baso-0 [**2108-2-13**] 09:50PM BLOOD PT-10.9 PTT-31.4 INR(PT)-1.0 [**2108-2-13**] 09:50PM BLOOD Glucose-132* UreaN-21* Creat-1.0 Na-132* K-4.7 Cl-99 HCO3-21* AnGap-17 [**2108-2-14**] 07:20AM BLOOD Calcium-8.9 Phos-2.1* Mg-2.0 . CARDIAC ENZYMES [**2108-2-13**] 09:50PM BLOOD CK-MB-16* MB Indx-11.1* [**2108-2-13**] 09:50PM BLOOD cTropnT-0.47* [**2108-2-14**] 07:20AM BLOOD CK-MB-11* MB Indx-9.7* cTropnT-0.49* . DISCHARGE LABS [**2108-2-14**] 07:20AM BLOOD WBC-7.1 RBC-3.53* Hgb-11.3* Hct-34.4* MCV-98 MCH-32.0 MCHC-32.8 RDW-12.1 Plt Ct-322 [**2108-2-15**] 06:30AM BLOOD UreaN-8 Creat-0.9 Na-136 K-4.3 Cl-100 [**2108-2-15**] 06:30AM BLOOD ALT-42* AST-65* AlkPhos-47 TotBili-0.9 [**2108-2-15**] 06:30AM BLOOD Triglyc-241* HDL-70 CHOL/HD-2.7 LDLcalc-71 . IMAGES [**2108-2-14**] CARDIAC CATH: COMMENTS: 1) Selective coronary angiography of this right-dominant system demonstrated two-vessel coronary artery disease. The LMCA and LAD had no angiographically-apparent flow-limiting stenoses. The large OM branch of the LCx had a 70% stenosis at the bifurcation. The proximal RCA had a 50-60% stenoses. 2) 3) Limited resting hemodynamics revealed systemic arterial normotension, with a central aortic pressure of 127/78 mmHg. FINAL DIAGNOSIS: 1. Two vessel coronary artery disease. 2. Successful BMS to LCx. 3. Aspirin 81 mg daily indefinitely and clopidogrel 75 mg daily for 1 month minimum, longer if no bleeding. . 3/38/12 TTE: RIGHT ATRIUM/INTERATRIAL SEPTUM: Moderately dilated RA. LEFT VENTRICLE: Mild symmetric LVH with normal cavity size. Normal regional LV systolic function. Overall normal LVEF (>55%). Doppler parameters are indeterminate for LV diastolic function. No resting LVOT gradient. RIGHT VENTRICLE: Normal RV chamber size and free wall motion. AORTA: Normal diameter of aorta at the sinus, ascending and arch levels. AORTIC VALVE: Mildly thickened aortic valve leaflets (3). No AS. No AR. MITRAL VALVE: Mildly thickened mitral valve leaflets. No MVP. Trivial MR. TRICUSPID VALVE: Normal tricuspid valve leaflets. Physiologic TR. Normal PA systolic pressure. PULMONIC VALVE/PULMONARY ARTERY: Pulmonic valve not well seen. PERICARDIUM: No pericardial effusion. Conclusions The left atrium is moderately dilated. The right atrium is moderately dilated. There is mild symmetric left ventricular hypertrophy with normal cavity size. Regional left ventricular wall motion is normal. Overall left ventricular systolic function is normal (LVEF>55%). Doppler parameters are indeterminate for left ventricular diastolic function. Right ventricular chamber size and free wall motion are normal. The diameters of aorta at the sinus, ascending and arch levels are normal. The aortic valve leaflets (3) are mildly thickened but aortic stenosis is not present. No aortic regurgitation is seen. The mitral valve leaflets are mildly thickened. There is no mitral valve prolapse. Trivial mitral regurgitation is seen. The estimated pulmonary artery systolic pressure is normal. There is no pericardial effusion. IMPRESSION: Mild symmetric left ventricular hypertrophy with preserved global and regional biventricular systolic function. Mild mitral regurgitation. . Brief Hospital Course: Mr. [**Known lastname 73466**] is a 65 year old male w/ hypertension (HTN) and difficult to control GERD (s/[**Initials (NamePattern4) **] [**Last Name (NamePattern4) 1358**]) who presented to OSH with chest pain different from his baseline GERD and found to have elevated troponin without EKG changes ruling in for NSTEMI and transfered to [**Hospital1 18**]. . # Non-ST elevation myocardial infarction (NSTEMI): His chest pain syndrome was very different from his baseline GERD with a substernal location, pressure-like pain, and associated diaphoresis and nausea. Eventually, he became chest pain free and without shortness of breath, but took hours to achieve this with morphine and nitro. No heart failure on symptoms or exam. No prior history of coronary disease nor stable anginal syndrome and no prior caths but has smoking history and hypertension. He recieved aspirin 325 mg, clopidogrel loaded 600 mg, heparin gtt, atorvastatin 80 mg daily, metoprolol tartrate 25 mg [**Hospital1 **], and his lisinopril was increased to 40 mg daily. He underwent a cath with placement of a bare metal stent to his left circumflex artery. After this, his plavix was changed to prasugrel 10 mg daily because this does not interact with his fluoxetine or omeprazole. His transthoracic ECHO showed no wall motion abnormalities, slight mitral regurgitation. He was discharged on: aspirin 81 mg, prasugrel 10 mg daily, atorvastatin 80 mg daily, metoprolol succinate 50 mg [**Hospital1 **], and lisinopril 40 mg daily. . # HTN: His systolic pressure on admisson was 169 and so his lisinopril was increased to 40 mg daily in light of NSTEMI as would prefer to reduce afterload to reduce myocardial oxygen demand. . # Gastroesophageal reflux disease (GERD): This is chronic and poorly controlled despite past [**Last Name (un) 1358**]. Has been on 40mg omeprazole [**Hospital1 **] for some time. Because PPI interacts with clopidogrel, placed BMS so that anticoagulation time is minimized. Also, discharged him on prasugrel as 2nd antiplatelet [**Doctor Last Name 360**] so that omeprazole can be continued. . # Depression: Symptoms stable. Has been on high dose fluoxetine. Fluoxetine also interacts with plavix so again favored prasugrel in [**Hospital 4820**] medical management of NSTEMI. . # Siatica: Again long-standing and difficult to control. His PCP has reported that he trusts him to have narcotics on a short-term basis if needed for pain while in house. He is getting set-up with the spine center for possible surgical intervention. Was given oxycodone for pain control but this caused nightmares so he asked to not have this continued. Avoided NSAIDS because don't want to irritate known gastritis in the setting of new antiplatelet agents as above. . # CONTACT: [**Name (NI) 8214**] [**Name (NI) 83084**] (friend-[**Telephone/Fax (1) 83085**](h) / [**Telephone/Fax (1) 83086**](w) . TRANSITIONAL ISSUES: - Please discontinue prasugrel after a month if concerns for GI bleeding - His AST and ALT were slightly elevated and he was started on a statin. These should be rechecked Medications on Admission: Lisinopril 20mg PO daily Omeprazole 40mg PO BID Fluoxetine 40mg PO daily ASA 81mg PO daily Discharge Medications: 1. atorvastatin 80 mg Tablet Sig: One (1) Tablet PO DAILY (Daily). Disp:*30 Tablet(s)* Refills:*0* 2. aspirin 325 mg Tablet Sig: One (1) Tablet PO DAILY (Daily). Disp:*30 Tablet(s)* Refills:*0* 3. omeprazole 20 mg Capsule, Delayed Release(E.C.) Sig: Two (2) Capsule, Delayed Release(E.C.) PO BID (2 times a day). 4. fluoxetine 20 mg Capsule Sig: Two (2) Capsule PO DAILY (Daily). 5. prasugrel 10 mg Tablet Sig: One (1) Tablet PO DAILY (Daily). Disp:*30 Tablet(s)* Refills:*0* 6. lisinopril 20 mg Tablet Sig: Two (2) Tablet PO DAILY (Daily). Disp:*60 Tablet(s)* Refills:*0* 7. metoprolol succinate 50 mg Tablet Extended Release 24 hr Sig: One (1) Tablet Extended Release 24 hr PO once a day. Disp:*30 Tablet Extended Release 24 hr(s)* Refills:*0* Discharge Disposition: Home Discharge Diagnosis: PRIMARY DIAGNOSIS non-ST elevation myocardial infarction (NSTEMI) . SECONDARY DIAGNOSIS hypertension gastroesophageal reflux disease (GERD) Discharge Condition: Mental Status: Clear and coherent. Level of Consciousness: Alert and interactive. Activity Status: Ambulatory - Independent. Discharge Instructions: Dear Mr. [**Known lastname 73466**], . You were admitted to the hospital because you had chest pain which was concerning for a heart attack. Your blood work showed that you had a small heart attack and you underwent a procedure (called cardiac catheterization) where they placed a stent in one of your blood vessels to open it up again. We also started some new medications to control your blood pressure and cholesterol. Finally, there are some new medications to thin your blood so that new blood clots are less likely to form in your heart. However, these medications do increase your risk of bleeding in your stomach slightly so you should monitor yourself for symptoms such as black stools. . The following changes were made to your medications: - START taking prasugrel 10 mg daily - START taking metoprolol succinate 50 mg a day - START atorvastatin 80 mg daily - INCREASE lisinopril to 40 mg daily . You should keep all of the follow-up appointments listed below. . It was a pleasure taking care of you in the hospital! Followup Instructions: Department: [**Location (un) **] PRIMARY CARE When: TUESDAY [**2108-2-28**] at 11:30 AM With: [**First Name11 (Name Pattern1) **] [**Last Name (NamePattern1) 79306**], MD [**Telephone/Fax (1) 3736**] Building: [**Street Address(2) 82764**] ([**Location 15289**], MA) [**Location (un) 859**] Campus: OFF CAMPUS Best Parking: Parking on Site Department: [**Hospital3 249**] When: MONDAY [**2108-2-27**] at 1 PM With: [**First Name8 (NamePattern2) **] [**Last Name (NamePattern1) **], MD. [**Company 191**] POST [**Hospital 894**] CLINIC [**Telephone/Fax (1) 2010**] Building: SC [**Hospital Ward Name 23**] Clinical Ctr [**Location (un) 895**] Campus: EAST Best Parking: [**Hospital Ward Name 23**] Garage *This appointment is with a hospital-based doctor as part of your transition from the hospital back to your primary care provider. [**Name10 (NameIs) 616**] this visit, you will see your regular primary care doctor in follow up. Department: CARDIAC SERVICES When: WEDNESDAY [**2108-3-21**] at 1:20 PM With: [**First Name11 (Name Pattern1) 488**] [**Last Name (NamePattern4) 18267**], MD [**Telephone/Fax (1) 62**] Building: SC [**Hospital Ward Name 23**] Clinical Ctr [**Location (un) **] Campus: EAST Best Parking: [**Hospital Ward Name 23**] Garage ICD9 Codes: 4019, 311
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Medical Text: Admission Date: [**2117-3-30**] Discharge Date: [**2117-4-3**] Date of Birth: [**2051-5-31**] Sex: M Service: NEUROSURGERY Allergies: No Known Allergies / Adverse Drug Reactions Attending:[**First Name3 (LF) 78**] Chief Complaint: Headache Major Surgical or Invasive Procedure: Bilateral sided burr holes for drainage of subdural hematoma History of Present Illness: 65M who is a physician from [**Name9 (PRE) 6171**] visiting [**Location (un) 86**] for a conference. He reports a ski accident in [**Country 6171**] about 5 weeks ago, he is unsure of the event and not sure why he went down- syncope vs. traumatic event. A head CT at that time was negative. He flew into [**Location (un) 86**] for a conference and reports a headache that started yesterday but has progressed this morning. He denies any visual issues, but reports nausea/vomiting. Denies any anticoagulant medication. Past Medical History: HTN Lung cancer diagnosed 3 years ago with no mets or lymph node spread. No chemo, s/p lobectomy, side unknown. s/p cholestectomy BPH? Bil shoulder injury years ago, s/p surgical intervention Social History: Married, has children and grandchildren. Lives in Nice, [**Country 6171**]. He is a Infectious Disease physician. [**Name10 (NameIs) **], no ETOH, no recreational drugs. Family History: Noncontributory Physical Exam: O: T: 97.8 BP: 167/76 HR: 81 R 16 O2Sats 99% Gen: WD/WN, uncomfortable, NAD. HEENT: normocephalic Neck: Supple. Extrem: Warm and well-perfused. Neuro: Mental status: Awake and alert, cooperative with exam, normal affect. Orientation: Oriented to person, place, and date. Language: Speech fluent with good comprehension and repetition. Naming intact. No dysarthria or paraphasic errors. Cranial Nerves: I: Not tested II: Pupils equally round and reactive to light, 4 to 2 mm bilaterally. Visual fields are full to confrontation. III, IV, VI: Extraocular movements intact bilaterally without nystagmus. V, VII: Facial strength and sensation intact and symmetric. VIII: Hearing intact to voice. IX, X: Palatal elevation symmetrical. [**Doctor First Name 81**]: Sternocleidomastoid and trapezius normal bilaterally. XII: Tongue midline without fasciculations. Motor: Normal bulk and tone bilaterally. No abnormal movements, tremors. Strength full power [**6-3**] throughout. No pronator drift Sensation: Intact to light touch Coordination: normal on finger-nose-finger Pertinent Results: [**2117-4-1**] 03:04AM BLOOD WBC-11.7* RBC-3.93* Hgb-12.5* Hct-36.3* MCV-92 MCH-31.8 MCHC-34.4 RDW-13.1 Plt Ct-169 [**2117-4-1**] 03:04AM BLOOD Plt Ct-169 [**2117-3-30**] 11:50AM BLOOD Neuts-87.0* Lymphs-9.2* Monos-3.4 Eos-0.3 Baso-0.2 [**2117-4-1**] 03:04AM BLOOD Glucose-147* UreaN-22* Creat-1.0 Na-139 K-3.6 Cl-106 HCO3-25 AnGap-12 [**2117-4-1**] 03:04AM BLOOD Calcium-7.2* Phos-1.8*# Mg-2.0 [**2117-3-30**] 12:04PM BLOOD Lactate-1.4 K-3.9 Brief Hospital Course: Mr [**Name13 (STitle) 90376**] was admitted to the neurosurgery ICU for close observation after a head CT showed bilateral subdural hematoma. He was started on seizure prophylaxis and prednisione for headache pain. He was brought to the OR on [**3-31**] and underwent bilateral burr hole procedures for evacuation of subdural hematoma. He tolerated the procedure well and remained neurologically intact. he was trasnfered to the floor where he remained stable. On the morning fo 3.5 he was noted to be slightly febrile and having a productive cough. He had a CXR which was negative, and a head CT which was stable. He also complained of RLE pain and LENIS were done to rule out DVT. The preliminary read was that there was no DVT however a final read had not been done by the time of discharge. The patient was given instructions for follow-up and did not require any prescriptions as he already possessed the necessary medications. He was instructed to follow-up wtih [**Hospital1 18**] prior to flying to [**Country 6171**] on Wednesday for the results of his LENIs Medications on Admission: Cozaar Some medication for prostate but name unfamiliar Discharge Medications: 1. losartan 50 mg Tablet Sig: Two (2) Tablet PO DAILY (Daily). 2. acetaminophen 325 mg Tablet Sig: 1-2 Tablets PO Q6H (every 6 hours) as needed for pain/fever. 3. oxycodone 5 mg Tablet Sig: 1-2 Tablets PO Q4H (every 4 hours) as needed for pain. 4. docusate sodium 100 mg Capsule Sig: One (1) Capsule PO BID (2 times a day). 5. senna 8.6 mg Tablet Sig: One (1) Tablet PO HS (at bedtime) as needed for constipation. 6. tamsulosin 0.4 mg Capsule, Ext Release 24 hr Sig: One (1) Capsule, Ext Release 24 hr PO HS (at bedtime). 7. famotidine 20 mg Tablet Sig: One (1) Tablet PO BID (2 times a day). 8. levetiracetam 500 mg Tablet Sig: Two (2) Tablet PO BID (2 times a day). 9. Cepacol Sore Throat + Coating 15-5 mg Lozenge Sig: One (1) Mucous membrane prn sore throat as needed for sore throat. Discharge Disposition: Home Discharge Diagnosis: Subdural Hematoma Discharge Condition: Neurologically stable Discharge Instructions: ?????? Have a friend/family member check your incision daily for signs of infection. ?????? Take your pain medicine as prescribed. ?????? Exercise should be limited to walking; no lifting, straining, or excessive bending. ?????? You may wash your hair only after sutures and/or staples have been removed. If your wound closure uses dissolvable sutures, you must keep that area dry for 10 days. ?????? You may shower before this time using a shower cap to cover your head. ?????? Increase your intake of fluids and fiber, as narcotic pain medicine can cause constipation. We generally recommend taking an over the counter stool softener, such as Docusate (Colace) while taking narcotic pain medication. ?????? Unless directed by your doctor, do not take any anti-inflammatory medicines such as Motrin, Aspirin, Advil, and Ibuprofen etc. ?????? Clearance to drive and return to work will be addressed at your post-operative office visit. ?????? Make sure to continue to use your incentive spirometer while at home, unless you have been instructed not to. Followup Instructions: Follow up in 4 weeks with Dr [**First Name (STitle) **] you will need head CT at that time. ****You are being dischargd prior to a final [**Location (un) 1131**] of your lower extremity doppler studies to rule out DVT. You must contact [**Hospital1 18**] at [**Telephone/Fax (1) 90377**] on [**4-4**] to obtain the results of this study prior to flying***** Completed by:[**2117-4-3**] ICD9 Codes: 4019
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Medical Text: Admission Date: [**2142-4-13**] Discharge Date: [**2142-4-18**] Date of Birth: [**2086-10-31**] Sex: M Service: NEUROSURGERY Allergies: Nsaids / bee stings / Zyvox Attending:[**First Name3 (LF) 1835**] Chief Complaint: Brain mass Major Surgical or Invasive Procedure: Right craniotomy for open biopsy of Right parietal brain lesion History of Present Illness: This is a 55 yo male patient with metastatic lung CA and right parietal mass. He was recently seen by Dr. [**Last Name (STitle) **] and me and his case was discussed with the brain tumor clinic and a biopsy prior to radiation was recommended. He therefor represents for evaluation. He denies headaches, nausea, emesis, seizure activity. He reports to have a productive cough all winter that is improving. He was recently admitted for tachycardia related to dehydration. Past Medical History: - Paranoid schizophrenia - NIDDM - Depression - Hepatitis C - Cirrhosis. - Lung Cancer s/p surgery and chemo-radiation 1 year ago recently found with mets to parietal lobe Social History: He lives in a group home/extended care facility. He used to work as a manual laborer. He has 40-pack-year smoking history and prior heavy drinking. Family History: Coronary artery disease and MIs. Physical Exam: On Admission: Gen: WD/WN, comfortable, NAD. Wearing a mask due to cough HEENT: Pupils: 1-0.5 EOMs intact Extrem: Warm and well-perfused. Neuro: Mental status: Awake and alert, cooperative with exam, normal affect. Orientation: Oriented to person, place, and date. Language: Speech fluent with good comprehension and repetition. Naming intact. No dysarthria or paraphasic errors. Cranial Nerves: I: Not tested II: Pupils equally round and reactive to light, 1 to 0.5 mm bilaterally. III, IV, VI: Extraocular movements intact bilaterally without nystagmus. V, VII: Facial strength and sensation intact and symmetric. VIII: Hearing intact to voice. IX, X: Palatal elevation symmetrical. [**Doctor First Name 81**]: Sternocleidomastoid and trapezius normal bilaterally. XII: Tongue midline without fasciculations. Motor: Normal bulk and tone bilaterally. No abnormal movements, tremors. Strength full power [**6-2**] throughout. No pronator drift Coordination: normal on finger-nose-finger On Discharge: Gen: WD/WN, comfortable, NAD. Wearing a mask due to cough HEENT: Pupils: 1-0.5 EOMs intact Extrem: Warm and well-perfused. Neuro: Mental status: Awake and alert, cooperative with exam, normal affect. Orientation: Oriented to person, place, and date. Language: Speech fluent with good comprehension and repetition. Naming intact. No dysarthria or paraphasic errors. Cranial Nerves: I: Not tested II: Pupils equally round and reactive to light, 1 to 0.5 mm bilaterally. III, IV, VI: Extraocular movements intact bilaterally without nystagmus. V, VII: Facial strength and sensation intact and symmetric. VIII: Hearing intact to voice. IX, X: Palatal elevation symmetrical. [**Doctor First Name 81**]: Sternocleidomastoid and trapezius normal bilaterally. XII: Tongue midline without fasciculations. Motor: Normal bulk and tone bilaterally. No abnormal movements, tremors. Strength full power [**6-2**] throughout. No pronator drift Coordination: normal on finger-nose-finger On Discharge: Motor: mild leftsided 4+/5 weakness. Right side is full strength. Pertinent Results: CT HEAD W/O CONTRAST [**2142-4-13**] Expected post biopsy changes of pneumocephalus, small amount of blood, and fluid. No large hemorrhage. No evidence of infarction MR brain [**2142-4-13**] Redemonstration of the right parietal lesion measuring 1.8 x 2.3 x 2.4 cm. for surgical planning. Other details as above CT head noncontrast [**2142-4-13**]: Expected post biopsy changes of pneumocephalus, small amount of blood, and fluid. No hemorrhage. No evidence of infarction. Chest Xray [**4-16**] : no change from [**2142-4-10**]. No focal consolidation or pleural effusion is seen. The cardiomediastinal silhouette is within normal limits. Brief Hospital Course: This is a 55 year old man with history of metastaic lung CA presents for open biopsy of R parietal brain lesion. Post operative head CT was stable. He remained in the ICU overnight for close monitoring. On [**4-14**], patient remained stable. Overnight his blood glucose was elevated to 455 and an insulin gtt was started. On the morning of [**4-14**], his gtt was weaned off and patient was transferred to the SDU. He had BS over 400 twice and [**Last Name (un) **] was consulted on [**4-15**]. Steroids were lowered. On [**4-16**] his dexamethasone continued to be weaned and [**Last Name (un) **] contined to see him titrating his sliding scale. On [**4-17**] he was deemed fit from a neurosurgical perspective for discharge to rehab, however after discussion with [**Last Name (un) **] he continued to require more time to devise an appropriate blood glucose management regimen so his discharge was placed on hold. He was transferred to floor status on [**4-17**]. He was seen and evaluated by physical therapy and occupational therapy who felt that he would benefit from rehab. At the time of discharge he was tolerating a diabetic diet, ambulating with a walker, afebrile with stable vital signs. Medications on Admission: fluticasone-salmeterol, tiotropium bromide, dexamethasone, citalopram, clonazepam, olanzapine, trihexyphenidyl, tamsulosin, aspirin 325, docusate sodium, haloperidol, omeprazole, metformin, albuterol, gabapentin Discharge Medications: 1. bisacodyl 5 mg Tablet, Delayed Release (E.C.) Sig: Two (2) Tablet, Delayed Release (E.C.) PO DAILY (Daily) as needed for Constipation. 2. senna 8.6 mg Tablet Sig: One (1) Tablet PO BID (2 times a day) as needed for Constipation. 3. docusate sodium 100 mg Capsule Sig: One (1) Capsule PO BID (2 times a day). 4. fluticasone-salmeterol 250-50 mcg/dose Disk with Device Sig: One (1) Disk with Device Inhalation [**Hospital1 **] (2 times a day). 5. tiotropium bromide 18 mcg Capsule, w/Inhalation Device Sig: One (1) Cap Inhalation DAILY (Daily). 6. clonazepam 1 mg Tablet Sig: One (1) Tablet PO QHS (once a day (at bedtime)). 7. olanzapine 5 mg Tablet Sig: Two (2) Tablet PO HS (at bedtime). 8. trihexyphenidyl 2 mg Tablet Sig: One (1) Tablet PO BID (2 times a day). 9. tamsulosin 0.4 mg Capsule, Ext Release 24 hr Sig: One (1) Capsule, Ext Release 24 hr PO DAILY (Daily). 10. haloperidol 5 mg Tablet Sig: One (1) Tablet PO BID (2 times a day). 11. gabapentin 400 mg Capsule Sig: One (1) Capsule PO DAILY (Daily). 12. albuterol sulfate 2.5 mg /3 mL (0.083 %) Solution for Nebulization Sig: One (1) inhaler Inhalation Q6H (every 6 hours) as needed for wheezing. 13. clonazepam 0.5 mg Tablet Sig: One (1) Tablet PO QAM (once a day (in the morning)). 14. pantoprazole 40 mg Tablet, Delayed Release (E.C.) Sig: One (1) Tablet, Delayed Release (E.C.) PO Q24H (every 24 hours). 15. levetiracetam 500 mg Tablet Sig: One (1) Tablet PO BID (2 times a day). 16. heparin (porcine) 5,000 unit/mL Solution Sig: One (1) injection Injection TID (3 times a day). 17. hydromorphone 2 mg Tablet Sig: One (1) Tablet PO Q4H (every 4 hours) as needed for Pain. Disp:*50 Tablet(s)* Refills:*0* 18. metformin 500 mg Tablet Sig: Two (2) Tablet PO BID (2 times a day). 19. citalopram 20 mg Tablet Sig: One (1) Tablet PO DAILY (Daily). 20. dexamethasone 2 mg Tablet Sig: One (1) Tablet PO BID (2 times a day). 21. butalbital-acetaminophen-caff 50-325-40 mg Tablet Sig: [**1-29**] Tablets PO every 6-8 hours as needed for pain. 22. miconazole nitrate 2 % Powder Sig: One (1) Appl Topical QID (4 times a day) as needed for itching . 23. magnesium hydroxide 400 mg/5 mL Suspension Sig: Thirty (30) ML PO twice a day as needed for constipation. 24. glucagon (human recombinant) 1 mg Recon Soln Sig: One (1) Recon Soln Injection Q15MIN () as needed for hypoglycemia protocol. 25. insulin NPH & regular human 100 unit/mL (70-30) Suspension Sig: per insulin flowsheet per insulin flowsheet Subcutaneous per insulin flowsheet: Please follow insulin Flowsheet. 26. dextrose 50% in water (D50W) Syringe Sig: One (1) Intravenous PRN (as needed) as needed for hypoglycemia protocol. Discharge Disposition: Extended Care Facility: [**Hospital3 13990**] Health Care Center - [**Location (un) 5110**] Discharge Diagnosis: Right parietal brain lesion Hyperglycemia Tachycardia Discharge Condition: Mental Status: Clear and coherent. Level of Consciousness: Alert and interactive. Activity Status: Ambulatory - Independent. Discharge Instructions: ?????? Have a friend/family member check your incision daily for signs of infection. ?????? Take your pain medicine as prescribed. ?????? Exercise should be limited to walking; no lifting, straining, or excessive bending. ?????? Dressing may be removed on Day 2 after surgery. ?????? If you have dissolvable sutures you may wash your hair and get your incision wet day 3 after surgery. You may shower before this time using a shower cap to cover your head. ?????? If your wound was closed with staples or non-dissolvable sutures then you must wait until after they are removed to wash your hair. You may shower before this time using a shower cap to cover your head. ?????? Increase your intake of fluids and fiber, as narcotic pain medicine can cause constipation. We generally recommend taking an over the counter stool softener, such as Docusate (Colace) while taking narcotic pain medication. ?????? Unless directed by your doctor, do not take any anti-inflammatory medicines such as Motrin, Aspirin, Advil, and Ibuprofen etc. ?????? If you were on a medication such as Aspirin, prior to your injury, you may safely resume taking this on [**2142-4-20**]. ?????? Clearance to drive and return to work will be addressed at your post-operative office visit. ?????? Make sure to continue to use your incentive spirometer while at home, unless you have been instructed not to. CALL YOUR SURGEON IMMEDIATELY IF YOU EXPERIENCE ANY OF THE FOLLOWING ?????? New onset of tremors or seizures. ?????? Any confusion or change in mental status. ?????? Any numbness, tingling, weakness in your extremities. ?????? Pain or headache that is continually increasing, or not relieved by pain medication. ?????? Any signs of infection at the wound site: redness, swelling, tenderness, or drainage. ?????? Fever greater than or equal to 101?????? F. Followup Instructions: Follow-Up Appointment Instructions ??????Please return to the office in [**8-7**] days(from your date of surgery) for a wound check. This appointment can be made with the Nurse Practitioner. Please make this appointment by calling [**Telephone/Fax (1) 1669**]. ??????You have an appointment in the Brain [**Hospital 341**] Clinic on [**4-23**] at 930am. The Brain [**Hospital 341**] Clinic is located on the [**Hospital Ward Name 516**] of [**Hospital1 18**], in the [**Hospital Ward Name 23**] Building, [**Location (un) **]. Their phone number is [**Telephone/Fax (1) 1844**]. Please call if you need to change your appointment, or require additional directions. Completed by:[**2142-4-18**] ICD9 Codes: 496, 4019, 2724, 5715
{ "dataset_link": "https://huggingface.co/datasets/ricardosantoss/ehrcomplete_icdfiltered", "dataset_name": "ehrcomplete-icdfiltered", "id": 8129 }
Medical Text: Admission Date: [**2149-5-11**] Discharge Date: [**2149-5-19**] Date of Birth: [**2089-12-7**] Sex: F Service: Neurosurgery HISTORY OF PRESENT ILLNESS: Patient is a 59-year-old woman, who had a sudden onset of the worst headache of her life on [**2149-5-2**] with decreased hearing. CT of the head showed subarachnoid hemorrhage in the intralimbic fissure. CTA showed no evidence of aneurysm, question of an azygous anterior cerebral artery abnormality, and left fetal origin of the posterior cerebral artery, question of aneurysm. Angio on [**5-2**] showed no evidence of aneurysm. Patient was transferred to [**Hospital1 69**] for further management. On [**5-8**], she had a CTA and CT that showed no evidence of aneurysm. She was taken to the angiography suite by Dr. [**Last Name (STitle) 1132**], and was found to have a right A1-2 junction aneurysm. Dr. [**Last Name (STitle) 1132**] took her to the operating room that day, which was [**2149-5-13**], and she had a clipping of the aneurysm without intraoperative complication. Postoperatively, she was monitored in the Intensive Care Unit. She remained intubated, but awake and alert, following commands. Her grasps were full. Her IPs were full. Her EOMs full. She still had her sheath in. Sheath was pulled on postoperative day #1. She was extubated. She had a repeat head CT, which showed good placement of drain and also no evidence of hydrocephalus. The drain was therefore D/C'd. The patient remained neurologically stable, and was transferred to the floor on [**2149-5-15**]. She remained neurologically intact, following commands with no neurologic deficit. Her incision was clean, dry, and intact. She was afebrile. She then underwent a post-clipping angiogram which confirmed that the aneurysm had been clipped without residual and no evidence of vasospasm. She was seen by Physical Therapy and Occupational Therapy, and eventually cleared for discharge home. She was seen by Cardiology for a question of a history of prolonged Q-T interval. Cardiology had no immediate recommendations, just avoiding all medications, which cause prolongation of the Q-T interval. Her condition remained stable, and she was discharged to home on [**2149-5-19**] in stable condition for followup for staple removal on postoperative day #10 with Dr. [**Last Name (STitle) 1132**]. MEDICATIONS ON DISCHARGE: 1. Percocet 1-2 tablets p.o. q.4h. prn. 2. Labetalol was D/C'd. 3. Dilantin 100 mg p.o. t.i.d. 4. Lansoprazole 30 mg p.o. q.d. 5. Senna one tablet p.o. b.i.d. 6. Colace 100 mg p.o. b.i.d. 7. Patient was to restart her Toprol XL when she returns home and follow up with her primary care physician for blood pressure check. CONDITION ON DISCHARGE: Her condition was stable at the time of discharge. [**Name6 (MD) **] [**Last Name (NamePattern4) **], M.D. [**MD Number(1) 1133**] Dictated By:[**Last Name (NamePattern1) 344**] MEDQUIST36 D: [**2149-5-19**] 10:59 T: [**2149-5-20**] 10:23 JOB#: [**Job Number 11434**] ICD9 Codes: 4240
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Medical Text: Admission Date: [**2128-4-27**] Discharge Date: [**2128-5-5**] Date of Birth: [**2049-12-10**] Sex: M Service: MEDICINE Allergies: No Known Allergies / Adverse Drug Reactions Attending:[**Last Name (un) 7835**] Chief Complaint: Fever and altered mental status Major Surgical or Invasive Procedure: ERCP with placement of biliary stent History of Present Illness: 78 year old man with h/o Afib on Coumadin, CHF, with recent admission to [**Hospital1 18**] need/[**Location (un) **] for ascending cholangitis (d/c [**4-23**]) had ERCP with stent replacement, who presents today from rehab with elevated white blood count (26 at rehab) and shaking. Patient was recently admitted to [**Hospital1 18**] from 5/55/12-6/1/12 for ascending cholangitis and UTI after presenting with AMS, fevers with abdominal US demonstrating obstruction. He underwent ERCP which demonstrated gross pus. A previously placed mental stent was removed. A previously placed plastic stent had migrated into the right hepatic duct/bilary tree - removal was not attempted given concurrent cholangitis. He further underwent placement of a 5cm by 10FR double pig tail biliary stent was placed successfully for decompression with the proximal end terminating in the left hepatic duct with good biliary flow. He was initially treated with zosyn which was subsequently narrowed to Augmentin for a planned 14 day course (last day [**2128-4-29**]). As above the patient has a previous history of obstruction with placement of 2 stents. Plan was originally for removal in summer of [**2126**] however he was lost to follow-up. The day of presentation patient was noted to have shaking chills at rehab, labs were done and demonstrated a white count of 26. He presented [**Hospital1 **] Needeham from rehab where labs were notable for elevated WBC,lipase of 42 and bili of 9. CXR demonstrated pulmonary edema but no PNA. Head CT was negative for an acute process. He was given IVF, zosyn/ vanc and transfered to [**Hospital1 18**] for further management. In the ED, initial VS were: 96.5 86 86/49 92% ra. He was given 2 L of NS with improvement in BP to the 130s. Labs were notable once again for bili 7.5, ALT/AST in the 100s, alk phos of 949, WBC 22, CR of 1.4 and Na of 148. RUQ US showed intrahepatic biliary dilation, penumobilia, bilary sludge, and stable pancreatic duct dilitation. He was given 10 mg IV vitamin K for an INR of 3.2. The ERCP fellow was contact[**Name (NI) **] with plan for ERCP tomorrow. He was admitted to the ICU for further management. On arrival to the MICU, patient's VS were afebrile 89 141/74 99% 2L NC.He denies any complaint including chest pain, shortness of breath, abdominal pain, headache, nausea, vomiting. Review of systems: on able to obtain Past Medical History: CAD, s/p MI [**2095**] Cardiomyopathy, EF 45% Afib on Coumadin HTN HLD Mild cognitive impairment TIA - in the setting of low INR Biliary obstruction - s/p biliary stent in the past with migration, replaced by metal stent in [**1-3**], supposed to be re-evaluated/possibly removed [**5-3**] but was not done PVD s/p L fem-[**Doctor Last Name **] bypass [**2126**] s/p bladder repair for tear [**3-4**] s/p AAA repair [**8-2**] Prostate ca - s/p radiation Gout UTIs Social History: Lives with his wife, also has a home in [**Name (NI) 108**]. History of tobacco use, but quit in [**2114**]. Does not drink alcohol. Family History: Father with prostate problems. Mother died at age 89 after hip fracture, ?clot. Physical Exam: 96.5 86 86/49 92% ra General: Alert, oriented to person only, no acute distress HEENT: Sclera icteric, dry mucous membranes, oropharynx clear, EOMI, PERRL Neck: supple, JVP not elevated, no LAD CV: irreg irreg, normal S1 + S2, no murmurs, rubs, gallops Lungs: crackles at bilateral bases Abdomen: soft, non-distended, bowel sounds present, no organomegaly, no tenderness to palpation, no rebound or guarding GU: foley in place Ext: Warm, well perfused, 1+ pulses, no clubbing, cyanosis or edema Neuro: CNII-XII intact, decreased strength throughout, grossly normal sensation,gait deferred. Pertinent Results: ADMISSION LABS ([**2128-4-27**]): WBC-22.5*# RBC-3.58* Hgb-9.2* Hct-30.5* MCV-85 MCH-25.7* MCHC-30.2* RDW-16.2* Plt Ct-172 Neuts-96.2* Lymphs-1.8* Monos-1.1* Eos-0.1 Baso-0.9 PT-32.7* PTT-37.8* INR(PT)-3.2* Glucose-104* UreaN-33* Creat-1.4* Na-148* K-3.3 Cl-115* HCO3-22 AnGap-14 ALT-123* AST-171* CK(CPK)-168 AlkPhos-949* TotBili-7.5* Albumin-2.4* Calcium-7.8* Phos-3.3 Mg-1.9 RUQ ULTRASOUND ([**2128-4-28**]): 1. Intrahepatic biliary dilatation and pneumobilia. Stent in common bile duct with stable dilatation of pancreatic duct. 2. Distended gallbladder with sludge and thickened wall, most likely due to third spacing. 3. Right pleural effusion and ascites. ECHO ([**2128-4-29**]): Suboptimal image quality. There is a small mobile mass which may represents a small vegetation on the tricuspid valve. If clinically indicated, a transesophageal echocardiographic examination is recommended. Decreased biventricular systolic function with abnormal septal wall motion. Mild aortic regurgitation. Mild to moderate mitral regurgitation. Moderate tricuspid regurgitation. Mild pulmonary artery systolic hypertension. Large left pleural effusion. RUE ULTRASOUND ([**2128-4-30**]): Clot in the right basilic vein. No DVT in the right upper extremity. BIOPSY ([**2128-4-28**]): Periampullary mass, mucosal biopsies: Adenomatous mucosal fragments, predominantly with low grade dysplasia; see note. Note: Occasional areas demonstrate nuclei with disordered polarity and cytologic features worrisome for high grade dysplasia. No definite carcinoma in these biopsy samples. BRUSHINGS ([**2128-4-28**]): POSITIVE FOR MALIGNANT CELLS, consistent with adenocarcinoma. CXR [**2128-5-4**]: Moderately-severe pulmonary edema is unchanged, but moderate right and small left pleural effusion have both increased substantially since [**4-28**]. Cardiac silhouette is partially obscured, but probably still mildly enlarged. Heavy calcification of the cardiac silhouette along the diaphragmatic surface is probably left ventricular aneurysm or pseudoaneurysm. Brief Hospital Course: 78 yo male with recent cholangitis s/p ERCP with stent placement who presents from rehab with chills, AMS, elevated WBC, elevated bilirubin, LFTs and concern for recurrent cholangitis. 1. Severe sepsis with septic shock; secondary to: 2. VRE, pseudomonas, and enterobacter septicemia 3. Cholangitis 4. Possible endocarditis Presented with fever, leukocytosis, confusion, and acute renal failure. Imaging demonstrated biliary dilitation, pneumobilia, biliary sludge and stable pancreatic duct dilitation. ERCP demonstrated frank pus draining from behind an obstructed proximal stent. The stent was removed, however a more distal stent in the right hepatic duct was not removed. Initial treatment for enterococcus was vancomycin, then switched to daptomycin when noted to be VRE. Initial treatment for GNR was pip-tazo. Regarding possible bacterial endocarditis, an echo showed a small mobile mass which may represents a small vegetation on the tricuspid valve. While a TEE would provide a more definitive diagnosis, this was deferred in favor of empiric treatment with 6 weeks of antibiotics. Yet, due to goals of care, antibiotics were stopped prior to discharge home on hospice. 5. Adenocarcinoma: CT abdomen showed enhancing lesion around pacreatic head. ERCP showed a 4mm fungating mass at the major papilla. Brushings were positive for adenocarcinoma. After discussion with the family, oncology consultation was pursued but pt's poor performance status as well as significant comorbidities precludes surgery or aggressive therapy. 6. Acute renal failure: Initially elevated with improvement after IVF then another increase later in course. 7. Encephalopathy: Family reports waxing and [**Doctor Last Name 688**] mental status over the past several weeks (especially in hospital setting). Likely multifactorial. 8. Acute on chronic diastolic CHF: Noted to have pulmonary edema on CXR in the setting of IVF for hypotension. Lisinorpil was held due to hypotension and ARF. Metoprolol was restarted prior to ICU callout. He had persistent HTN so this was titrated up with response. day prior to discharge he was noted to require oxygen and repeat CXR showed increased bilateral pleural effusions. IVFs had been stopped due to no IV access. 9. Atrial fibrillation: On admission he was supratherapeutic and was given vitamin K for ERCP. After procedure he was restarted on home dose of warfarin. Given a CHADS2 score of 5 with prior TIA bridging anticoagulation was used (initially with IV heparin, then enoxaparin given difficulty obtaining PTT levels routinely). Enoxaparin (as well as warfarin) based on poor prognosis and due to goals of care. 10. Peripheral vascular disease: Has difficult to palpate/doppler DP pulse on the left. Feet are often noted to be blue (often seen at home from wife's report). 11. Goals of care: Discussion with HCP/family on [**2128-5-1**] documented in OMR. DNR/DNI. Based on poor overall prognosis with new diagnosis of pancreatic or biliary adenocarcinoma, family wanted to avoid further invasive measures or aggressive treatment as it had been the pt's wish to spend his time at home. He was discharged home on home hospice. Medications on Admission: 1. lisinopril 10 mg Tablet Sig: One (1) Tablet PO DAILY (Daily). 2. amoxicillin-pot clavulanate 875-125 mg Tablet Sig: One (1) Tablet PO Q12H (every 12 hours) for 13 doses: last day of antibiotics is [**2128-4-29**]. 3. metoprolol tartrate 25 mg Tablet Sig: 1.5 Tablets PO TID (3 times a day). 4. warfarin 1 mg Tablet Sig: One (1) Tablet PO Once Daily at 4 PM. 5. pantoprazole 40 mg Tablet, Delayed Release (E.C.) Sig: One (1) Tablet, Delayed Release (E.C.) PO Q24H (every 24 hours). 6. aspirin 81 mg Tablet, Chewable Sig: One (1) Tablet, Chewable PO DAILY (Daily). 7. tamsulosin 0.4 mg Capsule, Ext Release 24 hr Sig: One (1) Capsule, Ext Release 24 hr PO HS (at bedtime). 8. docusate sodium 50 mg/5 mL Liquid Sig: One (1) tab PO BID (2 times a day). 9. senna 8.6 mg Tablet Sig: One (1) Tablet PO BID (2 times a day) as needed for constipation. Discharge Medications: 1. metoprolol tartrate 50 mg Tablet Sig: One (1) Tablet PO TID (3 times a day). Disp:*90 Tablet(s)* Refills:*0* 2. morphine concentrate 100 mg/5 mL (20 mg/mL) Solution Sig: 2-20 mg PO q1hr as needed for pain. Disp:*30 ml* Refills:*0* Discharge Disposition: Home With Service Facility: Hospice of the Good [**Doctor Last Name 9995**] Discharge Diagnosis: 1. Severe sepsis and setic shock due to: * Cholangitis with biliary obstruction, likely secondary to adenocarcinoma * Septicemia (VRE; pseudomonas; enterobacter) * Possible endocarditis 2. Encephalopathy 3. Acute renal failure 4. Hypernatremia 5. Atrial fibrillaton with history of TIA 6. Acute on chronic diastolic congestive heart failure 7. Coronary artery disease 8. Peripheral vascular disease 9. Prostate cancer 10. Right basilic vein thrombus 11. NSVT Discharge Condition: Mental Status: Confused - always. Level of Consciousness: Lethargic but arousable. Activity Status: Bedbound. Discharge Instructions: You were admitted with a severe infection (cholangitis) and well as bacteria in the bloodstream. These were treated with ERPC with new stent placement and antibiotics. Unfortunately, a biopsy performed during ERCP showed evidence of adenocarcinoma. Due to multiple comorbidities and your overall status at this time you are not a candidate for surgery or aggressive treatment. After a discussion with your wife and sons, the decision was made to get you home so you can spend time with your family with home hospice services. Followup Instructions: None scheduled ICD9 Codes: 412, 4019, 2724, 2749, 4439, 4254, 5849, 2760, 4271, 4280
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Medical Text: Admission Date: [**2159-6-6**] Discharge Date: [**2159-6-12**] Date of Birth: [**2093-7-7**] Sex: M Service: SURGERY Allergies: Patient recorded as having No Known Allergies to Drugs Attending:[**First Name3 (LF) 668**] Chief Complaint: ESRD s/s htn and type II DM Major Surgical or Invasive Procedure: Cadaver Kidney Transplant [**2159-6-6**] Hemodialysis History of Present Illness: 53 y.o African American male with ESRD [**3-14**] HTN and Type II DM. He has been on hemodialysis for three years. He has a left AVG. He has h/o Hep B and is followed by Dr [**Last Name (NamePattern4) 105801**]. Liver biopsy [**6-12**] revealed grade 0-1 inflammation and no fibrosis. He has been feeling well. Denies fevers, chills, infections. Has chronic post nasal drip. He coughs and raises clear to white phlegm. He does experience some chest tightness with coughing. Otherwise denies sob, cp, palp, indigestin, dizziness, dysuria. He voids ~8 oz per day. +occasional constipation. Left hand has been sore since MVA yesterday. Denied hitting head, loss of consciousness or other pain. He Past Medical History: h/o prostate CA and underwent a radical prostatectomy Hep B ESRD s/s HTN, Type II DM Arthritis Retinopathy Chronic post nasal drip L AVF [**1-10**]-failed L AVG with angioplasty, thrombectomy, Social History: Widower. Works full time for [**Location (un) 86**] Symphony. Has 6 children. Has occasional beer. Drank more years ago. Never smoked. No h/o recreational drugs. Physical Exam: 97.9-72-18-192/96, 93.4kg, 5'8", gluc 87 A7O, pleasant, nad perrla, eomi, anicteric, no eye drg. no sinus tenderness, pharynx wnl. u/l dentures 2+carotids, no bruits, L submandibular 1cm round, mobile nodule. NT, no jvd Lungs clear bilat Cor-S1S2 nl. no m/r/g abd-nt/nd/+bowel sounds, no HSM, mild umbilical hernia Ext-no c/c/e Neuro-A&o, CNII-XII, strength 5/5 upper/lower. no flap, sensation intact Vasc-+bruit/thrill L forearm graft. Carotids2+ bilat, fem 2+bilat, 2+ DPs Pertinent Results: [**2159-6-6**] 10:42PM HCT-31.5* [**2159-6-6**] 06:32PM GLUCOSE-88 UREA N-59* CREAT-9.5* SODIUM-145 POTASSIUM-4.5 CHLORIDE-103 TOTAL CO2-26 ANION GAP-21* [**2159-6-6**] 06:32PM ALK PHOS-70 TOT BILI-0.4 [**2159-6-6**] 06:32PM TOT PROT-6.3* ALBUMIN-3.7 GLOBULIN-2.6 PHOSPHATE-5.2* MAGNESIUM-1.8 [**2159-6-6**] 06:32PM WBC-8.8# RBC-3.57* HGB-11.8* HCT-34.8* MCV-98 MCH-33.2* MCHC-34.0 RDW-15.1 [**2159-6-6**] 06:32PM PLT COUNT-131* [**2159-6-6**] 04:30PM TYPE-ART PO2-80* PCO2-36 PH-7.48* TOTAL CO2-28 BASE XS-3 INTUBATED-INTUBATED VENT-CONTROLLED [**2159-6-6**] 04:30PM GLUCOSE-90 LACTATE-1.0 NA+-141 K+-5.0 CL--102 [**2159-6-6**] 04:30PM HGB-11.7* calcHCT-35 [**2159-6-6**] 04:30PM freeCa-1.15 [**2159-6-6**] 10:10AM UREA N-57* CREAT-9.7* SODIUM-144 POTASSIUM-4.4 CHLORIDE-102 TOTAL CO2-31* ANION GAP-15 [**2159-6-6**] 10:10AM ALT(SGPT)-21 AST(SGOT)-24 LD(LDH)-285* [**2159-6-6**] 10:10AM UREA N-57* CREAT-9.7* SODIUM-144 POTASSIUM-4.4 CHLORIDE-102 TOTAL CO2-31* ANION GAP-15 [**2159-6-6**] 10:10AM CALCIUM-10.0 PHOSPHATE-4.8* CHOLEST-93 [**2159-6-6**] 10:10AM TRIGLYCER-61 [**2159-6-6**] 10:10AM WBC-4.5 RBC-3.71* HGB-12.3* HCT-35.9* MCV-97 MCH-33.3* MCHC-34.3 RDW-15.2 [**2159-6-6**] 10:10AM PLT COUNT-156 [**2159-6-6**] 10:10AM PT-13.6 PTT-31.6 INR(PT)-1.2 Brief Hospital Course: Admitted [**2159-6-6**] for cadaver kidney translant. Received induction immunosuppression including ATG, Cellcept, and solumedrol. Received HBIG and lamivudine for h/o chronic Hepatitis B. See OR report for details. Urine output was low postop averaging 80-23cc/hour. He required post op hemodialysis after surgery for low urine output, high bp and difficulty maintaining O2 sat. A CXR revealed bilateral effusions with pulmonary edema. A total of 1.5 liters was ultrafiltrated. IV fluid was heplocked. On POD 1 an ultrasound was done revealing no perinephric fluid collections or hematomas,no hydronephrosis. There was flow within the main renal artery and veins. Resistive indices measure 0.71 in the lower pole to 0.87 in the upper pole. Brisk arterial upstrokes were noted. He received hemodialysis. He was run even on this treatment. Creatinine was 11.8, bun 100, Potassium 5.4. On POD 2 he was started on HBIG and lamivudine for his Hepatitis B. He was transfused with 2 units of PRBC for a hematocrit of 25.8. Dialysis was performed on POD 2 for low urine output, creatinine of 11.8 and potassium of 5.7. One liter of utrafiltration was achieved. Prograf was started on POD 2. On POD3 he received 2 units of PRBC for hematocrit of 25.8. JP continued to drain bloody drainage. Dialysis was performed again for delayed graft function. HBIG was discontinued. A HbSAG and HbSAb were drawn. HBIG was restarted on [**6-12**] after Dr. [**Last Name (STitle) 497**] reviewed the case. [**Initials (NamePattern4) **] [**Last Name (NamePattern4) **] consult was obtained for management of hyperglycemia and insulin sliding scale was continued with recommendations to increase glipizide to 10mg [**Hospital1 **] as the patient refused to take insulin at home. Glucoses ranged in the mid 100s to 200s. He should follow up with his outpatient PCP for DM management. On POD 5, he was given IV lasix with mild diuresis. He was discharged home on [**6-12**]. He will have follow up with the transplant surgeon on [**6-14**] and nephrologist the following week. Labs will be drawn every Monday and Thursday for cbc, chem 7, calcium, phosphorus, ast, t.bili, urinalysis and trough prograf level. He will need to continue on lamivudine 15mg every day for three months. He will need to follow up with Dr.[**Last Name (STitle) 497**]. Labs on discharge were as follows: creatinine 8.8, bun 98, potassium 43.9, sodium 135, bicarb 26, chloride 95, wbc 3.1, hematocrit 28.2, platelets 106 and prograf level of 7.3. Prograf was increased to 9mg [**Hospital1 **]. He will not require hemodialysis as an outpatient as his urine output increased. He has delayed graft function. Medications on Admission: nephro cap 1 qd, actos 30mg qd, amlodipine 10mg qd, diovan 160mg qd, neurontin 100mg [**Hospital1 **], glipizide 10mg qd, glipizide 5mg qprm, senokot prn Discharge Medications: 1. Trimethoprim-Sulfamethoxazole 80-400 mg Tablet Sig: One (1) Tablet PO DAILY (Daily). 2. Pantoprazole Sodium 40 mg Tablet, Delayed Release (E.C.) Sig: One (1) Tablet, Delayed Release (E.C.) PO Q24H (every 24 hours). 3. Docusate Sodium 100 mg Capsule Sig: One (1) Capsule PO BID (2 times a day). 4. Acetaminophen 325 mg Tablet Sig: Two (2) Tablet PO Q6H (every 6 hours) as needed: tylenol. 5. Nystatin 100,000 unit/mL Suspension Sig: Five (5) ML PO QID (4 times a day). 6. Metoprolol Tartrate 25 mg Tablet Sig: One (1) Tablet PO BID (2 times a day). 7. Valganciclovir HCl 450 mg Tablet Sig: One (1) Tablet PO QOD (). 8. Glipizide 5 mg Tablet Sig: One (1) Tablet PO BID (2 times a day). 9. Oxycodone-Acetaminophen 5-325 mg Tablet Sig: 1-2 Tablets PO Q4-6H (every 4 to 6 hours) as needed. Disp:*30 Tablet(s)* Refills:*0* 10. Insulin Regular Human 100 unit/mL Solution Sig: One (1) Injection ASDIR (AS DIRECTED): follow sliding scale. Disp:*1 * Refills:*2* Discharge Disposition: Home With Service Facility: [**Hospital 119**] Homecare Discharge Diagnosis: Cadaver Kidney Transplant Delayed kidney graft function Type II DM HTN Discharge Condition: stable Discharge Instructions: Call if fevers, chills, nausea, vomiting, inability to take medications, decreased urine output, increased drainage from drain, bleeding from incision, redness of incision or increased abdominal pain. Labs every Monday & Thursday for cbc, chem 7, calcium, phosphorus, ast, t.bili, urinalysis, and trough prograf level. Results to be fax'd to Transplant office [**Telephone/Fax (1) 697**] [**Month (only) 116**] shower. No driving while taking pain medication no heavy lifting Followup Instructions: Provider: [**Name10 (NameIs) 1344**] [**Last Name (NamePattern4) 3125**], MD Where: LM [**Hospital Unit Name 3126**] CENTER Phone:[**Telephone/Fax (1) 673**] Date/Time:[**2159-6-14**] 10:10 Provider: [**First Name4 (NamePattern1) 971**] [**Last Name (NamePattern1) 970**], MD Where: LM [**Hospital Unit Name 3126**] CENTER Phone:[**Telephone/Fax (1) 673**] Date/Time:[**2159-6-19**] 8:15 Provider: [**Name10 (NameIs) **] [**Name8 (MD) **], MD Where: LM [**Hospital Unit Name 5628**] Phone:[**Telephone/Fax (1) 673**] Date/Time:[**2159-6-25**] 8:00. f/u for Hepatitis B check blood sugar control Completed by:[**2159-6-12**] ICD9 Codes: 5119, 2724
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Medical Text: Admission Date: [**2193-4-29**] Discharge Date: [**2193-6-1**] Date of Birth: [**2140-6-2**] Sex: M Service: SURGERY Allergies: Patient recorded as having No Known Allergies to Drugs Attending:[**First Name3 (LF) 6346**] Chief Complaint: Epigastric abdominal pain Major Surgical or Invasive Procedure: [**2193-5-21**]: Exploratory laparotomy, lysis of adhesions, serosal repair x5 History of Present Illness: 52M w/HIV last CD4 258 VL undetectable [**3-21**] presents to the ED c/o epigastric pain. 3 days PTA, the patient experienced severe epigastric pain with nausea. This pain was not related to food intake. In fact, his appetite was very poor. He reported no f/c during those 3 days. Presenting to the ED, his WBC was 16.5 (4.3 previous note before presentation), a BUN of 69 and a creatinine of 3.0 (baseline 1.2). His amylase and lipase were significantly elevated to 1204 and 1272. A Lactate level was 3.4. A CTA/Pancreas was obtained and revealed extensive, severe acute pancreatitis, with internal pancreatic hypoattenuation that may represent edema versus necrosis. Past Medical History: HIV: diagnosed [**2179**]; c/b PCP, [**Name10 (NameIs) 95264**] zoster; treatment experienced, good virologic suppression currently HBV, cleared HTN, on atenolol and lisinopril Hyperlipidemia, on fenofibrate schizophrenia & depression, on Buspar, Loxapine, tranylcypromine Social History: paitent was b/r in [**Location (un) 7658**] MA, went to boarding school then college and some grad work in [**Country 2784**] in art history, stopped when he "fell on (his) face." He did not want to further expaine that statment. He has a partner [**Name (NI) **] x 20 years. close relation with his father. [**Name (NI) **] is on SS for HIV and psych issues. He also is an artist. Denies ETOH/recreational drugs/smoking. Family History: No h/o anal, colon, cervical or head/neck ca. Brother with brain tumor, father with prostate ca, mother with breast ca. Physical Exam: On Discharge: VS: AFVSS Gen: NAD, A+OX3, supine on bed CV: RRR, normal S1/S2 Resp: CTAB, no wheezes/crackles/rhonchi Abd: Slightly distended however soft, NT, +BS, incisional site is C/D/I, staples intact Ext: No edema, 2+ radial and pedal pulses Pertinent Results: Admit WBC: 16.5 Discharge WBC: 10.4 Admit Amylase: 1204 Admit Lipase: 1272 Discharge Amylase: 55 Discharge Lipase: 76 Admit H/H: 17.3/48.2 Discharge H/H: 9.2/28.6 All urine and blood cultures were negative throughout hospital course. C-Diff was negative X 3 CTA (Admit): Extensive, severe acute pancreatitis, with internal pancreatic hypoattenuation that may represent edema versus necrosis CTA ([**5-3**]): Continued pancreatitis without evidence of clearing, there is now an ileus seen on CT CTA ([**5-13**]): Interval increase in peripancreatic inflammatory changes, multiloculated fluid collection extending into the left pericolic gutter and along the descending colon. SBO seen on CT. CTA ([**5-29**]): 1. Interval increase in peripancreatic inflammatory changes and interval unification of some of the multiloculated fluid collection in the left pericolic gutter and in the lesser sac. New areas of fluid collection are noted in the anterior abdominal wall. Percutaneous drainage is not feasible given the multiple internal septations. 2. No evidence of pancreatic necrosis or venous thrombosis or pseudoaneurysm. Brief Hospital Course: After presenting to the ED, the patient was directly admitted to the SICU for monitoring. During his short stay in the SICU, his BPs were stable in the 120-150's, HRs were in the 80-90's (NSR), and his sats were in the high 90's on 2 L NC. He did not require intubation nor did he require pressors in the SICU. After being transferred to the floor, the patient did well. He was tolerating clears well, did not c/o N/V, and his WBC trended downwards. His pain was well controlled at first by a PCA then transitioned to PO pain meds. He did not c/o significant pain/breakthrough pain. Psychiatry was consulted given his h/o schizophrenia. ID was consulted given his h/o HIV. Given these recommendations, the patient was started on his PO anti-psychotic /depression medications but did not start on his HIV regimen in fear of resistance (PO status may change at any minute). Halfway through his hospital course, the patient suddenly became distended and had episodes of emesis. He was made NPO and a NGT was inserted. He stopped passing flatus and required daily suppositories. Despite being NPO with a NGT, the patient remained distended. In addition he began to c/o more pain, located in the epigastric region. He began to spike fevers. His WBC started to rise. He was continued on IV Abx for empiric treatment and cultures from his urine and blood were obtained. Repeat CTAs were performed, showing evidence of non-resolving and worsening pancreatitis. In addition, the CTA suggested ileus. In light of his nutritional status, a PICC was placed and TPN was started. He remained NPO. Despite numerous attempts in D/Cing the NGT, the patient became more nauseated and distended. After failing conservative management for approximately a week, a repeat CTA was obtained which showed pancreatitis and a SBO. The patient was then taken to the OR and explored on [**5-21**]. LOA was performed. Post-operatively the patient did well. He became less distended and could tolerate not having a NGT. He was passing flatus had numerous BM. C-diffs were negative X 3. His abdomen became much less distended and softer. His diet was advanced. On the day of discharge, he was cleared by psychiatry and ID. He was to restart all his home medications. He was afebrile X 24 hours with a normal WBC. He was tolerating a diet and had less frequent BM. His abdomen was slightly distended but soft. His Amylase and Lipase levels are WNL. Medications on Admission: 1) Atenolol 50 mg Tablet one and a half Tablet(s) by mouth once a day 2) BUSPAR 5MG Tablet 2 BY MOUTH EVERY DAY 3) Darunavir 300 mg Tablet 2 Tablet(s) by mouth twice a day take with Norvir 4) Emtricitabine-Tenofovir [Truvada] 200 mg-300 mg Tablet 1 Tablet(s) by mouth daily 5) Etravirine [Intelence] 100 mg Tablet 2 Tablet(s) by mouth twice daily with some food 6) Fenofibrate Micronized 67 mg Capsule 1 Capsule(s) by mouth once a day take this medication with food/meal 7) Lisinopril 10 mg Tablet 1 Tablet(s) by mouth once a day 8) LOXAPINE 80 MG Capsule ONE BY MOUTH EVERY DAY 9) Ritonavir [Norvir] 100 mg Capsule 1 Capsule(s) by mouth twice daily take with Darunavir 10) TRANYLCYPROMINE 10 MG TABLET 2 BY MOUTH EVERY DAY Discharge Medications: 1. Hydromorphone 2 mg Tablet Sig: 1-2 Tablets PO Q3H (every 3 hours) as needed for pain for 2 weeks. Disp:*40 Tablet(s)* Refills:*0* 2. Metoprolol Tartrate 50 mg Tablet Sig: Two (2) Tablet PO BID (2 times a day). Disp:*120 Tablet(s)* Refills:*2* 3. Lisinopril 10 mg Tablet Sig: One (1) Tablet PO DAILY (Daily). Tablet(s) 4. Buspirone 5 mg Tablet Sig: One (1) Tablet PO BID (2 times a day). Disp:*60 Tablet(s)* Refills:*2* 5. Tranylcypromine 10 mg Tablet Sig: Two (2) Tablet PO DAILY (Daily). Tablet(s) 6. Loxapine Succinate 10 mg Capsule Sig: Eight (8) Capsule PO DAILY (Daily). Discharge Disposition: Home Discharge Diagnosis: Pancreatitis, Small-bowel obstruction Discharge Condition: stable Discharge Instructions: Please call or come to the Emergency Department if you experience temperature >101.5, chills, persistent nausea or vomiting, abdominal distension, shortness of breath or difficulty breathing, chest pain, redness / tenderness / purulent drainage from your incision, or any other symptoms of acute concern. Diet: low-fat New Medications: Dilaudid (pain medication). No driving while taking. Activity: as tolerated. No heavy lifting or strenuous activity. No swimming or tub bathing until told otherwise. [**Month (only) 116**] shower. Followup Instructions: Please call Dr[**Name (NI) 11471**] office ([**Telephone/Fax (1) 2998**]) to schedule appointment in [**11-14**] week. [**Name6 (MD) **] [**Name8 (MD) **], MD Phone:[**Telephone/Fax (1) 457**] Date/Time:[**2193-6-12**] 2:00 [**First Name8 (NamePattern2) **] [**Last Name (NamePattern1) **], M.D. Phone:[**Telephone/Fax (1) 250**] Date/Time:[**2193-7-17**] 9:30 [**First Name8 (NamePattern2) 2890**] [**Last Name (NamePattern1) 2889**], M.D. Phone:[**Telephone/Fax (1) 62**] Date/Time:[**2193-9-4**] 11:30 Completed by:[**2193-6-3**] ICD9 Codes: 5849, 486, 4019, 2724
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Medical Text: Admission Date: [**2198-11-2**] Discharge Date: [**2198-11-9**] Date of Birth: [**2141-8-31**] Sex: F Service: SURGERY Allergies: No Known Allergies / Adverse Drug Reactions Attending:[**First Name3 (LF) 695**] Chief Complaint: Liver mass Major Surgical or Invasive Procedure: [**2198-11-2**] Right hepatic lobectomy, cholecystectomy, intraoperative ultrasound. History of Present Illness: The patient is a 57-year- old female with no history of underlying liver disease who underwent a CT scan of the chest on [**2197-5-24**], for evaluation of chest pain to rule out a pulmonary embolus. However, the visualized portion of the liver demonstrated an arterial hyper-enhancing lesion measuring 3.2 x 2.9 cm in segment VI of the right lobe of the liver. On [**6-28**], an MRI demonstrated a 3.5-cm lesion in the posterior aspect of segment VII. She underwent an ultrasound-guided liver biopsy on [**2197-8-1**], demonstrating benign liver parenchyma with focal bile duct proliferation, minimal portal mononuclear inflammation, scattered lobular histiocytes consistent with resolving injury. At that time, her AFP was 2.5. CEA was 2.4, and hepatitis serologies were negative. A follow-up MRI on [**2198-10-5**], demonstrated the mass lesion had increased in size, and now measured 7.6 x 6.5 cm. Her AFP had increased to 874.5. A chest CT demonstrated a 4- mm, solid, noncalcified nodule in the left lower lobe that is stable since [**2196**], and presumably benign. There were no other abnormalities. The patient presents for elective exploratory laparotomy, right hepatic lobectomy and cholecystectomy. Past Medical History: PMH: 1. Hypertension 2. Benign enlargement of the thyroid 3. Liver mass PSH: 1. Tonsillectomy Social History: Married with three children. Homemaker. Denies A/T/D use. Bachelor's degree. Family History: Mother deceased at age 84 with CAD and Alzheimer's dementia. Father deceased at age 77 with lung cancer. Physical Exam: Discharge physical exam: VS: 98.8 86 100/55 20 97% RA Gen: mildly anxious, alert and oriented, not in distress Cor: regular rate and rhythym without murmurs rubs or gallops Res: clear to auscultation bilaterally Abd: Soft, appropriately TTP near incision, no guarding no rebound, nondistended Wound: Clean, dry, and intact; steri strips in place. Drains: JP drains x2, one with bilious output Extremities: Warm and well perfused without edema Pertinent Results: [**2198-11-8**] 05:20AM BLOOD WBC-12.5* RBC-3.42* Hgb-9.7* Hct-28.9* MCV-85 MCH-28.2 MCHC-33.4 RDW-14.3 Plt Ct-216 [**2198-11-8**] 05:20AM BLOOD PT-13.4* INR(PT)-1.2* [**2198-11-8**] 05:20AM BLOOD Plt Ct-216 [**2198-11-8**] 05:20AM BLOOD Glucose-99 UreaN-12 Creat-0.5 Na-137 K-3.7 Cl-102 HCO3-32 AnGap-7* [**2198-11-8**] 05:20AM BLOOD ALT-123* AST-38 AlkPhos-95 TotBili-0.7 [**2198-11-8**] 05:20AM BLOOD Calcium-7.9* Phos-3.0 Mg-2.1 Brief Hospital Course: The patient was admitted to the surgical intensive care unit following an uncomplicated exploratory laparotomy, right hepatic lobectomy, and cholecystectomy with intraoperative ultrasound. The procedure was notable for 1300cc of blood loss and intraoperative administration of 2 units of packed red blood cells. She tolerated the procedure well with no complications and was brought to the surgical intensive care unit extubated and on minimal pressor support. She stayed in the intensive care unit overnight, was weaned off pressors, and was transferred to the floor on POD1 in stable condition. Her care was managed in accordance with the [**Hospital1 18**] Hepatobiliary Surgery Clinical Pathway. She recieved perioperative doses of antibiotics. On POD1 she was started on sips. On POD2 she was started on clear liquids. Her drain output was observed to be somewhat darker though not frankly bilious at that point. She recieved ativan for anxiety and lasix for low urine output. On POD3 her foley catheter was discontinued. She was tolerating clear liquid diet, and her oxygen was weaned. On POD4 she recieved 20mg of lasix. She was started on a regular diet and oral pain medications. On POD5 her J-P drain output had become frankly bilious. She was otherwise tolerating a regular diet, ambulating, voiding, but did not yet have return of bowel function. On POD6 she was given milk of magnesia and dulcolax suppositories. She was given lasix with good effect. Her potassium was repleted. On POD7 she had return of bowel function, her pain was well controlled, she was tolerating a regular diet, and she was discharged home with [**Location (un) 1110**] VNA for drain care. Her drains will remain in place at least until she is seen in follow up. Medications on Admission: 1. Citalopram 10mg daily 2. Vitamin D 50,000 units po weekly 3. Ativan 0.5mg PRN, prescribed for the week preceding surgery 4. Losartan 100mg daily-prescribed, but the patient did not wish to start this medicine until she had recovered from surgery 5. Diovan 160mg daily-Continues to take this medicine, but she will switch to Losartan at some point. Discharge Medications: 1. citalopram 20 mg Tablet Sig: 0.5 Tablet PO DAILY (Daily). 2. valsartan 160 mg Tablet Sig: One (1) Tablet PO DAILY (Daily). 3. oxycodone 5 mg Tablet Sig: 1-2 Tablets PO Q4H (every 4 hours) as needed for pain for 10 days. Disp:*30 Tablet(s)* Refills:*0* 4. docusate sodium 100 mg Capsule Sig: One (1) Capsule PO BID (2 times a day) as needed for constipation. Disp:*40 Capsule(s)* Refills:*0* 5. famotidine 20 mg Tablet Sig: One (1) Tablet PO BID (2 times a day) for 1 month. Disp:*60 Tablet(s)* Refills:*0* 6. Ativan 0.5 mg Tablet Sig: One (1) Tablet PO twice a day as needed for anxiety for 5 days. Disp:*10 Tablet(s)* Refills:*0* 7. ergocalciferol (vitamin D2) 50,000 unit Capsule Sig: One (1) Capsule PO once a week. Discharge Disposition: Home With Service Facility: [**Location (un) 1110**] VNA Discharge Diagnosis: s/p Right hepatic lobectomy, cholecystectomy, intraoperative ultrasound, final pathology pending Discharge Condition: Mental Status: Clear and coherent. Level of Consciousness: Alert and interactive. Activity Status: Ambulatory - Independent. Discharge Instructions: [**Location (un) 1110**] Visiting Nurse Services have been arranged. Liver Resection WHAT YOU SHOULD KNOW: Liver resection is surgery to remove an area of your liver. Your liver is an organ that lies in the upper right side of your abdomen (stomach). Your liver has many functions including removing waste products from your blood. It breaks down your blood so your body can better use the nutrients. Your liver also helps control your blood clotting. The liver has a right and a left lobe, and can be divided into eight segments. The liver is the only organ in your body that can renew itself. The most common reason for a liver resection is to remove liver cancer or liver metastases. Metastases are cancer cells that have spread to your liver from another area of your body. Liver resection also may be done for noncancerous liver problems. Before having a liver resection, imaging tests are done to help plan your surgery. You also will need tests to check the function of your liver. The amount of your liver that will be removed depends on where the diseased areas are found. Because the liver can renew itself, over half of your liver can be removed if needed. During surgery, your caregiver will check for other diseased areas not found before surgery. Having a liver resection may decrease symptoms of liver problems such as abdominal pain and yellowing skin. AFTER YOU LEAVE: Take your medicine as directed: Call your primary healthcare provider if you think your medicine is not working as expected. Tell him if you are allergic to any medicine. Keep a current list of the medicines, vitamins, and herbs you take. Include the amounts, and when, how, and why you take them. Take the list or the pill bottles to follow-up visits. Carry your medicine list with you in case of an emergency. Throw away old medicine lists. Antibiotic medicine: Antibiotic medicine is given to fight or prevent infection caused by germs called bacteria. Always take your antibiotics exactly as ordered by your caregiver. [**Name (NI) **] taking this medicine until it is completely gone, even if you feel better. Never save antibiotics or take leftover antibiotics that were given to you for another illness. Pain medicine: You may need medicine to take away or decrease pain. Learn how to take your medicine. Ask what medicine and how much you should take. Be sure you know how, when, and how often to take it. Do not wait until the pain is severe before you take your medicine. Tell caregivers if your pain does not decrease. Pain medicine can make you dizzy or sleepy. Prevent falls by calling someone when you get out of bed or if you need help. Follow-up visits: You may need to have many follow-up visits with your caregiver for the first year after your surgery. You may need blood tests to check the function of your liver. If your surgery was done to remove cancer, tests may be needed to check if it has returned. These tests include an abdominal ultrasound, computed tomography (CT) scan, or magnetic resonance imaging (MRI). You may need a chest x-ray to check for the spread of cancer to your lungs. You also may need a colonoscopy to make sure your colon is free from disease. Keep all appointments. Write down any questions you may have. This way you will remember to ask these questions during your next visit. Activity: Ask your caregiver about when you can return to your normal activities such as work and school. Please take it easy until you are seen in follow up. This means that you should try and walk around and participate in routine activities, but do not do any heavy lifting or straining. Deep breathing and coughing: This breathing exercise helps to keep you from getting a lung infection after surgery. Deep breathing opens the tubes going to your lungs. Coughing helps to bring up sputum (mucus) from your lungs for you to spit out. You should deep breathe and cough every hour while you are awake even if you wake up during the night. Hold a pillow tightly against your incision (cut) when you cough to help decrease the pain. Take a deep breath and hold the breath as long as you can. Then push the air out of your lungs with a deep, strong cough. Put any sputum that you have coughed up into a tissue. Take 10 deep breaths in a row every hour while awake. Remember to follow each deep breath with a cough. You may be asked to use an incentive spirometer. This helps you take deeper breaths. Put the plastic piece into your mouth and take a very deep breath. Hold your breath as long as you can. Then let out your breath. Use your incentive spirometer 10 times in a row every hour while awake. Preventing deep vein thrombosis: Deep vein thrombosis (DVT) is a condition where blood clots form inside your blood vessels. This can easily happen after having surgery. Ask your caregiver for more information about deep vein thrombosis. The following can help prevent clots from forming inside your veins: Compression stockings: Your caregiver may have you wear compression stockings. These are tight elastic stockings that put pressure on your legs after your surgery. The pressure is highest in the toe area and decreases as it goes toward your thighs. Wearing pressure stockings helps push blood back up to your heart and keeps clots from forming. Ask your caregiver for more information about compression stockings. Walking: Walking may help prevent blood clots and decrease your risk for a lung infection. Walking helps prevent blood from pooling in your legs and causing clots to form inside your veins. HOW YOU [**Month (only) **] FEEL: You may feel weak or "washed out" for 6 weeks. You might want to nap often. Simple tasks may exhaust you. You may have a sore throat because of a tube that was in your throat during surgery. You might have trouble concentrating or difficulty sleeping. You might feel somewhat depressed. You could have a poor appetite for a while. Food may seem unappealing. All of these feelings and reactions are normal and should go away in a short time. If they do not, tell your surgeon. Wound care: You may gently wash away dried material around your incision. Do not remove steri-strips for 2 weeks. (These are the thin paper strips that might be on your incision.) But if they fall off before that that's okay). It is normal to feel a firm ridge along the incision. This will go away. Avoid direct sun exposure to the incision area. Do not use any ointments on the incision unless you were told otherwise. You may see a small amount of clear or light red fluid staining your dressing or clothes. If the staining is severe, please call your surgeon. You may shower. As noted above, ask your doctor when you may resume tub baths or swimming. Ove the next 6-12 months, your incision will fade and become less prominent. YOUR BOWELS: Constipation is a common side effect of narcotic pain medication. If needed, you may take a stool softener (such as Colace, one capsule) or gentle laxative (such as milk of magnesia, 1 tbs) twice a day. You can get both of these medicines without a prescription. For more information: Liver resection surgery, and your recovery may be scary for you and your family. These feelings are normal. Talk to your caregivers, family, or friends about your feelings. If you have liver disease or cancer, you may also want to join a support group. This is a group of people who also have liver disease or cancer. Contact the following for more information: American Liver Foundation [**Last Name (NamePattern1) 99028**] [**State 531**] , [**Numeric Identifier 99029**] Phone: 1- [**Telephone/Fax (1) 99030**] Phone: 1- [**Telephone/Fax (1) 99031**] Web Address: [**URL 99032**] Followup Instructions: Provider: [**First Name11 (Name Pattern1) **] [**Last Name (NamePattern4) 707**], MD, PHD[**MD Number(3) 708**]:[**Telephone/Fax (1) 673**] Date/Time:[**2198-11-14**] 1:40 Provider: [**First Name11 (Name Pattern1) 2946**] [**Last Name (NamePattern4) 6564**], MD Phone:[**Telephone/Fax (1) 2205**] Date/Time:[**2198-11-28**] 4:40 Provider: [**Name10 (NameIs) 1382**] [**Name11 (NameIs) 1383**], MD Phone:[**Telephone/Fax (1) 673**] Date/Time:[**2199-10-4**] 10:00 [**First Name11 (Name Pattern1) **] [**Last Name (NamePattern4) 707**] MD, [**MD Number(3) 709**] Completed by:[**2198-11-9**] ICD9 Codes: 4019, 4589
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Medical Text: Admission Date: [**2164-5-31**] Discharge Date: [**2164-6-16**] Date of Birth: [**2081-5-21**] Sex: M Service: NEUROSURGERY Allergies: Nifedipine / Lisinopril Attending:[**First Name3 (LF) 78**] Chief Complaint: found down Major Surgical or Invasive Procedure: [**2164-5-31**]- Cerebral angiogram with coiling of ruptured Left Pcomm artery aneurysm [**2164-5-31**]- EVD placement [**2164-6-8**] EVD replaced History of Present Illness: This ia an 80 year old man with history of DM, HTN, on [**Month/Day/Year **] 81, found down by his wife at 2:30 am. On arrival to ED, GCS was 5 and he was intubated in the ED. CT head revealed bilateral SAH and Neurosurgery was consulted. Past Medical History: DM, HTN, HL Social History: He is married and lives with his wife. [**Name (NI) **] was tobacco free for >12 months and he occasionally used ETOH. Family History: non-contributory Physical Exam: At Admission: V: intubated Motor: withdraws to pain, posturing O: T: BP: 163/91 HR:65 R O2Sats: 100% HEENT: Pupils: 2-1.5 EOMs Neck: Supple. Lungs: CTA bilaterally. Cardiac: RRR. S1/S2. Abd: Soft, NT, BS+ Extrem: Warm and well-perfused. No C/C/E. Neuro: Mental status: Intubated Orientation: Intubated Cranial Nerves: I: Not tested II: Pupils equally round and reactive to light, to mm bilaterally. Visual fields are full to confrontation. Motor/Sensory: localizes to pain in B LE; withdraws in B UE Toes downgoing bilaterally PHYSICAL EXAM UPON DISCHARGE: expired Pertinent Results: CSF studies: [**2164-6-14**] 09:47AM CEREBROSPINAL FLUID (CSF) WBC-5800 HCT,Fl-14* Polys-77 Lymphs-8 Monos-0 Eos-3 Macroph-12 [**2164-6-14**] 09:47AM CEREBROSPINAL FLUID (CSF) TotProt-1150* Microbiology: Positive Cultures [**2164-6-6**] Sputum GRAM STAIN (Final [**2164-6-6**]): >25 PMNs and <10 epithelial cells/100X field. 4+ (>10 per 1000X FIELD): MULTIPLE ORGANISMS CONSISTENT WITH OROPHARYNGEAL FLORA. RESPIRATORY CULTURE (Final [**2164-6-9**]): MODERATE GROWTH Commensal Respiratory Flora. ENTEROBACTER AEROGENES. SPARSE GROWTH. This organism may develop resistance to third generation cephalosporins during prolonged therapy. Therefore, isolates that are initially susceptible may become resistant within three to four days after initiation of therapy. For serious infections, repeat culture and sensitivity testing may therefore be warranted if third generation cephalosporins were used. Piperacillin/Tazobactam sensitivity testing performed by Microscan. [**2164-6-13**] Sputum GRAM STAIN (Final [**2164-6-11**]): >25 PMNs and <10 epithelial cells/100X field. 4+ (>10 per 1000X FIELD): MULTIPLE ORGANISMS CONSISTENT WITH OROPHARYNGEAL FLORA. SMEAR REVIEWED; RESULTS CONFIRMED. RESPIRATORY CULTURE (Final [**2164-6-13**]): SPARSE GROWTH Commensal Respiratory Flora. ENTEROBACTER AEROGENES. MODERATE GROWTH. IDENTIFICATION AND SENSITIVITIES PERFORMED ON CULTURE # [**Numeric Identifier 13424**] ([**2164-6-6**]). IMAGING: [**2164-5-31**]: CTA Head/Neck: IMPRESSION: 1. Extensive subarachnoid hemorrhage with a large 1-cm sized aneurysm arising at the junction of the left posterior cerebral artery and posterior communicating artery as described above. 2. Intraventricular extension of hemorrhage with mild hydrocephalus. 3. Duplicated origin of the left vertebral artery with one of the left vertebral arteries arising directly from the aortic arch and the second left vertebral artery arising from the left subclavian artery. [**5-31**] CT Cspine- IMPRESSION: 1. No evidence of acute fracture or malalignment. Multilevel degenerative joint changes, as described above.MRI would be more sensitive for ligamentous injury. 2. Nasogastric tube is coiled in the oropharynx. [**5-31**] CT head- IMPRESSION: 1. Expected post-EVD changes. 2. Slightly increased size of lateral ventricles when compared to the most recent prior study performed six hours earlier with increased subarachnoid hemorrhage layering in the occipital horns of the lateral ventricles. 3. Unchanged extensive bilateral subarachnoid hemorrhage with intraventricular extension. 4. Stable small parafalcine and right temporal subdural hematomas. 5. Generalized loss of [**Doctor Last Name 352**]-white matter differentiation suggesting diffuse cerebral edema slightly increased from six hours earlier. [**5-31**] Cerebral Angio- [**6-1**] ECHO- Regional left ventricular wall motion is normal. Overall left ventricular systolic function is normal (LVEF>55%). Right ventricular chamber size and free wall motion are normal. The aortic valve leaflets (3) are mildly thickened but aortic stenosis is not present. Trivial mitral regurgitation is seen. There is no pericardial effusion. IMPRESSION: Limited study. Normal global and regional biventricular systolic function. No major valvular disease seen. [**6-1**] Head CT- 1. New focus of hemorrhage measuring 27 x 25 mm along the superior track of the EVD without mass effect or edema involving the right frontal lobe. 2. Bilateral subdural hematomas extending along the posterior convexity at the cerebral hemispheres bilaterally has layering along the tentorium, increased significantly from 21 hours prior. 3. Decreased size of lateral ventricles compared to the most recent prior studies. 4. Unchanged extensive bilateral subarachnoid hemorrhage with evidence of redistribution from [**2164-5-31**]. 5. Generalized loss of [**Doctor Last Name 352**]-white matter differentiation consistent with diffuse cerebral edema. [**2164-6-1**] TCD Abnormal TCD evaluation. Below normal velocities of the bilateral middle cerebral arteries, anterior cerebral anteries, posterior cerebral arteries, and internal carotid artery siphons may have been due to poor temporal and ophthalmic windows. Mildly increased P.I. indices have a differential of increased intracranial pressure or possibly distal stenosis, including from small vessel disease. There was no evidence of vasospasm. Recommend repeat TCD on [**2164-6-4**]. [**6-2**] EEG This is an abnormal continuous ICU monitoring study because of the presence of a severe diffuse encephalopathy manifest by diffuse voltage suppression and loss of fast frequencies over all head regions but showing asymmetry in the right occipital pole. The background itself is dramatically abnormal with a frontal central rhythmic theta and virtually no posterior rhythms. No clear seizure discharges were identified. CTA Head [**6-4**] 1. Expected evolution of subarachnoid blood products with no evidence of new hemorrhage. 2. Stable parenchymal hemorrhage along the ventriculostomy tract with stable position of catheter and decrease in size of ventricles. This is associated with more prominent subdural collections bilaterally, likely reative to shunting. 3. No evidence of infarct following coiling of the left PCom aneurysm. 4. Small caliber of left posterior cerebral artery as well as the bilateral A1 segments which is unchanged from [**5-31**] and thus unlikely to represent vasospasm. TCD [**2164-6-5**] Mildly abnormal TCD evaluation. Above normal velocities of the proximal right middle cerebral artery and the left posterior cerebral artery. There was no evidence of vasospasm. Recommend repeat TCD on [**2164-6-6**]. TCD [**2164-6-6**] Mildly abnormal TCD evaluation. Above normal velocities of the proximal right middle cerebral artery and the left posterior cerebral artery. There was no evidence of vasospasm. Recommend repeat TCD on [**2164-6-7**]. CXR [**2164-6-6**] ET tube and right subclavian line are in standard placements and a nasogastric tube can be traced to the upper stomach but the tip is indistinct. Upper lungs are clear. Heterogeneous opacification in both lower lungs is either atelectasis or pneumonia. The involvement at the right base is the greater of the two, and it is essentially unchanged since [**6-1**]. Heart size is normal. Mediastinal veins are mildly engorged. No pneumothorax. TCD [**2164-6-7**] Mildly abnormal TCD evaluation. Above normal velocities of the proximal right middle cerebral artery. There was no evidence of vasospasm. Recommend repeat TCD on [**2164-6-8**]. CXR [**2164-6-7**] Unchanged appearance. Probably left basal atelectasis and/or effusion CXR [**2164-6-8**] Lines and tubes are in standard position. There are persistent low lung volumes. Mild cardiomegaly is accentuated by low lung volumes. Bibasilar opacities, larger on the left side, are unchanged, consistent with atelectasis. The upper lungs are grossly clear. There are no new lung abnormalities, pneumothorax or enlarging pleural effusions. TCD [**2164-6-8**] Abnormal TCD evaluation. Severe vasospasm of the right proximal middle cerebral artery. This represents a marked worsening compared to the TCD results from [**2164-6-7**]. Clinical correlation is needed CTA head [**2164-6-8**] 1. Moderate vasospasm of the intracranial vessels including the basilar, distal M1 segment of the right MCA and M2 and M3 segments of the bilateral MCA increased from [**2164-6-4**] with persistent narrowing/vasospasm of the bilateral A1 and A2 segments of the ACAs, unchanged from [**2164-6-4**]. 2. Status post coiling of large left PCOM aneurysm with expected redistribution of subarachnoid hemorrhage and no evidence of new hemorrhage. 3. Slightly resolved intraparenchymal hemorrhage within the right frontal lobe along the superior EVD tract with unchanged position of EVD and stable size of ventricles from [**2164-6-4**]. 4. Slightly increased bilateral hypodense subdural hematomas along the anterior cerebral convexities without significant change in mass effect and no shift of normally midline structures. 5. Stable posterior hyperdense subdural hematoma. CTA head [**2164-6-9**] 1. New hyperdense focus at the tip of the external ventricular drain, which may represent a focus of acute hemorrhage or clot. 2. Minimal increase in ventricular size from 23 to 26 mm. 3. Otherwise, unchanged exam with subarachnoid hemorrhage and bilateral subdural collections CXR [**2164-6-9**] Compared to the exam from the prior day, there is no significant interval change. CT head [**2164-6-10**] 1. Interval evolution of a right frontal parenchymal hemorrhage along the shunt catheter. Interval decrease in the intraventricular hemorrhage. No new change in the size of the ventricles. 2. Bihemispheric subdural hematomas and subarachnoid hemorrhage, not significantly changed since the prior study. 3. Pansinus opacification relates to the endotracheal intubation. EEG [**2164-6-11**] This is an abnormal continuous ICU monitoring study because of a severe diffuse encephalopathy. Superimposed upon this encephalopathy are some subtle lateralizing features suggesting greater damage to the right hemisphere. There are multifocal paroxysmal sharp transient suggesting irritability. These tended also to have right hemisphere predominance. TCD [**2164-6-11**] Abnormal TCD evaluation. Moderate vasospasm of the right proximal middle cerebral artery. This was not markedly different from the TCD results of [**2164-6-8**]. The left MCA had below normal velocities but this was probably due to technical factors. Clinical correlation is needed. Recommend repeat TCD on [**2164-6-12**]. CXR [**2164-6-11**] As compared to the previous radiograph, there is no relevant change. The monitoring and support devices are in constant position. The lung volumes have minimally decreased. The diameter of the vascular structures is at the upper range of normal, potentially indicative of mild fluid overload, but no overt pulmonary edema is present. Moderate retrocardiac atelectasis. No new parenchymal opacities in the ventilated areas of the lung parenchyma. CT head [**2164-6-11**] 1. Right transfrontal external ventricular drain with blood products along the EVD track and decreased post-operative right frontal pneumocephalus from [**2164-6-10**]. 2. Stable intraventricular hemorrhage with blood products in the anterior [**Doctor Last Name 534**] of the right lateral ventricle and layering posteriorly within the occipital horns of the lateral ventricles. 3. Evidence of redistributed subarachnoid hemorrhage, unchanged in extent. 4. Stable frontal hypodense and posterior hyperdense subdural hematomas. 5. No evidence of acute hemorrhage or large vascular territorial infarct EEG [**2164-6-12**] This is an abnormal continuous ICU monitoring study because of severe diffuse encephalopathy with subtle features suggesting great right hemisphere pathology. There are a number of paroxysmal sharp features to the record. No clear interictal epileptic discharges were noted. The right side tends to predominate in terms of the sharp features. Compared to the prior day's recording, there were no significant changes. CXR [**2164-6-13**] There are low lung volumes. Mild cardiomegaly is accentuated by the low lung volumes. Bibasilar atelectases have minimally improved. ET tube is in the standard poition. NG tube is out of view below the diaphragm. A right PICC line catheter tip is in the upper SVC. CT head [**2164-6-13**] Unchanged position of the right frontal approach internal ventricular drain catheter with slightly increased adjacent pneumocephalus. Multicompartmental hemorrhage and some degree of edema unchanged compared to recent study. Bil. subdural fluid collections, increased since the initial study of [**2164-5-31**]-? superimposed intracranial hypotension. Correlate clinically and followup. CXR [**2164-6-14**] As compared to the previous radiograph, there is no relevant change. The monitoring and support devices are constant. There is unchanged appearance of the low lung volumes and the moderate retrocardiac atelectasis as well as the mildly enlarged cardiac silhouette. No larger pleural effusions. No newly appeared focal parenchymal opacities. [**6-14**] MRI brain: IMPRESSION: 1. Multicompartmental hemorrhage and bil. subdural fluid collections as described above, better characterized on the prior CT head studies. 2. Scattered small foci of increased DWI signal with decreased ADC signal, related to ischemic/infarction-related changes. The etiology of this is unclear and it is also unclear if these explain the patient's quadriplegia. Correlate clinically to decide on the need for further workup. 3. Bil. mastoid fluid and mucosal thickening. [**6-14**] MRI C-spine: 1. Multilevel, multifactorial degenerative changes with [**Last Name (un) 13425**] changes and moderate canal stenosis at C3-4 from disc extrusion and bulge and ligamentum flavum thickening and deformity on the cord at this level. 2. Evaluation for marrow edema from trauma or ligamentous injury or cord signal intensity changes is limited given the lack of sagittal STIR and axial T2-weighted sequence. These were not done due to technical issue. The patient will be brought back, for the additional sequences, which will be performed as a separate study. 3. Multilevel moderate foraminal narrowing with deformity of the nerves in these locations. [**6-15**] CXR: The left lower lobe atelectasis is unchanged. Vascular congestion is unchanged but no overt edema is seen. Right central venous line tip is at the level of mid SVC. ET tube and the NG tube are in appropriate location, unchanged since the prior study. [**6-16**] CT Head- IMPRESSION: 1. Right frontal approach shunt catheter has an extraventricular course, terminating at the septum pellucidum. 2. Mild increase in the parenchymal hemorrhage surrounding the shunt catheter in the right frontal lobe. 3. Bihemispheric subarachnoid and intraventricular hemorrhage, subdural hematomas have not significantly changed since the prior study. [**6-16**] CT Head- IMPRESSION: 1. Status post ventriculostomy catheter placement from right frontal approach without a definitive intraventricular course as described on prior report. 2. Similar appearance of bilateral subdural collections with similar to slightly increased subarachnoid hemorrhage and definite increase in intraventricular hemorrhage. This finding was discovered at 9:39 a.m. and discussed with [**First Name4 (NamePattern1) **] [**Last Name (NamePattern1) **] at 9:43 a.m. on [**2164-6-16**] by Dr. [**First Name8 (NamePattern2) 449**] [**Last Name (NamePattern1) 11623**] over the phone. 3. Similar appearance of air and blood products around the course of the ventriculostomy catheter within the right frontal parenchyma. Brief Hospital Course: The patient was admitted to the Neurosurgery ICU for Q1 Neurochecks and Vital Signs. She was started on Nimodipine 60mg Q 4 hours and Seizure Prophylaxis. Strict SBP less < 130 parameters was initiated and she was kept NPO. An EVD was placed at 15cm h20 and a CT was performed which confirmed good placement. In the am of [**5-31**] she underwent a cerebral angiogram and coiling of a left Pcomm artery aneurysm. She was transferred back to the SICU post procedure. A portable Head CT was performed in the AM [**6-1**] which revealed a new hemorrhage along the EVD track and increased SDH. Baseline TCD's were performed. An Echo and EEG were also requested. The Echo showed LVEF>55%, and the EEG showed diffuse encephalopathy with no evidence of clinical seizures. On [**6-2**] his collar was cleared, and on [**6-3**] his IVF were decreased from 100cc/hr to 75cc/hr. On [**6-4**] his EVD was raised to 20, he had a CTA that showed more porminent hygromas and no vasospasm. Overnight, ICPs were stable [**9-16**] and EVD draining adequately. On [**6-6**], patient w/d BUE and triple flexes BLE. His drain remains at 20 and TCDs are negative for vasospasm. On [**6-7**], TCDs with no evidence of vasospasm. IVF were discontinued and Lasix ws given for diuresis with goal of 2L negative. On [**6-8**], The External Ventricular Drain was at 20 H2O CM above the tragus. The patient had a low grade fever of 100. ICP were [**11-17**]. Family meeting****. A CTA was performed which was consistent with spasm R MCA & basilar arteries. On [**6-9**], The External Ventricular Drain stopped draining. A NCHCT was performed which was stable and did not show any hydrocephalas. The patient was tachypneic and hypertensive. On exam the patient withdrew to noxious stimulous in all 4 extremities. On [**6-10**], The external ventricular catheter was clamped 0800. Teh clamping trial failed at 1130 am whe the patient ICP elevated to 27-29. The serum BUN was noted to be 40 which was elevated from the mid 20s on [**6-4**]. Ancef 2 gm TID was added for empiric EVD coverage as the EVD site was slightly edematous and warm on palpation. WBC was slightly elevated at 13.4. On [**6-11**]: The EVD site appearance was improved. There was no erythema and improved edema. The IVF 100 at cc/hr wa sdiscontinued. The EVD stopped draing at 0600, 1200, and 4pm and each time TPA was instilled in the line for 20 mints to obtain patency.A NCHCT was performed which was stable. On exam the patient opened the left eye to noxous stimuli,minimal withdrew to noxious in the Bilateral Upper Eextremities, and triple flexion was exhibited in the bilateral lower extremities. The serum BUN was improved to 33. The WBC improved to 12.3 A TCD was performed which showed right MCA spasm which was stable when compared to [**6-8**]. The External Ventricular Drain was lowered to 10 H2O mmhg above the tragus. An EEG was ordered to evaluate for seizure activity and to evaluate the further requirment of keppra. The EEG was consistent with no seizures. His ICP waveform was dampened at 011 on [**6-12**] and it was flushed with return of waveform. On [**6-12**] his exam remained poor overall, his drain output began to slow and tPA was instilled at 1430, clamped for 30 mins, and when re-opened there was brisk drainage of CSF. During the day of [**6-13**], his EVD was functioning well. In the evening it was no longer draining and flushing did not help. The tubing was pulled back a bit then began draining. Head CT to confirm placement was performed. On [**6-14**] CSF was sent and MRI head and C-SPINE imaging was done. MRI revealed multiple small infarcts but nothing to explain mental status. The results were discussed in a family meeting as well as goals of care. It was decided to proceed with trach and peg planning. On [**6-15**] the EVD continued to be tenuous with periods of non-drainage requiring flushing and TPA. His neurological exam remained unchanged. On [**6-16**] in the early AM the EVD required TPA infusion again for non-drainage. This was infused after a Head CT was performed and stable. At approx 8:30AM the patients blood pressure rose to over 200, ICP increased to 70's with a wave form. It was also noted to have new blood around the EVD dressing. Neurological exam was stable but the patient was taken for a stat Head CT. CT revealed new acute IVH. The findings were discussed with the SICU staff and family. At this time it was recommended that care be withdrawn and not proceeding with trach and peg. The family was in agreement with this plan and asked for EVD and ET tube to be removed as soon as possible. He was started on a morphine gtt and these were both performed. The patient passed away of respiratory failure with the family at the bedside in the afternoon of [**2164-6-16**]. Medications on Admission: allopurinol 100qD, [**Last Name (LF) 13426**], [**First Name3 (LF) **] 81, atenolol 50qD, lipitor 20 qD, avandia, colchicine 0.6, losartan, NTG prn Discharge Medications: n/a Discharge Disposition: Expired Discharge Diagnosis: aneurysmal subarachnoid hemorrhage intraventricular hemorrhage hydrocephalus encephalopathy cerebral vasospasm Discharge Condition: n/a Discharge Instructions: n/a Followup Instructions: n/a Completed by:[**2164-6-16**] ICD9 Codes: 5849, 431, 5859, 2767, 2724
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Medical Text: Admission Date: Discharge Date: [**2199-11-13**] Date of Birth: [**2199-11-3**] Sex: F Service: NB HISTORY OF PRESENT ILLNESS: Baby Girl [**Known lastname 57578**] was born to a 33 year old, Gravida VIII, Para III to IV mother, with prenatal laboratory studies significant for blood type AB positive, hepatitis B surface antigen negative; RPR nonreactive; Rubella immune; antibody screen negative; GBS status unknown. This pregnancy was complicated by preterm labor. There was no maternal fever and rupture of membranes was at the time of delivery, as this was an elective repeat cesarean section, in the setting of preterm labor. Apgars were eight and nine at one and five minutes respectively and birth weight was 2,490 grams. FAmily hx. notable for mother and her son having balanced translocation of chromosomes 4 and 13; mother also has daughter with unbalanced translocation of chromosomes 4 and 13. This daughter ([**Name (NI) 57579**]) is followed by genetics and neurology at [**Hospital3 1810**]. PHYSICAL EXAMINATION: Her admission physical examination revealed a well appearing, slightly preterm, female infant; consistent with her history of gestation 35 and 4/7 weeks. Her birth weight was 2490 grams; her length was 46 cm and her head circumference was 33 cm. Her head and neck examination was significant for anterior fontanel that was open and flat and a palate that was intact. Her chest was clear to auscultation bilaterally. Heart revealed a regular rate and rhythm with no murmur. Her femoral pulses were 2 plus and her capillary refill time was less than 2 seconds. Her abdomen was soft, nondistended, without hepatosplenomegaly and with bowel sounds present. Her genitourinary examination revealed a normal preterm female external genitalia with a patent anus. Her back was without clefts, [**Hospital1 **] or dimples. Her neurologic examination was normal for her gestational age. HOSPITAL COURSE: 1. Respiratory: Baby Girl [**Known lastname 57578**] was briefly on nasal cannula oxygen but transitioned to room air by about eight hours of life and has remained stable on room air since that time. She had only one apnea and bradycardia event, which occurred on day of life four, [**11-7**], and one desaturation which occurred on day of life seven, during a period of periodic breathing. She has never been on caffeine therapy. She will need to be monitored for at least five days without further desaturations prior to discharge. 1. Cardiovascular: Baby Girl ([**Known lastname 57580**]) [**Known lastname 57578**] has been cardiovascularly stable throughout her hospital course. She has never had a murmur or abnormal blood pressures. 1. Fluids, electrolytes and nutrition: Baby Girl [**Known lastname 57578**] was initially held n.p.o. on total fluids of 60 cc per kg per day. Within the first 24 hours of life, she was allowed to begin enteral feeds of [**Known lastname 57581**] and her total fluids were gradually advanced to the present level of 140 cc per kg per day. Over the first five days of life, the patient would take only minimal p.o. feeds. At most, 5 to 10 cc orally per feeding. She received the remainder of her feeds by gavage. She was fed with [**Known lastname 57581**] in light of a family history of cow's milk allergy in other siblings, but due to the parents concern that she did not like the taste of [**Known lastname 57581**], she was also tried on Similac. This failed to improve her ability to bottle feed so she was again switched to [**Known lastname 57581**]. She has never demonstrated feeding intolerance, but it was quite concerning that she had such an inability to take oral feeds at her gestational age, so further work-up was proceeded. This included a neurology consult, who felt that her examination was normal and did not recommend further evaluation. A feeding team consult was attempted, but they were unable to see her in the initial days of difficult p.o. feeding and then her oral intake spontaneously improved. She was also seen by the genetics team in light of her sister's history of unbalanced chromosomal translocation and chromosomes are pending at the time of this summary.Preliminary report from cytogenetics lab at [**Hospital1 18**] is that there is an abnormality of the chromosomes, but does not appear to be the same as that of the mother and sib of this patient. FISH evaluation is pending. We will forward results to [**Hospital1 **], Dr. [**First Name4 (NamePattern1) **] [**Last Name (NamePattern1) 19371**], and Genetics when final results are knowm. Baby Girl [**Known lastname 57582**] weight at the time of discharge is 2300 grams. She spontaneously improved her p.o. intake and, at the time of transfer, is taking about [**2-1**] volume feeds p.o. (30cc/feed). ~50cc/feed would be considered full volume per feed. 1. Gastrointestinal: Baby Girl [**Known lastname 57578**] had one bilirubin checked on day of life three which was 8.2 with a direct component of 0.3. She did not show clinical evidence of jaundice, thereafter, so this was not rechecked. 1. Hematology: Admission hematocrit was 51.4 percent. The patient has not required any blood products during her hospitalization. 1. Neurology: Baby Girl [**Known lastname 57578**] does not fit criteria to require screening head ultrasounds. She was seen by the neurology team as described above, for inability to p.o. feed. A head ultrasound was done at the time of the neurology consult, which was normal. 1. Genetics: Baby Girl [**Known lastname 57578**] has a family history of a balanced translocation of chromosomes four and 13 in her mother. [**Name (NI) **] 9 year old sister has an unbalanced translocation, as she is missing chromosome 13 and has pulmonary stenosis, epilepsy and cleft palate resulting. She has a healthy brother who also has a balanced translocation. In light of her family history and because of her difficulties feeding, chromosomes were sent on her on [**11-8**] and are pending at the time of transfer. Other than chromosomes, the genetic team did not recommend any further work-up. 1. Sensory: At the time of transfer, Baby Girl [**Known lastname 57578**] has not had her hearing screen. 1. Health Care Maintenance: Patient received hepatitis B vaccine on [**2199-11-6**]. She is to undergo a car seat test prior to discharge. CONDITION ON DISCHARGE: Good. DISCHARGE DISPOSITION: To [**Hospital3 3765**], level II nursery. PRIMARY PEDIATRICIAN: [**First Name8 (NamePattern2) **] [**Last Name (NamePattern1) 57583**], M.D., [**Location (un) **]. CARE RECOMMENDATIONS: Baby Girl [**Known lastname 57578**] is feeding [**Known lastname 57581**] 20 at 140 cc per kg per day po/pg and advancing on p.o. feeds. She is on no medications at the time of transfer. She still needs car seat testing prior to discharge. A state screen has been sent. She received her hepatitis B vaccine on [**2199-11-6**] and does not quality for Synagis RSV prophylaxis. DISCHARGE DIAGNOSES: Prematurity at 35 and 4/7 weeks. Immature feeding. Rule out sepsis, resolved. [**Name6 (MD) 1154**] Cold, MD [**MD Number(2) 56585**] Dictated By:[**Name6 (MD) 57584**] MEDQUIST36 D: [**2199-11-11**] 16:44:56 T: [**2199-11-11**] 17:14:19 Job#: [**Job Number 57585**] ICD9 Codes: V053, V290
{ "dataset_link": "https://huggingface.co/datasets/ricardosantoss/ehrcomplete_icdfiltered", "dataset_name": "ehrcomplete-icdfiltered", "id": 8136 }
Medical Text: Admission Date: [**2127-7-21**] Discharge Date: [**2127-7-30**] Service: MED Allergies: Bactrim / Amiodarone / Quinine / Codeine / Zithromax Attending:[**First Name3 (LF) 898**] Chief Complaint: Abdominal Discomfort Major Surgical or Invasive Procedure: ERCP x 2 Endotracheal Intubation History of Present Illness: The patient is an 85 year old woman with PMH of ESRD on HD, HTN, and DM, who presented to the [**Hospital1 18**] ED on [**7-21**] with complaint of nausea, vomiting, abdominal pain, and diarrhea x 3 days. The patient also reported recent fever and chills. In the ED, patient had a low grade temperature of 100.5 degrees. Her abdomen was slightly distended, with no rigidity or rebound. Admission laboratory data were notable for WBC 6.2, elevated transaminases, and INR 3.7. Right upper quadrant ultrasound disclosed a 5 mm gallstone in the neck of the gallbladder. There was also a 5mm gallstone in the common bile duct, without ductal dilatation. The patient was evaluated by surgery for her choledocholithiasis. The patient was also seen by the ERCP fellow. The patient was not acutely ill last night, so she was admitted to the Medicine team, with plan for ERCP today. She was kept NPO and was administered IVF overnight. This morning, she was administered 4 U FFP to reverse her INR. After receiving 2 U FFP, she became hypoxic, with O2 sats dropping to the 70s. She was placed on 100% NRB with improvement in her O2 sats to the 90s. Prior to dialysis, she was given 100 mg IV Lasix, with urine output (non measured). At 1:50 PM, she was transferred to the Hemodialysis Unit for initiation of hemodialysis. Approximately 1 L was removed, yet the patient remained in respiratory distress, with O2 sats in the low 90s on NRB. At 2:30 PM, a respiratory code was called since patient's O2 sats dropped to 70s on the NRB. The patient was emergently intubated. ABG prior to intubation was 7.21/55/55. EKG disclosed new ST segment depressions in the inferior and lateral leads. Following intubation, the patient's SBP dropped to 80s. She was administered approximately 500 cc NS bolus, and required Dopamine transiently. The patient was transferred to the MICU for further management. Past Medical History: 1. End stage renal disease, on hemodialysis via RIJ tunnelled portacath. h/o failed left arm fistula. 2. History of crescente glomerulonephritis by renal biopsy, likely related to underlying vasculitis. 3. Vasculitis, ANCA positive, treated with chronic steroids. Currently on steroid taper. 4. Chronic obstructive pulmonary disease. 5. Steroid induced diabetes mellitus. 6. Chronic anemia related to end stage renal disease. 7. History of hemorrhoids. 8. Atrial fibrillation, status post transesophageal echocardiography and cardioversion, currently on Atenolol and Coumadin with an ejection fraction of over 55 percent on echocardiogram in [**2126-3-2**]. 9. Gastroesophageal reflux disease with a normal EGD [**2126-6-2**]. 10. Hypothyroidism. 11. Hypertension. Social History: Prior tobacco history over twenty years ago. She denies any alcohol use. She lives with her daughter, [**Name (NI) **] [**Name (NI) 46**], who is her health care proxy. The patient is full code. Primary care physician is [**Last Name (NamePattern4) **]. [**First Name8 (NamePattern2) **] [**Last Name (NamePattern1) 1683**]. Family History: Non-contributory Physical Exam: General: Elderly female lying in bed, ETT in place. VS: T: 100.7 BP: 104/48 initially, 68/34 at 4 PM HR: 128 Resp: AC 550x14/100%/5 O2sat: 95% HEENT: Sclerae anicteric. PERRL. MMM. OP clear. Neck: Obese. Supple. Difficult to assess JVP. CVS: RRR. S1, S2. No m/r/g. Lungs: Crackles in bases bilaterally. Abd: Slightly distended. +BS. Ext: Cold. No clubbing, cyanosis, or edema. L AVF. Neuro: Intubated, sedated. Moving all extremities. Pertinent Results: [**2127-7-21**] 08:00AM WBC-6.2 RBC-4.25 HGB-12.7 HCT-40.4 MCV-95 MCH-29.9 MCHC-31.5 RDW-16.3* [**2127-7-21**] 08:00AM NEUTS-80.5* LYMPHS-12.4* MONOS-4.6 EOS-2.2 BASOS-0.3 [**2127-7-21**] 08:00AM PLT COUNT-284 [**2127-7-22**] 03:52AM BLOOD WBC-3.7* RBC-3.78* Hgb-11.8* Hct-35.8* MCV-95 MCH-31.2 MCHC-33.0 RDW-16.2* Plt Ct-217 [**2127-7-21**] 08:00AM BLOOD PT-23.5* PTT-40.1* INR(PT)-3.7 [**2127-7-22**] 12:15PM BLOOD PT-12.7 PTT-26.8 INR(PT)-1.1 [**2127-7-21**] 08:00AM BLOOD Glucose-138* UreaN-18 Creat-2.7* Na-135 K-3.3 Cl-100 HCO3-23 AnGap-15 [**2127-7-22**] 03:52AM BLOOD Glucose-109* UreaN-9 Creat-2.0* Na-141 K-3.4 Cl-104 HCO3-28 AnGap-12 [**2127-7-21**] 08:00AM BLOOD ALT-65* AST-36 AlkPhos-506* Amylase-54 TotBili-0.4 [**2127-7-22**] 03:52AM BLOOD ALT-41* AST-21 AlkPhos-393* Amylase-40 TotBili-0.3 [**2127-7-21**] 08:00AM BLOOD Lipase-43 GGT-558* [**2127-7-22**] 03:52AM BLOOD Lipase-23 [**2127-7-22**] 03:52AM BLOOD Albumin-3.2* Calcium-8.1* Phos-2.7 Mg-1.6 [**2127-7-22**] 01:28PM BLOOD Type-ART pO2-79* pCO2-56* pH-7.27* calHCO3-27 Base XS--1 [**2127-7-22**] 02:40PM BLOOD pO2-55* pCO2-55* pH-7.21* calHCO3-23 Base XS--6 [**2127-7-22**] 01:28PM BLOOD Lactate-2.6* EKG: (2:47 PM) Sinus tachycardia 118 bpm. Nl intervals, nl axis. ST segment depressions in II, III, avF, V3-V6. Poor R wave progression. These changes are new compared to previous EKG ([**3-5**]). (16:33 PM) Radiology: RADIOLOGY Final Report **ABNORMAL! LIVER OR GALLBLADDER US (SINGLE ORGAN) [**2127-7-21**] 1:20 PM LIVER OR GALLBLADDER US (SINGL Reason: RUQ PAIN AND NAUSEA, RO CHOLECYSTITIS [**Hospital 93**] MEDICAL CONDITION: 85 year old woman with hx diabetes, renal failure, on tapering prednisone for ANCA-positive vasculitis with known gallstone by abd CT last month, and intermittent vomiting but no abd pain. r/o acute cholecystitis or abscess. REASON FOR THIS EXAMINATION: acute cholecystitis or abscess INDICATION: Intermittent vomiting without abdominal pain. Known gallstone by abdominal CT last month. COMPARISON: CT scan, [**2127-6-23**], is not available on line for comparison. FINDINGS: There is a 5-mm gallstone within the gallbladder neck, but there is no evidence of gallbladder wall edema or pericholecystic fluid to suggest acute cholecystitis. Additionally, a 5-mm flat stone is seen within the common duct, but there is no evidence of ductal dilatation. The common duct measures 3-4 mm proximally. There is no intrahepatic ductal dilatation. The portal vein is open, and flow is hepatopetal. The pancreas appears echogenic, consistent with fatty infiltration. There is no free fluid. IMPRESSION: Cholelithiasis and choledocholithiasis without evidence of acute cholecystitis. The study and the report were reviewed by the staff radiologist. DR. [**First Name11 (Name Pattern1) **] [**Initial (NamePattern1) **] [**Last Name (NamePattern4) 2368**] DR. [**First Name11 (Name Pattern1) 177**] [**Initial (NamePattern1) **] [**Last Name (NamePattern4) **] Approved: MON [**2127-7-21**] 10:09 PM RADIOLOGY Preliminary Report CHEST (PORTABLE AP) [**2127-7-22**] 1:21 PM CHEST (PORTABLE AP) Reason: ?volume overload [**Hospital 93**] MEDICAL CONDITION: 85 year old woman with chf and decreasing sats after FFP infusion REASON FOR THIS EXAMINATION: ?volume overload INDICATION: Decreasing oxygen saturation after FFP administration. COMPARISON: [**2127-7-21**]. CHEST, AP PORTABLE RADIOGRAPH: There is stable cardiac enlargement. The mediastinal and hilar contours are unremarkable. There is bilateral pulmonary vascular redistribution, perihilar haziness and interstitial opacities. There is unchanged small left pleural effusion. The right internal jugular central venous catheter is again noted with tip in the proximal right atrium. The osseous structures are unremarkable. IMPRESSION: New pulmonary edema. DR. [**First Name11 (Name Pattern1) 2369**] [**Initial (NamePattern1) **] [**Last Name (NamePattern4) 2370**] DR. [**First Name (STitle) 2371**] [**Initials (NamePattern4) **] [**Last Name (NamePattern4) 2372**] Brief Hospital Course: 1. Respiratory Failure: On HD#2, the patient developed acute respiratory distress. The patient had recieved IVF in the ED the nigtht before and that monring had recieved 4 units of FFP for planned ERCP, the last two within one hour of respiratory distress. CXR demonstrated acute developement of bilateral pulmonary infiltrates. Ddx included cardiogenic pulmonary edema versus TRALI. The patient was taken for emergent HD; however, depspite succesful diuresis, the patient required intubation for respiratory failure. TRALI work-up is pending at the time of discharge. The patient remained intubated in the MICU and succesfully extubated on the second attempt. 2. Hypotension: After intubation, the patient became hypotensive in the MICU requiring initiation of pressors. She was found to be adrenally insufficent by cortisyn stimulation test and started on stress-dose hydrocortisone and fludircortisone. In addition, she required pressors and continued IV Unasyn for possible sepsis, though blood cultures were negative. The patient's blood pressure improved and stablized. 3. Choledocholithasis: Demonstrated on admission RUQ US on admission without transaminitis but with low-grade fever and left-shift. The patient was evaluted by Surgery and ERCP service. She was started on IV Unasyn. Patient underwent ERCP in MICU while intubated, which demonstrated dilated CBD but no stones. Patient had spinchterotomy. The patient completed a 10 day course of IV Unsyn and will be discharged on two days. Consideration should be given to possible outpatient cholecystetomy. 4. GI Bleed: Post-ERCP, the patient dropped Hct and was foudn to be guiac postitive. Patient underwent repeat ERCP which demonstrated spincterotomy bleed. This required epiniephrine injection. Hct remained relatively stable, though she had a possible rebleed several days later which stablized without repeat scope. ASA and coumadin were held [**2-3**] bleed and may be safely restarted on [**2127-8-4**]. The patient's Hct remained stable for the rest of her hospital course. The patient will continue on her PPI. 5. Coronary Artery Disease: During the patient's MICU stay, EKG was noted to have poor R wave progression. An echocardiogram was obtained which demonstrated regional LV dysfunction suggesting CAD. Cardiac enzymes demonstrated non-diagnostic elevated Tropnin T, felt either secondary to demand or ESRD. ASA was held [**2-3**] GI bleed and the patient's beta-blocker was continued. The patient will need an outpatient evaluation of her coronaries, likely with ETT MIBI when she is stable. Again, ASA will be started [**2127-8-4**]. 6. ESRD: The patient did well on her hemodilyasis schedule. The patient's prednisone was continued for her history of renal vascultitis. 7. Hypothryoidism: Patient stable on levothyroxine. Discharge Medications: 1. Levothyroxine Sodium 125 mcg Tablet Sig: One (1) Tablet PO QD (once a day). 2. Prednisone 5 mg Tablet Sig: as directed Tablet PO once a day: Take four tablets on day #1, two tablets on day #2, one tablet on day #3, then resume 1 mg per day. Disp:*7 Tablet(s)* Refills:*0* 3. Pantoprazole Sodium 40 mg Tablet, Delayed Release (E.C.) Sig: One (1) Tablet, Delayed Release (E.C.) PO twice a day. 4. Toprol XL 25 mg Tablet Sustained Release 24HR Sig: One (1) Tablet Sustained Release 24HR PO once a day. 5. Lidocaine 5 % Adhesive Patch, Medicated Sig: One (1) Adhesive Patch, Medicated Topical QD (once a day). 6. Albuterol-Ipratropium 103-18 mcg/Actuation Aerosol Sig: [**1-3**] Puffs Inhalation Q6H (every 6 hours) as needed. 7. Nephrocaps 1 mg Capsule Sig: One (1) Capsule PO once a day. 8. Miconazole Nitrate 2 % Cream Sig: One (1) Appl Topical [**Hospital1 **] (2 times a day). Disp:*1 tube* Refills:*2* 9. Augmentin 500-125 mg Tablet Sig: One (1) Tablet PO once a day for 2 days. Disp:*2 Tablet(s)* Refills:*0* 10. Prednisone 1 mg Tablet Sig: One (1) Tablet PO once a day: Start after higher-dose prednisone complete. Discharge Disposition: Home Discharge Diagnosis: Choledocholithasis Spinchterotomy Upper GI bleed ESRD Coronary Artery Disease Diarrhea Anemia Hypothryoidism Respiratory Failure Diabetes Mellitus Discharge Condition: Good Discharge Instructions: 1. Please follow-up with your PCP 2. Your primary doctor will obtain a medical alert braclet for you, indicating that you have adrenal insufficency. 3. You will restart your coumadin and start aspirin on [**Hospital1 766**] after seeing your PCP. Followup Instructions: Please follow-up with Dr. [**Last Name (STitle) 1683**] on [**Last Name (LF) 766**], [**8-4**] at 10:15 Completed by:[**2127-8-11**] ICD9 Codes: 0389, 5185, 4280
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Medical Text: Admission Date: [**2144-12-30**] Discharge Date: [**2145-1-21**] Service: MEDICINE Allergies: Patient recorded as having No Known Allergies to Drugs Attending:[**First Name3 (LF) 134**] Chief Complaint: Shortness of breath Major Surgical or Invasive Procedure: Percutaneous aortic valvuloplasty Placement of a bare metal stent in the saphenous vein graft History of Present Illness: This is an 86 yo male with a history of CAD (s/p CABG), chronic Afib, CHF, critical AS who was transferred to [**Hospital1 18**] for evaluation for aortic valvular repair. In early [**Month (only) 404**], he was at [**Hospital6 **] for an acute CHF exacerbation, where he ruled in for an MI by enzymes. At [**Hospital1 **] on [**2144-12-28**], he underwent catheterization which showed 85% stenosis of his SVG-OM1, but a patent LIMA-LAD. He was transferred to the [**Hospital1 18**] for aortic valve replacement. . In preparation for surgery, he was being followed by nephrology for chronic kidney disease. It was felt that the patient had a 20% chance of needing dialysis following CABG. He was also being followed by Heme-onc for chronically elevated INR, which was felt to be secondary to chronic warfarin use. . On the morning of admission, he became tachypneic, the rate of his AFib increased and he developed substernal chest pain. His O2 requirement increased to 92% on 2L (98% RA yesterday). Over the past few days, he has been on a decreased dose of lasix, only receiving 40 PO daily when his home regimen was 40mg po BID. . On transfer to the CCU he converted to sinus rhythm after receiving lasix, metazolone, and metoprolol 7.5 mg IV. He reported improved SOB and CP after converting. . Past Medical History: CAD - MI & CABG [**2127**] CHF -- systolic dysfunction (EF 35 - 40%) Chronic Afib critical AS NSVT s/p AICD [**1-28**] HTN DM LBBB CRI TIA & CVA Social History: Social history is significant for the absence of current tobacco use. There is no history of alcohol abuse. Patient is a former barber. Family History: There is no family history of premature coronary artery disease or sudden death. Physical Exam: ADMISSION PHYSICAL EXAM . VS: T: 96.7 , BP: 91/61 , HR: 110s (Afib) -> 80s , RR:20 , O2 94% on 3L NC . Gen: WDWN elderly male with obvious respiratory distress with some difficulty speaking. Pleasant. HEENT: NCAT. Sclera anicteric. OP clear. Neck: Supple with JVP to mid neck with bed at 45%. CV: irregularly irregular. Murmurs difficult to appreciate. Chest: Poor air movement ~ 1/3 up bases. No wheezing. Abd: Obese, soft, NTND, No HSM or tenderness. No abdominial bruits. Ext: 2+ pretibial edema. Skin: No stasis dermatitis, ulcers, scars, or xanthomas. Pertinent Results: ADMISSION LABS: [**2144-12-30**] 04:50PM BLOOD WBC-8.4 RBC-3.45* Hgb-10.4* Hct-30.9* MCV-90 MCH-30.0 MCHC-33.5 RDW-14.0 Plt Ct-164 [**2144-12-30**] 04:50PM BLOOD PT-17.7* PTT-75.8* INR(PT)-1.6* [**2144-12-30**] 04:50PM BLOOD Plt Ct-164 [**2144-12-30**] 04:50PM BLOOD Glucose-160* UreaN-84* Creat-3.2* Na-136 K-4.8 Cl-97 HCO3-30 AnGap-14 [**2144-12-30**] 04:50PM BLOOD ALT-33 AST-28 LD(LDH)-300* AlkPhos-95 Amylase-83 TotBili-0.5 [**2144-12-30**] 04:50PM BLOOD Albumin-3.2* [**2144-12-31**] 07:30AM BLOOD Calcium-9.1 Phos-5.0* Mg-3.0* [**2144-12-30**] 04:50PM BLOOD %HbA1c-6.9* . IMAGING: [**2144-12-30**] Admission CXR-- PA & Lateral Mild atelectasis at the left lung base with moderate cardiomegaly . [**2145-1-15**] Cardiac Catheterization (see cath report for further details) 1. Three vessel coronary artery disease. Patent LIMA. SVG->OM/PDA stenosis. 2. Pulmonary edema. 3. Critical aortic stenosis. 4. Successful stenting of the SVG-OM/PDA with a bare metal stent. 5. Successful aortic valvuloplasty. Brief Hospital Course: AORTIC STENOSIS On admission, Mr. [**Known lastname 94178**] EF was ~35-40% with moderate mitral regurgitation and critical aortic stenosis (valve area of 0.6 and mean gradient of 58). Surgical aortic valve replacement was deferred on this admission because of the patient's worsening renal function and multiple comorbidities, placing him at high risk for complications with an open heart surgery. A percutaneous aortic valvuloplasty was performed on [**2145-1-15**] without complication. ATRIAL FIBRILLATION He has known chronic atrial fibrillation, with a baseline LBBB. Upon arrival to the CCU, Mr. [**Known lastname **] was found to be in AFib with a rapid ventricular rate, which induced hypoxia and chest pain. After intravenous furosemide and metoprolol, the patient quickly returned to his baseline rhythm of atrial fibrillation with a rate in the 70's, and his shortness of breath and chest pain improved. A chest X ray showed pulmonary edema, which slowly improved over the hospital course with continued diruesis. He was kept on heparin throught the admission for anticoagulation and was bridged to Coumadin at the end of his hospital stay. CORONARY ARTERY DISEASE Mr. [**Known lastname **] had a CABG in [**2127**] with SVG to the OM1 and LIMA to the LAD. His cath on [**2145-1-15**] showed patent LAD and 85% stenosis of the SVG; thus, a bare metal stent was placed in the SVG to OM1. He was continued on aspirin and plavix for anti-platelet therapy. HYPERTENSION He was continued on metoprolol succinate and amlodipine with good control of his blood pressure. His home ACE inhibitor was held in the setting of ARF. ACUTE ON CHRONIC RENAL FAILURE Although his baseline Cr is unknown, his Cr was 3.2 on admission, elevated from the 2.2 - 2.4 that he was running at the outside hospital prior to transfer. The aucte on CKD was likely secondary to contrast nephropathy and a pre-renal state. The renal service was consulted and felt there was no indication for acute dialysis. His kidney function improved somewhat by the time of discharge with management of his CHF and volume status (see above). His home ACE inhibitor was held in the setting of ARF. URINARY TRACT INFECTION Mr. [**Known lastname **] was found to have Klebsiella in is urine cultures from [**2143-12-31**], which was treated with cirpofloxacin. Repeat urine culture on [**2145-1-13**] grew Klebsiella and Enterococcus; he was again treated with ciprofloxacin (shown to be sensitive on culture). The foley catheter was pulled on [**1-20**] prior to discharge. Medications on Admission: Medications pateint was on prior to admission to [**Hospital1 **]: toprol XL 100mg lisinopril 40mg daily glyburide 10mg daily hydralazine 20mg TID furosemide 40mg [**Hospital1 **] norvasc 5mg daily doxazosin 4mg daily ASA 81mg daily warfarin 5mg daily hectorol 0.5mcg daily . medications on Transfer to ICU: -metoprolol xl 100mg daily -doxasozin 4mh qhs -doxercalciferol 0.5mcg dialy -colace 100mg [**Hospital1 **] -lasix 40mg Po daily -insulin ss - glipizide 10mg [**Hospital1 **] -epoietin alpha 4000U SC MWF -IV heparin -diltiazem 30mg PO QID -ipratropium Q6hr Discharge Medications: 1. Doxercalciferol 0.5 mcg Capsule Sig: One (1) Capsule PO DAILY (Daily). 2. Acetaminophen 325 mg Tablet Sig: 1-2 Tablets PO Q6H (every 6 hours) as needed for fever, headache, pain. 3. Amlodipine 5 mg Tablet Sig: One (1) Tablet PO DAILY (Daily). 4. Metoprolol Succinate 100 mg Tablet Sustained Release 24 hr Sig: One (1) Tablet Sustained Release 24 hr PO DAILY (Daily). 5. Trazodone 50 mg Tablet Sig: One (1) Tablet PO HS (at bedtime) as needed. 6. Glipizide 5 mg Tablet Sig: One (1) Tablet PO BID (2 times a day). 7. Warfarin 2 mg Tablet Sig: One (1) Tablet PO DAILY (Daily): Dosage to be adjusted according to INR (goal 2.0 - 3.0). 8. Senna 8.6 mg Tablet Sig: One (1) Tablet PO BID (2 times a day) as needed. 9. Ciprofloxacin 500 mg Tablet Sig: One (1) Tablet PO Q24H (every 24 hours) for 3 days: Continue through [**2145-1-24**]. 10. Epoetin Alfa 4,000 unit/mL Solution Sig: One (1) Injection QMOWEFR (Monday -Wednesday-Friday). 11. Aspirin 325 mg Tablet, Delayed Release (E.C.) Sig: One (1) Tablet, Delayed Release (E.C.) PO DAILY (Daily). 12. Clopidogrel 75 mg Tablet Sig: One (1) Tablet PO DAILY (Daily). 13. Bisacodyl 10 mg Suppository Sig: One (1) Suppository Rectal DAILY (Daily) as needed. 14. Docusate Sodium 100 mg Capsule Sig: One (1) Capsule PO BID (2 times a day). 15. Calcium Acetate 667 mg Capsule Sig: One (1) Capsule PO TID W/MEALS (3 TIMES A DAY WITH MEALS). 16. Insulin Lispro 100 unit/mL Solution Subcutaneous 17. Furosemide 40 mg Tablet Sig: One (1) Tablet PO BID (2 times a day): Dosage will need to be adjusted according to daily weights to keep his weight even. Discharge Disposition: Extended Care Facility: [**Hospital6 1293**] - [**Location (un) 1294**] Discharge Diagnosis: Primary Diagnoses: Aortic Stenosis, s/p percutaneous valvuloplasty Systolic congestive heart failure Atrial fibrillation Acute on chronic renal failure Urinary tract infection Secondary Diagnoses: Hypertension Diabetes Coronary Artery Disease Discharge Condition: Stable-- patient less short of breath than on admission; still with some fatigue but also improved. Patient deconditioned from prolonged hospital stay, but able to work with physical therapy and being discharged to a rehab facility. Discharge Instructions: Please follow the rehabilitation program at the rehab facility that you are going to after your discharge from the hospital. You should call your primary care doctor if you develop fever, pain with urination, worsening shortness of breath, or fluid retention. Your fluid levels need to be closely monitored while you are at the rehab facility and then later when you go home. They should adjust your lasix dosage so that you do not gain weight and do not become short of breath. Subcutaneous insulin dosage to be adjusted according fingerstick glucose. Followup Instructions: Please see your cardiologist and primary care doctors within the next 1 - 2 weeks for follow-up of your heart problems. ICD9 Codes: 4241, 5849, 5990, 4280, 5859
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Medical Text: Admission Date: [**2179-11-16**] Discharge Date: [**2179-11-26**] Date of Birth: [**2098-10-25**] Sex: F Service: MEDICINE Allergies: Penicillins / Quinidine;Quinine Analogues Attending:[**First Name3 (LF) 2901**] Chief Complaint: Vomiting, malaise, increasing LE edema Major Surgical or Invasive Procedure: Pacemaker placement History of Present Illness: Mrs. [**Known lastname 63845**] is a 80 year-old female with a history of chronic AF, diastolic CHF, DM, hyperlipidemia, CRI, who presents with increasing LE edema and erythema, x 10days. In addition to the erythema, the pt had blisters that burst b/l. Pt was started on Levo 10 days ago for LE cellulitis. Pt also had vomiting, decreased PO intake. + fatigue, malaise, and abd distention. Some MS changes over past few days along with some LLE thigh ache/stiffness. Some DOE and lightheadedness. + baseline orthopnea. No PND. No CP. Pt denies fevers, palpitations, diarrhea, hemetemesis. During an admission for N/V/D on [**10-20**], pt was also found to have prolonged QT 700ms and her Amiodarone was d/c. She was started on Atenolol 12.5 [**Hospital1 **]. In the ER the patient was found to be in acute on chronic RF with Cr from baseline 1.6-1.9 to 4.4, Bun 130, mild CHF, K of 6.5. bradycardic to 20s with stable BP,w/ relative [**Name (NI) 63846**] SBP 80s. INR 3.0. Pt got atropine, glucagon, kayexalate. Temporary transvenous pacer was placed. Past Medical History: 1. Diabetes mellitus 2. CHF (diastolic) 3. Hypothyroidism 4. Gout 5. Hyperlipidemia 6. H/O bilateral DVT 7. Atrial fibrillatin 8. B12 deficiency 9. OP 10.Carotid artery stenosis: CEA on left (2-3 years prior) 11. CRI (baseline SCr of 1.6) Social History: Lives with daughter; former fish packer Tobacco: quit >20 years ago EtOH: denies Family History: NC Physical Exam: vital signs: T 97.5, BP 114/40, HR 60, RR 13, O2 sat 100% 3L GEN: obese female lying in bed HEENT: PERRL, MM very dry, poor dentition, no OP lesions, no LAD CV: brady; distant heart sounds; II/VI systolic murmur PULM: diffuse crackles b/l, no rhonchi or wheezes. ABD: soft, non-tender, obese, ventral hernia on exam; reducible, superficial epidermal abrasion under pannus on R. EXT: warm, + erythema bilaterally to knees, and evidence of previous ulcerations; no current ulcers noted Neuro: oriented x 2. No focal deficits. Pertinent Results: Laboratory Results: [**2179-11-16**] 09:00AM BLOOD WBC-9.9# RBC-4.19* Hgb-12.4 Hct-36.5 MCV-87 MCH-29.5 MCHC-33.9 RDW-15.3 Plt Ct-197 [**2179-11-17**] 05:49PM BLOOD WBC-9.2 RBC-3.65* Hgb-11.2* Hct-31.2* MCV-86 MCH-30.6 MCHC-35.8* RDW-15.5 Plt Ct-149* [**2179-11-22**] 04:41AM BLOOD WBC-9.7 RBC-3.25* Hgb-9.9* Hct-28.1* MCV-86 MCH-30.6 MCHC-35.4* RDW-15.7* Plt Ct-125* [**2179-11-25**] 06:15AM BLOOD WBC-8.6 RBC-3.22* Hgb-9.7* Hct-29.3* MCV-91 MCH-30.2 MCHC-33.2 RDW-16.4* Plt Ct-162 [**2179-11-16**] 09:00AM BLOOD Glucose-167* UreaN-132* Creat-4.4*# Na-119* K-8.8* Cl-86* HCO3-23 AnGap-19 [**2179-11-16**] 09:30PM BLOOD Glucose-129* UreaN-135* Creat-4.3* Na-125* K-5.4* Cl-90* HCO3-22 AnGap-18 [**2179-11-18**] 08:00AM BLOOD Glucose-142* UreaN-126* Creat-3.8* Na-132* K-3.6 Cl-96 HCO3-21* AnGap-19 [**2179-11-21**] 05:24AM BLOOD Glucose-129* UreaN-120* Creat-2.9* Na-134 K-4.5 Cl-102 HCO3-22 AnGap-15 [**2179-11-23**] 06:12AM BLOOD Glucose-107* UreaN-102* Creat-2.0* Na-140 K-4.0 Cl-106 HCO3-24 AnGap-14 [**2179-11-25**] 06:15AM BLOOD Glucose-120* UreaN-85* Creat-1.5* Na-145 K-4.3 Cl-111* HCO3-26 AnGap-12 [**2179-11-16**] 09:00AM BLOOD PT-28.7* PTT-37.1* INR(PT)-3.0* [**2179-11-16**] 09:30PM BLOOD PT-22.5* PTT-35.5* INR(PT)-2.2* [**2179-11-18**] 08:00AM BLOOD PT-26.7* PTT-36.8* INR(PT)-2.7* [**2179-11-25**] 06:15AM BLOOD PT-15.6* PTT-40.4* INR(PT)-1.4* [**2179-11-16**] 09:00AM BLOOD ALT-37 AST-94* CK(CPK)-155* AlkPhos-80 Amylase-84 TotBili-0.7 [**2179-11-16**] 10:50AM BLOOD ALT-31 AST-43* CK(CPK)-121 AlkPhos-92 Amylase-88 TotBili-0.7 [**2179-11-16**] 09:00AM BLOOD CK-MB-4 cTropnT-0.04* proBNP-5442* [**2179-11-17**] 06:19AM BLOOD CK-MB-8 cTropnT-0.09* [**2179-11-16**] 09:00AM BLOOD Calcium-8.9 Phos-6.0* Mg-5.4* [**2179-11-20**] 05:29AM BLOOD Calcium-8.5 Phos-5.0* Mg-4.5* [**2179-11-25**] 06:15AM BLOOD Calcium-8.8 Phos-3.2 Mg-3.6* [**2179-11-18**] 08:00AM BLOOD Free T4-1.7 [**2179-11-21**] 05:24AM BLOOD Cortsol-28.0* EKG: ventricular escape rhthm at 45. RBBB. TWI III, AVF (new). Relevant Imaging: 1)Cxray ([**11-16**]): Limited study. No obvious pneumonia, pneumothorax, or pleural effusion detected in these conditions. Apical redistribution of pulmonary blood flow. A repeat chest radiograph in a true AP projection is recommended for better delineation, as well as to better assess heart size. 2)Lower extremity U/S ([**11-16**]): No evidence of bilateral lower extremity deep venous thrombosis. 3)ECHO ([**11-17**]):The left atrium is moderately dilated. Left ventricular wall thickness, cavity size, and systolic function are normal (LVEF>55%). Regional left ventricular wall motion is normal. The right ventricular cavity is mildly dilated. Right ventricular systolic function is normal. The aortic valve leaflets (3) are mildly thickened but aortic stenosis is not present. No masses or vegetations are seen on the aortic valve. No aortic regurgitation is seen. The mitral valve leaflets are moderately thickened. There is no mitral valve prolapse. Moderate (2+) mitral regurgitation is seen. The tricuspid valve leaflets are mildly thickened. Severe [4+] tricuspid regurgitation is seen. There is moderate pulmonary artery systolic hypertension. There is no pericardial effusion. 4)RUE U/S ([**11-20**]): Limited study of the right upper extremity, without intraluminal thrombus is identified. The right internal jugular and medial right subclavian veins were not examined as described. 5)Cxray ([**11-23**]):There was considerable rotation of the patient to the right, thereby making difficult comparisons of heart size with prior films. The left-sided pacemaker with its single ventricular lead seems unchanged in position. There has been interval placement of a right-sided PICC line, with its tip at the level of the mid or central portion of the superior vena cava. Bibasilar small pleural effusions are present, left worse than right. Brief Hospital Course: Ms. [**Known lastname 63845**] is a 80 yo female with a history of CRI, chronic AF on Coumadin, diastolic CHF who presents in ARF, bradycardia, hyperkalemia, uremic symptoms, and possible LE cellulitis. Hyperkalemia resolved and renal failure improving slowly with IVFs. Had been 100% transvenous paced, now s/p permanent pacemaker placement. 1) Rhythm: Patient has history of Chronic AF and became bradycardic in the setting of severe renal failure and hyperkalemia. Patient was discharged on Atenolol on her last admission, which is renally excreted, and became bradycardic as her creatinine increased. In the ED, she was given Atropine with a minimal response and a temporary pacer was placed in the EP lab. Her anti-hypertensives, diuretics, and Coumadin were held. Her pacer rate was initially set at 60 but slowly increased to 80, which she tolerated. Heparin gtt was started for anti-coagulation but was held because she had significant epistaxis and hematuria. She was followed closely by EP and a permanent single chamber pacemaker was placed with no complications. She was treated with 3 days of Vancomycin, per EP. She will need follow-up with EP and the device clinic. Would recommend no atenolol given h/o renal dysfunction, instead give metoprolol if requires restart of beta-blocker. 2) Pump: Patient has EF >55%, severe tricuspid regurgitation, likely diastolic dysfunction. She takes Lasix and Spironolactone at home, both of which were stopped given her renal failure and dehydration. She is extremely edematous on exam but is likely intravascularly depleted given her elevated BUN and dry mucous membranes on clinical exam. Patient was started on maintenance fluids several times during her hospital stay given her poor intake. She also required multiple fluid boluses to maintain her blood pressure. Would recommend to continue holding all diuretics for now despite peripheral edema given intravascularly deplete and extremely poor PO intake. 3) Acute-on-chronic renal failure: Patient initially came in with a creatinine of 4.4 and a potassium of 8.8, secondary to decreased PO intake, nausea, vomiting, and diuretics. Baseline creatinine is 1.6. Her BUN was elevated at 132 from dehydration. She did not require dialysis. In the ED she was given Kayexalate and glucagon. She was followed closely by renal during her stay. Her creatinine slowly improved to 1.5 on discharge. Her potassium quickly resolved as well. Recommend IV NS 1L @ 75cc/hr qod while PO intake poor to maintain intravascular volume. 4) Diabetes: Patient on Avandia and Glyburide at home. These were stopped given her renal failure and she was placed on a insulin sliding scale with sugars checked QID. Discontinued glyburide and avandia given h/o renal dysfunction, started on glipizide prior to discharge. 5) Lower extremity edema: Patient presented with skin changes, initially thought to be cellulitis. As her swelling improving it was thought that she had extensive venous stasis instead. Daily pressure dressings were done. The patient was started on Vancomycin for presumed MRSA cellulitis but was d/c'ed given that this was not the case. Completed 10 day course. 6) Elevated INR: Patient initially presented with an INR 3.0 on admission. Unlikely related to her dose of Coumadin. Secondary to poor PO intake. She was given several doses of Vitamin K to decrease her INR in preparation for her pacemaker placement. 7) Hyperlipidemia: Continue outpatient regimen of Lipitor. 8) Yeast infection: Miconazole cream to vaginal area. 9) Hypothyroidism: TSH initially elevated but now normalized. Started Synthroid. Medications on Admission: 1. Warfarin 2/3 mg PO QAM QOD 2. Docusate Sodium 100 mg Capsule PO BID 3. Montelukast 10 mg PO DAILY 4. Aspirin 81 mg Tablet, Chewable PO DAILY 5. Atorvastatin 10 mg PO DAILY 6. Donepezil 5 mg Tablet PO HS 7. Fluticasone 50 mcg/Actuation Aerosol, Spray Nasal DAILY 8. Levothyroxine 112 mcg Tablet PO DAILY 9. Nitroglycerin 0.4 mg Tablet, 10. Atenolol 12.5 mg Tablet PO once a day. 11. Alendronate 70 mg PO QFRI 12. glyburide 5mg Qpm 13. Furosemide 160 mg PO DAILY 14. Spironolactone 25 mg PO DAILY 15. Metolazone 2.5 mg PO once a week. 16. Avandia 2mg [**Hospital1 **] Discharge Medications: 1. Docusate Sodium 100 mg Capsule Sig: One (1) Capsule PO BID (2 times a day). 2. Montelukast 10 mg Tablet Sig: One (1) Tablet PO DAILY (Daily). 3. Aspirin 81 mg Tablet, Chewable Sig: One (1) Tablet, Chewable PO DAILY (Daily). 4. Atorvastatin 10 mg Tablet Sig: One (1) Tablet PO DAILY (Daily). 5. Donepezil 5 mg Tablet Sig: One (1) Tablet PO HS (at bedtime). 6. Fluticasone 50 mcg/Actuation Aerosol, Spray Sig: One (1) Spray Nasal DAILY (Daily). 7. Levothyroxine 112 mcg Tablet Sig: One (1) Tablet PO once a day. 8. Nitroglycerin 0.4 mg Tablet, Sublingual Sig: One (1) Tablet, Sublingual Sublingual PRN (as needed) as needed for chest pain. 9. Insulin Lispro (Human) 100 unit/mL Solution Sig: One (1) Subcutaneous ASDIR (AS DIRECTED): sliding scale. 10. Acetaminophen 325 mg Tablet Sig: One (1) Tablet PO Q4-6H (every 4 to 6 hours) as needed for pain. 11. Calcium Acetate 667 mg Capsule Sig: Two (2) Capsule PO TID W/MEALS (3 TIMES A DAY WITH MEALS). 12. Miconazole Nitrate 2 % Cream Sig: One (1) Appl Topical [**Hospital1 **] (2 times a day). 13. Miconazole Nitrate 2 % Cream Sig: One (1) Appl Vaginal HS (at bedtime) for 3 days. 14. Heparin (Porcine) 5,000 unit/mL Solution Sig: 5000 (5000) units Injection TID (3 times a day). 15. Oxycodone-Acetaminophen 5-325 mg Tablet Sig: 1-2 Tablets PO Q4-6H (every 4 to 6 hours) as needed for pain. 16. Warfarin 1 mg Tablet Sig: Three (3) Tablet PO HS (at bedtime). 17. Dextromethorphan-Guaifenesin 10-100 mg/5 mL Syrup Sig: Five (5) ML PO Q6H (every 6 hours) as needed for cough. 18. Megestrol 40 mg/mL Suspension Sig: Ten (10) ml PO DAILY (Daily). 19. Heparin Flush PICC (100 units/ml) 2 ml IV DAILY:PRN 10 ml NS followed by 2 ml of 100 Units/ml heparin (200 units heparin) each lumen Daily and PRN. Inspect site every shift. 20. Dolasetron Mesylate 12.5 mg IV Q8H:PRN nausea Discharge Disposition: Extended Care Facility: [**Hospital **] - [**Location (un) **] Discharge Diagnosis: bradycardia congestive heart failure exacerbation hyperkalemia hyponatremia acute renal failure uremia Discharge Condition: good Discharge Instructions: 1. Please take all medications as prescribed. 2. Please adhere to a 2gm sodium diet and 1.5L fluid restriction. 3. Please measure your weight daily and call your doctor if your wt increases > 3 pounds as you may need to restart some of your diuretics. 4. You have been started on several new medications: calcium acetate, megesterol, insulin, miconazole, percocet, anzemet, robitussin. 5. We have discontinued several medications including atenolol, spironolactone, metolazone, glyburide, avandia. 6. Call your doctor or return to the ED immediately if you experience worsening chest pain, shortness of breath, nausea, vomiting, sweating, fevers, chills, bleeding, or other concerning symptoms. Followup Instructions: You are scheduled for the following appointments. Please contact the [**Name2 (NI) 11686**] provider with any questions or if you need to reschedule. Provider: [**Name10 (NameIs) 676**] CLINIC Phone:[**Telephone/Fax (1) 59**] Date/Time:[**2179-11-29**] 2:00 Provider: [**First Name8 (NamePattern2) **] [**Last Name (NamePattern1) 1239**], [**Name Initial (NameIs) **].O. Phone:[**Telephone/Fax (1) 719**] Date/Time:[**2179-12-6**] 11:30 Provider: [**Name10 (NameIs) 1037**] [**Name8 (MD) 5647**], MD Phone:[**Telephone/Fax (1) 1971**] Date/Time:[**2180-1-13**] 1:30 [**First Name11 (Name Pattern1) **] [**Last Name (NamePattern1) 2908**] MD, [**MD Number(3) 2909**] ICD9 Codes: 4280, 5849, 2767, 2761, 2449, 2724, 4589
{ "dataset_link": "https://huggingface.co/datasets/ricardosantoss/ehrcomplete_icdfiltered", "dataset_name": "ehrcomplete-icdfiltered", "id": 8139 }
Medical Text: Admission Date: [**2126-2-21**] Discharge Date: [**2126-3-2**] Date of Birth: [**2057-3-8**] Sex: M Service: [**Last Name (un) **] ADMITTING DIAGNOSIS: Alcoholic cirrhosis and HCC admitted for liver transplant. HISTORY OF PRESENT ILLNESS: The patient is a 68 year old male with a history of alcoholic cirrhosis and hepatocellular carcinoma. Cirrhosis discovered after episode of esophageal varices bleeding approximately five years ago. Asymptomatic until two years ago when he had another episode of bleeding. In [**2125-5-26**] he was noted to have a 4 cm mass in the liver which was an hepatocellular carcinoma. Had radiofrequency ablation [**6-29**]. Presents today for liver transplant. PAST MEDICAL HISTORY: Alcoholic cirrhosis, hepatocellular carcinoma, esophageal varices with bleeding, history of tuberculosis approximately 18 years ago. Mild hypertension, coronary artery disease, status post coronary artery bypass graft 13 years ago. PAST SURGICAL HISTORY: Coronary artery bypass graft one vessel and hernia repair. MEDICATIONS ON ADMISSION: Aspirin 81 mg q day, isosorbide 50 mg q day, propranolol 40 mg B.I.D., spironolactone 25 mg q day, folic acid 400 mg q day, iron 325 mg B.I.D. Fish oil 2 grams B.I.D. ALLERGIES: Penicillin. SOCIAL HISTORY: Widowed, high school teacher in [**Hospital3 **]. Two children. Drank greater than 12 beers per day for 30 years but he quit some years ago. REVIEW OF SYSTEMS: No cough, sore throat, upper respiratory illness. No change in appetite or weight. No change in bowel or bladder habits. PHYSICAL EXAMINATION: The patient has a heart rate of 60, temperature 96.1, blood pressure 140/70, breathing 18, pulse oximetry 98 percent on room air. General: In no acute distress. Awake, alert, friendly, conversant. Head, eyes, ears, nose and throat: Normocephalic, atraumatic. Extraocular movements are full. Cardiovascular: Regular rate and rhythm. Negative murmur, rub or gallop. Distant sounds. Pulmonary: Clear to auscultation bilaterally. Chest midline, coronary artery bypass graft scar upper chest. Abdomen soft, nontender, not distended, no masses, no rebound or guarding. Extremities: No edema, warm, well perfused. Dorsalis pedis and posterior tibial 1 plus bilaterally right leg with scar from vein harvesting. LABORATORY DATA: WBC of 10., hematocrit of 29.4, PT of 16.8, PTT of 150 and platelets of 70. Patient has a sodium of 141, 3.2, 107, 26, BUN/creatinine of 17/0.9. ALT on the 28th was 61, AST 361, total bilirubin 1.8, direct bilirubin 0.6. Patient had an electrocardiogram demonstrating sinus bradycardia, 56 with questionable first degree AV block. Slipped T waves in V6. Chest x-ray showed no acute cardiopulmonary disease. HOSPITAL COURSE: The patient was admitted to Transplant Surgery, given MMF, 20 mg times 1, Solu-Medrol 1,000 mg times one, fluconazole 400 mg times 1, Vancomycin 1,000 mg times 1, Levaquin 500 mg times 1. Patient was typed and crossed. Patient went to the operating room on [**2126-2-22**] and transplant was performed by Dr. [**First Name (STitle) **] and Dr. [**First Name (STitle) 2523**] with no complications. Patient went to the Intensive Care Unit still intubated, sedated. On [**2126-2-22**] patient had a transplant Doppler ultrasound postoperatively and report demonstrated liver texture appears normal. No focal hepatic or perihepatic masses seen. Portal vein appears normal and patent. Inferior vena cava is patent as well as the main hepatic vein and conclusion was normal liver, normal vasculature. Patient had a chest x-ray on [**2126-2-23**] for placement of right internal jugular and that demonstrated that the right internal jugular was in the superior vena cava and no pneumothorax. Density at the right base may represent some pleural fluid. Left upper lung opacity consistent with prior tuberculosis. Patient was doing well on postoperative day two. Doing well. Pain well controlled. No nausea or vomiting. Tolerating clears. Patient was still continuing Solu-Medrol taper, cyclosporin and MMF. Patient was out of bed on [**2126-2-24**] and transferred here to the floor. [**Initials (NamePattern4) **] [**Last Name (NamePattern4) 1661**] [**Last Name (NamePattern1) 1662**] medial on [**2126-2-24**], put out 65, lateral 70 and T tube 393. Physical therapy was consulted. Patient was out of bed. Tacrolimus levels were closely monitored. On [**2126-2-26**] T tube cholangiogram was performed demonstrating that there is rapid inflow drainage into the small bowel, some reflux into the hepatic ducts. A second canalicular structure next to the distal bile duct must likely represent the remnant of the cystic duct. On [**2126-2-27**] the patient T tube was capped. Patient was placed on cyclosporin drip to increase the cyclosporin level. His platelets were decreased slightly to 99. He continued to do well, urinating and ambulating without difficulty. On [**2126-3-1**] he was continued on Bactrim, fluconazole and ganciclovir. His propranolol was held which is a medication that he takes at home because his heart rate was in the low 50s. Electrocardiogram was performed demonstrating no ST changes. Patient is possibly going home on [**2126-3-2**] if patient does well overnight. Patient should call Transplant Service immediately at [**Telephone/Fax (1) 56342**] if any fevers, chills, nausea, vomiting, inability to take medications, jaundice or lethargy. Patient should have his dry sterile gauze to capped T tube every day, observe the site for redness, drainage or pus. [**Hospital3 **] [**Hospital6 407**] to follow the patient. Glucose monitoring and logs every Monday and Thursday with results faxed to Transplant Office at [**Telephone/Fax (1) 21087**]. He has an appointment with Dr. [**Last Name (STitle) **] on [**2126-3-6**] at 11:40 and also an appointment on [**2126-3-13**] at 10:30 A.M., [**2126-3-20**] at 10:40 and again patient should get laboratory work every Monday and Thursday which includes the CBC, chem-10, AST, ALT, alkaline phosphatase, albumin, total bilirubin and cyclosporin level. Patient is being discharged on the following medications: Fluconazole 400 q 24 hours, aspirin 81 mg q day, cyclosporin 300 and 300 q 12 and it will be adjusted per transplant coordinators if needed, ferrous sulfate 325 mg q day. Patient is going to go home on Ganciclovir 400 q 24 hours, heparin 5,000 units subcutaneously t.i.d. Patient is going to home on MMF 1,000 B.I.D., Percocet 1 to 2 P.O. q 4 hours PRN, Protonix 40 q 24, guaifenesin 20 mg q day and Bactrim SSI 1 tablet P.O. q day. Patient should follow up with his cardiologist because medications have been held due to a low heart rate. Otherwise patient will be discharged to home with [**Hospital6 3429**]. FINAL DIAGNOSIS: Alcohol related cirrhosis with hepatocellular carcinoma. [**First Name11 (Name Pattern1) **] [**Last Name (NamePattern4) **], [**MD Number(1) 3432**] Dictated By:[**Last Name (NamePattern1) 4835**] MEDQUIST36 D: [**2126-3-1**] 17:53:01 T: [**2126-3-1**] 18:54:19 Job#: [**Job Number 56343**] ICD9 Codes: 4019
{ "dataset_link": "https://huggingface.co/datasets/ricardosantoss/ehrcomplete_icdfiltered", "dataset_name": "ehrcomplete-icdfiltered", "id": 8140 }
Medical Text: Admission Date: [**2112-2-28**] Discharge Date: [**2112-3-17**] Date of Birth: [**2049-5-31**] Sex: F Service: [**Hospital Unit Name 153**] THIS DISCHARGE SUMMARY COVERS THE [**Initials (NamePattern4) **] [**Last Name (NamePattern4) 13533**] FROM [**2112-3-9**] THROUGH [**2112-3-17**]. CHIEF COMPLAINT: Hypoxia. HISTORY OF PRESENT ILLNESS: This is a 62 year old female with pancreatic carcinoma originally admitted to the hospital on [**2112-2-28**], with complaints of nausea, vomiting and dizziness. She was found to have left hydronephrosis. On the Floor, she became more hypoxemic to 93% on non-rebreather and was transferred to the Intensive Care Unit on [**2112-3-1**] and was intubated there. She had been started on Ampicillin, Gentamicin and Flagyl for Klebsiella urosepsis versus cholangitis on [**2-29**]. During her Intensive Care Unit course, the patient had four out of four blood cultures positive for Klebsiella and had a percutaneous nephrostomy to relieve left hydronephrosis and an Emergency Room CT scan which was negative for cholangitis. The patient was treated for Klebsiella bacteremia in the Intensive Care Unit and had a left lower lobe pneumonia, and was started on Ceftriaxone and Flagyl. She was extubated on [**2112-3-4**]. She received aggressive chest Physical Therapy and nebulizers to allow for this but had a persistent O2 requirement upon transfer back to the floor on [**3-6**]. Her oxygen requirement there increased daily as well as her white blood cell count. On [**3-7**], her antibiotics were changed to a broader spectrum, Zosyn/Vancomycin, and she continued to become more hypoxemic. Her oncologist, Dr. [**Last Name (STitle) 150**] saw her on the floor and was reluctant to start palliative chemotherapy until her infection issues were resolved. She was febrile on the floor up to 101.7 F., on [**3-8**]. On the day of transfer to the Intensive Care Unit she looked worse clinically with a saturation down to 91% on 50 liter face mask, on 90 to 93% on nonrebreather, and the Medical Intensive Care Unit team was asked to evaluate. MEDICATIONS ON TRANSFER: 1. Heparin 5000 units subcutaneously three times a day. 2. Protonix 40 mg p.o. q. day. 3. Regular insulin sliding scale. 4. Vancomycin one gram intravenous q. 12, day three. 5. Zosyn 4.5 mg intravenously q. six, day three. 6. MSIR 50 mg q. four to six hours p.r.n. 7. Ativan 0.5 mg p.r.n. 8. Zofran 4 mg intravenously q. six hours p.r.n. 9. Benadryl p.r.n. 10. Tylenol. 11. Atrovent. 12. Albuterol p.r.n. PAST MEDICAL HISTORY: 1. Hypercholesterolemia. 2. Klebsiella pneumonia. 3. Urinary tract infection. 4. Osteopenia. 5. Pancreatic cancer with liver metastases. 6. Thyroid disease. SOCIAL HISTORY: One half pack per day smoker times many years. ALLERGIES: No known drug allergies. FAMILY HISTORY: No history of cancer. REVIEW OF SYSTEMS: The patient denies dyspnea, chest pain, shortness of breath or any other pain. She wishes to have all possible medical interventions. PHYSICAL EXAMINATION: Vital signs upon transfer are temperature 100.8 F.; pulse 107; blood pressure 97/50; saturation of 93% on 100% nonrebreather; respiratory rate 25; arterial blood gas was 7.48, 30, 8, 58. Fingerstick was 109. In general, an thin elderly female on a nonrebreather, tachypneic, alert and oriented times three. Head: Extraocular movements are intact. Dry mucosal membranes. Neck with right internal jugular catheter in place. Cardiovascular: Tachycardic, S1, S2, no murmurs, rubs or gallops. Abdomen soft, nontender, nondistended, positive bowel sounds. Back with no costovertebral angle tenderness; left nephrostomy in place. Pulmonary: Bronchial breath sounds in left base with egophony and dullness to percussion in the left base; otherwise clear to auscultation. Extremities with no cyanosis, clubbing or edema, warm, well perfused. [**2-29**] dorsalis pedis pulses bilaterally. Neurological intact. LABORATORY: White blood cell count 33.4, hematocrit 25.8, platelets 386, INR 1.4. Chem 7 was sodium 138, potassium 3.9, chloride 97, bicarbonate 28, BUN 8, creatinine 0.5, glucose 94. ALT 15, AST 28, LD 557, alkaline phosphatase 203, total bilirubin 2.0, amylase 75, lipase 44. Calcium 7.5, phosphorus 2.6, magnesium 1.6, albumin 2.3. Repeat chest x-ray showed a left lower lobe consolidation, patchy bilateral infiltrates versus pulmonary edema. Micro-data was unrevealing since four of four blood cultures positive on [**3-1**] for Klebsiella. CT scan of the abdomen on [**3-8**] revealed left lower lobe atelectasis, small bilateral pleural effusions and numerable liver metastases and spleen metastases and interval resolution of left hydronephrosis. Initial impression was a 62 year old female with pancreatic cancer metastatic to liver, left hydronephrosis, status post left nephrostomy, status post recent Klebsiella pneumonia bacteremia with worsening hypoxia and infiltrate on chest x-ray; slightly elevated total bilirubin and leukocytosis. MEDICAL INTENSIVE CARE UNIT COURSE BY PROBLEM: 1. ACUTE RESPIRATORY FAILURE: The patient was initially hypoxemic believed to be secondary to congestive heart failure in the setting of aggressive volume resuscitation with sepsis. Initially, the patient was brought to the Intensive Care Unit and started on the MUST protocol. [**Initials (NamePattern4) **] [**Last Name (NamePattern4) 104**] stim test was negative. The patient's initial lactates were in the 2 range and she was given one unit of packed red blood cells for her low hematocrit. The patient initially had AmBisome started, however, this was discontinued after she was afebrile for 24 hours. She had a persistent O2 requirement in the Intensive Care Unit and was on a nonrebreather mask for two days, however, with diuresis and antibiotics she was able to avoid intubation and in fact be weaned on her high flow face mask very slowly. The patient was initiated on aggressive chest Physical Therapy as well as suctioning. She was able to provide sputum which did not grow out anything and after diuresis she did well. An echocardiogram was performed which showed a normal left ventricular ejection fraction with impair left atrial relaxation and so it was assumed that the diastolic congestive heart failure could be related to her respiratory failure. The patient also had Gentamicin initially started upon transfer to the unit, however, this was discontinued along with AmBisome on [**3-11**] and the MUST protocol was discontinued on [**3-10**] as she was afebrile, her blood pressure stable and her lactate was only 1.2. 2. HYPOTENSION: The patient was initially hypotensive upon transfer to the Unit. This improved upon diuresis. The patient was noted to become hypotensive acutely after morphine administration. A Fentanyl patch was started for pain control with p.r.n. MSIR p.o. around the clock which seemed to hold her blood pressure up better. The patient was not on any pressors in the unit. 3. PANCREATIC CANCER: The patient achieved pain control with morphine p.r.n. as well as a Fentanyl patch. Palliative chemotherapy was not an option given her infectious issues and the patient's family initially wanted her to be a full code with aggressive care. However, upon multiple discussions with the family and the patient, the family is now resolved to having the patient be a "DO NOT RESUSCITATE" "DO NOT INTUBATE" and transfer to Hospice; however, the patient herself wished to remain a Full Code and these issues remained unresolved at the time of transfer out of the unit today. Her bilirubin was rising in the unit to a high of 2.4, however, it had started to fall after this and no other interventions were done. Her INR was elevated to a high of 1.6, however, dropped back down to 1.3 after 5 mg of Vitamin K subcutaneously. Other liver function tests were stable in the unit. 4. NUTRITION: The patient was initially kept NPO, however, she was able to tolerate clear liquids. By the time of discharge, the patient was started on TPN and was kept on TPN throughout the unit stay. 5. LEFT PICC LINE AND A-LINE: Right IJ triple lumen catheter was pulled once a left PICC line was placed and tip sent for culture which never grew out anything. The patient had A-line discontinued upon transfer back to the floor. 6. ENDOCRINE: Regular insulin sliding scale, fingerstick four times a day. 7. INFECTIOUS DISEASE: Urine culture positive for yeast on [**3-9**]; the Foley catheter was replaced and a recheck of urinalysis was negative. Repeat urine cultures did not grow out anything and so she was not started on any anti-fungals for this. However, she did have a positive yeast infection by clinical examination and was on three days of miconazole intravaginal suppositories. 8. DEPRESSION / ANXIETY: The patient was actively going through the acceptance stages for dying as she had been told that she has a very grave prognosis; angry at house staff at times, refusing to participate in getting out of bed or chest Physical Therapy at times, however, does it with encouragement. The patient was started on Ritalin empirically to treat depression and fatigue and malaise while in the Intensive Care Unit. The rest of her hospital stay should be dictated by the Floor Team accepting her. DR.[**Last Name (STitle) **],[**First Name3 (LF) **] 12-207 Dictated By:[**Name8 (MD) 6867**] MEDQUIST36 D: [**2112-3-17**] 14:30 T: [**2112-3-17**] 15:29 JOB#: [**Job Number 97006**] / ICD9 Codes: 4280
{ "dataset_link": "https://huggingface.co/datasets/ricardosantoss/ehrcomplete_icdfiltered", "dataset_name": "ehrcomplete-icdfiltered", "id": 8141 }
Medical Text: Admission Date: [**2182-4-25**] Discharge Date: [**2182-5-1**] Service: SURGERY Allergies: Patient recorded as having No Known Allergies to Drugs Attending:[**First Name3 (LF) 4691**] Chief Complaint: Right Upper Quadrant Abdominal pain Major Surgical or Invasive Procedure: Laparoscopic Cholecystectomy ERCP History of Present Illness: 89M with PMH HTN p/w 2 days RQU pain, +chills, +N/V, yellow stool, tea colored urine. Initially presented to OSH, found to have WBC 25 with left shift, elevated TBili 12.2 DBili 7.5, Lipase 1017, AST/ALT 92/58. Patient also found to be in new onset Afib. Past Medical History: HTN Elevated cholesterol Gout CAD Social History: Denies EtOH, Denies tobacco Lives at home with wife Family History: Non-contributory Physical Exam: (On Admission) 97.3 74 112/58 18 96RA NAD, A&OX3 HEENT: scleral icterus CV: Irreg irreg, II/VI holosystolic mumur, loud S2 LUNGS: Scattered mild expiratory wheeze ABD: RUQ pain, distended, no rebound/guarding EXT: no edema SKIN: jaundice NEURO: grossly intact Pertinent Results: [**2182-4-25**] 10:08PM WBC-30.6*# RBC-3.88* HGB-13.3* HCT-38.1* MCV-98 MCH-34.2* MCHC-34.8 RDW-14.7 [**2182-4-25**] 10:08PM PLT COUNT-229 [**2182-4-25**] 08:47PM GLUCOSE-99 UREA N-35* CREAT-1.3* SODIUM-139 POTASSIUM-3.1* CHLORIDE-108 TOTAL CO2-21* ANION GAP-13 [**2182-4-25**] 08:47PM ALT(SGPT)-34 AST(SGOT)-49* CK(CPK)-40 ALK PHOS-247* AMYLASE-125* TOT BILI-11.4* [**2182-4-25**] 08:47PM LIPASE-81* [**2182-4-25**] 08:47PM CK-MB-NotDone cTropnT-<0.01 [**2182-4-25**] 08:47PM ALBUMIN-2.3* CALCIUM-7.7* PHOSPHATE-2.4* MAGNESIUM-1.7 [**2182-4-25**] 08:47PM PT-17.0* PTT-34.8 INR(PT)-1.6* [**2182-4-25**] 09:10AM GLUCOSE-81 UREA N-34* CREAT-1.1 SODIUM-137 POTASSIUM-4.1 CHLORIDE-101 TOTAL CO2-23 ANION GAP-17 [**2182-4-25**] 09:10AM ALT(SGPT)-44* AST(SGOT)-64* CK(CPK)-30* ALK PHOS-330* AMYLASE-277* TOT BILI-12.9* [**2182-4-25**] 09:10AM LIPASE-294* [**2182-4-25**] 09:10AM CK-MB-NotDone cTropnT-<0.01 [**2182-4-25**] 09:10AM ALBUMIN-2.9* CALCIUM-9.5 PHOSPHATE-3.3 MAGNESIUM-2.0 [**2182-4-25**] 09:10AM WBC-2.8*# RBC-4.78 HGB-15.7 HCT-46.9 MCV-98 MCH-32.9* MCHC-33.5 RDW-14.6 [**2182-4-25**] 09:10AM PLT COUNT-234 [**2182-4-25**] 09:10AM PT-15.2* PTT-23.4 INR(PT)-1.4* [**2182-4-25**] 12:00AM GLUCOSE-106* UREA N-30* CREAT-1.1 SODIUM-135 POTASSIUM-3.2* CHLORIDE-97 TOTAL CO2-29 ANION GAP-12 [**2182-4-25**] 12:00AM estGFR-Using this [**2182-4-25**] 12:00AM ALT(SGPT)-42* AST(SGOT)-53* ALK PHOS-320* AMYLASE-394* TOT BILI-12.1* [**2182-4-25**] 12:00AM LIPASE-408* [**2182-4-25**] 12:00AM ALBUMIN-3.0* [**2182-4-25**] 12:00AM ACETONE-NEGATIVE [**2182-4-25**] 12:00AM WBC-22.7* RBC-4.26* HGB-14.6 HCT-40.8 MCV-96 MCH-34.2* MCHC-35.7* RDW-14.8 [**2182-4-25**] 12:00AM NEUTS-90* BANDS-4 LYMPHS-3* MONOS-3 EOS-0 BASOS-0 ATYPS-0 METAS-0 MYELOS-0 [**2182-4-25**] 12:00AM HYPOCHROM-NORMAL ANISOCYT-1+ POIKILOCY-NORMAL MACROCYT-1+ MICROCYT-NORMAL POLYCHROM-NORMAL [**2182-4-25**] 12:00AM PLT SMR-NORMAL PLT COUNT-251 [**2182-4-26**] 04:41AM BLOOD WBC-29.7* RBC-3.92* Hgb-13.0* Hct-38.5* MCV-98 MCH-33.2* MCHC-33.8 RDW-15.0 Plt Ct-253 [**2182-4-27**] 01:40AM BLOOD WBC-15.6* RBC-3.72* Hgb-12.0* Hct-36.5* MCV-98 MCH-32.3* MCHC-33.0 RDW-14.9 Plt Ct-204 [**2182-4-28**] 02:08AM BLOOD WBC-12.3* RBC-3.63* Hgb-11.9* Hct-34.6* MCV-95 MCH-32.7* MCHC-34.2 RDW-15.1 Plt Ct-175 [**2182-4-28**] 05:16PM BLOOD WBC-11.5* RBC-3.94* Hgb-13.2* Hct-37.0* MCV-94 MCH-33.6* MCHC-35.8* RDW-15.0 Plt Ct-206 [**2182-4-29**] 04:05AM BLOOD WBC-11.1* RBC-3.43* Hgb-11.4* Hct-33.1* MCV-97 MCH-33.3* MCHC-34.5 RDW-15.1 Plt Ct-186 [**2182-4-30**] 03:48AM BLOOD WBC-16.0* RBC-3.64* Hgb-11.8* Hct-35.0* MCV-96 MCH-32.5* MCHC-33.8 RDW-14.8 Plt Ct-212 [**2182-5-1**] 06:55AM BLOOD WBC-14.1* RBC-3.66* Hgb-12.3* Hct-34.9* MCV-96 MCH-33.5* MCHC-35.1* RDW-14.9 Plt Ct-272 [**2182-4-26**] 04:41AM BLOOD Plt Ct-253 [**2182-4-27**] 01:40AM BLOOD PT-14.9* PTT-32.5 INR(PT)-1.3* [**2182-4-27**] 01:40AM BLOOD Plt Ct-204 [**2182-4-28**] 02:08AM BLOOD PT-12.5 PTT-32.0 INR(PT)-1.1 [**2182-4-26**] 04:41AM BLOOD Glucose-90 UreaN-38* Creat-1.0 Na-139 K-3.7 Cl-109* HCO3-20* AnGap-14 [**2182-4-27**] 01:40AM BLOOD Glucose-88 UreaN-40* Creat-1.2 Na-140 K-3.2* Cl-110* HCO3-22 AnGap-11 [**2182-4-28**] 02:08AM BLOOD Glucose-94 UreaN-31* Creat-1.1 Na-137 K-3.1* Cl-108 HCO3-23 AnGap-9 [**2182-4-28**] 05:16PM BLOOD Glucose-92 UreaN-28* Creat-0.9 Na-139 K-3.8 Cl-108 HCO3-23 AnGap-12 [**2182-4-29**] 04:05AM BLOOD Glucose-110* UreaN-23* Creat-0.8 Na-138 K-3.8 Cl-107 HCO3-27 AnGap-8 [**2182-4-30**] 03:48AM BLOOD Glucose-115* UreaN-19 Creat-0.9 Na-136 K-4.2 Cl-104 HCO3-27 AnGap-9 [**2182-5-1**] 06:55AM BLOOD Glucose-104 UreaN-15 Creat-0.9 Na-137 K-3.4 Cl-102 HCO3-30 AnGap-8 [**2182-4-26**] 04:41AM BLOOD ALT-34 AST-48* CK(CPK)-40 AlkPhos-239* Amylase-95 TotBili-11.1* [**2182-4-28**] 02:08AM BLOOD ALT-24 AST-29 LD(LDH)-140 AlkPhos-191* Amylase-90 TotBili-5.3* [**2182-4-28**] 05:16PM BLOOD ALT-26 AST-29 LD(LDH)-141 AlkPhos-210* Amylase-134* TotBili-4.9* [**2182-4-29**] 04:05AM BLOOD ALT-22 AST-26 AlkPhos-190* Amylase-134* TotBili-4.5* [**2182-4-30**] 03:48AM BLOOD ALT-30 AST-57* LD(LDH)-245 AlkPhos-183* Amylase-150* TotBili-4.2* [**2182-5-1**] 06:55AM BLOOD ALT-30 AST-40 AlkPhos-196* Amylase-189* TotBili-3.5* [**2182-4-26**] 04:41AM BLOOD Lipase-63* [**2182-4-28**] 02:08AM BLOOD Lipase-161* [**2182-4-28**] 05:16PM BLOOD Lipase-208* [**2182-4-29**] 04:05AM BLOOD Lipase-240* [**2182-4-30**] 03:48AM BLOOD Lipase-208* [**2182-4-26**] 04:41AM BLOOD Albumin-2.3* Calcium-8.2* Phos-2.5* Mg-2.7* [**2182-4-27**] 01:40AM BLOOD Calcium-8.5 Phos-2.1* Mg-2.4 [**2182-4-28**] 02:08AM BLOOD Albumin-2.0* Calcium-8.2* Phos-2.5* Mg-2.1 [**2182-4-28**] 05:16PM BLOOD Albumin-2.3* Calcium-8.5 Phos-1.8* Mg-1.9 [**2182-4-29**] 04:05AM BLOOD Calcium-8.3* Phos-2.3* Mg-1.8 [**2182-4-29**] 06:24PM BLOOD Calcium-8.7 Phos-3.3 Mg-2.2 [**2182-4-30**] 03:48AM BLOOD Albumin-2.0* Calcium-8.3* Phos-3.4 Mg-2.0 Brief Hospital Course: Patient was admitted to the General Surgery floor from the Emergency Department. On HD1 the patient underwent ERCP where three stones, sludge, and pus were extracted as well as a sphincterotomy was performed without complication. In the recovery room the patient had a hypotensive episode to the 60's systolic - was transfered to the ICU and responed to fluid resusication as well as low dose pressors. On post-procedure day two the patient was weaned off of pressors and was in stable condition when transfered to the regular general surgery [**Hospital1 **] on hopspital day 4. On HD5 the patient underwent a laparoscopic cholecystectomy without complication - please refer to the operative note for full details. The patient was also evaluated by cardiology for the new-onset atrial fibrillation who recommeded holding all beta blockers and starting anticoagulation when hemostatically stable post-operatively and s/p sphincterotomy. At the time of discharge the patient was doing well, tolerating a regular diet and was without complaints. Medications on Admission: Corgard 160 HCTZ 50 ASA 325 Nitro PRN MVT Zocor 20 Discharge Medications: 1. Furosemide 20 mg Tablet Sig: One (1) Tablet PO DAILY (Daily). Disp:*30 Tablet(s)* Refills:*0* 2. Oxycodone-Acetaminophen 5-325 mg Tablet Sig: 1-2 Tablets PO Q4-6H (every 4 to 6 hours) as needed. Disp:*30 Tablet(s)* Refills:*0* 3. Amoxicillin-Pot Clavulanate 500-125 mg Tablet Sig: One (1) Tablet PO Q8H (every 8 hours) for 7 days. Disp:*21 Tablet(s)* Refills:*0* 4. Aspirin 325 mg Tablet Sig: One (1) Tablet PO once a day. 5. Colace 100 mg Capsule Sig: One (1) Capsule PO three times a day. Disp:*90 Capsule(s)* Refills:*2* 6. Zocor 20 mg Tablet Sig: One (1) Tablet PO at bedtime. 7. Nitroglycerin SL PRN 8. MVT Discharge Disposition: Home With Service Facility: [**Company 1519**] Discharge Diagnosis: Gall stone pancreatitis with cholangitis Atrial Fibrillation Discharge Condition: Stable Discharge Instructions: Please call physician or return to the Emergency Department if any of the following occur: 1. Fever >101.5 2. Increased abdominal pain 3. Intractable nausea/vomiting 4. Redness or swelling or discharge from incision sites 5. Any other concerning symptoms Followup Instructions: Please follow-up with Dr. [**Last Name (STitle) **] within one to two weeks. Call [**Telephone/Fax (1) 6429**] for appointment. Please follow-up with your primary care provider within one to two weeks for follow-up of your atrial fibrillation. Current [**Hospital1 18**] Cardiology recommendation are to start anticoagulation when sufficient time has elapsed from surgery/ERCP (1-2 weeks). It is my impression however that the patient is at significant fall risk. Thus considering the low rate of embolic events from AFib (probably ~5% per year) and the patient's age, the primary physician might consider avoiding warfarin therapy, as the increased risk from trauma (especially intra-cranial bleeding) may exceed the embolic risk. Completed by:[**2182-5-1**] ICD9 Codes: 0389, 4280, 2749, 2720, 4019
{ "dataset_link": "https://huggingface.co/datasets/ricardosantoss/ehrcomplete_icdfiltered", "dataset_name": "ehrcomplete-icdfiltered", "id": 8142 }
Medical Text: Admission Date: [**2169-11-1**] Discharge Date: [**2169-11-20**] Date of Birth: [**2100-4-20**] Sex: M Service: SURGERY Allergies: Patient recorded as having No Known Allergies to Drugs Attending:[**First Name3 (LF) 5547**] Chief Complaint: black stools Major Surgical or Invasive Procedure: 1. Exploratory laparotomy. 2. Anterior gastrotomy. 3. Submucosal resection of gastric neoplasm, likely lipoma. 4. Two-layer gastrorrhaphy. History of Present Illness: The patient is a 69-year-old gentleman who was admitted to the medical service on [**11-1**] with anemia and melena. He has a history of end-stage renal disease secondary to complications from diabetes and is on hemodialysis. He reported 2 prior significant episodes of GI bleeding, one in [**2168-10-17**] for which he received 5 units and no source was found, and another in [**Month (only) 956**] of this year in which no source was found. At the time of this GI bleed, upper endoscopy was performed, and this revealed evidence of a 6 cm submucosal mass in the antrum of the stomach with central ulceration and stigmata of recent bleeding. This was felt to be consistent with a GI stromal tumor or leiomyoma and was felt to be the source of bleeding. No other abnormality was noted in the esophagus, stomach or first 2 portions of the duodenum. Preoperative CT scans of the chest, abdomen and pelvis showed a well-defined mass in the antrum with attenuation consistent with fat. On further questioning, the patient does note a recent history of early satiety without weight loss. He states that this has progressed over the last several months Past Medical History: 1. ESRD on HD 2. HTN 3. Hypercholesterolemia 4. DM 5. Diastolic CHF, EF >55% 6. COPD 7. h/o GI bleeding 8. unilateral kidney 9. s/p cataract surgery Social History: Pt is a retired medical record coder at the VA. He is widowed with 4 children and 5 grandchildren. Quit smoking 14 years ago. Smoke [**2-17**] ppd for 40+ years. No EtOh. No drug use. Pt was in the army from [**2118**]-[**2142**]. Family History: Family History: M: Died at 64 of MI; DM F: Died at 41 of MI Aunts maternal and paternal with DM. Physical Exam: At admission, Mr. [**Known lastname **] was pale, but non-diaphoretic, and non-distressed. There was no JVD. His heart was regular rate rhythm with a [**1-22**] holosystolic murmur, best heard at the apex. His abdomen was soft, non-tender, non-distended with normal bowel sounds. He was guaiac positive. There was no edema in his extremities. Distal pulses were diminished. The left upper extremity fistula had good thrill and bruit. Pertinent Results: [**2169-11-1**] 12:35PM BLOOD WBC-11.1* RBC-2.35*# Hgb-7.6*# Hct-20.9*# MCV-89 MCH-32.3* MCHC-36.3* RDW-15.9* Plt Ct-149* [**2169-11-8**] PATHOLOGY REPORT: Submucosal gastric lipoma. Brief Hospital Course: Upon admission, the patient was made NPO and given IV fluids. He was then transfused several units of pRBC's to maintain his hematocrit to be near 30. A CT scan of this abdomen revealed a 48 x 38 mm rounded, well-defined mass in the antrum of the stomach. He was then taken to the operating room to have the mass removed, which was confirmed to be mucosal lipoma by pathology. He tolerated the surgery, but post-operatively, he had several bouts of nausea and vomiting. An upper GI with small-bowel follow through showed no obstruction up to the mid-portion of the jejunum. It was decided that the study was sufficient because inorder to study up to the terminal ileum, the patient had to swallow a much greater amount of barium at the risk of aspiration. Although slow, the patient's nausea and vomiting did eventually resolved and he was able to tolerate a regular, low salt diet. While in hospital, he maintained his hemodialysis schedule of M/W/F. At time of discharge, he was in stable/good condition. Medications on Admission: ASA 81mg Calcium acetate 667mg po TID docusate 100 [**Hospital1 **] nephrocaps qD omeprazole 20 qD NPH Insulin 22U HS lovastatin 20mg HS - d/c'd by PCP metoprolol [**Name9 (PRE) **] 25 diltiazem 180 qD (on M,W,F,Sa only) sevelamer 800 2 tabs TID flovent ambien monopril 20mg vit E 400qD Pred-forte gtt OD qid Advair Spiriva Discharge Medications: 1. Hydromorphone 2 mg Tablet Sig: 1-2 Tablets PO every six (6) hours as needed. Disp:*100 Tablet(s)* Refills:*0* 2. Metoclopramide 10 mg Tablet Sig: One (1) Tablet PO QIDACHS (4 times a day (before meals and at bedtime)). Disp:*30 Tablet(s)* Refills:*2* 3. Protonix 40 mg Tablet, Delayed Release (E.C.) Sig: One (1) Tablet, Delayed Release (E.C.) PO once a day. Disp:*30 Tablet, Delayed Release (E.C.)(s)* Refills:*2* 4. Colace 100 mg Capsule Sig: One (1) Capsule PO twice a day. Disp:*60 Capsule(s)* Refills:*2* 5. Prednisolone Acetate 1 % Drops, Suspension Sig: One (1) Drop Ophthalmic QID (4 times a day). 6. Albuterol 90 mcg/Actuation Aerosol Sig: 1-2 Puffs Inhalation Q6H (every 6 hours) as needed. 7. Ipratropium Bromide 0.02 % Solution Sig: One (1) Inhalation Q4-6HRS () as needed. 8. Albuterol Sulfate 0.083 % Solution Sig: One (1) Inhalation Q4H (every 4 hours). 9. B Complex-Vitamin C-Folic Acid 1 mg Capsule Sig: One (1) Cap PO DAILY (Daily). 10. Calcium Acetate 667 mg Tablet Sig: One (1) Tablet PO TID (3 times a day). 11. Sevelamer 800 mg Tablet Sig: One (1) Tablet PO TID (3 times a day). 12. Aluminum-Magnesium Hydroxide 225-200 mg/5 mL Suspension Sig: 15-30 MLs PO QID (4 times a day) as needed. 13. Lactulose 10 g/15 mL Syrup Sig: Thirty (30) ML PO TID (3 times a day). 14. Bisacodyl 5 mg Tablet, Delayed Release (E.C.) Sig: Two (2) Tablet, Delayed Release (E.C.) PO DAILY (Daily) as needed. 15. Insulin per outpatient regiment Discharge Disposition: Home With Service Facility: [**Location (un) 86**] VNA Discharge Diagnosis: Gastric Lipoma Discharge Condition: Stable Discharge Instructions: Go to an Emergency Room if you experience new and continuing nausea, vomiting, fevers (>101.5 F), chills, or shortness of breath. Also go to the ER if your wound becomes red, swollen, warm, or produces pus. If you experience clear drainage from your wounds, cover them with a clean dressing and stop showering until the drainage subsides for at least 2 days. No heavy lifting or exertion for at least 6 weeks. No driving while taking pain medications. Narcotics can cause constipation. Please take an over the counter stool softener such as Colace or a gentle laxative such as Milk of Magnesia if you experience constipation. You may resume your regular diet as tolerated. You may take showers (no baths) after your dressings have been removed from your wounds. Followup Instructions: Please follow-up with Dr. [**Last Name (STitle) 1924**] in his office in 2 weeks. Please call the office ahead of time to make an appointment ([**Telephone/Fax (1) 55864**] Completed by:[**2169-11-23**] ICD9 Codes: 5789, 496
{ "dataset_link": "https://huggingface.co/datasets/ricardosantoss/ehrcomplete_icdfiltered", "dataset_name": "ehrcomplete-icdfiltered", "id": 8143 }
Medical Text: Admission Date: [**2175-11-15**] Discharge Date: [**2175-11-21**] Date of Birth: [**2113-3-30**] Sex: M Service: CARDIOTHORACIC Allergies: Patient recorded as having No Known Allergies to Drugs Attending:[**First Name3 (LF) 1505**] Chief Complaint: Chest pain Major Surgical or Invasive Procedure: [**2175-11-17**] Four Vessel Coronary Artery Bypass Grafting utilizing the left internal mammary artery to left anterior descending, with vein grafts to the diagonal, obtuse marginal and PDA. History of Present Illness: Mr. [**Known lastname **] is a 62 year old male with recent complaints of worsening chest pain. He describes the pain as anterior chest pain radiating to his left shoulder and arm at rest. EKG revealed inferolateral T wave inversion on ETT. Subsequent cardiac catheterization revealed severe three vessel coronary artery disease. Given the above results, he was transferred to the [**Hospital1 18**] for cardiac surgical intervention. Past Medical History: Hypertension Dyslipidemia Type II Diabetes Mellitus Low Back Pain History of Retinal Detachment Tonsillectomy Social History: Unemployed, lives with his sister. Denies tobacco history. Admits to [**12-28**] ETOH drinks per month. Family History: Father died of diabetic complications, no premature coronary disease. Physical Exam: Admission VS - 98.2, 65, 122/74, 18, 100% RA Gen: WDWN male in NAD. Oriented x3. Mood, affect appropriate. HEENT: NCAT. Sclera anicteric. EOMI. Conjunctiva were pink, no pallor or cyanosis of the oral mucosa. Neck: Supple, No LAD, no JVP appreciated CV: RR, normal S1, S2. No m/r/g. No thrills, lifts. No S3 or S4. Chest: clear bilaterally Abd: Soft, NT, ND. No abdominial bruits appreciated. Ext: Warm. No edema or cyanosis. Skin: unremarkable Pulses: 1+ bilaterally, no carotid or femoral bruits noted Discharge VS T 98.5 HR 102ST BP 111/66 RR 18 O2sat 99%RA Gen NAD Neuro Alert, nonfocal exam Pulm CTA-bilat Cor RRR, no murmur. Sternum stable-incision CDI. Abdm soft, NT/+BS Ext warm, trace edema. Palpable pulses bilat Pertinent Results: [**2175-11-15**] 03:32PM BLOOD WBC-7.3 RBC-3.94* Hgb-11.8* Hct-34.5* MCV-87 MCH-30.0 MCHC-34.3 RDW-12.8 Plt Ct-319 [**2175-11-15**] 03:32PM BLOOD PT-12.1 PTT-23.7 INR(PT)-1.0 [**2175-11-15**] 03:32PM BLOOD Glucose-219* UreaN-14 Creat-1.0 Na-139 K-4.6 Cl-101 HCO3-29 AnGap-14 [**2175-11-15**] 03:32PM BLOOD ALT-16 AST-18 LD(LDH)-139 AlkPhos-59 Amylase-64 TotBili-0.3 [**2175-11-15**] 03:32PM BLOOD CK-MB-2 cTropnT-<0.01 [**2175-11-15**] 03:32PM BLOOD Albumin-4.2 Calcium-9.2 Phos-3.7 Mg-2.0 [**2175-11-15**] 03:32PM BLOOD %HbA1c-9.0* [**2175-11-20**] 05:46AM BLOOD WBC-7.7 RBC-3.13* Hgb-9.6* Hct-27.2* MCV-87 MCH-30.7 MCHC-35.4* RDW-13.4 Plt Ct-165 [**2175-11-20**] 05:46AM BLOOD Plt Ct-165 [**2175-11-20**] 05:46AM BLOOD UreaN-8 Creat-0.7 Na-138 K-4.0 [**2175-11-16**] Transthoracic ECHO: The left atrium is normal in size. Left ventricular wall thickness, cavity size and regional/global systolic function are normal (LVEF 60-70%). Tissue Doppler imaging suggests a normal left ventricular filling pressure (PCWP<12mmHg). There is no ventricular septal defect. Right ventricular chamber size and free wall motion are normal. There are focal calcifications in the aortic arch. The aortic valve leaflets (3) are mildly thickened but aortic stenosis is not present. No aortic regurgitation is seen. The mitral valve leaflets are mildly thickened. There is no mitral valve prolapse. Trivial mitral regurgitation is seen. The estimated pulmonary artery systolic pressure is normal. There is no pericardial effusion. [**2175-11-17**] Intraop TEE: PRE BYPASS The left atrium is mildly dilated. No spontaneous echo contrast or thrombus is seen in the body of the left atrium/left atrial appendage or the body of the right atrium/right atrial appendage. No atrial septal defect is seen by 2D or color Doppler. Left ventricular wall thickness, cavity size and regional/global systolic function are normal (LVEF >55%). Right ventricular chamber size and free wall motion are normal. There are simple atheroma in the descending thoracic aorta. The aortic valve leaflets (3) appear structurally normal with good leaflet excursion and no aortic stenosis. No aortic regurgitation is seen. The mitral valve leaflets are mildly thickened. Physiologic mitral regurgitation is seen (within normal limits). There is no pericardial effusion. Dr. [**Last Name (STitle) **] was notified in person of the results in the operating room at the time of the study. POST BYPASS Normal biventricular systolic function. Thoracic aorta intact. No changes from pre-bypass study. [**Known lastname **],[**Known firstname **] A [**Medical Record Number 81585**] M 62 [**2113-3-30**] Radiology Report CHEST (PORTABLE AP) Study Date of [**2175-11-19**] 12:25 PM [**Hospital 93**] MEDICAL CONDITION: 62 year old man s/p chest tube removal Final Report CLINICAL HISTORY: Status post removal of left chest tube. CHEST: Mediastinal chest tubes, endotracheal tube and nasogastric tube have all been removed. Some atelectasis is present at the left base. No pneumothorax is identified. There are low lung volumes. Air-filled loops of large and small bowel are seen. There is no free air under either hemidiaphragm. IMPRESSION: Tubes removed. No pneumothorax. DR. [**First Name11 (Name Pattern1) 3347**] [**Initial (NamePattern1) **]. [**Last Name (NamePattern1) 5034**] Approved: MON [**2175-11-20**] 2:52 PM Brief Hospital Course: Mr. [**Known lastname **] was admitted to the cardiac surgical service and underwent routine preoperative evaluation. Workup was rather unremarkable and he was cleared for surgery. Given his inpatient stay was greater than 24 hours prior to surgery, Vancomycin was used for perioperative coverage. On [**11-17**], Dr. [**Last Name (STitle) **] performed coronary artery bypass grafting surgery. For surgical details, please see seperate dictated operative note. Following the operation, he was brought to the CVICU in stable condition for invasive monitoring. Within 24 hours, he awoke neurologically intact and was extubated without incident. Given postoperative anemia, he was transfused with packed red blood cells to maintain hematocrit near 30%. He otherwise maintained stable hemodynamics and transferred to the SDU on postoperative day one. On postoperative day two, he experienced atrial fibrillation which was initially treated with beta blockade and Amiodarone. He converted back to a normal sinus rhythm within 24 hours. The remainder of his hospital stay was uneventful, his activity level was gradually advanced and on POD4 he was discharged home. He has follow up in 1 week at wound clinic [**Hospital1 18**]. Medications on Admission: Lisinopril 10 qd, Toprol 100 qd, Metformin 1000 [**Hospital1 **], Simvastatin 40 qd, Aspirin 162 qd Discharge Medications: 1. Docusate Sodium 100 mg Capsule Sig: One (1) Capsule PO BID (2 times a day). Disp:*60 Capsule(s)* Refills:*2* 2. Aspirin 81 mg Tablet, Delayed Release (E.C.) Sig: One (1) Tablet, Delayed Release (E.C.) PO DAILY (Daily). Disp:*30 Tablet, Delayed Release (E.C.)(s)* Refills:*2* 3. Acetaminophen 325 mg Tablet Sig: Two (2) Tablet PO Q4H (every 4 hours) as needed. 4. Oxycodone-Acetaminophen 5-325 mg Tablet Sig: 1-2 Tablets PO every 4-6 hours as needed for pain. Disp:*50 Tablet(s)* Refills:*0* 5. Simvastatin 20 mg Tablet Sig: One (1) Tablet PO once a day. Disp:*30 Tablet(s)* Refills:*2* 6. Metoprolol Tartrate 25 mg Tablet Sig: Two (2) Tablet PO BID (2 times a day). Disp:*60 Tablet(s)* Refills:*2* 7. Amiodarone 200 mg Tablet Sig: One (1) Tablet PO once a day for 1 months. Disp:*30 Tablet(s)* Refills:*0* 8. Metformin 1,000 mg Tablet Sig: One (1) Tablet PO twice a day. Disp:*60 Tablet(s)* Refills:*2* Discharge Disposition: Home with Service Discharge Diagnosis: coronary artery disease s/p CABGx4 PMH DM, ^chol, HTN, Retinal detatch, LBP, tonsillectomy Discharge Condition: good Discharge Instructions: Please shower daily including washing incisions, no baths or swimming Monitor wounds for infection - redness, drainage, or increased pain Report any fever greater than 101 Report any weight gain of greater than 2 pounds in 24 hours or 5 pounds in a week No creams, lotions, powders, or ointments to incisions No driving for approximately one month No lifting more than 10 pounds for 10 weeks Please call with any questions or concerns [**Telephone/Fax (1) 170**] Followup Instructions: Dr. [**Last Name (STitle) 914**] in 4 weeks ([**Telephone/Fax (1) 170**]) please call for appointment Dr. [**First Name (STitle) **],[**First Name3 (LF) **] in 1 week please call for appointment Dr. [**Last Name (STitle) 29070**] in [**1-29**] weeks; please call for appointment Wound check appointment [**Hospital Ward Name 121**] 2 next week([**Telephone/Fax (1) 3071**]) Completed by:[**2175-11-21**] ICD9 Codes: 4019
{ "dataset_link": "https://huggingface.co/datasets/ricardosantoss/ehrcomplete_icdfiltered", "dataset_name": "ehrcomplete-icdfiltered", "id": 8144 }
Medical Text: Admission Date: [**2168-12-13**] Discharge Date: [**2168-12-23**] Date of Birth: [**2168-12-13**] Sex: F Service: NEONATOLOGY HISTORY: Baby Girl [**Known lastname 46860**] number three is the former 32 [**1-4**] week 1690 gram in [**Last Name (un) 5153**] fertilization triplet number three, born by cesarean section for unstoppable pre-term labor to a 23-year-old GI P0-III. Pregnancy complicated by pre-term labor and cervical shortening, on terbutaline at home for delivery. On admission, aggressively treated with magnesium sulfate and betamethasone. Ruptured at delivery, emerged with spontaneous respiratory effort and good cry. Received blow-by oxygen, and transferred to the Newborn Intensive Care Unit. Apgars of 7 at one minute and 8 at five minutes. Prenatal screens: B positive, antibody negative, rubella immune, RPR nonreactive, hepatitis B surface antigen PHYSICAL EXAMINATION: On admission, birth weight 1690, length 30 cm, head circumference 42 cm. Examination notable for inspiratory crackles and significant grunting, flaring and retracting. Unable to maintain saturations without facial CPAP. Non-dysmorphic, regular rate and rhythm, no murmur, well perfused. Anterior fontanel flat and soft, normal facies. Abdomen soft, three vessel cord, straight spine, no dimples, stable hips. HOSPITAL COURSE BY SYSTEM: 1. Respiratory: Chest x-ray showed low lung volumes, air bronchograms, ground-glass appearance, consistent with surfactant deficiency. Baby was intubated, received two doses of surfactant, weaned to extubatable settings. Initial blood gas was 7.31, 70. Repeat gas of 7.39, 50. By day of life one, was on extubatable settings, was extubated to nasal cannula oxygen, which she required until day of life four, when she transitioned to room air. She has had no further respiratory distress. She has had an occasional episode of apnea and bradycardia, has not required any methylxanthine treatment. 2. Cardiovascular: Did not require any pressor support. Has had no murmur. Baseline heart rate 130s to 150s, and stable blood pressure. No issues. 3. Fluids, electrolytes and nutrition: Baby initially was nothing by mouth, and was started on maintenance intravenous fluid. Her initial dextrose stick was 30, received a 2 cc/kg bolus of D-10-W. Subsequent dextrose stick was 68, with other dextrose sticks all greater than 60. Did not require any further boluses. Enteral feedings were introduced on day of life one, and advanced without issue. Is currently feeding 150 cc/kg of PE or breast milk 26 calories/ounce plus promod via gavage. Baby is voiding and stooling. Last electrolytes on [**12-17**] were 142, 6.3, 110, 24. Previous electrolytes on [**12-14**] were 140, 4.6, 101, 28. Wt=1750g. 4. Gastrointestinal: Baby did require single phototherapy for physiologic jaundice. Peak bilirubin on day of life three was 9.7/0.3/9.4. Lights were turned off on day of life six, and her rebound bilirubin on day of life seven, [**12-20**], was 4.9/0.2. 5. Hematology: The baby did not require any blood transfusions during this admission. Admission hematocrit was 52.2. 6. Infectious Disease: Because of her initial respiratory distress, the baby had a blood culture and a CBC sent, and was started on antibiotics. Her initial white count was 8.9, with 3 polys, 0 bands, 72 lymphs, platelets of 279,000, hematocrit of 52.2. At 48 hours, the baby was clinically well. Cultures remained negative. Ampicillin and gentamicin were discontinued. She has had no further issues with infection. 7. Neurology: The baby is appropriate for gestational age. No head ultrasound was done based on gestational age of greater than 32 weeks. 8. Sensory: Audiology: Hearing screen would be recommended prior to discharge. Has not been done to date. Ophthalmology examination not indicated, as baby greater than 32 weeks. 9. Psychosocial: The parents are involved, and look forward to transitioning closer to home and ultimately home, are quite pleased with the triplets. CONDITION AT TRANSFER: Stable. DISCHARGE DISPOSITION: To [**Hospital6 33**]. NAME OF PRIMARY PEDIATRICIAN: Dr. [**First Name (STitle) **] [**Name (STitle) 46867**], [**Location (un) 38**], [**State 350**], telephone number [**Telephone/Fax (1) 46862**]. CARE RECOMMENDATIONS: 1. Feedings: Continue ad lib feedings of breast milk 24 or PE 24. Encourage oral feeds. 2. Medications: Iron 2 mg/kg/day. 3. Car seat position screening not done to date. Would recommend prior to discharge. 4. State newborn screening status: Initial screen sent on [**12-16**]. Repeat due on [**12-27**]. 5. Immunizations received: None to date, as baby is less than 2 kg. 6. Immunizations recommended: Synagis respiratory syncytial virus prophylaxis should be considered from [**Month (only) 359**] through [**Month (only) 547**] for infants who meet any of the following three criteria: (1) Born at less than 32 weeks gestation; (2) Born between 32 and 35 weeks, with plans for day care during respiratory syncytial virus season, with a smoker in the household, or with preschool siblings; or (3) With chronic lung disease. Influenza immunization should be considered annually in the fall for pre-term infants with chronic lung disease once they reach six months of age. Before this age, the family and other care givers should be considered for immunization against influenza to protect the infant. 7. Follow-up appointments: With primary care provider per routine. DISCHARGE DIAGNOSIS: 1. Former 32 [**1-4**] premature triplet 2. Status post respiratory distress syndrome 3. Apnea and bradycardia of prematurity 4. Status post physiologic jaundice 5. Status post rule out sepsis with antibiotics [**First Name11 (Name Pattern1) **] [**Last Name (NamePattern4) 35940**], M.D. [**MD Number(1) 35941**] Dictated By:[**Last Name (NamePattern1) 36144**] MEDQUIST36 D: [**2168-12-20**] 22:29 T: [**2168-12-21**] 00:54 JOB#: [**Job Number 46868**] ICD9 Codes: 769, V290
{ "dataset_link": "https://huggingface.co/datasets/ricardosantoss/ehrcomplete_icdfiltered", "dataset_name": "ehrcomplete-icdfiltered", "id": 8145 }
Medical Text: Admission Date: [**2103-4-11**] Discharge Date: [**2103-5-4**] Date of Birth: [**2050-1-17**] Sex: F Service: SURGERY Allergies: No Known Allergies / Adverse Drug Reactions Attending:[**First Name3 (LF) 4691**] Chief Complaint: Shortness of breath Major Surgical or Invasive Procedure: Tracheostomy and GJ feeding tube placements Total abdominal colectomy with end ileostomy ([**2103-5-3**]) History of Present Illness: 52 yo female with history of [**Location (un) 805**] Syndrome, atrial fibrillation, CHF (? diastolic, last EF 70%), history of MVR s/p valvuloplasty [**2100**], recent recurrent PNAs (last [**1-12**] w/MSSA PNA s/p intubation), and severe COPD, who presents with shortness of breath. Has had body aches for the last 2 days. She reports increased SOB, but denies cough, sputum, fever, chills, abdominal pain, nausea, vomitting, diarrhea, or dysuria. Normally, she is on oxygen at rehab on [**1-4**] LNC. Because of the shortness of breath and fever, she was sent to the ED. . In the ED, the patient had the following vital signs: 98.6 120 92/60 18 97% NRB. She was noted to be in a fib with RVR with rates up to the 140s, however, she was not rate controlled for fear of patient being periseptic. The patient was given levofloxacin 750mg IV ONCE, ceftriaxone 1gm IV ONCE. The patient was given 2L of NS thinking she was tachycardic from dehydration. She was also given combivent, and morphine 2mg IV x 2 and tylenol 1gm PO ONCE for body pain and dyspnea. Last set of vitals were: 98.1 131 106/61 22 90%5LNC. . In the MICU, she arrived in acute respiratory distress and tachypneic with heart rate in the 130s in a fib with RVR, and hypoxic to the 80s on 6LNC. She was given morphine 1mg IV x 2, lasix 20mg IV x 1 (leading to 300cc of urine in [**1-4**] hrs), a trial of bipap for 15 minutes with significant improvement in her symptoms. She was also given 5mg and 10mg IV dilt for HR in 140s, followed by dilt 60mg PO QID with improvement in her rate down to 110s. Past Medical History: PMH: [**Location (un) 805**] syndrome, developmental delay, steroid-induced diabetes, afib with left atrial clot, diastolic CHF, COPD, diverticulitis, MR, malnutrition PSH: mitral valvuloplasty ([**2100**] - [**Hospital1 112**]) Social History: She was at Bostonian [**Hospital1 1501**] after last discharge. Generally, lives in [**Hospital1 **] with 2 brothers. [**Name (NI) **] brothers, no longer able to walk or take care of ADLs; decline in last few months since recurrent PNAs. Not working. Former smoker, smoked [**12-3**] PPD for 30 years, quit 2 years ago. No EtOH or ilicit drugs. Family History: Coronary artery disease. No other congenital abnormalities in the family Physical Exam: On admission: GEN: Small, pale, woman with [**Last Name (un) **] facies, tachypneic, using excessory muscles to breath HEENT: Anisocoria (old), anicteric, dry MM, op without lesions, mildly elevated jvd, RESP: Bibasilar rales R>L, moderately reduced airflow, no wheezes, positive egophony at right base CV: Tachycardic, irregular, S1 and S2 wnl, no m/r/g ABD: nd, +b/s, soft, nt, no masses or hepatosplenomegaly EXT: no c/c/e SKIN: no rashes/no jaundice/no splinters NEURO: AAOx3. Pertinent Results: [**2103-5-4**] 10:47AM BLOOD WBC-26.0* RBC-2.91* Hgb-7.6* Hct-25.2* MCV-87 MCH-26.3* MCHC-30.3* RDW-19.5* Plt Ct-86* [**2103-5-4**] 10:47AM BLOOD ALT-4019* AST-5755* LD(LDH)-PND AlkPhos-57 TotBili-4.5* [**2103-5-4**] 10:58AM BLOOD Type-ART pO2-81* pCO2-45 pH-7.11* calTCO2-15* Base XS--15 [**2103-5-4**] 10:58AM BLOOD Lactate-14.6* CXR [**4-11**]: COMPARISON: [**2103-2-22**]. FINDINGS: Frontal and lateral views of the chest are obtained. Patient is status post median sternotomy. The lungs are hyperinflated, consistent with chronic obstructive pulmonary disease. Since the prior study, there has been development of bibasilar, right greater than left opacities, worrisome for pneumonia. There is also blunting of the bilateral costophrenic angles concerning for small pleural effusions with possible pleural thickening. Cardiac and mediastinal silhouettes are stable. Minimal superimposed pulmonary vascular congestion may also be present. IMPRESSION: 1. Large right base opacity and possible small left base opacity, worrisome for pneumonia. Possible small bilateral pleural effusions and/or pleural thickening. 2. COPD. . CXR [**4-12**]: Comparison is made with prior study performed a day earlier. Cardiomegaly is stable. The lungs are hyperinflated consistent with patient's known COPD. Pneumonic consolidations, right greater than left are unchanged. There are no new lung abnormalities. Probable small bilateral pleural effusions are stable. There are no other interval changes. . CXR [**4-30**]: A tracheostomy tube and left-sided PICC are in unchanged positions. Cardiomediastinal silhouette is stable. The lungs are stable in appearance with background emphysema, bilateral pleural effusions and extensive consolidations which are greater on the right. . EKG [**4-23**]: Diffuse artifact. Probable atrial fibrillation with moderately controlled ventricular response. Low QRS amplitude in the limb leads. RSR' pattern in lead V1 is probably a normal variant. Compared to the previous tracing of [**2103-4-11**] the ventricular response is more controlled. Non-specific ST-T wave changes persist. . ECHO [**4-23**]: The left atrium is elongated. The right atrium is moderately dilated. No atrial septal defect is seen by 2D or color Doppler. There is mild symmetric left ventricular hypertrophy. The left ventricular cavity is unusually small. Regional left ventricular wall motion is normal. Overall left ventricular systolic function is normal (LVEF>55%). There is no ventricular septal defect. The right ventricular cavity is moderately dilated with borderline normal free wall function. There is abnormal septal motion/position. The diameters of aorta at the sinus, ascending and arch levels are normal. The aortic valve leaflets (3) appear structurally normal with good leaflet excursion and no aortic stenosis or aortic regurgitation. The mitral valve leaflets are mildly thickened. A mitral valve annuloplasty ring is present. The mitral annular ring appears well seated with normal gradient. Trivial mitral regurgitation is seen. The tricuspid valve leaflets are mildly thickened. Moderate to severe [3+] tricuspid regurgitation is seen. There is severe pulmonary artery systolic hypertension. There is a trivial/physiologic pericardial effusion. . Brief Hospital Course: 53 yo female with history of [**Location (un) 805**] Syndrome, atrial fibrillation, CHF (? diastolic, last EF 70%), history of MVR, recent recurrent PNAs, and severe COPD, who presents with shortness of breath, leukocytosis, bandemia, and RLL infiltrate. . #Lactic acidosis: Patient developed abd pain and required pressors overnight on [**5-3**]. Her lactate rose and her cdiff toxin returned positive. WBC rose. She was started on pressors at times maxed levofed and neo. Flaygl was started and surgery was consulted and determined need for emergent OR for colectomy. . #. Dyspnea/hypoxia: Patient with a white count of 29 with bandemia, and dense RLL consolidation, which raises the concern for acute bacterial pneumonia. She has a history of MSSA but also given her stay at a rehab facility, healthcare associated pneumonia and hospital acquired pneumonia were also considered. Also there was a component of acute pulmonary edema and COPD. PE is unlikely given clear precipitant for dyspnea/hypoxia and that patient has been therapeutic on coumadin. Patient treated with Vanc/cefepime/levofloxacin given her recent hospitalization within 90 days, her stay at rehab, and severity of illness as well as MRSA positive in her Nares. She was put on standing albuterol and ipratropium nebulizers and home dose of steroids. Patient was diuresed with 20 IV lasix daily. Over the first 5 days of admission the patient required 60-80% high flow to maintain sats in the 90s. Due to lack of clear improvement and concern for increasing sputum, she had a bronch (awake) which showed minimal secreations but significant airway collapse. BAL fluid sent for culture and grew sparse coag + staph and spare yeast. On [**4-19**], the patient desaturated throughout the morning and on ABG was found to have pCO2 >80. She was intubated for hypercarbic respiratory failure and afterwards, significant secretions suctioned out. Her abx were stop and she was given a bust of methylpred again with plans for long taper. It is possible she mucus plugged or aspirated on her secretions in the morning prior to being intubated. Of note, the patient's CT chests document very little apical parenchymal reserve and significant blebs. The patient tolerated mechanical ventilation well and was switched from assist control to pressure support. Spontaneous breathing trial on [**4-22**] was uneventful and patient was extubated on [**2103-4-22**]. On [**4-23**], she was weaned down to 5 L nasal cannula, but that same night, she developed an increasing O2 requirement.Intermittantly she was having mucuous plugging. All the while, discussions were held with the family about if she needed reintubation that she would require trach. Acapella devicse used to help with chest PT. Her steroids were down titrated. On [**4-25**], the patient developed incrasing hypoxia and was reintubated. WBC was noted to rise to 23.8 and abx were restarted to cover VAP with Linezolid/tobra and zosyn. Interventional pulmonology performed a tracheostomy on [**4-26**]. However, interventional pulmonology was unable to place a PEG due to esophageal stenosis. She underwent IR placement of JG tube on [**4-27**]. She was put on pressure support once trached which she tolerated initially but would pull low tidal volumes and needs resting at night or after oxycodone. Her prednisone was down titrate. She tolerated 2 hours of trach collar on [**4-28**]. On [**4-26**], she tolerated trach collar for many hours but became hypercarbic to pCO2 of 57 and was put on the vent to let her rest. Plan was initiated to use trach collar during the day and vent at night. She completed 8 day course of zosyn on [**5-2**] and will complete 10 day course of linezolid on [**5-4**]. - Continue linezolid 600mg twice daily until [**5-4**] (day [**9-10**]) - Continue albuterol nebs every 6 hours, ipratropium 6 puffs QID and Flovent 6 puffs twice daily . #Fungal UTI: s/p 4 days of fluconazole with resolution of symptoms. . # Nutrition: Patient with very poor PO intake during hospitalization, albumin low at 2.9. Nutrition was consulted and the patient started on TPN. [**Month (only) 116**] consider eventual esophageal motility testing for CREST syndrome component to [**Location (un) 805**] Disease. A Dobhoff was placed on [**2103-4-19**], with placement confirmed by x-ray. Tube feeds were started on [**2103-4-19**] although the Dobhoff then clogged. NGT was placed instead, which the patient tolerated well and maintained during intubation. The patient received tube feeds during this time. Interventional pulmonology attempted to place a PEG on [**2103-4-26**] but was unsuccessful due to esophageal stenosis. Tube feeds started through G-J tube on [**4-27**]. - Continue tube feeds: Nutren 2.0 Full strength; Starting rate: 30 ml/hr; Advance rate by 10 ml q12h Goal rate: 30 ml/hr Residual Check: q4h Hold feeding for residual >= : 200 ml Flush w/ 30 ml water q6h - Continue multivitamin, Vitamin B12 50mcg daily and Vitamin D 400mg daily - Continue lansoprazole, simethicone and zofran for GI upset, nausea . #. Hypotension: Patient became hypotensive overnight on [**4-30**] likely related to escalating doses of metoprolol amd small doses of narcotics and ultram which she seems sensitive to. She required levophed for a brief term. Cortisol levels could not be checked in setting of recent prednisone. Her blood pressures were monitored through her arterial line. BPs ranged from hypotensive (thought [**1-3**] meds) to hypertensive (possibly pain related) and normalized on their own. - Continue home digoxin and metoprolol per below - Limited narcotic medications for pain (oxycodone 2.5mg q8 hours if absolutely necessary). Use acetaminophen for pain. . #. Atrial fibrillation with RVR: Most likely precipitant is infection, hypoxia, and dyspnea. Rate well controlled on PO diltiazem and home digoxin - this was later decreased to 30mg QID and her metoprolol decreased from 12.5 mg TID to [**Hospital1 **] given bradycardia into HR50s (asymptomatic), especially when intubated. Coumadin was held for supratherapeutic INR and the patient started on lovenox bridge. Metoprolol was uptitrated again briefly for BP and HR control, but subsequently was downtitrated due to bradycardia. Diltiazem was stopped on [**2103-4-26**]. She was bridged back to coumadin after her procedures. Metoprolol was increased to 25 mg [**Hospital1 **] on [**4-29**] but held for hypotension and then decreased to 12.5mg [**Hospital1 **]. - Continue Digoxin 0.125mg daily - Continue Metoprolol 12.5mg twice daily - Check INR daily as supratherapeutic on discharge. Resume home coumadin 5mg daily when INR <2.5 . #. History of dCHF: Patient with MVR s/p valvuloplasty in [**2100**]. Lasix was initially used for aggressive diuresis and beta blockers given judiciously. The patient was felt to be overly diuresed eventually and received a few small fluid boluses while intubated, for lower urine output. Gentle diuresis was resumed when she developed lower extremity edema ([**12-3**]+). ECHO was obtained with showed 3+TR and severe pulmonary hypertension. - Continue gentle diuresis with Furosemide 20mg daily PRN (previous home dose was 20mg daily) . #. Diabetes Type II: Steroid exacerbated. Patient continued on lantus and SSI both of which were increased/tightened throughout hospital course. As the patient's steroids were tapered, her insulin requirement decreased. Glargine was stopped on [**4-29**] for hypoglycemia and her sliding scale was made more conservative to only cover glucose >200. - Continue low insulin sliding scale (fingersticks every 6 hours, 2 units for BS>200, 4 units for BS>250, 6 units for BS>300). The patient can possibly be transitioned off insulin now that she is off steroids. . #. COPD: Patient on recent long steroid taper since [**Month (only) 956**] [**2102**]. Patient is on long acting advair and spiriva. Patient quit smoking >2 years ago but has >40 pack year history. She was continued on standing nebs and advair, as well as steroids (intermittently home 10mg or 30mg vs. IV solumedrol). In particular, the patient was on IV solumedrol during intubation and slowed tapered to PO steroids. Her spiriva was ultimately restarted and atrovent was discontinued. - Continue albuterol nebs every 6 hours, ipratropium 6 puffs QID and Flovent 6 puffs twice daily . Contact: [**Name (NI) 53228**] (brother and HCP): [**Telephone/Fax (1) 95244**], [**Name (NI) 2092**] (brother) [**Telephone/Fax (1) 95246**]. Code: DNR, okay to intubate (trach/PEG) The above discharge summary was dictated by the MICU service. On [**2103-5-3**] her care was taken over by the surgical team. She developed fulminant c.difficuile with a dramatically elevated WBC (18), INR (6.1) and lactate (14) with an increasing pressor requirement and concern for abdominal compartment syndrome. She was taken emergently to the OR for a total abdominal colectomy with end ileostomy. She was taken to the SICU intubated and on pressors post-operatively. Echo findings demonstrated dramatic pulmonary hypertension and left-sided heart failure. She required CVVH for anuric renal failure and dramatic volume overload. Her liver enzymes increased and she developed shock liver. She was difficult to ventilate and began having arrythmias. She was treated with zosyn, flagyl and vanco enemas for her rectal remanant but remained floridly septic with hypotension, hypothermia and profound acidosis. After discussion with her two brothers the decision was made to make her CMO as her chance of recovery was thought to be very slim and she had previously expressed a desire that no extraordinary measures be taken to extend her life. Medications were discontinued and she expired shortly thereafter. Medications on Admission: 1. senna 8.6 mg Tablet Sig: One Tablet PO BID PRN Constipation. 2. bisacodyl 2 5 mg Tablet TabletPO DAILY PRN Constipation. 3. docusate sodium 50 mg/5 mL 10cc PO BID 4. digoxin 125 mcg Tablet PO DAILY 5. montelukast 10 mg Tablet One Tablet PO DAILY 6. therapeutic multivitamin 5cc PO DAILY 7. cholecalciferol (vitamin D3) 400 unit Two TAB PO DAILY 8. cyanocobalamin (vitamin B-12) 500 mcg 2 TAB PO DAILY 9. guaifenesin 600 mg Tablet Extended Release PO BID 10. tiotropium bromide 18 mcg Capsule INH DAILY. 11. levalbuterol HCl 0.63 mg/3 mL Q4hrs as needed for wheezing, 12. trazodone 50 mg PO HS as needed for insomnia. 13. lorazepam 0.5 mg PO Q8H (every 8 hours) as needed for anxiety. 14. metoprolol tartrate 25 mg PO QID 15. diltiazem HCl 60 mg Tablet PO QID 16. fluticasone-salmeterol 250-50 mcg/dose Disk [**Hospital1 **] (2 times a day). 17. polyethylene glycol 3350 17 gram PO DAILY 18. warfarin 5 mg PO Once Daily 19. insulin glargine 100 unit/mL Cartridge Sig: Twenty (20) units Subcutaneous at bedtime 20. furosemide 20 mg PO daily . Allergies: NKDA Discharge Medications: Not applicable Discharge Disposition: Extended Care Discharge Diagnosis: Respiratory distress (COPD, pneumonias) s/p intubation and tracheostomy, malnutrition, steroid-induced diabetes, atrial fibrillation on anticoagulation, diastolic CHF, fulminant c.diff with ensuing sepsis Discharge Condition: Death Discharge Instructions: Death Followup Instructions: Death ICD9 Codes: 5845, 4280, 5070
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Medical Text: Admission Date: [**2180-3-13**] Discharge Date: [**2180-3-25**] Date of Birth: [**2113-2-2**] Sex: M Service: CARDIOTHORACIC Allergies: Hmg-Coa Reductase Inhibitors (Statins) Attending:[**First Name3 (LF) 1505**] Chief Complaint: Chest Pain Major Surgical or Invasive Procedure: Redo-Coronary Artery Bypass Graft x 4(SVG-LAD,SVG-OM1,SVG-OM2,SVG-PDA), Mitral Valve repair (28 mm band) [**3-13**] History of Present Illness: 67 yo M s/p CABG in [**2172**] and PCI in [**2178**], now s/p admission for acute pulmonary edema and cardiac catheterization showing 2 occluded grafts. Referred for redo surgery. Past Medical History: - CAD with 5vCABG in [**2172**] - MI with PCI [**2172**], PCI in [**5-/2179**] (DES to RCA) - left renal artery stenosis on [**2180-1-10**], nuclear scan showed 82% function on R and 16% function on L. 99% stenosis on renal angiogram with BMS X 1 - CRI ([**2180-1-18**] Cr 2.2) - HTN - hemmorhoids - hypercholesterolemia (LDL 98) - PVD - h/o liver lesions - s/p rectal prolapse repair - known carotid disease 16-49% stenosis on R, 50-79% on left - s/p herniorrhaphy . Cardiac Risk Factors: Dyslipidemia, Hypertension . Cardiac History: CABG, in [**2172**] anatomy as follows: LIMA->LAD, SVG to PDA, OM1, OM2, and diag. . Percutaneous coronary intervention, in [**2177**] anatomy as follows: total occlusion of native vessels and LIMA, with patent SVG to diag which backfilled LAD. 40% stenosis in SVG to OM. . Social History: Social history is significant for current tobacco use (52 pack year smoking history). There is no history of alcohol abuse. Family history was not elicited. Family History: NC Physical Exam: hr 61 BP 115/72 RR 16 NAD Lungs CTAB Well healed sternal incisions Heart RRR, HSM Abdomen Benign Pertinent Results: [**3-13**] [**Month/Year (2) **]: PRE-BYPASS: 1. The left atrium is [**Month/Year (2) 5660**] dilated. No atrial septal defect is seen by 2D or color Doppler. 2. Left ventricular wall thicknesses and cavity size are normal. There is moderate regional left ventricular systolic dysfunction with moderate hypokinesis of the inferior and inferolateral walls. An area of akinesis is also seen in the mid to basal inferior wall. Overall left ventricular systolic function is [**Month/Year (2) 5660**] depressed (LVEF= 40%). 3. Right ventricular chamber size and free wall motion are normal. 4. There are focal calcifications in the aortic arch. There are simple atheroma in the descending thoracic aorta. 5. There are three aortic valve leaflets. There is no aortic valve stenosis. No aortic regurgitation is seen. 6. The mitral valve leaflets are mildly thickened. An eccentric, postero-lateral directed jet of Severe (4+) mitral regurgitation is seen. POST-BYPASS: For the post-bypass study, the patient was receiving vasoactive infusions including phenylephrine and epinephrine and is being paced. 1. A well-seated mitral annuloplasty ring is seen with normal leaflet motion (mean gradient = 5 - 7 mmHg). There is no valvular systolic anterior motion ([**Male First Name (un) **]). Trivial mitral regurgitation is seen. 2. RV function is slightly depressed, LV function is [**Male First Name (un) 5660**] depressed. Specifically the inferior wall appears akinetic. 3. Aorta is intact post decannulation. [**3-23**] CXR: Allowing for patient positional differences, the right-sided pleural effusion distributes in a different pattern, however, the overall extent of the pleural effusion is not significantly changed from prior. Smaller left pleural effusion is also again identified. Median sternotomy wires, cardiac and mediastinal contours appear unchanged. No new focal consolidations are identified. [**2180-3-13**] 12:32PM BLOOD WBC-17.1*# RBC-2.28*# Hgb-6.9*# Hct-19.4*# MCV-85 MCH-30.1 MCHC-35.4* RDW-15.2 Plt Ct-174 [**2180-3-16**] 03:54AM BLOOD WBC-21.2* RBC-3.11* Hgb-9.2* Hct-27.9* MCV-90# MCH-29.6 MCHC-33.0 RDW-16.6* Plt Ct-114* [**2180-3-24**] 05:25AM BLOOD WBC-13.3* RBC-3.07* Hgb-9.1* Hct-27.9* MCV-91 MCH-29.6 MCHC-32.5 RDW-16.1* Plt Ct-347 [**2180-3-13**] 12:32PM BLOOD PT-15.7* PTT-59.0* INR(PT)-1.4* [**2180-3-13**] 02:06PM BLOOD UreaN-31* Creat-2.2* Cl-116* HCO3-22 [**2180-3-16**] 03:54AM BLOOD Glucose-193* UreaN-60* Creat-4.4* Na-138 K-6.1* Cl-105 HCO3-19* AnGap-20 [**2180-3-24**] 05:25AM BLOOD Glucose-116* UreaN-76* Creat-3.5* Na-144 K-4.6 Cl-106 HCO3-26 AnGap-17 [**2180-3-14**] 12:52AM BLOOD Calcium-8.1* Phos-2.1* Mg-2.7* [**2180-3-21**] 08:40AM BLOOD Calcium-8.5 Phos-5.2* Mg-2.7* Brief Hospital Course: Mr. [**Known lastname 105222**] was a same day admit after having a cardiac cath and surgical work-up in late [**Month (only) 958**]. He was taken to the operating room on [**2180-3-13**] where he underwent a redo-sternotomy, CABG x 4 and MV Repair. Please see operative report for surgical details. Following surgery he was transferred to the CVICU for invasive monitoring in stable condition. Postoperatively he had asystole followed by complete heart block. He remained intubated for acidosis and was extubated the morning of post-op day two, neurologically intact. He was restarted on Plavix for his renal stent. Chest tubes and epicardial pacing wires were removed per protocol. He continued to have some episodes of heart block and nodal agents were held. He then had rapid atrial fibrillation which converted with amiodarone. He was started on Coreg. He was seen by renal for oliguria and hyperkalemia. His urine output improved as did his creatinine with time and holding diuretics. He was transferred to the telemetry floor on post-op day seven for further management. Over the next several days he worked with physical therapy for strength and mobility. His creatinine trended down and he appeared to be suitable for discharge on post-op day ten with the appropriate follow-up appointments. Medications on Admission: Alprazolam, Plavix 75', Fenofibrate 45', Metoprolol 100", Nifedipine 30', ASA 325', Iron 325' Discharge Medications: 1. Docusate Sodium 100 mg Capsule Sig: One (1) Capsule PO BID (2 times a day). Disp:*60 Capsule(s)* Refills:*0* 2. Ranitidine HCl 150 mg Tablet Sig: One (1) Tablet PO DAILY (Daily). Disp:*30 Tablet(s)* Refills:*0* 3. Oxycodone-Acetaminophen 5-325 mg Tablet Sig: 1-2 Tablets PO Q4H (every 4 hours) as needed for pain. Disp:*50 Tablet(s)* Refills:*0* 4. Clopidogrel 75 mg Tablet Sig: One (1) Tablet PO DAILY (Daily). Disp:*30 Tablet(s)* Refills:*0* 5. Aspirin 81 mg Tablet, Delayed Release (E.C.) Sig: One (1) Tablet, Delayed Release (E.C.) PO DAILY (Daily). Disp:*30 Tablet, Delayed Release (E.C.)(s)* Refills:*0* 6. Fenofibrate Micronized 48 mg Tablet Sig: One (1) Tablet PO daily (). Disp:*30 Tablet(s)* Refills:*0* 7. Carvedilol 6.25 mg Tablet Sig: One (1) Tablet PO BID (2 times a day). Disp:*60 Tablet(s)* Refills:*2* 8. Calcium Acetate 667 mg Capsule Sig: One (1) Capsule PO TID W/MEALS (3 TIMES A DAY WITH MEALS). Disp:*90 Capsule(s)* Refills:*2* 9. Amiodarone 200 mg Tablet Sig: One (1) Tablet PO BID (2 times a day): Please take 200mg [**Hospital1 **] for 7 days. Than 200mg QD until stopped by cardiologist. Disp:*60 Tablet(s)* Refills:*1* Discharge Disposition: Home With Service Facility: [**Company 1519**] Discharge Diagnosis: Coronary Artery Disease, Mitral Regurgiataion now s/p Redo-Coronary Artery Bypass Graft x 4, Mitral Valve Repair Acute on chronic renal failure PMH: Coronary Artery Disease s/p PCI-RCA, Chronic Renal Insufficiency, Hypertnesion, Hypercholesterolemia, Peripheral Vascular Disease PSH: CABG '[**72**], L renal stent, hernia repair, Prolapse Rectum Discharge Condition: Good Discharge Instructions: Call with fever, redness or drainage from incision or weight gain more than 2 pounds in one day or five in one week. Shower, no baths, no lotions, creams or powders to incisions. No lifting more than 10 pounds for 10 weeks. No driving until follow up with surgeon. Followup Instructions: [**Hospital 409**] clinic in 2 weeks Dr. [**First Name8 (NamePattern2) 5987**] [**Last Name (NamePattern1) 3236**] 2 weeks Cariologist in [**12-19**] weeks Dr. [**Last Name (STitle) **] 4 weeks Nephrologist in [**12-19**] weeks Completed by:[**2180-3-25**] ICD9 Codes: 4240, 4275, 9971, 5849, 5859
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Medical Text: Admission Date: [**2175-11-20**] Discharge Date: [**2175-12-12**] Date of Birth: [**2109-4-9**] Sex: M Service: SURGERY Allergies: Meperidine Attending:[**First Name3 (LF) 1481**] Chief Complaint: Status post motor vehicle collision. Major Surgical or Invasive Procedure: 1. Anterior pelvic ring external fixator. 2. Left posterior ring fixation with sacroiliac screw. 3. Suprapubic catheter placement History of Present Illness: Mr. [**Known lastname 4894**] is a 68 y/o male who was "T" boned, struck on drivers side, by a car at an unknown speed, requiring prolonged extraction with Jaws of Life. He was conscious at the scene but on arrival to the emergency department at [**Hospital 8641**] hospital in New [**Location (un) **], he was disoriented and found to have a ruptured spleen. He was brought to the OR at [**Location (un) 8641**] for a splenectomy. He also had an open book fracture of his pelvis and ruptured urethra, as well as a left humerus fracture. Per report he had bilateral frontal contusions. He was transferred to [**Hospital1 18**] for further care. Past Medical History: Prostate CA s/p radical prostatectomy [**2165**], XRT [**2173**]; GERD, hiatal hernia, [**Last Name (un) 865**] esophagus, colon polyps, TKA [**8-/2174**] Family History: Noncontributory. Physical Exam: VS: 92.1--> 94.8, 100 (ns), 136/77, 20, 99% AC 0.6/600x14/5 GEN: intubated, sedated SKIN: scrotal swelling and hematoma, diffuse mottling at hands/feet, no other appreciable skin breaks BACK: no step-offs, no ecchymoses, no skin breaks HEENT: no scalp compromise, EOMI, PERRL bilat 4-->2mm, MMM, soft neck, +c-collar CARDIAC: RRR, no m/r/g LUNGS: CTAB ABD: +BS, soft, distended, dressings c/d/i, no appreciable ecchymoses. PVASC: mottled cool feet/hands. +doppler PT/DP pulses bilat. MSK: L humerus fracture, displaced. NEURO: deferred. Pertinent Results: [**2175-11-20**] 11:42PM TYPE-ART PO2-298* PCO2-47* PH-7.16* TOTAL CO2-18* BASE XS--11 [**2175-11-20**] 11:42PM LACTATE-7.6* [**2175-11-20**] 11:42PM O2 SAT-99 [**2175-11-20**] 11:42PM freeCa-1.12 [**2175-11-20**] 11:30PM GLUCOSE-153* UREA N-17 CREAT-1.1 SODIUM-143 POTASSIUM-4.2 CHLORIDE-113* TOTAL CO2-17* ANION GAP-17 [**2175-11-20**] 11:30PM CALCIUM-7.3* PHOSPHATE-5.2* MAGNESIUM-1.4* [**2175-11-20**] 11:30PM WBC-16.7* RBC-4.88 HGB-15.4 HCT-43.8 MCV-90 MCH-31.7 MCHC-35.3* RDW-14.0 [**2175-11-20**] 11:30PM PLT COUNT-131* [**2175-11-20**] 11:30PM PT-13.6* PTT-25.2 INR(PT)-1.2* [**2175-11-20**] 11:30PM FIBRINOGE-178 ---------------- PELVIS (AP ONLY) PORT Clip # [**Clip Number (Radiology) 44491**] IMPRESSION: Diastasis of the pubic symphysis with associated fractures through the bilateral superior and inferior pubic rami and left sacral ala are better seen on subsequent CT examination. Subcutaneous emphysema involving the soft tissues overlying the low pelvis. CHEST (PORTABLE AP) Clip # [**Clip Number (Radiology) 44492**] FINDINGS: Portable radiograph of the chest. Endotracheal tube is appropriately positioned with its tip approximately 4.1 cm from the carina. NG tube is seen with its tip within the stomach and a side port below the diaphragm. Of note, the left costophrenic angle and many of the left-sided ribs are cut off from this film and therefore the rib fractures on the left side that are identified on later radiographs are not seen on this film. However, we are seeing pleural thickening possibly representing hemorrhage extending up the lateral costal pleural margin. Possible left apical pleural cap, with a generally widened mediastinum and rightward deviation of the trachea is identified. There is a possibility of mediastinal hemorrhage/aortic injury. This was discussed with the team caring for this patient according to a dictation performed for a later chest radiograph on [**11-21**]. Opacification in the left mid lung zone may represent contusion versus edema. HUMERUS (AP & LAT) LEFT PORT Clip # [**Clip Number (Radiology) 44493**] IMPRESSION: Old fracture of the left mid humeral diaphysis. Bridging callus formation is present and there is residual lateral displacement and varus angulation of the distal fracture fragment. CT HEAD W/O CONTRAST Clip # [**Clip Number (Radiology) 44494**] IMPRESSION: Ovoid hyperdense focus is present in the right anterior frontal lobe that may represent hemorrhage or mineralization. Followup is recommended. Note added at attending review: The prior study is now available for review. The right frontal high density is slightly larger than the prior study. The left frontal high density is slightly more diffuse and less evident. There are no definite new findings. There is a left posterior subgaleal hematoma. CTA CHEST W&W/O C &RECONS Clip # [**Clip Number (Radiology) 44495**] IMPRESSION: 1. No evidence of aortic dissection or pulmonary embolus. 2. Multiple left-sided rib fractures post motor vehicle accident. 3. Bilateral pleural effusions and atelectasis in intubated patient. Mild interstitial edema. Subcentimeter mediastinal lymphadenopathy. ---------------- CT L-SPINE W/O CONTRAST Clip # [**Clip Number (Radiology) 44496**] IMPRESSION: 1. Left sacral and iliac fractures with diastasis of the left sacroiliac joint. Left eleventh rib fracture. 2. Severe chronic degenerative changes at the L5-S1 level with moderate degenerative changes at the upper lumbar spine. ------------------ CT T-SPINE W/O CONTRAST Clip # [**Clip Number (Radiology) 44497**] IMPRESSION: 1. Multiple left-sided rib fractures posteriorly. 2. Left transverse process fracture T6 vertebra. 3. Bilateral pleural effusion and atelectasis. ----------------- CT PELVIS W/O CONTRAST Clip # [**Clip Number (Radiology) 44498**] IMPRESSION: 1. Suprapubic tube in the bladder, which demonstrate signs consistent with a bladder rupture, most likely extraperitoneal. Extravasation of contrast along the urethra, which may be consistent with urethral injury 2. Multiple pelvic fractures in relation to the superior and inferior ramus on the left, the left sacrum, the left iliac bone. 3. Multiple clips in the pelvis, which may be consistent with patient's status post prostatectomy. 4. Free fluid in the right paracolic gutters. ------------------- RENAL U.S. Clip # [**Clip Number (Radiology) 44499**] IMPRESSION: No evidence of hydronephrosis or significant interval change. ------------------- BILAT LOWER EXT VEINS Clip # [**Clip Number (Radiology) 44500**] IMPRESSION: No evidence of venous thrombosis in the bilateral lower extremities. ------------ WRIST, AP & LAT VIEWS LEFT PORT [**2175-12-5**] 5:44 PM IMPRESSION: Marked degenerative changes of the carpal bones and at the radiocarpal joint, in a distribution which is atypical for osteoarthritis. Query post- traumatic arthritis or seronegative spondyloarthropathy. ------------ CT PELVIS W/O CONTRAST [**2175-12-9**] 10:59 AM IMPRESSION: 1. Evidence of active contrast extravasation into the patient's perineum and scrotal sac as described above. 2. New subcutaneous emphysema along the dorsum of the penis - while this may be related to injection of contrast, an underlying infection should be considered. ------------ Brief Hospital Course: Mr. [**Known lastname 4894**] was trasnferred to [**Hospital1 18**], s/p splenectomy, with a left humerus fracture, a complicated open-book pelvic fracture, a urethral disruption, and a presumed bladder rupture. He was intubated, sedated. He was admitted to the Trauma Surgical Intensive Care Unit where he was shortly seen by the orthopedics and urology services. On hospital day #1, a suprapubic catheter was placed and he was started on ampicillin/gentamicin. He was evaluated by neurosurgery for report from OSH of bilateral frontal contusions, which were felt to be stable. Mr. [**Known lastname 4894**] initially had issues with low urine output and his initial pigtail SPC was replaced with a larger catheter to facilitate drainage of urine and decompression of the bladder. A chest tube was placed on hospital day 4 for a right pleural effusion. On hospital day 5, he returned to the OR with orthopedics for external fixation of his pelvic fractures. Urology recommended against attempt for immediate urethral repair given his scar tissues/clips from his prostatectomy. Mr. [**Known lastname 4894**] was extubated successfully post-operatively and continued to improve. His cervical collar was cleared when his mental status improved. He was transferred to the floor on hospital day 11 where he continued to improve. Recognizing the need for continued DVT prophylaxis, Mr. [**Known lastname 4894**] was evaluated by vascular surgery for an IJ-approached IVC filter. The procedure was cancelled, however, as the day of surgery Mr. [**Known lastname 44501**] creatinine unexpectedly rose to 3. He was evaluated by the urology and nephrology services. A renal ultrasound was negative for frank obstruction and/or hydronephrosis. He persistently had adequate urine output. His creatinine bump was felt to be related to hypovolemia and he was started on a strict regimen of IV fluids. At the same time, Mr. [**Known lastname 4894**] was noted to be febrile, with a rising WBC. His groin erythema worsened during this time and spread to involve his lower back. A fever workup resulted in a negative chest xray and no positive blood cultures. He was treated empirically with broad spectrum antibiotics and improved. On [**2175-12-6**], Mr. [**Known lastname 4894**] was noted to have significant pain and swelling over his left wrist. Upon examination, the wrist was red, swollen, and exquisitely tender to palpation. An aspiration of the joint revealed frank pus and rhomboid crystals. Hand was consulted and he was started on vancomycin for presumed septic joint and taken to the OR the next morning for a formal washout. He was started on colchicine for pseudogout and he readily improved. Final cultures were negative for any organism. Mr. [**Known lastname 4894**] had a repeat CT cystogram on [**2175-12-9**], revealing persistent small extravasation from his bladder rupture. In discussion with urology, this extravasation was consistent with his previous scan and they recommended continuation of the suprapubic catheter until definitive repair in [**6-15**] weeks from the date of injury. On hospital day 22 ([**2175-12-11**]), Mr. [**Known lastname 4894**] had an IVC filter placed by the vascular surgery service via a right IJ approach, necessitated by his pelvic fixation. He tolerated the procedure well and should no longer require anticoagulation. Mr. [**Known lastname 4894**] will require daily pin care at his external fixator as well as [**Hospital1 **] flushing of his suprapubic tube to avoid obstruction. He has made great strides in transfers with physical therapy but will need extensive rehabilitation given his prolonged immobility secondary to his injuries. Medications on Admission: celecoxib, lansoprazole Discharge Disposition: Extended Care Facility: [**Hospital6 1293**] - [**Location (un) **] Discharge Diagnosis: 1. Status post motor vehicle collision. 2. Bifrontal contusions 3. L humerus fx. 4. grade IV splenic lac s/p splenectomy at OSH 5. complicated pelvic fx. 6. ruptured urethra 7. ruptured bladder 8. multiple L rib fx. (>6) 9. R pleural effusion 10. Left wrist infection. 11. Left septic extensor tenosynovitis. Discharge Condition: Stable. Discharge Instructions: You are being discharged to an extended care facility for further care and rehabilitation of your injuries. If you have any new or concerning symptoms, please call your doctor [**First Name (Titles) **] [**Last Name (Titles) 3584**] housestaff immediately. Call if you experience fever, nausea or vomiting that precludes eating or drinking, chest pain, worsening abdominal pain, or any new or concerning symptom. Followup Instructions: You will need to follow up with urology, Dr. [**Last Name (STitle) 44502**], in 3 weeks; call ([**Telephone/Fax (1) 10941**] for an appointment. You will also need to be seen by orthopedics, Dr. [**Last Name (STitle) 1005**], in [**3-11**] weeks. Call [**Telephone/Fax (1) 1228**] for an appointment. Please schedule an appointment with the Trauma Surgery clinic in two weeks; call [**Telephone/Fax (1) 6429**] for an appointment. Finally, you will need to call the plastics and reconstructive surgery hand clinic for a follow up appointment in one to two weeks; call [**Telephone/Fax (1) 4652**] for an appointment. ICD9 Codes: 5849, 5119, 2930
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Medical Text: Admission Date: [**2166-1-19**] Discharge Date: [**2166-1-20**] Date of Birth: [**2126-5-19**] Sex: M Service: MEDICINE Allergies: Patient recorded as having No Known Allergies to Drugs Attending:[**Last Name (NamePattern4) 290**] Chief Complaint: s/p suicide attempt/ overdose Major Surgical or Invasive Procedure: Intubation [**2165-1-19**], extubation [**2165-1-20**]. History of Present Illness: The patient is a 39 year-old male with PMHx of depression presenting with overdose @ 4am on [**1-19**]. Patient was involved in a argument with his girlfriend, after which he took ambien, benadryl, and paroxetine of unknown quantity (by girlfriend's report). The patient was unresponsive in ED and history was obtained from his girlfriend. In [**Name2 (NI) **], VS were T 98.1 BP 200/110 --> 127/74 upon moving to the floor HR in 100s. His pupils were dilated at 4 mm and reactive to 2 mm. The patient was intubated in the ED and started on propofol gtt. Toxicology consult was obtained. He was given 60 mg of Charcoal. UTox was positive for EtOH and cocaine, and negative for tylenol. His labwork, including his EKG was unremarkable with nl QTc. Past Medical History: Depression: significant for attempted suicide 7 years ago, OD with [**Last Name (un) 77141**] oven cleaner, resulted in inpatient hospitalization x 1 month. Denies regular SI, HI Social History: Patient was born in the [**Country 13622**] Republic, moved her 11 years ago, lives with a girlfriend, cleans [**Name2 (NI) 77142**] for work EtOH: 7 beers 2x a week, denies history of or withdrawal sx Tob: 15 cig/day x 20years Denies marijuana and IVDU use, reports cocaine x 1 "many years ago" Family History: brother and paternal uncles with depression and SA Physical Exam: T: 95.8 BP:122/83 P: 89 RR: 18 O2 sats: 95% 40% CPAP [**5-26**] Gen: NAD, young male sedated HEENT:NCAT, PERRL 5 mm -> 3 mm, anicteric Neck: no masses, flat CV: RRR no MRG, nl S1, S2 Resp: CTAB/l Abd: NABS, soft, NT, ND, no guarding/rigidity/rebound Ext: no edema, no cyanosis, Neuro: intubated, light sedation, closes eyes, squeezs hands Pertinent Results: LABS: . [**2166-1-19**] 05:20AM URINE COLOR-Yellow APPEAR-Clear SP [**Last Name (un) 155**]-1.006 [**2166-1-19**] 05:20AM URINE BLOOD-NEG NITRITE-NEG PROTEIN-NEG GLUCOSE-NEG KETONE-NEG BILIRUBIN-NEG UROBILNGN-NEG PH-6.5 LEUK-NEG [**2166-1-19**] 05:20AM URINE bnzodzpn-NEG barbitrt-NEG opiates-NEG cocaine-POS amphetmn-NEG mthdone-NEG [**2166-1-19**] 05:30AM WBC-9.0 RBC-4.08* HGB-14.0 HCT-39.6* MCV-97 MCH-34.2* MCHC-35.3* RDW-13.4 [**2166-1-19**] 05:30AM PLT COUNT-190 [**2166-1-19**] 05:30AM NEUTS-61.7 LYMPHS-25.8 MONOS-10.5 EOS-1.6 BASOS-0.4 [**2166-1-19**] 05:30AM ASA-NEG ETHANOL-128* ACETMNPHN-NEG bnzodzpn-NEG barbitrt-NEG tricyclic-NEG [**2166-1-19**] 05:30AM GLUCOSE-116* UREA N-10 CREAT-1.1 SODIUM-141 POTASSIUM-4.0 CHLORIDE-105 TOTAL CO2-23 ANION GAP-17 [**2166-1-19**] 05:30AM ALBUMIN-4.1 CALCIUM-8.7 PHOSPHATE-3.3 MAGNESIUM-2.0 [**2166-1-19**] 05:30AM ALT(SGPT)-74* AST(SGOT)-62* LD(LDH)-231 ALK PHOS-65 TOT BILI-0.4 [**2166-1-19**] 05:30AM LIPASE-41 [**2166-1-19**] 11:19AM ACETMNPHN-NEG . [**2166-1-19**] EKG: Sinus tachycardia at 101bpm. Nml axis, nml intervals, no ischemic ST/T wave changes . [**2166-1-19**] CXR: IMPRESSION: No focal consolidation. Brief Hospital Course: The patient is a 39 year-old male with depression with 1 previous suicide attempt presenting with a suicide attempt via overdose on ambien, benadryl, and paxil in setting of +EtOH and cocaine on admission tox screens. . # Overdose: The patient was unresponsive upon presentation to the ED and intubated for airway protection. CXR was clear, EKG was without evidence of QT prolongation. He was monitored for evidence of anticholinergic effects with benadryl and serotinergic effects of paroxetine with no issues. The patient was successfully extubated with return of mental status to baseline by HD2. The patient was continued on 1:1 sitting with no further suicide attempts while inhouse. . # SA/ Depression: The patient was evaluated by psychiatry while inhouse. He was found to meet criteria for section 12, and he will require inpatient psychiatric hospitalization for further evaluation / treatment of depression. . # Transaminitis: The patient presented with a transaminitis which was trending down to baseline by the time of discharge. . # Code: Full Medications on Admission: none Discharge Medications: 1. Thiamine HCl 100 mg Tablet Sig: One (1) Tablet PO once a day. 2. Multivitamin Tablet Sig: One (1) Tablet PO once a day. 3. Folic Acid 1 mg Tablet Sig: One (1) Tablet PO once a day. Discharge Disposition: Extended Care Facility: Other- Psych Discharge Diagnosis: Suicide attempt by overdose. Discharge Condition: Stable. Discharge Instructions: You were admitted due to an overdose of several medications. You are now being transferred to an inpatient psychiatric facility for further care. . Please take all of your medications as prescribed. Please attend all of your follow-up appointments. Followup Instructions: Please contact a PCP to initiate care. [**Initials (NamePattern4) **] [**Last Name (NamePattern4) **] [**Name8 (MD) **] MD [**MD Number(1) 292**] ICD9 Codes: 311, 3051
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Medical Text: Admission Date: [**2112-11-14**] Discharge Date: [**2112-11-23**] Date of Birth: [**2062-6-15**] Sex: M Service: CARDIOTHORACIC Allergies: Ibuprofen Attending:[**First Name3 (LF) 165**] Chief Complaint: Angina Major Surgical or Invasive Procedure: [**2112-11-17**] Left heart catheterization, coronary angiogram [**2112-11-18**] Off-pump coronary artery bypass graft x 2(LIMA-LAD,SVG-DG) History of Present Illness: 50 yo man 2 weeks s/p BMS stent placement to OM2 on [**2112-10-28**] for NSTEMI at [**Hospital1 2025**] (admitted [**Date range (3) 20020**]) now here with left chest pain radiating to left jaw, left eye, with associated with sweatiness and SOB.H as been taking his plavix and all his meds. Positive stress at [**Hospital1 18**] on [**2112-11-15**]. Cardiac enzymes negative, no EKG changes per report. CP free with morphine. Per report patient refused CABG at [**Hospital1 2025**] choosing medical management. Patient now amendable to surgical revascularization. Past Medical History: Coronary artery disease s/p coronary stent (BMS to OM2 [**2112-10-28**]) Hypertension Diabetes Mellitus Type 2 (insulin 72/25) poor control due to non compliance Polysubstance abuse Myocardial Infartcion [**10-24**] Hypercholesterolemia Multiple hospital admissions for ileus Gastroesophageal Reflux Disease Rt shoulder SLAP tear s/p steroid injection Rib fracture pancreatitis secondary to ETOH abuse MRSA bacteremia/PNA C4/5 fusion rotator cuff surgery Social History: Reports that he lives in [**Hospital1 8**] in a shelter. Is single and has no children. Smokes 0.5-1ppd X 40+ yrs. Denies current alcohol use - reports he has not had anything to drink in 5 months, admits to crack use 5 months ago. Denies IVDU. Of note, patient uses different names in hospitals around [**Location (un) 86**] and has a history of leaving AMA. Family History: non-contributory Physical Exam: Pulse:74 reg Resp: 18 O2 sat:96% RA B/P: 98.3 Height: Weight:195lbs General: comfortable Skin: Dry [x] intact [x] HEENT: PERRLA [] EOMI [x] Neck: Supple [x] Full ROM [x] Chest: Lungs clear bilaterally [x] Heart: RRR [x] Irregular [] Murmur - Abdomen: Soft [x] non-distended [x] non-tender [x] bowel sounds + [] Extremities: Warm [x], well-perfused [x] Edema Varicosities: None [x] Neuro: Grossly intact. R handed, moves 4 ext. follows commands Pulses: Femoral Right:palp Left:palp DP Right:palp Left:palp PT [**Name (NI) 167**]: Left: Radial Right:palp Left:palp Carotid Bruit Right: - Left: - Pertinent Results: [**2112-11-17**] Cardiac Cath: 1. Selective coronary angiography of this right-dominant system revealed two-vessel coronary artery disease. The LMCA had no significant stenoses. The LAD had a 50-70% stenosis after D1, which itself had a 70% mid-vessel stenosis. The distal LAD tapers and had an 80% stenosis. The LCX had a widely patent prior stent in a large OM2. The RCA had severe diffuse proximal and mid-vessel disease up to its bifurcation. The RPL and RPDA branches were small and without significant stenoses, with distal filling via LAD collaterals. 2. Limited resting hemodynamics demonstrated normal central aortic pressures. [**2112-11-18**] Echo: Off Pump CABG:1. The left atrium is mildly dilated. The left atrial appendage emptying velocity is depressed (<0.2m/s). No thrombus is seen in the left atrial appendage. 2. No atrial septal defect is seen by 2D or color Doppler. 3. Left ventricular wall thicknesses are normal. The left ventricular cavity size is normal. 4. Right ventricular chamber size is normal. 5. There are simple atheroma in the descending thoracic aorta. 6. There are three aortic valve leaflets. The aortic valve leaflets are mildly thickened (?#). There is no aortic valve stenosis. No aortic regurgitation is seen. 7. The mitral valve appears structurally normal with trivial mitral regurgitation. 8. There is no pericardial effusion. The LV systolic function was preserved at the end of the case. [**2112-11-14**] 11:00AM BLOOD WBC-6.1 RBC-3.67* Hgb-11.1* Hct-34.9* MCV-95 MCH-30.3 MCHC-31.8 RDW-15.5 Plt Ct-428 [**2112-11-17**] 05:10PM BLOOD WBC-6.0 RBC-2.96* Hgb-9.6* Hct-28.3* MCV-96 MCH-32.3* MCHC-33.8 RDW-15.3 Plt Ct-293 [**2112-11-23**] 05:00AM BLOOD WBC-6.3 RBC-2.68* Hgb-8.4* Hct-25.6* MCV-95 MCH-31.3 MCHC-32.8 RDW-15.5 Plt Ct-271 [**2112-11-14**] 11:00AM BLOOD PT-12.1 PTT-25.8 INR(PT)-1.0 [**2112-11-18**] 11:46AM BLOOD PT-13.0 PTT-34.3 INR(PT)-1.1 [**2112-11-14**] 11:00AM BLOOD Glucose-95 UreaN-28* Creat-2.0* Na-140 K-5.8* Cl-105 HCO3-27 AnGap-14 [**2112-11-17**] 07:15AM BLOOD Glucose-198* UreaN-18 Creat-1.3* Na-140 K-5.1 Cl-105 HCO3-27 AnGap-13 [**2112-11-21**] 06:40AM BLOOD Glucose-190* UreaN-27* Creat-1.6* Na-141 K-4.6 Cl-105 HCO3-25 AnGap-16 [**2112-11-20**] 01:00PM BLOOD ALT-13 AST-27 LD(LDH)-277* AlkPhos-78 Amylase-20 TotBili-0.4 [**2112-11-15**] 07:20AM BLOOD Calcium-8.7 Phos-4.2 Mg-2.0 Brief Hospital Course: Following admission he ruled out for acute infarction. Cardiac cath on [**11-17**] showed severe left anterior descending coronary disease. Having previously refused surgical intervention elsewhere, he now consented to surgery. On [**11-18**] he went to the operating Room where an off pump bypass was performed. See operative note for details. He tolerated the procedure well and was transferred to the CVICU for invasive monitoring in stable condition. Plavix was administered as he was done off pump. Within 24 hours he was weaned from sedation, awoke neurologically intact and extubated. On post-op day one he was transferred to the telemetry floor. He was admonished to the necessity of taking medications as prescribed, smoking cessation and compliance with glucose control. Beta blockade was resumed and diuresis begun. Chest tubes were removed on the first day after surgery. Physical Therapy was consulted for mobility and strength. Insulin was begun, both fixed dose and sliding scale, as this had previously been his regimen when compliant. He was evaluated by the pain service regarding his pain medication regimen due to his history polysubstance abuse. The remainder of his post-op course was uneventful and on post-op day four he appeared suitable for discharge to rehab with the appropriate medications and follow-up appointments. Medications on Admission: Outside: Plavix 75mg daily Medications in hospital: as of [**2112-11-15**] Metoprolol XL 100mg in am 50mg HS Ranolazine 500mg [**Hospital1 **] Insulin SSR Gabapentin 300mg three times a day Tramadol 50mg po q6hr ; prn NTG 0.3mg SL PRN Ranitidine 150mg po BID aimtriptyline 100mg po at night ASA 325mg po daily Plavix 75 mg daily Discharge Medications: 1. Clopidogrel 75 mg Tablet Sig: One (1) Tablet PO DAILY (Daily). Disp:*30 Tablet(s)* Refills:*2* 2. Nitroglycerin 0.3 mg Tablet, Sublingual Sig: One (1) Tablet, Sublingual Sublingual PRN (as needed) as needed for chest pain. 3. Aspirin 81 mg Tablet Sig: One (1) Tablet PO once a day. Disp:*30 Tablet(s)* Refills:*2* 4. Outpatient Lab Work Please go to lab to have labs drawn on Friday [**2112-11-18**] (Chem 7). Results should be faxed to your primary care physician, [**First Name8 (NamePattern2) **] [**Last Name (NamePattern1) 1887**] at [**Telephone/Fax (1) 6309**]. 5. Amitriptyline 50 mg Tablet Sig: Two (2) Tablet PO HS (at bedtime). Disp:*60 Tablet(s)* Refills:*2* 6. Acetaminophen 500 mg Tablet Sig: Two (2) Tablet PO Q6H (every 6 hours). Disp:*240 Tablet(s)* Refills:*2* 7. Docusate Sodium 100 mg Capsule Sig: One (1) Capsule PO BID (2 times a day). 8. Tramadol 50 mg Tablet Sig: One (1) Tablet PO Q4H (every 4 hours) as needed for pain. Disp:*120 Tablet(s)* Refills:*1* 9. Gabapentin 300 mg Capsule Sig: One (1) Capsule PO TID (3 times a day). Disp:*90 Capsule(s)* Refills:*2* 10. Atorvastatin 20 mg Tablet Sig: One (1) Tablet PO HS (at bedtime). Disp:*30 Tablet(s)* Refills:*2* 11. humalog insulin 75/25 18 units every morning subcutaneously 20 units every evening subcutaneously Dispense 2 vials and 2 refills 12. humalog insulin dose according to sliding scale finger sticks dispense 2 vials with 2 refills 13. Nicotine 21 mg/24 hr Patch 24 hr Sig: One (1) Patch 24 hr Transdermal DAILY (Daily). Disp:*15 Patch 24 hr(s)* Refills:*2* 14. Oxycodone 5 mg Tablet Sig: 2-4 Tablets PO Q4H (every 4 hours) as needed for pain. Disp:*90 Tablet(s)* Refills:*0* 15. Metoprolol Tartrate 25 mg Tablet Sig: Three (3) Tablet PO BID (2 times a day). Disp:*180 Tablet(s)* Refills:*2* 16. Lactulose 10 gram/15 mL Syrup Sig: Thirty (30) ML PO TID (3 times a day). Discharge Disposition: Extended Care Facility: [**Hospital6 2222**] - [**Location (un) 538**] Discharge Diagnosis: Coronary artery disease s/p off pump coronary artery bypass x 2 Past medical history s/p coronary stent (BMS to OM2 [**2112-10-28**]) Hypertension Diabetes Mellitus Type 2 (insulin 72/25) poor control due to non compliance Polysubstance abuse Myocardial Infartcion [**10-24**] Hypercholesterolemia Multiple hospital admissions for ileus Gastroesophageal Reflux Disease Rt shoulder SLAP tear s/p steroid injection Rib fracture pancreatitis secondary to ETOH abuse MRSA bacteremia/PNA C4/5 fusion rotator cuff surgery Discharge Condition: Ambulatory, normal mental staus. Wounds healing well. Discharge Instructions: Please shower daily including washing incisions gently with mild soap, no baths or swimming, and look at your incisions Please NO lotions, cream, powder, or ointments to incisions Each morning you should weigh yourself and then in the evening take your temperature, these should be written down on the chart No driving for approximately one month until follow up with surgeon No lifting more than 10 pounds for 10 weeks Please call with any questions or concerns [**Telephone/Fax (1) 170**] Followup Instructions: Dr. [**First Name (STitle) **] in 4 weeks ([**Telephone/Fax (1) 170**]) [**Hospital Ward Name 121**] 6 wound clinic ([**Telephone/Fax (1) 20021**] [**First Name (Titles) **] [**Last Name (Titles) **] Dr. [**First Name8 (NamePattern2) **] [**Last Name (NamePattern1) 13959**] in [**12-18**] weeks ([**Telephone/Fax (1) 250**]) Dr. [**First Name8 (NamePattern2) **] [**Last Name (NamePattern1) **]- [**Company 191**] Post [**Hospital **] Clinic Date/ Time: [**2112-11-29**] 1:10pm Location: [**Location (un) 830**] [**Hospital Ward Name 23**] Building [**Location (un) 895**] Central Suite, [**Location (un) 86**] Phone number: [**Telephone/Fax (1) 250**] [**Name6 (MD) **] [**Name8 (MD) **] MD [**MD Number(2) 173**] Completed by:[**2112-11-23**] ICD9 Codes: 5845, 3572, 4111, 2767, 2859
{ "dataset_link": "https://huggingface.co/datasets/ricardosantoss/ehrcomplete_icdfiltered", "dataset_name": "ehrcomplete-icdfiltered", "id": 8150 }
Medical Text: Admission Date: [**2159-2-14**] Discharge Date: [**2159-2-24**] Date of Birth: [**2089-6-16**] Sex: M Service: CARDIOTHORACIC Allergies: Morphine / Iodine; Iodine Containing Attending:[**First Name3 (LF) 1505**] Chief Complaint: SOB/angina for 18 months Major Surgical or Invasive Procedure: CABG x 4 [**2159-2-20**] (LIMA to LAD, SVG to DIAG, SVG to RAMUS, SVG to PDA) History of Present Illness: 69 yo male with SOB and angina to left arm with moderate exertion. Has had sx for approx. 1 1/2 years. Cath at [**Location (un) **] revealed LM and occluded RCA, as well as severe right external iliac stenosis. Transferred here for CABG. Past Medical History: CAD inferior myocardial infarction hyperlipidemia hypertension renal calculi ( 10 years ago) bilat. LE claudication PSH: appy, tonsillectomy, 2 back surgeries Social History: lives with wife retired [**Name2 (NI) **] worker actively smokes one ppd one ETOH per week Family History: mother with multiple MIs/CVA, died at age 82 Physical Exam: 5'9" 89.3 kg HR 50 RR 18 136/62 well-appearing skin unremarkable PERRL lower partial and imcomplete dentition neck supple, full ROM CTAB RRR no murmur soft, NT, ND, + BS warm, well-perfused, no edema left groin cath site c/d/i, no hematoma neuro grpossly intact 2+ bil. fem/DP/PT/radials no carotid bruits appreciated Pertinent Results: Conclusions PRE-CPB:1. The left atrium is normal in size. No thrombus is seen in the left atrial appendage. No atrial septal defect is seen by 2D or color Doppler. 2. Left ventricular wall thicknesses and cavity size are normal. Left ventricular wall thicknesses are normal. The left ventricular cavity size is normal. Overall left ventricular systolic function is mildly depressed (LVEF= 45 %). Transmitral Doppler and tissue velocity imaging are consistent with Grade I (mild) LV diastolic dysfunction. 3. Right ventricular chamber size and free wall motion are normal. 4. The ascending aorta is mildly dilated. There are simple atheroma in the ascending aorta. There are simple atheroma in the aortic arch. There are complex (>4mm) atheroma in the descending thoracic aorta. 5. There are three aortic valve leaflets. The aortic valve leaflets are mildly thickened. There is no aortic valve stenosis. No aortic regurgitation is seen. 6. The mitral valve appears structurally normal with trivial mitral regurgitation. Dr. [**Last Name (STitle) **] was notified in person of the results. POST-CPB: On infusion of phenylephrine, a-pacing. Preserved biventricular systolic function post-cpb. Trivial mr, ai. Aortic contour is normal post decannulation. I certify that I was present for this procedure in compliance with HCFA regulations. Electronically signed by [**First Name8 (NamePattern2) **] [**Last Name (NamePattern1) 5209**], MD, Interpreting physician [**Last Name (NamePattern4) **] [**2159-2-20**] 16:43 ?????? [**2153**] CareGroup IS. All rights reserved. Brief Hospital Course: Mr. [**Known lastname 496**] was admitted from [**Hospital **] Hosp. on [**2-14**]. Heparin was started during a plavix washout while awating surgery. He underwent CABG with Dr. [**Last Name (STitle) **] on [**2-20**]. He tolerated the procedure well and was transferred in critical and stable condition to the surgical intensive care unit. His phenylephrine and propofol drips were weaned. He was extubated that evening and his chest tubes were removed. He was transferred to the floor on POD #1 to begin increasing his activity level. He was seen in consultation by physical therapy. On POD #3 his wires were removed. By the following day he was ready for discharge to home. Medications on Admission: atenolol 50 mg daily zetia 10 mg daily simvastatin 80 mg daily ASA 325 mg daily plavix 75 mg daily prednisone 20 mg TID x 1 day for cath prophylaxis only Discharge Medications: 1. Potassium Chloride 20 mEq Tab Sust.Rel. Particle/Crystal Sig: One (1) Tab Sust.Rel. Particle/Crystal PO Q12H (every 12 hours) for 7 days. Disp:*14 Tab Sust.Rel. Particle/Crystal(s)* Refills:*0* 2. Docusate Sodium 100 mg Capsule Sig: One (1) Capsule PO BID (2 times a day). 3. Ranitidine HCl 150 mg Tablet Sig: One (1) Tablet PO BID (2 times a day) for 1 months. Disp:*60 Tablet(s)* Refills:*0* 4. Aspirin 81 mg Tablet, Delayed Release (E.C.) Sig: One (1) Tablet, Delayed Release (E.C.) PO DAILY (Daily). Disp:*30 Tablet, Delayed Release (E.C.)(s)* Refills:*2* 5. Simvastatin 40 mg Tablet Sig: Two (2) Tablet PO DAILY (Daily). Disp:*60 Tablet(s)* Refills:*2* 6. Ezetimibe 10 mg Tablet Sig: One (1) Tablet PO DAILY (Daily). Disp:*60 Tablet(s)* Refills:*2* 7. Furosemide 40 mg Tablet Sig: One (1) Tablet PO once a day for 7 days. Disp:*7 Tablet(s)* Refills:*0* 8. Bupropion 75 mg Tablet Sig: One (1) Tablet PO BID (2 times a day). Disp:*60 Tablet(s)* Refills:*2* 9. Tramadol 50 mg Tablet Sig: One (1) Tablet PO Q6H (every 6 hours) as needed. Disp:*60 Tablet(s)* Refills:*0* 10. Keflex 500 mg Capsule Sig: One (1) Capsule PO twice a day for 7 days. Disp:*14 Capsule(s)* Refills:*0* 11. Atenolol 50 mg Tablet Sig: One (1) Tablet PO once a day. Disp:*30 Tablet(s)* Refills:*2* 12. Plavix 75 mg Tablet Sig: One (1) Tablet PO once a day. Disp:*30 Tablet(s)* Refills:*2* Discharge Disposition: Home With Service Facility: [**Location (un) 932**] Area VNA Discharge Diagnosis: CAD s/p CABG inferior myocardial infarction hyperlipidemia hypertension renal calculi ( 10 years ago) right external iliac stenosis bilat. LE claudication Discharge Condition: Good Discharge Instructions: 1) Monitor wounds for signs of infection. These include redness, drainage or increased pain. In the event that you have drainage from your sternal wound, please contact the [**Name2 (NI) 5059**] at ([**Telephone/Fax (1) 1504**]. 2) Report any fever greater then 100.5. 3) Report any weight gain of 2 pounds in 24 hours or 5 pounds in 1 week. 4) No lotions, creams or powders to incision until it has healed. You may shower and wash incision. Gently pat the wound dry. Please shower daily. No bathing or swimming for 1 month. Use sunscreen on incision if exposed to sun. 5) No lifting greater then 10 pounds for 10 weeks from date of surgery. 6) No driving for 1 month or while taking narcotics for pain. 7) Call with any questions or concerns. Followup Instructions: Please follow-up with Dr. [**Last Name (STitle) **] in 1 month. ([**Telephone/Fax (1) 1504**] Please follow-up with Dr. [**Last Name (STitle) 8579**] in [**2-6**] weeks Follow up with Dr. [**Last Name (STitle) 40075**] in [**1-5**] weeks Completed by:[**2159-2-24**] ICD9 Codes: 4111, 5180, 2724, 4019, 412
{ "dataset_link": "https://huggingface.co/datasets/ricardosantoss/ehrcomplete_icdfiltered", "dataset_name": "ehrcomplete-icdfiltered", "id": 8151 }
Medical Text: Admission Date: [**2148-9-6**] Discharge Date: [**2148-9-17**] Date of Birth: [**2072-2-26**] Sex: M Service: NEUROLOGY Allergies: No Known Allergies / Adverse Drug Reactions Attending:[**First Name3 (LF) 2569**] Chief Complaint: Code stroke: found by wife in the morning to be unresponsive, non-communicative and to have left sided weakness. Major Surgical or Invasive Procedure: none History of Present Illness: The pt is a 76 yo M with history of pAfib on coumadin, CHF (EF 10-15%), Prostate CA, stroke, who presents with acute onset left sided weakness, drowsiness and inability to speak. Over the past several weeks, he had been experiencing increased SOB and difficulty climbing stairs. He has been followed by his cardiologist who had scheduled a cardiac cath for this morning. In that setting he had been holding his coumadin since Monday and was not taking other anticoagulation or antiplatelets. This morning his wife woke him up around 5am to come in for the catheterization and found him unresponsive. He was also apparently not moving his left side. She tried to waken him up but he would not open his eyes. He did not interact purposefully at that time and apparently could not communicate. EMS was called and he was brought to the ED at which time code stroke was called. His NIHSS was calculated to be 15, he underwent CT/CTA/CTP which revealed extensive clot from R ICA above the bifurcation to the R MCA with area of hypodensity. Given the time course of the time of last known well >8hrs, tPA was not given; interventional thrombectomy/lysis was considered and extensively discussed but given the time course and the unfavorable risk/benefit assessment ultimately was not pursued. While awaiting assessment in the ED, the patient's respiratory status became tenuous with shallow breathing. He was responsive only to vigorous sternal rub. He was therefore intubated and sedated for airway protection. ROS was not possible in this setting. Past Medical History: 1. CAD status post MI in [**2136-3-24**], [**2136-8-24**], [**2137**]. He has known 3VD. He is status post PTCA of the left circ and OM1 in 4/00. He is status post PTCA stent of the ramus in 5/00. In [**8-/2136**] he had restent of the ramus and stent in the proximal LAD. In 11/00 he had PTCA of the left circ. His last stress was in [**11/2136**]. He exercised four minutes, 48% exercise capacity, no anginal symptoms, no EKG changes. He had a fixed defect in the anterior septal region. 2. History of obstructive jaundice status post ERCP in [**Month (only) 547**] [**2135**] with sphincterotomy and extraction of common bile duct stone. 3. Hypertension. 4. Hypercholesterolemia. 5. Depression. 6. Paroxysmal atrial fibrillation. 7. CVA: ischemic left middle cerebral artery territory infarct in his posterior frontal lobe with subsequent right hemiparesis. Suspected cardioembolic source. On long-term Coumadin. 8. Systolic HF, last EF 25% on TTE [**12-27**]. 9. Prostate CA [**45**]. Right inguinal hernia repair Social History: Came here from [**Country 532**] in [**2132**]. Russian speaking only. He lives with his wife. [**Name (NI) **] does not smoke tobacco or drink alcohol. Denies illicit drugs. Family History: Coronary artery disease Physical Exam: Physical Exam: On admission: Vitals: T: afebrile P: 92 R: 20 BP: 150/100 SaO2: 97% General: responsive only to sternal rub, eyes closed, able to follow simple commands, HEENT: NC/AT, no scleral icterus noted, MMM, no lesions noted in oropharynx Neck: Supple, no carotid bruits appreciated. No nuchal rigidity Pulmonary: Lungs CTA bilaterally without R/R/W Cardiac: irregular, S1S2S3 systolic murmur, Abdomen: soft, NT/ND, normoactive bowel sounds, no masses or organomegaly noted. Extremities: No C/C/E bilaterally, 2+ radial, DP pulses bilaterally. Skin: no rashes or lesions noted. Neurologic: (If applicable) NIH Stroke Scale score was 14: 1a. Level of Consciousness: 2 1b. LOC Question: 2 1c. LOC Commands: 2 2. Best gaze: 1 3. Visual fields: 0 4. Facial palsy: 0 5a. Motor arm, left: 2 5b. Motor arm, right: 0 6a. Motor leg, left: 1 6b. Motor leg, right: 0 7. Limb Ataxia: 0 8. Sensory: 0 9. Language: 3 10. Dysarthria: 0 11. Extinction and Neglect: 1 -Mental Status: Drowsy, eyes closed, responds only to vigorous sternal rub. ? neglect of left side. No spontaneous speech, -Cranial Nerves: I: Olfaction not tested. II: PERRL 3 to 2mm and brisk. VFF to confrontation. III, IV, VI: Forced conjugate deviation towards the right that can be overcome with VOR VII: No clear facial droop, facial musculature symmetric when grimacing VIII: VOR intact IX, X:+ gag -Motor: Normal bulk, decreased tone in the left upper extremity No adventitious movements, such as tremor, noted. No asterixis noted. Level of arousal limited accurate assessment of motor strength but appeared to have full strength in the right upper and lower extremities. Left upper extremity demonstrated [**2-26**] at the deltoid and flaccid paralysis distal to the deltoid. Left lower extremity was at least [**2-26**] in all muscle groups, tone was not decreased, no external rotation, -Sensory: withdrawal to noxious in all extremities -DTRs: [**Name2 (NI) **] Tri [**Last Name (un) 1035**] Pat Ach L 2 2 2 2 mute R 2 2 2 2 mute Plantar response was extensor bilaterally. -Coordination/Gait: defered Physical Exam on Discharge: expired Pertinent Results: [**2148-9-9**] 04:05AM BLOOD WBC-6.9 RBC-4.18* Hgb-12.5* Hct-37.3* MCV-89 MCH-30.0 MCHC-33.6 RDW-14.2 Plt Ct-160 [**2148-9-7**] 02:12AM BLOOD WBC-7.8 RBC-4.26* Hgb-12.9* Hct-38.6* MCV-91 MCH-30.2 MCHC-33.3 RDW-14.2 Plt Ct-163 [**2148-9-6**] 03:00PM BLOOD WBC-6.3 RBC-4.23* Hgb-12.8* Hct-38.0* MCV-90 MCH-30.3 MCHC-33.8 RDW-14.4 Plt Ct-178# [**2148-9-6**] 05:40AM BLOOD WBC-6.7 RBC-4.02* Hgb-12.4* Hct-36.3* MCV-90 MCH-30.8 MCHC-34.1 RDW-14.6 Plt Ct-365 [**2148-9-5**] 08:24AM BLOOD WBC-5.4 RBC-4.36* Hgb-13.2* Hct-40.5 MCV-93 MCH-30.3 MCHC-32.7 RDW-14.7 Plt Ct-185 [**2148-9-9**] 04:05AM BLOOD Plt Ct-160 [**2148-9-8**] 02:03AM BLOOD PT-13.0* PTT-35.0 INR(PT)-1.2* [**2148-9-7**] 02:12AM BLOOD PT-13.1* PTT-32.2 INR(PT)-1.2* [**2148-9-5**] 08:24AM BLOOD PT-15.2* INR(PT)-1.4* [**2148-9-6**] 05:40AM BLOOD Fibrino-350 [**2148-9-9**] 04:05AM BLOOD Glucose-145* UreaN-20 Creat-0.6 Na-143 K-3.5 Cl-107 HCO3-28 AnGap-12 [**2148-9-8**] 02:03AM BLOOD Glucose-104* UreaN-15 Creat-0.6 Na-141 K-3.5 Cl-106 HCO3-26 AnGap-13 [**2148-9-7**] 02:12AM BLOOD ALT-19 AST-33 AlkPhos-79 [**2148-9-9**] 04:05AM BLOOD Calcium-8.7 Phos-2.2* Mg-1.9 [**2148-9-7**] 02:12AM BLOOD CK-MB-6 cTropnT-0.03* [**2148-9-6**] 05:40AM BLOOD cTropnT-<0.01 [**2148-9-7**] 02:12AM BLOOD Triglyc-60 HDL-43 CHOL/HD-3.2 LDLcalc-83 [**2148-9-6**] 05:40AM BLOOD ASA-NEG Ethanol-NEG Acetmnp-NEG Bnzodzp-NEG Barbitr-NEG Tricycl-NEG [**2148-9-6**] 05:54AM BLOOD Glucose-153* Lactate-3.3* Na-138 K-7.3* Cl-107 calHCO3-16* [**2148-9-6**] 05:54AM BLOOD Hgb-13.3* calcHCT-40 O2 Sat-94 COHgb-5 MetHgb-0.3 HEAD AND NECK CTA [**9-6**] Thrombus within the right intracranial ICA extending over the supraclinoid ICA and bifurcation with thrombus in the right M1 segment of the middle cerebral artery. The right ICA is not opacified through the petrous segment, but this may reflect decreased flow due to the distal thrombus rather than thrombosis of this segment of the vessel as there is no hyperdense thrombus visualized in this segment of the artery. Corresponding decreased cerebral blood flow and blood volume in the right middle cerebral artery distribution. There is distal collateral flow. Origin of the thrombus may be from extensive soft plaque in the proximal cervical internal carotid artery. Occluded right vertebral artery from its origin through the V4 segment, where it is distally reconstituted. No intracranial hemorrhage. HEAD AND NECK MRI [**9-6**] FINDINGS: There is slow diffusion within the entire right middle cerebral artery territory, compatible with acute/subacute ischemia. Hyperintense signal is seen within the right internal carotid artery extending from the distal cervical portion through the bifurcation and also in the middle cerebral artery on the right, which may reflect combination of slow flow and/or thrombus. There is no hemorrhage. Elsewhere, there is confluent and punctate FLAIR signal hyperintensity in periventricular and subcortical white matter bilaterally, which likely reflect sequela of moderate microvascular disease. The visualized portions of the paranasal sinuses, mastoids, and orbits are unremarkable. Fluid is noted within the nasopharynx. IMPRESSION: 1. Acute infarct involving nearly the entire right middle cerebral artery territory. 2. Thrombus and/or slow flow within the right internal carotid artery extending from the distal cervical portion through the bifurcation of the internal carotid artery and into the right middle cerebral artery. 3. No intracranial hemorrhage. TTE [**9-11**] Echocardiographic Measurements Results Measurements Normal Range Left Atrium - Long Axis Dimension: *4.1 cm <= 4.0 cm Left Atrium - Four Chamber Length: *7.7 cm <= 5.2 cm Left Atrium - Peak Pulm Vein S: 0.4 m/s Right Atrium - Four Chamber Length: *7.2 cm <= 5.0 cm Left Ventricle - Septal Wall Thickness: 1.0 cm 0.6 - 1.1 cm Left Ventricle - Inferolateral Thickness: 1.0 cm 0.6 - 1.1 cm Left Ventricle - Diastolic Dimension: 5.6 cm <= 5.6 cm Left Ventricle - Ejection Fraction: 15% to 20% >= 55% Left Ventricle - Stroke Volume: 35 ml/beat Left Ventricle - Cardiac Output: 3.22 L/min Left Ventricle - Cardiac Index: *1.67 >= 2.0 L/min/M2 Left Ventricle - Lateral Peak E': *0.02 m/s > 0.08 m/s Left Ventricle - Septal Peak E': *0.02 m/s > 0.08 m/s Left Ventricle - Ratio E/E': *50 < 15 Aorta - Sinus Level: 2.8 cm <= 3.6 cm Aorta - Ascending: *3.9 cm <= 3.4 cm Aortic Valve - Peak Velocity: 1.0 m/sec <= 2.0 m/sec Aortic Valve - LVOT VTI: 10 Aortic Valve - LVOT diam: 2.1 cm Mitral Valve - E Wave: 1.0 m/sec Mitral Valve - E Wave deceleration time: *101 ms 140-250 ms TR Gradient (+ RA = PASP): *45 to 48 mm Hg <= 25 mm Hg Pulmonic Valve - Peak Velocity: 0.7 m/sec <= 1.5 m/sec Findings This study was compared to the prior study of [**2147-6-5**]. LEFT ATRIUM: Mild LA enlargement. RIGHT ATRIUM/INTERATRIAL SEPTUM: Markedly dilated RA. No ASD or PFO by 2D, color Doppler or saline contrast with maneuvers. LEFT VENTRICLE: Normal LV wall thickness. Normal LV cavity size. Severe regional LV systolic dysfunction. No LV mass/thrombus. No resting LVOT gradient. RIGHT VENTRICLE: Normal RV chamber size. Mild global RV free wall hypokinesis. AORTA: Normal aortic diameter at the sinus level. Mildly dilated ascending aorta. AORTIC VALVE: Mildly thickened aortic valve leaflets (3). No AS. Mild (1+) AR. MITRAL VALVE: Mildly thickened mitral valve leaflets. No MVP. Moderate mitral annular calcification. Mild thickening of mitral valve chordae. Mild (1+) MR. TRICUSPID VALVE: Mildly thickened tricuspid valve leaflets. Mild [1+] TR. Moderate PA systolic hypertension. PULMONIC VALVE/PULMONARY ARTERY: Pulmonic valve not well seen. PERICARDIUM: Trivial/physiologic pericardial effusion. There is an anterior space which most likely represents a fat pad, though a loculated anterior pericardial effusion cannot be excluded. GENERAL COMMENTS: Contrast study was performed with 1 iv injection of 8 ccs of agitated normal saline at rest. Patient was unable to cooperate with maneuvers. Echo contrast was administered by the clinical nurse. [**First Name (Titles) 2325**] [**Last Name (Titles) **] effusion. REGIONAL LEFT VENTRICULAR WALL MOTION: N = Normal, H = Hypokinetic, A = Akinetic, D = Dyskinetic Conclusions The left atrium is markedly dilated. The right atrium is markedly dilated. No atrial septal defect or patent foramen ovale is seen by 2D, color Doppler or saline contrast with maneuvers. Left ventricular wall thicknesses are normal. The left ventricular cavity size is normal. There is severe global and regional left ventricular systolic dysfunction with akinesis to dyskinesis of the basal to mid inferior wall and apex, and global hypokinesis in the remaining segments (EF 15-20%). No masses or thrombi are seen in the left ventricle. Mild right ventricular systolic dysfunction. The ascending aorta is mildly dilated. There are three aortic valve leaflets. The aortic valve leaflets are moderately thickened. Mild (1+) aortic regurgitation is seen. The mitral valve leaflets are moderately thickened. Mild (1+) mitral regurgitation is seen. There is moderate pulmonary artery systolic hypertension. There is a trivial/physiologic pericardial effusion. There is an anterior space which most likely represents a prominent fat pad. IMPRESSION: No left ventricular thrombus. No PFO or ASD by resting saline injection. Severe regional left ventricular systolic dysfunction. Mild mitral regurgitation. Moderate pulmonary hypertension. Compared with the prior study (images reviewed) of [**2148-8-1**], the findings are similar. CT Head [**9-7**]: FINDINGS: The patient's head is turned to the right at approximately 45 degrees, making evaluation slightly difficult. There is cytotoxic edema in essentially the entire territory of the right middle cerebral artery, representing evolution of the known thromboembolic infarction. There is no evidence of hemorrhagic transformation. The right lateral ventricle is partially effaced. The third ventricle is minimally shifted to the left, without significant compression. The left lateral ventricle is stable in size. There is no uncal herniation and no cerebellar tonsillar herniation. There is persistent hyperdensity in the distal right internal carotid artery and proximal right middle cerebral artery, corresponding to the known embolus. Calcifications are again noted in bilateral intracranial vertebral arteries, as well as cavernous and supraclinoid portions of bilateral internal carotid arteries. Hypodensities are again noted in the white matter of the left cerebral hemisphere, likely corresponding to sequela of chronic small vessel ischemic disease. The imaged paranasal sinuses and mastoid air cells are well aerated. IMPRESSION: 1. Continued expected evolution of the acute infarction in the right middle cerebral artery territory, with only mild mass effect at this time. No hemorrhagic transformation. 2. Persistent embolic occlusion of the distal right internal carotid artery and proximal right middle cerebral artery. 3. No intracranial hemorrhage. Brief Hospital Course: The pt is a 76 yo M with history of pAfib on Coumadin, off Coumadin for 5 days as he was planned to undergo cardiac catheterization because of recent worsening of his cardiac function and CHF (EF 10-15%) who was transported to the hospital after his wife found him lethargic, non-communicative and with left side weakness. He was found on CTA and CT perfusion to have thromboembolic occlusion of [**Country **]-RMCA c/b ischemia in the RMCA distribution. His limited neurological exam demonstrated R hemiparesis (arm>leg), left sided neglect and forced eye deviation towards the right. The patient was not given tPA because of the time course; he was last seen well at 10 or 11 PM and was found at 5 AM. The patient was intubated in ED for airway protection and transferred to the ICU. After extubation transferred to the floor [**9-8**]. On [**9-12**], pt was again transferred to ICU based on initiation of heparin gtt for acute limb ischemia, concern about hemorrhagic conversion of large CVA, new HAP, advanced CHF. Given poor prognosis, patient was transitioned to comfort measures only. 1. Ischemic stroke: An MRI was performed and confirmed acute infarct in the entire right MCA territory and large thrombus in the right carotid extending from the distal cervical portion, through the bifurcation of the internal carotid and into the right MCA. Given the size of stroke and risk of bleeding he was not started on heparin drip or anticoagulation for AFib. Stroke risk factors: A1c (5.2), lipid profile (TChol 138, LDL 83, HDL 43, TG 60). CMO as above. 2. Cardiovascular: hx of CHF: In ICU, cardiology service got involved and recommended preventing volume overload, started betablocker drip for heart rate control and will perform TTE. On floor, initiated CHF/AFib regimen of metoprolol 25 mg PO q6h and lisinopril 5 mg daily. On [**9-12**], pt was found to have a cold, mottled, pulseless left leg. Vascular surgery consulted urgently. Stat CTA LE was obtained, pt started on heparin gtt. Found to have aortoiliac thrombus. Would need amputation of leg, however, not operative candidate given cardiac. If no surgery, would progress to ischemic necrosis of the leg and sepsis. Given poor prognosis, transitioned to CMO as above. 3. Pulmonary: The patient was extubated successfully. However, on floor was noted to be tachypneic with [**Last Name (un) 6055**] [**Doctor Last Name **] respirations. On [**9-11**], received 20 mg furosemide IV in light of tachypnea, crackles, JVD, congestion on CXR. On [**9-12**], continued to be tachpneic, with worsening CXR infiltrates and new leukocytosis, was started on antibiotic therapy for HAP. Discontinued once transitioned to CMO. 4. GI: failed speech/swallow. NG tube placed, and was receiving nutrition. Scheduled for PEG placement. Medications on Admission: Medications - Prescription - pt was only taking warfarin. WARFARIN - (Prescribed by Other Provider) - warfarin 5 mg tablet one tablet(s) by mouth once a day or as directed last dose Monday [**2148-9-2**] ATENOLOL - (Not Taking as Prescribed) - atenolol 25 mg tablet one Tablet(s) by mouth once a day LISINOPRIL - (Not Taking as Prescribed) - lisinopril 5 mg tablet one Tablet(s) by mouth once a day ASPIRIN; 81 MG po DAILY Discharge Medications: expired Discharge Disposition: Expired Discharge Diagnosis: ischemic stroke left aortoiliac thrombus Discharge Condition: expired Discharge Instructions: expired Followup Instructions: expired [**First Name8 (NamePattern2) **] [**Name8 (MD) 162**] MD [**MD Number(2) 2575**] Completed by:[**2148-9-17**] ICD9 Codes: 486, 4280, 2724, 4019
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Medical Text: Admission Date: [**2107-8-16**] Discharge Date: [**2107-8-22**] Date of Birth: [**2055-5-17**] Sex: M Service: CARDIOTHORACIC Allergies: Codeine Attending:[**First Name3 (LF) 1283**] Chief Complaint: Shortness of breath Major Surgical or Invasive Procedure: [**2107-8-16**] Aortic Valve Replacement(23mm ON-X mechanical valve), Replacement of Ascending Aorta(26mm Gelweave Graft), and Closure of Atrial Septal Defect. History of Present Illness: Mr. [**Known lastname 9907**] is a 52 year old male with heart murmur since childhood. He has known aortic valve disease and has been followed by serial echocardiograms. His most recent ECHO revealed severe aortic insufficiency, and severe aortic stenosis with a peak gradient of 97mmHg and mean of 62mmHg. The [**Location (un) 109**] was estimated at 0.7cm2. The LVEF was estimated at 60%. Cardiac catheterization confirmed severe aortic insufficiency and aortic stenosis with evidence of moderately dilated ascending aorta. His coronary arteries were angiographically normal. Based upon the above results, he was referred for cardiac surgical intervention. Past Medical History: Mixed Aortic Valve Disease Dilated Ascending Aorta History of ETOH abuse GERD Anxiety Prior Foot Surgery Social History: Denies history of tobacco. Employed as a chef. He is married, and lives in [**Location 701**]. Family History: Denies premature coronary artery disease. Physical Exam: BP 150-160/80-90, HR 84 regualr, RR 12 Well developed, well nourished male in no acute distress Oropharynx benign, full dentures Neck supple, with FROM, no JVD, no carotid bruits Lungs CTA bilaterally Heart regular rate and rhythm, normal s1s2, mixed diastolic and systolic murmurs noted Abdomen benign Extremities warm, well perfused, no edema Distal pulses 2+ bilaterally Alert and oriented, CN 2-12 intact, 5/5 strength, no focal deficits Pertinent Results: [**8-16**] Echo: Prebypass: 1. A left-to-right shunt across the interatrial septum is seen at rest. A small secundum atrial septal defect is present. 2. There is mild symmetric left ventricular hypertrophy. Regional left ventricular wall motion is normal. Overall left ventricular systolic function is low normal (LVEF 50-55%). 3.Right ventricular chamber size and free wall motion are normal. 4.The ascending aorta is mildly dilated. There are simple atheroma in the descending thoracic aorta. The aortic valve is bicuspid. The aortic valve leaflets are moderately thickened. There is moderate to severe aortic valve stenosis (area 0.8-1.0cm2). Moderate to severe (3+) aortic regurgitation is seen. 5.Trivial mitral regurgitation is seen. Post bypass: 1. Mechanical aortic valve is well seated and the leaflets move well. Trace aortic regurgitation seen. Peak gradient across the valve is 19 mmHg. 2. Ascending aortic graft is noted. 3. No flow detected across the intra-atrial septum. 4. Preserved biventricular function. [**8-21**] CXR: Small to moderate bilateral pleural effusion, left greater than right, has increased since [**8-18**]. Moderate left lower lobe atelectasis is stable. Right lung is clear. Cardiomediastinal silhouette has a normal postoperative appearance, unchanged. No pneumothorax. [**2107-8-16**] 12:00PM BLOOD WBC-15.3*# RBC-2.71*# Hgb-8.1*# Hct-23.9*# MCV-88 MCH-30.1 MCHC-34.1 RDW-13.7 Plt Ct-210 [**2107-8-22**] 07:00AM BLOOD WBC-10.7 RBC-3.62* Hgb-10.7* Hct-30.7* MCV-85 MCH-29.5 MCHC-34.7 RDW-14.5 Plt Ct-292# [**2107-8-16**] 12:00PM BLOOD PT-15.1* PTT-56.4* INR(PT)-1.4* [**2107-8-20**] 05:15AM BLOOD PT-16.0* INR(PT)-1.5* [**2107-8-21**] 01:50AM BLOOD PT-29.8* PTT-38.8* INR(PT)-3.1* [**2107-8-21**] 09:20AM BLOOD PT-32.4* INR(PT)-3.5* [**2107-8-22**] 06:00AM BLOOD PT-26.1* PTT-37.4* INR(PT)-2.7* [**2107-8-16**] 12:53PM BLOOD UreaN-15 Creat-1.0 Cl-109* HCO3-31 [**2107-8-22**] 07:00AM BLOOD Glucose-110* UreaN-17 Creat-0.9 Na-137 K-4.3 Cl-101 HCO3-28 AnGap-12 [**2107-8-19**] 06:35AM BLOOD Calcium-8.4 Phos-3.8 Mg-2.2 Brief Hospital Course: Mr. [**Known lastname 9907**] was a same day admit and was brought directly to the operating room where he underwent a mechanical aortic valve replacement along with replacement of his ascending aorta and closure of an atrial septal defect. For surgical details, please see separate dictated operative note. Following the operation, he was brought to the CSRU for invasive monitoring in stable condition. Initially coagulopathic, he required multiple blood products with much improvement. Within 24 hours, he awoke neurologically intact and was extubated without incident. He transiently required Labetalol drip for hypertension. He otherwise maintained stable hemodynamics and transitioned to PO beta blockade. Given his history of anxiety and ETOH abuse, he was maintained on Ativan. His CSRU course was otherwise uneventful, and he transferred to the SDU on postoperative day two. Chest tubes and epicardial pacing wires were removed per protocol. Coumadin was initiated on post-op day three and Heparin was used as a bridge until INR was therapeutic. He continued to improve well over the next several days while working with physical therapy for strength and mobility. Once his INR was therapeutic he was discharged home with VNA services and the appropriate follow-up appointments. Dr. [**Last Name (STitle) **] (his cardiologist) will manage his Coumadin. *****Of note, Mr. [**Known lastname 9907**] is enrolled in the ON-X trial.***** Medications on Admission: Ativan prn Zoloft 75 qd Zantac 150 [**Hospital1 **] MVI Discharge Medications: 1. Docusate Sodium 100 mg Capsule Sig: One (1) Capsule PO BID (2 times a day). Disp:*60 Capsule(s)* Refills:*0* 2. Ranitidine HCl 150 mg Tablet Sig: One (1) Tablet PO BID (2 times a day). Disp:*60 Tablet(s)* Refills:*0* 3. Aspirin 81 mg Tablet, Delayed Release (E.C.) Sig: One (1) Tablet, Delayed Release (E.C.) PO DAILY (Daily). Disp:*100 Tablet, Delayed Release (E.C.)(s)* Refills:*0* 4. Thiamine HCl 100 mg Tablet Sig: One (1) Tablet PO DAILY (Daily). Disp:*30 Tablet(s)* Refills:*0* 5. Folic Acid 1 mg Tablet Sig: One (1) Tablet PO DAILY (Daily). Disp:*30 Tablet(s)* Refills:*0* 6. Hexavitamin Tablet Sig: One (1) Cap PO DAILY (Daily). Disp:*30 Cap(s)* Refills:*0* 7. Atorvastatin 10 mg Tablet Sig: One (1) Tablet PO DAILY (Daily). Disp:*90 Tablet(s)* Refills:*0* 8. Sertraline 50 mg Tablet Sig: 1.5 Tablets PO DAILY (Daily). Disp:*60 Tablet(s)* Refills:*0* 9. Metoprolol Tartrate 50 mg Tablet Sig: One (1) Tablet PO TID (3 times a day). Disp:*90 Tablet(s)* Refills:*0* 10. Lisinopril 5 mg Tablet Sig: 0.5 Tablet PO DAILY (Daily). Disp:*30 Tablet(s)* Refills:*0* 11. Warfarin 2 mg Tablet Sig: One (1) Tablet PO once a day: please take 2 mg [**8-22**] and [**8-23**] - lab draw [**8-24**] and further dosing by Dr [**Last Name (STitle) **]. Disp:*60 Tablet(s)* Refills:*0* 12. Oxycodone 5 mg Tablet Sig: 1-2 Tablets PO every four (4) hours as needed for pain. Disp:*50 Tablet(s)* Refills:*0* 13. Furosemide 40 mg Tablet Sig: One (1) Tablet PO once a day for 5 days. Disp:*5 Tablet(s)* Refills:*0* Discharge Disposition: Home With Service Facility: [**Hospital 2255**] [**Name (NI) 2256**] Discharge Diagnosis: Aortic Valve Disease, Dilated Ascending Aorta, Atrial Septal Defect s/p Aortic Valve Replacement, Asc. Aorta Replacement, ASD Closure PMH: Anxiety, Gastroesophageal Reflux Disease, History of ETOH abuse Discharge Condition: Good Discharge Instructions: Please shower daily including washing incisions, no baths or swimming Monitor wounds for infection - redness, drainage, or increased pain Report any fever greater than 101 Report any weight gain of greater than 2 pounds in 24 hours or 5 pounds in a week No creams, lotions, powders, or ointments to incisions No driving for approximately one month No lifting more than 10 pounds for 10 weeks Please call with any questions or concerns [**Telephone/Fax (1) 170**] Take Warfarin as directed by Dr. [**Last Name (STitle) **] . INR goal is around 2.5-3. INR should be first checked on this Wednesday. Future blood draws on Monday, Wednesday, Friday or per Dr. [**Last Name (STitle) **]. Followup Instructions: Dr. [**Last Name (STitle) 68853**] in [**4-14**] weeks, please call for appt [**Telephone/Fax (1) 170**] Dr. [**Last Name (STitle) **] [**Last Name (STitle) **] [**9-19**] at 4:45pm. Appt. has already been set up for you. Please call if there are scheduling conflicts. Dr. [**Last Name (STitle) 3321**] in [**2-12**] weeks, please call for appt [**Telephone/Fax (1) 3183**] Wound check please schedule with RN [**Telephone/Fax (1) 3633**] Completed by:[**2107-8-22**] ICD9 Codes: 9971, 2859
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Medical Text: Admission Date: [**2203-3-22**] Discharge Date: [**2203-3-26**] Date of Birth: [**2168-10-6**] Sex: F Service: [**Hospital Unit Name 153**] THE PATIENT SIGNED OUT AGAINST MEDICAL ADVICE 0N [**2203-3-26**]. HISTORY OF PRESENT ILLNESS: The patient is a 34 year old female who is admitted to the Intensive Care Unit with an episode of diabetic ketoacidosis, nausea and vomiting. Her past medical history is notable for multiple hospital admissions for diabetic ketoacidosis with nausea and vomiting and she now presents with an approximately one to two days of nausea and vomiting and some episodes of chest pain with her vomiting. She states that she had been taking her usual insulin regimen of 22 units of Lantus at night but has stopped taking her Lantus the past one to two days because of this persistent nausea and vomiting and decreased p.o. intake. On history she also notes occasional blood tinged vomitus with her vomiting. She decided to come to the Emergency Department because of her continued nausea and vomiting and continued chest pain. In the Emergency Department, she was noted o have several episodes of blood tinged vomitus, but no NG tube lavage was performed. She was noted to have a glucose of over 500 with an anion gap of 19 and was felt to be in diabetic ketoacidosis. On further review of systems, she notes several years of fecal incontinence and continued diarrhea. She denies any abdominal pain. She has also had intermittent episodes of lower extremity edema previously that were treated with Lasix and felt to be due to her renal failure. PAST MEDICAL HISTORY: 1. Diabetes mellitus type 1 with over 80 episodes of diabetic ketoacidosis in the past. She has neuropathy, nephropathy and retinopathy. 2. Chronic renal insufficiency with baseline creatinine of between 2.4 and 2.9. 3. History of gastroparesis, with episodes of nausea and vomiting. 4. Atypical chest pain. 5. Hypertension. 6. Asthma. 7. Chronic right foot ulcer being followed by Dr. [**Last Name (STitle) 108352**] of [**Last Name (STitle) **]. 8. Chronic diarrhea. ALLERGIES: To aspirin, codeine and peanuts. SOCIAL HISTORY: She lives in [**Location 686**] with her husband. MEDICATIONS: (per medical record) 1. Lantus 22 units at night. 2. Humalog insulin sliding scale. 3. Protonix 40 mg once a day. 4. Phenergan p.r.n. 5. Atenolol 75 mg once a day. 6. She had previously taken Lisinopril as well as an antibiotic given by [**Location **], the exact antibiotic could not be identified. PHYSICAL EXAMINATION: Vital signs on admission were temperature of 98.7 F.; blood pressure 126/62; heart rate 86; respiratory rate 14; saturation of 97% on room air. General appearance: The patient was somnolent but in no apparent distress. Head and Neck examination: She was nonicteric. Mucosa seemed moist. No jugular venous distention was noted. Lungs were clear to auscultation anteriorly and laterally. Cardiac examination is regular rate and rhythm; II/VI systolic ejection murmur that appeared to radiate to the carotids. Abdomen with some decreased bowel sounds, mild periumbilical discomfort. Nondistended, no rebound noted. Extremities had no lower extremity edema. Her right foot ulcer did not have significant areas of erythema or tenderness with clean margins. Neurologic: Pupils equally round and moderately reactive. The patient seemed somnolent, otherwise nonfocal examination. LABORATORY: On admission notable for a white blood cell count of 12.0, with 24% neutrophils, zero bands, 6% lymphocytes. Hematocrit 32.4, platelets 424, normal coagulation studies. Initial Chem-7 was notable for sodium of 140, potassium of 4.1, chloride 102, bicarbonate 19, BUN and creatinine were 50 and 3.2 with a glucose of 490, anion gap of 19. Calcium, magnesium and phosphorus were within normal limits. One set of negative cardiac enzymes. Normal liver function tests. Large acetone in the blood. HCG negative. Urinalysis notable for over 1000 glucose, 50 ketones. Arterial blood gas with a pH of 7.41, CO2 of 30, O2 of 129. Chest x-ray with no evidence of pneumonia or pneumothorax. Previous echocardiogram done in [**2202-3-2**] had an left ventricle with an ejection fraction of over 75%. HOSPITAL COURSE: 1. DIABETIC KETOACIDOSIS / DIABETES MELLITUS: The patient was initially placed on an insulin drip with D5 half normal saline for an episode of diabetic ketoacidosis. Her anion gap closed within 12 hours of admission. She was not given subcutaneous insulin however for several days because of her continued nausea and vomiting and inability to take a regular p.o. diet. On the 23rd, she was able to take p.o. and was given Lantus 22 Units at night as well as a Humalog sliding scale. 2. FOOT ULCER: She had a history of a chronic foot ulcer being followed by [**Year (4 digits) **], which was not fully treated in the past because of a long history of noncompliance. No clear source of her diabetic ketoacidosis was found on admission so it was presumptively thought to be related to her foot ulcer. [**Year (4 digits) **] evaluated the ulcer and felt that it looked fairly clean and recommended a foot x-ray as a definitive test for osteomyelitis which was negative. A follow-up bone scan was not recommended. She was initially placed on Zosyn which was later discontinued because of her concomitant infection with Clostridium difficile. She was urged to follow-up with [**Year (4 digits) **]. 3. CLOSTRIDIUM DIFFICILE INFECTION: Her Clostridium difficile culture came back positive on [**3-24**] and she was initially placed on intravenous Flagyl which was then changed to p.o. Flagyl when she was able to tolerate pills. This was thought to be the etiology of her nausea and vomiting. Although the patient was initially placed on Zosyn for her foot ulcer, it was discussed with [**Month (only) **] if she could discontinue this medication as she had an unchanged physical examination, negative foot x-ray, history of noncompliance and there was concern that the Zosyn may effect her treatment of Clostridium difficile. Prior to resolution of her treatment for her foot ulcer, the patient signed out Against Medical Advice but was given a prescriptions for Flagyl to complete a two week course. 4. ACUTE RENAL FAILURE: The patient's creatinine was initially elevated at 3.2, which fell to 2.9, which is the high end of her baseline. Her ACE inhibitor was held during her admission as she had previous episodes of lower extremity swelling and had some facial swelling during her hospital course. Her sodium intake was restricted as she was likely fluid overloaded from her renal failure. She was not given Lasix during her hospital stay as she did not have any shortness of breath or decreased O2 saturations. 5. CARDIOVASCULAR: She had an elevated blood pressure during her hospital course and initially placed on intravenous hydralazine because of her nausea and vomiting. She was then given her usual p.o. atenolol dose of 75 mg after she could tolerate pills. Given her hypertension, history of chest pain and lower extremity edema and notable systolic murmur, an echocardiogram was done showing fairly unchanged echocardiogram from her previous in [**2201**]. She had some mild left ventricular hypertrophy and an ejection fraction of over 75%. 6. HEMATEMESIS: The patient has had multiple episodes of hematemesis with her numerous bouts of nausea and vomiting which is associated with her chest pain and presumed to be from [**Doctor First Name **]-[**Doctor Last Name **] tears. On the 24th, her hematocrit dropped from 29.8 to 26.5 but was later rechecked and was 29.0. She had guaiac positive stools and there was concern for an upper gastrointestinal bleed. It was explained that she should have an esophagogastroduodenoscopy to better evaluate for a possible bleed, however, the patient declined and subsequently signed out Against Medical Advice. 7. AGAINST MEDICAL ADVICE: The patient signed out Against Medical Advice. The patient refused further esophagogastroduodenoscopy and left the hospital against medical advice. It was urged that she follow-up with her primary care physician, [**Last Name (NamePattern4) **]. [**Last Name (STitle) **] as well as Dr. [**Last Name (STitle) **] of [**Last Name (STitle) **] in the future and that she should continue with full course of her Clostridium difficile treatment and obtain a future evaluation for possible upper GI bleed. [**First Name4 (NamePattern1) **] [**Last Name (NamePattern1) **], M.D. [**MD Number(1) 3795**] Dictated By:[**Last Name (NamePattern1) 6289**] MEDQUIST36 D: [**2203-3-30**] 15:23 T: [**2203-3-30**] 18:06 JOB#: [**Job Number 108353**] ICD9 Codes: 2765, 5849
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Medical Text: Admission Date: [**2134-2-9**] Discharge Date: [**2134-2-18**] Date of Birth: [**2067-9-19**] Sex: F Service: PROCEDURE PERFORMED: Abdominal wall split thickness skin grafting, donor site left thigh. OVERT DIAGNOSES: 1. History of an aortic aneurysm rupture requiring multiple abdominal explorations for mesenteric and pancreatic ischemia. 2. She has also undergone a takedown of a colostomy in the past that developed a small dehiscence. 3. Ventral hernia repaired with Marlex. 4. She also has a cerebral aneurysm that has been coiled. 5. Atrial fibrillation. 6. Chronic kidney disease. 7. Hypertensive disease. 8. Coronary artery disease. HOSPITAL COURSE: Ms. [**Known lastname **] was admitted to the hospital where she underwent split thickness skin grafting on the 19th. A back dressing was placed on the wound. Her postoperative course was uneventful. On day 3, we took the vac dressing down. The skin graft had near 100% take, and we were able to at this point convert her management to bacitracin and adaptic. PLAN: She was discharged home on [**2134-2-12**] to followup with Dr. [**First Name (STitle) **] in one week. [**First Name11 (Name Pattern1) **] [**Last Name (NamePattern4) **], MD Dictated By:[**Last Name (NamePattern4) 3433**] MEDQUIST36 D: [**2134-6-15**] 18:52:31 T: [**2134-6-15**] 21:07:03 Job#: [**Job Number 46115**] ICD9 Codes: 4271, 2720
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Medical Text: Admission Date: [**2142-12-18**] Discharge Date: [**2142-12-24**] Date of Birth: [**2078-3-18**] Sex: M Service: NEUROSURGERY Allergies: Amitriptyline Attending:[**First Name3 (LF) 1854**] Chief Complaint: Fall Major Surgical or Invasive Procedure: none History of Present Illness: 64M with h/o frequent falls presents to ED with obvious head trauma s/p fall from standing. + EToH. Head CT showing intraventricular blood and "material layering within the hypopharynx. The patient is obtunded per clinical history and clinical correlation is advised for possible aspiration." Therefore, we were consulted to evaluate his oral and pharyngeal swallowing ability to r/o aspiration. Nurses reported some coughing after swallowing pills whole w/water. Past Medical History: #) Diabetes - w/neuropathy; uses a cane #) PVD -- sees Dr. [**First Name (STitle) **] #) Cardiac aflutter/a tach #) Colon Ca -- s/p partial colectomy [**2125**], no rad or chemo; on 5 yr follow-up schedule now -- due [**2143**]. #) Neuropathy -- progressing to R arm now; legs unchanged, uses cane for balance since proprioception almost totally gone; motor strength fine. #) Wt Loss -- has subsided, and pt has actually gained wt again. #) Spinal Stenosis -- MRI done [**5-/2141**], no emergent issues, but some retrolisthesis of L4-5. #) 4x MI's as per HPI, last 6 yrs ago #) HTN #) Hyperlipidemia Social History: pt is retired on SS and SSDI. He has a live-in companion who helps around the house and with medical and personal care. Smokes 2ppd. Drinks 2-3 drinks of hard alcohol per day. Family History: No hx of CAD or DM Physical Exam: PHYSICAL EXAM: on admission O: T:96 BP:137/67 HR:82 R:20 O2Sats: 96 Gen: thin, coverd with dried blood,NAD.sleeping but able to arouse with effort. Participates with exam. HEENT: Pupils:5->4.5 bilat EOMs full, right ear laceration sutured by plastics Neck: in hard collar Extrem: Warm and well-perfused. multiple abrasions, dried blood Neuro: Mental status: Awake and alert, cooperative with exam, blunted affect. Orientation: Oriented to person and date "[**2142-12-6**]". Place stated "My apartment" Language: Speech somewhat garbled but good comprehension. Cranial Nerves: I: Not tested II: Pupils equally round and reactive to light, 5 to 4.5 mm bilaterally. III, IV, VI: Extraocular movements intact bilaterally without nystagmus. V, VII: Facial strength and sensation intact and symmetric. VIII: Hearing intact to voice. IX, X: Palatal elevation symmetrical. [**Doctor First Name 81**]: Sternocleidomastoid and trapezius normal bilaterally. XII: Tongue midline without fasciculations. Motor: Normal bulk and tone bilaterally. No abnormal movements, tremors. Strength grossly full throughout. No pronator drift appreciated. Sensation: Intact to light touch bilaterally. Toes downgoing bilaterally Pertinent Results: [**2142-12-19**] 04:52AM BLOOD WBC-5.5 RBC-3.34* Hgb-12.2* Hct-33.7* MCV-101* MCH-36.4* MCHC-36.1* RDW-13.7 Plt Ct-180 [**2142-12-18**] 06:10AM BLOOD Neuts-54.0 Lymphs-38.1 Monos-5.8 Eos-1.7 Baso-0.4 [**2142-12-19**] 04:52AM BLOOD Plt Ct-180 [**2142-12-19**] 04:52AM BLOOD PT-11.5 PTT-24.8 INR(PT)-1.0 [**2142-12-19**] 04:50PM BLOOD Na-131* [**2142-12-19**] 04:52AM BLOOD Glucose-200* UreaN-6 Creat-0.4* Na-131* K-3.6 Cl-93* HCO3-18* AnGap-24* [**2142-12-18**] 11:00AM BLOOD Glucose-266* UreaN-8 Creat-0.6 Na-126* K-3.7 Cl-92* HCO3-16* AnGap-22* [**2142-12-19**] 12:45PM BLOOD CK(CPK)-76 [**2142-12-19**] 04:52AM BLOOD ALT-39 AST-44* LD(LDH)-188 CK(CPK)-86 AlkPhos-77 Amylase-44 TotBili-0.8 [**2142-12-19**] 04:52AM BLOOD Lipase-24 [**2142-12-19**] 12:45PM BLOOD CK-MB-NotDone cTropnT-<0.01 [**2142-12-19**] 04:52AM BLOOD CK-MB-6 cTropnT-<0.01 [**2142-12-19**] 04:52AM BLOOD Albumin-3.5 UricAcd-3.8 [**2142-12-18**] 10:00PM BLOOD Calcium-8.2* Phos-2.3* Mg-1.6 [**2142-12-19**] 04:52AM BLOOD TSH-1.2 [**2142-12-18**] 11:00AM BLOOD Ethanol-203* [**2142-12-18**] 06:10AM BLOOD ASA-NEG Ethanol-314* Acetmnp-5.7 Bnzodzp-NEG Barbitr-NEG Tricycl-NEG CT HEAD W/O CONTRAST [**2142-12-20**] IMPRESSION: No evidence of interval progression. Stable appearance of the intraventricular hemorrhage CT HEAD W/O CONTRAST [**2142-12-19**] IMPRESSION: 1. Extension of the intraventricular hemorrhage with involvement of third and fourth ventricle. This could be due to redistribution of prior hemorrhage, however, slow persistent intraventricular bleed cannot be excluded. No hydrocephalus. 2. Disruption of the cortex adjacent to the occipital condyle as described above, which could be a possible non displaced fracture. Soft tissues changes secondary to trauma as described above. 3. Unchanged appearance of the air-fluid level within the right sphenoid sinus, with evidence of cortical irregulaity, suggesting a potential right inferolateral sinus wall fracture. CT C-SPINE W/O CONTRAST [**2142-12-18**] IMPRESSION: 1. No fracture or malalignment. Degenerative changes as described. 2. Material layering within the hypopharynx. The patient is obtunded per clinical history and clinical correlation is advised for possible aspiration. 3. Right sphenoid sinus opacification with partial opacification of the right middle ear cavity. Recommend correlation with subsequently performed CT sinus and temporal bone. 4. Biapical emphysema. Brief Hospital Course: 64M with h/o falls presents s/p fall while intoxicated (EToH 314) and Head CT showing intraventricular blood. [**2142-12-18**] Na/K/Mg were repleted, and foley was placed, pt was lethargic. [**2142-12-18**] he had a cardiac event, this was monitored and corrected. [**2142-12-20**] he underwent a swallow eval, and the recommendations were to advance his diet to a thickened diet. His current diet is regular and well tolerated. [**2142-12-20**] CT of head on shows no evidence of interval progression and stable appearance of the intraventricular hemorrhage. [**2142-12-22**] patient became lethargic, with head CT demosntation fairly severe hydrocephallus. He was transferred to sICU for a bediside EVD; however his symptoms resolved spontaneously. [**2142-12-23**] he is transferred to the floor, and he remained stable. [**2142-12-24**] repeat CT of head is stable and improved. [**2142-12-24**] PT recommends d/c with home PT. [**2142-12-24**] Pysical exam was non-focal, neurologically stable, we will proceed with discharge. Medications on Admission: Aspirin EC 81 mg--1 tablet(s) by mouth once a day Bupropion 75 mg--1 tablet(s) by mouth once a day CYMBALTA 60 mg--1 capsule(s) by mouth once a day FOLIC ACID 1 mg--1 tablet(s) by mouth once a day HUMALOG 100 unit/mL--as directed HUMULIN N 100 unit/mL--as directed LIPITOR 40 mg--1 tablet(s) by mouth once a day Lyrica 100 mg--1 capsule(s) by mouth once a day OMEPRAZOLE 20 mg--1 capsule(s) by mouth once a day PLAVIX 75 mg--1 tablet(s) by mouth once a day SOTALOL 120 mg--1 tablet(s) by mouth twice a day TOPROL XL 100 mg--1 tablet(s) by mouth twice a day Discharge Medications: 1. Acetaminophen 325 mg Tablet Sig: 1-2 Tablets PO Q6H (every 6 hours) as needed: do not exceed 4000 mg of Acetaminophen in 24 hour period. 2. Oxycodone-Acetaminophen 5-325 mg Tablet Sig: 1-2 Tablets PO Q4H (every 4 hours) as needed for pain: do not exceed 4000 mg of Acetaminophen in 24 hour period. Disp:*20 Tablet(s)* Refills:*0* 3. Bupropion 75 mg Tablet Sig: One (1) Tablet PO DAILY (Daily). 4. Duloxetine 30 mg Capsule, Delayed Release(E.C.) Sig: Two (2) Capsule, Delayed Release(E.C.) PO DAILY (Daily). 5. Hexavitamin Tablet Sig: One (1) Cap PO DAILY (Daily). Disp:*30 * Refills:*2* 6. Atorvastatin 40 mg Tablet Sig: One (1) Tablet PO DAILY (Daily). 7. Metoprolol Succinate 100 mg Tablet Sustained Release 24 hr Sig: One (1) Tablet Sustained Release 24 hr PO DAILY (Daily). 8. Colace 100 mg Capsule Sig: One (1) Capsule PO twice a day: use while on percocet. Disp:*40 Capsule(s)* Refills:*1* Discharge Disposition: Home With Service Facility: [**Hospital 119**] Homecare Discharge Diagnosis: IVH Discharge Condition: neurologically stable Discharge Instructions: ?????? Take your pain medicine as prescribed ?????? Exercise should be limited to walking; no lifting, straining, excessive bending ?????? Increase your intake of fluids and fiber as pain medicine (narcotics) can cause constipation ?????? Unless directed by your doctor, do not take any anti-inflammatory medicines such as Motrin, aspirin, Advil, Ibuprofen etc. ?????? Clearance to drive and return to work will be addressed at your post-operative office visit CALL YOUR SURGEON IMMEDIATELY IF YOU EXPERIENCE ANY OF THE FOLLOWING: ?????? New onset of tremors or seizures ?????? Any confusion or change in mental status ?????? Any numbness, tingling, weakness in your extremities ?????? Pain or headache that is continually increasing or not relieved by pain medication ?????? Fever greater than or equal to 101?????? F Followup Instructions: PLEASE CALL [**Telephone/Fax (1) **] TO SCHEDULE AN APPOINTMENT WITH DR. [**Last Name (STitle) **] TO BE SEEN IN 6 WEEKS. YOU WILL NEED A CAT SCAN OF THE BRAIN WITHOUT CONTRAST Completed by:[**2142-12-24**] ICD9 Codes: 3572, 4019, 412, 3051, 2724, 311
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Medical Text: Admission Date: [**2158-7-22**] Discharge Date: [**2158-8-28**] Date of Birth: [**2074-7-15**] Sex: F Service: MEDICINE Allergies: Penicillins / aspirin Attending:[**First Name3 (LF) 3705**] Chief Complaint: Altered mental satus Major Surgical or Invasive Procedure: Left frontal Temporal Craniotomy for Subdural Hematoma History of Present Illness: The patient is an 84 year old female with history of hypertension and GERD who was visiting her daughter and grandson from [**Country 26467**] when she experience a mechanical fall 3 days prior to admission after slipping on wet grass and landing on her right shoulder. She denied hitting her head at the time, denied loss of consciousness, and had no report of neck pain. She was initially brought to the ED at [**Hospital6 2561**] for evaluation of her right shoulder pain and decreased range of motion. She was diagnosed with shoulder dislocation, and the shoulder was re-located with no imaging of the head or torso obtained. The patient was subsequently discharged home from the ED with a sling for the right upper extremity. She initially did well until the night before admission when she began experiencing increasing confusion, altered mental status, and another fall. She returned to [**Hospital6 2561**] where a CT of the head was obtained which demonstrated a significant (1.9cm) left sub-dural hematoma and 7mm midline shift. The patient was then transferred to [**Hospital1 18**] for Neurosurgical intervention. Past Medical History: HTN GERD Social History: Lives in [**Country 26467**], No Tobacco or ETOH. Family History: Non-contributory. Physical Exam: PHYSICAL EXAM ON ADMISSION: O: T: 99.6 BP: 191/100 HR:138 R 14 O2Sats 99 2L Gen: WD/WN, comfortable, NAD. HEENT: NCNT Neck: Hard collar Lungs: CTA bilaterally. Cardiac: RRR. S1/S2. Abd: Soft, NT, BS+ Extrem: Warm and well-perfused. Neuro: Mental status: Awake, not following commands or answering questions. Language:Garbled speech Cranial Nerves: I: Not tested II: Pupils equally round and reactive to light, 3 to 2 mm bilaterally. III, IV, VI: Extraocular movements intact bilaterally without nystagmus. V, VII: Facial strength and sensation intact and symmetric. VIII: Hearing intact to voice. IX, X: UA [**Doctor First Name 81**]: UA. XII: UA. Motor: Right arm in sling, bruised. moving right lower with stim, moves left upper and lower spontaneously. Handedness Right PHYSICAL EXAM ON DISCHARGE: VS: 97.9, 149/87 (130s-140s/70s-80s), 97, 18, 97% RA General- NAD, well-appearing in bed HEENT- Sclera anicteric without injection or erythema, MMM. Recent craniotomy scar, incision c/d/i. Lungs- CTA bilaterally, without wheezes, rales CV- Regular rhythm with tachycardia, normal S1 + S2, no m/r/g Abdomen- soft, non-tender, non-distended, (+)BS, no rebound or guarding GU- diaper, incontinent to urine Ext- warm, well perfused, 2+ pulses, no clubbing, cyanosis or edema, RUE in sling Neuro- CN II-XII grossly intact, moving all extremities, AOx3 this morning Pertinent Results: ECG [**2158-7-22**] Sinus tachycardia with premature atrial contractions. No previous tracing available for comparison. ECG [**2158-7-22**] Sinus tachycardia. Compared to tracing #1 ectopy is not seen. CT head [**2158-7-22**] 1. Expected postoperative changes, status post left craniotomy and evacuation of the previously large subdural hematoma. Larger than expected quantity of pneumocephalus with displacement of underlying parenchyma - correlate clinically to decide on further mngt. /followup. 2. Significant resolution with persistent small amount of left sided subdural hemorrhage as above. X-ray shoulder [**2158-7-22**] There is again seen a complex fracture involving the right proximal humerus with fracture line predominantly through the surgical neck. There is a displaced greater tuberosity fracture and there is varus angulation at the fracture. There is no glenohumeral joint dislocation. There is generalized demineralization. LENIS [**2158-7-24**] No deep vein thrombus in the left or right lower extremity Right Tib/Fib X-ray [**2158-7-25**] No evidence of bone or soft tissue abnormality. Superior patellar spurring and patellofemoral spurring noted. Vascular calcification is seen posterior to the distal femur [**2158-7-27**] Chest Xray: As compared to the previous radiograph, pre-existing signs of mild fluid overload have improved. There currently is no evidence of pneumonia. Borderline size of the cardiac silhouette. Moderate hiatal hernia. No pleural effusions. A previously visualized right humeral fracture is less evident than on the previous image. [**2158-7-30**]: As compared to the previous radiograph, there is no relevant change. Constant signs of mild fluid overload. No evidence of pneumonia. Borderline size of the cardiac silhouette. No pleural effusions. [**2158-8-1**] CT head: no new hemorrhage. Improving pneumocephalus, improving cerebral edema, improving subdural collections. [**2158-8-1**] LENIS: No lower extremity DVT [**2158-8-4**] U/S Abd: Cholelithiasis in a contracted gallbladder. No intrahepatic or extra-hepatic biliary ductal dilatation. Normal son[**Name (NI) 493**] appearance of the liver without focal lesions. [**2158-8-11**] CT Head: In comparison to [**2158-8-7**] exam, there is no significant change inpostoperative changes related to left parietal craniotomy. Left extra-axial collection is not significantly changed since prior. No new intracranial hemorrhage. [**2158-8-11**] Xray Shoulder: Healing complex fracture involving the right proximal humerus through the surgical neck. No new acute fractures or dislocations. [**2158-8-21**] CT Head: In comparison to the [**2158-8-11**] exam, there is no significant change in the postoperative changes related to left parietal craniotomy. Left extra-axial collection is not significantly changed since prior and likely represents a hygroma. No new intracranial hemorrhage. [**2158-8-22**] V/Q (Lung) Scan: Low probability for a pulmonary embolus. Admission Labs: [**2158-7-22**] 10:20AM BLOOD WBC-15.7* RBC-3.59* Hgb-12.7 Hct-36.6 MCV-102* MCH-35.4* MCHC-34.7 RDW-12.3 Plt Ct-213 [**2158-7-22**] 10:20AM BLOOD Neuts-93.8* Lymphs-3.0* Monos-2.8 Eos-0.1 Baso-0.2 [**2158-7-22**] 10:20AM BLOOD PT-10.8 PTT-25.7 INR(PT)-1.0 [**2158-7-22**] 10:20AM BLOOD Glucose-137* UreaN-16 Creat-0.7 Na-127* K-4.8 Cl-89* HCO3-23 AnGap-20 [**2158-7-24**] 01:00PM BLOOD CK(CPK)-270* [**2158-7-24**] 01:00PM BLOOD CK-MB-5 cTropnT-0.07* [**2158-7-22**] 02:38PM BLOOD Calcium-7.7* Phos-3.1 Mg-1.6 [**2158-7-22**] 01:21PM BLOOD Type-ART Temp-37.4 Rates-/8 Tidal V-630 PEEP-3 FiO2-50 O2 Flow-1.0 pO2-262* pCO2-32* pH-7.47* calTCO2-24 Base XS-1 Intubat-INTUBATED Vent-CONTROLLED Microbiology: URINE CULTURE (Final [**2158-8-13**]): STAPHYLOCOCCUS, COAGULASE NEGATIVE. >100,000 ORGANISMS/ML.. COAG NEG STAPH does NOT require contact precautions, regardless of resistance Oxacillin RESISTANT Staphylococci MUST be reported as also RESISTANT to other penicillins, cephalosporins, carbacephems, carbapenems, and beta-lactamase inhibitor combinations. SENSITIVITIES: MIC expressed in MCG/ML _________________________________________________________ STAPHYLOCOCCUS, COAGULASE NEGATIVE | GENTAMICIN------------ =>16 R LEVOFLOXACIN---------- =>8 R NITROFURANTOIN-------- <=16 S OXACILLIN------------- =>4 R TETRACYCLINE---------- 2 S VANCOMYCIN------------ 1 S [**2158-8-17**] 7:06 pm STOOL CONSISTENCY: NOT APPLICABLE Source: Stool. **FINAL REPORT [**2158-8-18**]** C. difficile DNA amplification assay (Final [**2158-8-18**]): Negative for toxigenic C. difficile by the Illumigene DNA amplification assay. Discharge Labs: Patient did not have further laboratory results after [**2158-8-16**], attempted to minimize routine/unnecessary lab work in the setting of no concerning complaints, signs, or symptoms [**First Name8 (NamePattern2) **] [**Doctor First Name **] protocol. Brief Hospital Course: The patient is an 84 year old female with history of hypertension and GERD presenting after a mechanical fall with resultant subdural hematoma and evacuation on the neurosurgical service, subsequently transferred to the medical service for management of persistent tachycardia, UTI, and delirium. . ACTIVE ISSUES and HOSPITAL COURSE: On the surgical service: Ms. [**Known lastname **] was evaluated in the ED on [**7-22**]. After review of her outside cranial CT she was taken to the operating room for an emergent left craniotomy for SDH evacuation. . She was followed by Orthopedics for her right upper extremity fracture and a sling was recommended. On [**7-23**] she had a Temp of 101.5 F. Fever work up was initiated, which unrevealing. On [**7-24**] she was tachycardic to 130. EKG demonstrated sinus tachycardia. LENIs to evaluate for DVT were negative. Troponins were obtaine and trended down from 0.07 to 0.05. On [**7-25**] A corrected Dilantin level was 10.2. She had a brief mom[**Name (NI) **] of confusion in the afternoon but this self resolved. . Patient continued to actively work with PT for rehabilitation. As patient is originaly from [**Country 26467**], and her the maximum of her travelers' insurance reached, she was not a candidate for inpatient rehabilitation in the US. The Australian consulate was consulted and stated that they were willing to pay for transportation to [**Country 26467**]. However, the neurosurgery service deemed patient unable to fly for 30 days after her surgery. . On [**7-27**], patient was febrile to 101. The UA was normal and the CXR demonstrated no evidence of pneumonia. . On [**7-28**], patient's continued tachycardia and fevers prompted a medicine consult. The primary service institued their recommendations to obtain orthostatics, obtain blood and urine cultures, bolus the patient 1000 mL of normal saline, place water at the bedside for patient to drink at liberty, and discontinue percocet and replace with standing tyelenol and oxycodone. . Tachycardia continued to persist on [**7-29**], a TSH was obtained to rule out thyroid disease as potential cause, it was normal. Patient's electrolytes were repleted as they were observed to be low. . On [**7-30**], patient suffered increased confusion when examined during morning rounds. Her blood cultures came back came back as normal and her urine cultures from [**7-28**] demonstrated lactobacillus. Levofloxacin was initiated. Repeat urine cultures were obtained for speciation and sensitivities. As part of confusion work-up, CXR, EKG, troponins x1, and orthostatics were obtained. CXR revealed mild fluid overloading; strict ins and outs were instituted and the patient received lasix. All other confusion work-up remained negative. Patient's confusion cleared briefly later in the afternoon. . On [**7-31**] she remained stable and on [**8-1**] she continued to have confusion. Head CT was obtained and was stable, no new findings. . Upon transfer to the medical service: . # Altered mental status: The patient came to the medical service with waxing and [**Doctor Last Name 688**] mental status, concern for infection vs. delirium. CXR from admision and on repeat were negative for a pneumonia. The patient was not experiencing fevers, and no blood cultures were positive. A toxic metabolic workup by LFTs and electrolytes was normal. All sedating medications, including oxycodone, tramadol, and benzos were discontinued. Given head bleed, patient was at high risk for delirium and seizure. Head CT was repeated to rule out any further acute bleeding. Geriatrics was consulted who recommended starting venlafaxine for depression and for its activating effects. Excess lines and tethers were removed at all times to avoid further contribution to delirium. Patient was found to have a positive UTI (coag negative staph) and was treated with nitrofurantoin. Her mental status cleared about one week prior to discharge. . #Subdural Hematoma: Patient is s/p mechanical fall which was complicated by subdural hematoma evacuated by neurosurgery on [**7-30**]. Patient was on levetiracetam 750mg for seizure prophylaxis. Repeat CT scans demonstrated no change. . #Tachycardia: Patient was found to be tachycardic from 95-115 throughout hospital stay. Patient remained asymptomatic. The tachycardia was fluid-responsive, but would reoccur within hours administration. Patient was screened for infections, found not to have pneumonia. The patient did have a UTI, but the tachycardia persisted despite resolution. Concern for PE arose given benign tachycardia. Patient had multiple lower extremity ultrasounds performed which did not reveal DVT. A V/Q lung scan was performed which demonstrated she was low probability for PE. Patient's tachycardia was trended and patient was monitored. . # Rectal bleeding: Patient had one episode of BRBPR while inpatient. She remained normotensive, with no further elevation of her heart rate. Stool found to be guaiac positive, brown. Her hematocrit remained stable, and no further episodes occurred. . TRANSITIONAL ISSUES: Patient had foley catheter inserted prior to discharge for flight to [**Country 26467**]. Foley should be discontinued upon arrival to reduce risk of UTI. Medications on Admission: Nexium BP med-name unknown Discharge Disposition: Home Discharge Diagnosis: Primary Diagnoses: SDH Humerus fracture Hypokalemia Hypocalcemia Hypophosphatemia UTI Secondary Diagnoses: Hypertension Depression Discharge Condition: Mental Status: Clear and coherent. Level of Consciousness: Alert and interactive. Activity Status: Out of Bed with assistance to chair or wheelchair. ICD9 Codes: 5990, 2761, 2768, 4019, 311
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Medical Text: Admission Date: [**2201-8-18**] Discharge Date: [**2201-8-23**] Date of Birth: [**2156-8-30**] Sex: M Service: CARDIOTHORACIC Allergies: Lidocaine / Novocain Attending:[**First Name3 (LF) 1505**] Chief Complaint: Fatigue, occasional chest pressure Major Surgical or Invasive Procedure: [**2201-8-18**] - Redo sternotomy, Aortic valve replacement with 23mm St. [**Male First Name (un) 923**] mechanical valve History of Present Illness: Mr. [**Known lastname 8508**] is a 44-year-old gentleman who underwent a prior type A emergency dissection repair in [**2200-5-20**]. Since that time, he has been followed with serial echocardiograms for 4+ aortic insufficiency. He has been undergoing further preoperative evaluation for a redo operation. Most notably, he underwent a cardiac catheterization in [**2201-4-20**], which revealed normal coronary arteries. He also underwent repeat echocardiogram, which confirmed 4+ aortic insufficiency with 1+ mitral regurgitation and normal left ventricular function. He also underwent a chest CT scan, which showed status post dissection repair with flap extending into the arch. His root did appear to be somewhat dilated. In review of his studies at this time, it is recommended that he proceed with a redo sternotomy and will most likely require a Bental procedure. The risk of this operation was discussed fully with the patient, and he wishes to proceed his tentative operative date as [**2201-8-18**]. Past Medical History: Past Medical History - Hypertension - Dyslipidemia - Fatty Liver Past Surgical History - [**2200-5-20**] Replacement of Ascending Aorta with Resuspension of Aortic Valve - [**Last Name (un) 8509**] surgery - Tooth Extractions Social History: Lives alone. Works as an attorney. Reports occasional alcohol use and no tobacco use. Family History: Father has hypertension. Physical Exam: Physical Exam Pulse: 92 Resp: 16 O2 sat: 98% ra BP: 135/72 Height: 69 inches Weight: 192lbs General: WDWN male in no acute distress Skin: Dry [x] intact [x] - well healed sternotomy and groin HEENT: PERRLA [x] EOMI [x] Neck: Supple [x] Full ROM [x] Chest: Lungs clear bilaterally [x] Heart: RRR [x] Irregular [] Murmur [**2-23**] diastolic murmur best heard along the right and left sternal borders Abdomen: Soft[x] non-distended [x]non-tender[x]bowel sounds + [x] Extremities: Warm [x], well-perfused [x] Edema none Varicosities: None [x] Neuro: Grossly intact Pulses: Femoral Right: 2 Left: 2 DP Right: 2 Left: 2 PT [**Name (NI) 167**]: 2 Left: 2 Radial Right: 2 Left: 2 Carotid Bruit Left/Right: trans murmur Pertinent Results: [**2201-8-18**] ECHO: PREBYPASS: No atrial septal defect is seen by 2D or color Doppler. Left ventricular wall thicknesses are normal. Regional left ventricular wall motion is normal. Overall left ventricular systolic function is normal (LVEF>55%). Right ventricular chamber size and free wall motion are normal. The aortic root is moderately dilated at the sinus level. A mobile density is seen in the distal aortic arch consistent with an intimal flap/aortic dissection. There are three aortic valve leaflets. Severe (4+) aortic regurgitation is seen. Mild (1+) mitral regurgitation is seen. Dr. [**Last Name (STitle) **] was notified in person of the results on [**2201-8-18**] at 1000am. Post bypass: Patient is AV paced and is receiving an infusion of phenylephrine. Biventricular systolic function is slightly depressed. The septal and anterior septal walls are mildly hypokinetic. Mechanical valve seen in the aortic position. Leaflets move well and the valve appears well seated. Washing jets typical for this type of valve present. Peak gradient across the valve is 20 mm Hg and mean gradient is 10 mm Hg. Brief Hospital Course: Mr. [**Known lastname 8508**] was admitted to the [**Hospital1 18**] on [**2201-8-18**] for surgical management of his aortic insufficiency. He was taken to the operating room where he underwent a redo sternotomy with replacement of his aortic valve using a mechanical prosthesis. Please see operative note for details. Postoperatively he was taken to the intensive care unit for invasive monitoring in stable condition. Within 24 hours he was weaned from sedation, awoke neurologically intact and extubated. On post-op day one he was transferred to the telemetry floor for further care. Chest tubes and epicardial pacing wires were removed per protocol. Coumadin was initiated on post-op day one with Heparin bridge until therapeutic. Heparin was d/c'd and INR was 2.8 on day of discharge. He was given 3mg coumadin and his INR and coumadin dosing will be folowed by DR. [**Last Name (STitle) **]. Of note, Mr. [**Known lastname 8508**] did have an elevation in his LFTS. His abd exam was benign. He will have follow up LFT's drawn by the VNA and called to Dr. [**Initials (NamePattern4) 6149**] [**Last Name (NamePattern4) 8510**] this week. Medications on Admission: Aspirin 81 qd, Metoprolol 50 qd Discharge Medications: 1. Aspirin 81 mg Tablet, Delayed Release (E.C.) Sig: One (1) Tablet, Delayed Release (E.C.) PO DAILY (Daily). Disp:*30 Tablet, Delayed Release (E.C.)(s)* Refills:*2* 2. Ranitidine HCl 150 mg Tablet Sig: One (1) Tablet PO BID (2 times a day). Disp:*60 Tablet(s)* Refills:*2* 3. Docusate Sodium 100 mg Capsule Sig: One (1) Capsule PO BID (2 times a day). 4. Warfarin 1 mg Tablet Sig: as directed by Dr. [**Last Name (STitle) **] Tablet PO DAILY (Daily): goal INR 2-3.0. Disp:*90 Tablet(s)* Refills:*2* 5. Metoprolol Tartrate 25 mg Tablet Sig: 1.5 Tablets PO TID (3 times a day). Disp:*135 Tablet(s)* Refills:*2* 6. Hydromorphone 2 mg Tablet Sig: 1-2 Tablets PO Q3H (every 3 hours) as needed for pain. Disp:*65 Tablet(s)* Refills:*0* 7. Outpatient Lab Work INR check on [**2201-8-24**] and Fax to Dr.[**Last Name (STitle) 8511**] office [**Telephone/Fax (1) 8512**] Goal INR 2-3.0 Also check LFT's this week and call results to Dr. [**Last Name (STitle) **] [**Telephone/Fax (1) 170**] Discharge Disposition: Home With Service Facility: [**Location (un) **] VNA Discharge Diagnosis: Aortic insufficiency s/p Redo aortic valve replacement Past Medical History - Hypertension - Dyslipidemia - Fatty Liver Past Surgical History - [**2200-5-20**] Replacement of Ascending Aorta with Resuspension of Aortic Valve - [**Last Name (un) 8509**] surgery - Tooth Extractions Discharge Condition: Good Discharge Instructions: 1) Monitor wounds for signs of infection. These include redness, drainage or increased pain. Please contact your [**Name2 (NI) 5059**] at ([**Telephone/Fax (1) 4044**] with all wound issues. 2) Report any fever greater then 100.5. 3) Report any weight gain of 2 pounds in 24 hours or 5 pounds in 1 week. 4) No lifting greater then 10 pounds for 10 weeks from date of surgery. 5) No driving for 1 month. 6) Call with any questions or concerns. 7) Coumadin will be followed by coumadin clinic ([**Name8 (MD) 8513**] RN) at Dr.[**Name (NI) **] office. Goal INR is 2.0-3.0 ([**Telephone/Fax (1) 8514**] fax ([**Telephone/Fax (1) 8515**]. Blood can be drawn by VNA. Followup Instructions: Please follow-up with Dr. [**Last Name (STitle) **] in 1 month. ([**Telephone/Fax (1) 1504**] Please follow-up with Dr. [**First Name8 (NamePattern2) 8516**] [**Last Name (NamePattern1) **] in [**12-23**] weeks. Please follow-up with Dr. [**Last Name (STitle) **] in [**12-23**] weeks. Call all providers for appointments. Provider: [**First Name11 (Name Pattern1) **] [**Last Name (NamePattern1) 8507**], MD Phone:[**Telephone/Fax (1) 2422**] Date/Time:[**2201-11-27**] 11:20 Completed by:[**2201-8-25**] ICD9 Codes: 4241, 4019, 2724
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Medical Text: Admission Date: [**2178-7-22**] Discharge Date: [**2178-8-3**] Date of Birth: [**2118-12-13**] Sex: F Service: SURGERY Allergies: Percocet / Ceftriaxone / Flagyl / Levofloxacin / Iodine Strong / Unasyn / Bactrim / Vancomycin Attending:[**First Name3 (LF) 668**] Chief Complaint: Left Abdomen Cellulitis of 5 days duration Weight loss and anorexia x 1 month Major Surgical or Invasive Procedure: Incision and drainage of abdominal abcess Small bowel resection secondary to fistula in communication with abcess History of Present Illness: Patient with known Hep C Cirrhosis (last paracentesis 4 months ago) presents with 4-5 day history of Left side abdominal cellulitis. Denies nausea or vomiting, although she notes weight loss and anorexia over the last month. Denies abdominal pain, no change in bowel habits. Past Medical History: 1. Hepatitis C: She is followed in liver clinic, but declined any interventions. She has evidence of cirrhosis and ascites. This is believed to have resulted from transfusion 20 years ago following an ectopic pregnancy 2. Hypertension 3. Cryoglobinemia diagnosed in [**3-23**] 4. Varicose veins status post stripping in [**5-27**] and [**12-29**] 5. Vasculitis: Leukocytoblastic diagnosed on biopsy from [**2-21**] following 3 year history of difficulty walking and leg pain and swelling. 6. Hypothyroidism 7. Cholecystectomy in [**2174**] that is thought to be due to chronic vasculitis from untreated Hepatitis C. Social History: She came to the US from [**Country 532**] about 15 years ago. She lives with her ex-husband, son, and daughter. She requires assistance in walking to the bathroom and ADLs. She denies alcohol or tobacco use. Family History: Her mother died of coronary arterty disease and hypertension at the age of 72 Physical Exam: On Admission: VS: 101 HR 120's, BP100/50 Cardiac: Tachy Lungs: clear bilaterally Abd: Distended with ascites. NT, Left side of abdomen with cellulitis, desqaumation. Pertinent Results: Labs on Admission: [**2178-7-22**] 03:55AM GLUCOSE-87 UREA N-16 CREAT-0.5 SODIUM-131* POTASSIUM-3.4 CHLORIDE-97 TOTAL CO2-19* ANION GAP-18 ALT(SGPT)-11 AST(SGOT)-30 ALK PHOS-79 AMYLASE-60 TOT BILI-1.4 LIPASE-28 ALBUMIN-2.3* CALCIUM-7.6* PHOSPHATE-3.3 MAGNESIUM-1.3* WBC-16.2*# RBC-3.90* HGB-9.4* HCT-28.4* MCV-73* MCH-24.0* MCHC-33.0 RDW-16.8* NEUTS-94.2* BANDS-0 LYMPHS-4.1* MONOS-1.5* EOS-0.1 BASOS-0 PLT COUNT-171# LACTATE-2.9* FreeCa-1.29 PT-19.8* PTT-50.3* INR(PT)-1.9* Brief Hospital Course: 59 y/o female with known history of Hep C/cirrhosis and ascites requiring intermittent paracentesis presents with 4-5 day duration of abdominal cellulitis. CT of abdomen/pelvis revealed a large left anterior abdominal subcutaneous abscess. She also has a large amount of ascites, as well as moderate right and small left pleural effusions. Surgical drainage of the abcess and exploratory laparotomy was performed on [**7-22**] and was complicated by the need for a small bowel resection due to an intracutaneous fistula. Patient also underwent lysis of adhesions and ileoileostomy with repair of abdominal wall defect. Initially the patient had 2 abdominal JPs and was started on Vanco and Aztreonam. These were D/C'd and Meropenem started, then Vanco re-added as well as Fluconazole. Patient extubated on [**7-24**]. Patient continued to require RBC's, PLts and FFP. (History of cryoglobulinemia) Wound Vac started on [**7-25**] to abdominal wound. Strep Viridans isolated from the abdominal wound. Biopsy of Segments of small bowel taken during surgery showed Focal necrotizing arteritis. Focal perforation with surrounding necrosis, acute inflammation, and serosal reaction, as well as focal villous flattening with architectural distortion and metaplastic change consistent with chronic injury. TPN was started for nutritional support. On [**7-28**] patient experienced approxiamtely 50 cc BRBPR, receiving platelets and PRBCs. Hct as low as 23%, on discharge Hct 24.8%, platelets 146 Wound VAC remained in place, being changed q 3 days. Wound is reported to be free of any S&S of infection and granulation tissue is noted. Patient required detailed explanations of any procedure or medication she was to receive, and this was better managed with the use of the Russian interpreter. Patient had not been taking any medications at home, and used limited ones while at the hospital. Initially PT was refused, however patient has been encouraged by many disciplines of the importance of ambulating, and being OOB. Psych consult was obtained, and the recommendation to have a translator available when reviewing procedures and need for medications was made. Treatable etiologies of dementia were ruled out, and patient was encouraged to follow up with Social work or other mental health provider to work out issues of trust with medical system. TPN continued until discharge, patient should be given supplements to PO intake with breakfast lunch and dinner. Appointments as indicated. Medications on Admission: None, refuses to take Discharge Medications: 1. Spironolactone 25 mg Tablet Sig: One (1) Tablet PO BID (2 times a day). 2. Insulin Regular Human 100 unit/mL Solution Sig: One (1) Injection ASDIR (AS DIRECTED). 3. Nadolol 20 mg Tablet Sig: Two (2) Tablet PO DAILY (Daily). 4. Furosemide 40 mg Tablet Sig: One (1) Tablet PO DAILY (Daily). 5. Hydromorphone 2 mg/mL Syringe Sig: One (1) Injection Q3-4H (Every 3 to 4 Hours) as needed. 6. Pantoprazole 40 mg Recon Soln Sig: One (1) Recon Soln Intravenous Q24H (every 24 hours). Discharge Disposition: Extended Care Facility: [**Hospital3 7**] & Rehab Center - [**Hospital1 8**] Discharge Diagnosis: Focal necrotizing arteritis S/P small bowel resection intracutaneous fistula, abdomen Discharge Condition: Stable Discharge Instructions: Please call [**Telephone/Fax (1) 673**] to notify if patient experiences fever, chills, change in abdominal wound, difficulty with wound vac, or other problems concerning to you Followup Instructions: Provider: [**Name Initial (NameIs) 1220**]. [**Name5 (PTitle) **]/[**Doctor Last Name **] Phone:[**Telephone/Fax (1) 44**] Date/Time:[**2178-8-6**] 8:00 Provider: [**First Name4 (NamePattern1) **] [**Last Name (NamePattern1) **], MD Phone:[**Telephone/Fax (1) 250**] Date/Time:[**2178-8-13**] 4:00 Call [**Telephone/Fax (1) 673**] for follow up appointment with surgeon Completed by:[**2178-8-3**] ICD9 Codes: 5715, 5119, 5789, 4019, 2449
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Medical Text: Admission Date: [**2139-3-15**] Discharge Date: [**2139-3-20**] Service: MEDICINE Allergies: Penicillins / Morphine Attending:[**First Name3 (LF) 348**] Chief Complaint: Mechanical Fall Major Surgical or Invasive Procedure: Right hip hemiarthroplasty History of Present Illness: This is a [**Age over 90 **] year-old woman with a history of hypertension who presents with a right hip fracture. The patient was walking with a nurses aide at home and fell at 8pm last night. Unclear if it was mechanical fall, but no loss of conciousness and no head trauma. This AM she was unable to ambulate to breakfast and was taken to [**Hospital1 **] [**Location (un) 620**] for further eval. She was found to be tachypneic ith scattered wheezes. She had an eleavted WBC of 14.8 and lactate of 4.0. She was given 2L IVF and given Vancomycin and Zosyn. She also had a troponinT of 0.1, CK 216, CK-MB 5.2 and creatinine of 1.4. She was started on heparin gtt. The patient was oriented x2-3.She remained normotensive and transferred to the [**Hospital1 **] ED. . In the ED, T: 99.6, 86 144/70 18 98% 2L NC. The patient had plain films that showed "Right basicervical femoral neck fracture with proximal and lateral displacement of the distal fracture fragment." She was evaluated by ortho and the family reversed her code status from DNR/DNI to full code. The family would like her to undergo surgery. She also underwent a CTA of her chest that did not show evidence of a PE. Her Trop 0.11, CK 233, MB 6. Cardiology was consulted and recommended d/c heparin gtt given likely demand in the setting of her hip fracture. The patient's peripheral lactate was 4.2. The patient became confused and combative in the ED and was given 2.5mg IV Haldol. On transfer her vital signs were HR: 82, BP 127/76 RR: 25-30 O2 sat 100% 2L. . On arrive the patient denied pain and had no further complaints. The patient's daughter was present and was able to give a history. She stated her mother had not been complaining of an fevers, chills, cough, urinary complaints or symptoms of illness. She states her mother is usually oriented x2 and is able to ambulate independently. Past Medical History: hypertension Mild Dementia Social History: Lives with her daughter at home. She has VNA and a nursing aide at home. Remote smoking history. No EtOH or drug use. Family History: non-contributory Physical Exam: Admission Exam: GEN: no acute distress, oriented x1 HEENT: EOMI, PERRL, sclera anicteric, no epistaxis or rhinorrhea, dry MM NECK: No JVD, no cervical lymphadenopathy, trachea midline COR: RRR, no M/G/R, normal S1 S2 PULM: Lungs CTAB, no W/R/R ABD: Soft, NT, ND, +BS, no HSM, no masses [**Hospital1 **]: No C/C/E, right leg shortened and externally rotated distal pulses present, but diminished b/l NEURO: oriented to person only. CN II ?????? XII grossly intact. Moves all extremities [**Hospital1 **] right leg secondary to pain. Patellar DTR +1. Plantar reflex downgoing. SKIN: No jaundice, cyanosis, or gross dermatitis. No ecchymoses. Pertinent Results: Admission Labs: [**2139-3-15**] 06:35PM PT-13.3 PTT-150* INR(PT)-1.1 [**2139-3-15**] 06:35PM CALCIUM-8.9 PHOSPHATE-3.2 MAGNESIUM-1.7 [**2139-3-15**] 06:35PM CK-MB-6 [**2139-3-15**] 06:35PM cTropnT-0.11* [**2139-3-15**] 06:35PM CK(CPK)-233* [**2139-3-15**] 06:35PM GLUCOSE-165* UREA N-24* CREAT-1.0 SODIUM-138 POTASSIUM-5.7* CHLORIDE-103 TOTAL CO2-18* ANION GAP-23* [**2139-3-15**] 06:39PM HGB-11.6* calcHCT-35 [**2139-3-15**] 06:39PM GLUCOSE-122* LACTATE-4.2* NA+-140 K+-4.8 [**2139-3-15**] 06:59PM WBC-13.8* RBC-4.63 HGB-13.7 HCT-41.5 MCV-90 MCH-29.7 MCHC-33.1 RDW-13.5 . Cardiac Enzymes [**2139-3-15**] 06:35PM BLOOD cTropnT-0.11* [**2139-3-16**] 04:51AM BLOOD CK-MB-6 cTropnT-0.11* [**2139-3-16**] 03:17PM BLOOD CK-MB-7 cTropnT-0.07* . Discharge Labs [**2139-3-20**] 05:22AM BLOOD WBC-6.1 RBC-3.26* Hgb-9.9* Hct-29.9* MCV-92 MCH-30.3 MCHC-33.2 RDW-13.8 Plt Ct-176 [**2139-3-20**] 05:22AM BLOOD Glucose-113* UreaN-19 Creat-0.7 Na-142 K-4.0 Cl-110* HCO3-26 AnGap-10 [**2139-3-20**] 05:22AM BLOOD Calcium-8.3* Phos-3.0 Mg-1.9 . [**2139-3-15**] Chest CT IMPRESSION: 1. No pulmonary embolus or aortic dissection. 2. Extensive mural thrombus within the thoracic aorta, particularly within the aortic arch. 3. Evidence of prior granulomatous disease. 4. 7 mm nodule in the right lower lobe. If clinically indicated, a chest CT in six months can be performed. 5. T10 compression deformity of uncertain age. . [**2139-3-15**] Hip Xrays IMPRESSION: Right basicervical femoral neck fracture with proximal and lateral displacement of the distal fracture fragment. . [**2139-3-15**] Femur Xray IMPRESSION: Right basicervical femoral neck fracture with proximal and lateral displacement of the distal fracture fragment. . [**2139-3-15**] Chest xray IMPRESSION: Mild bibasilar atelectasis. . [**2139-3-17**] Femoral Pathology Report not finalized. Assigned Pathologist [**Last Name (LF) **],[**First Name3 (LF) **] L. Please contact the pathology department, [**Name (NI) **] [**Numeric Identifier 1434**] PATHOLOGY # [**Numeric Identifier 51824**] femoral head. . [**2139-3-17**] Hip films intra-op Single AP radiograph of the right hip obtained in O.R. Since exam two days ago, the fractured and displaced right femoral neck and head have been replaced with a bipolar hemiarthroplasty with non-cemented femoral stem. The distal tip of the stem is not imaged and a single cerclage wire is present. . [**2139-3-17**] Chest xray The ET tube tip is 4.5 cm above the carina. Cardiomediastinal silhouette is stable. There is interval development of left lower lobe opacity, consistent with atelectasis with obscuration of the left hemidiaphragm. The rest of the lungs are essentially clear. No pleural effusion or pneumothorax is present. Brief Hospital Course: Ms. [**Known lastname 51825**] is a [**Age over 90 **] year old woman with a history of hypertension who presented with a right hip fracture. . #. Hip Fracture: She had a witnessed mechanical fall at home. She underwent a right hip hemiarthroplasty on [**3-17**]. Her dressing was changed on [**3-19**]. She was started on enoxaparin on [**3-19**]. She is to continue enoxaparin for a total of four weeks. Last day is [**4-14**]. Her weight bearing status was advanced to weight bearing as tolerated by the orthopedic team. She has follow up scheduled with the orthopedic service. # Hypotensive episode: Follwoing her procedure she became hypotensive. This was thought likely secondary to anesthesia medications. She improved after brief treatment with levophed. . #. Demand Ischemia: On admission Ms. [**Known lastname 51825**] had an elevated troponin of 0.11. However, CK was 233 which trended to 182 (MB 6 -> 6). Cardiology felt that this event was likely demand and not an acute thrombus. She was initially started on a heparin gtt, but this was discontinued on the advice of cardiology. She was continued on aspirin and started on metoprolol. . #. Leukocytosis: She presented with an elevated white blood cell count. She was intially treated with vancomycin and Zosyn empirically. No evidence of infection was found. Her white count gradually normalized. Her antibiotics were discontinued prior to discharge. . #. Fall: Ms. [**Known lastname 51825**] had a witnessed fall while walking with nurses aide. There was no head trauma and no evidence of syncope. . #. Delerium: Ms. [**Known lastname 51825**] has dementia at baseline. Her mental status was worsened in the MICU. Her delirium was improved with pain control and maintenance of sleep wake cycles. . #. Hypertension: She was continued on home lisinopril ans started on metoprolol as described above. . # Nutrition: She was evaluated by the speech and swallow out of concern for aspiration. A diet of soft solids and thin liquids was recommended. A discussion was held with the daughter about the risks of aspiration. The decision was made by her daughter to allow her to eat despite the risk of aspiration. . # s/p Bowel Obstruction: Ms. [**Known lastname 51825**] was seen by the wound care nurse [**First Name (Titles) **] [**Last Name (Titles) **] of her ostomy. There was concern over the low output from the ostomy. However, Ms. [**Known lastname 51826**] daughter had changed the bag. She was having good output at the time of discharge. . # Code status: Ms. [**Known lastname 51825**] was admitted with a DNR/DNI order. However, this was changed during the procedure. Following recovery from her surgery, it was changed back to DNR/DNI. Medications on Admission: Lisinopril 20mg daily ASA 81mg daily Colace Prevacid Discharge Medications: 1. Bisacodyl 5 mg Tablet, Delayed Release (E.C.) Sig: Two (2) Tablet, Delayed Release (E.C.) PO DAILY (Daily) as needed for Constipation. 2. Senna 8.6 mg Tablet Sig: One (1) Tablet PO BID (2 times a day) as needed for Constipation. 3. Docusate Sodium 50 mg/5 mL Liquid Sig: One (1) PO BID (2 times a day). 4. Lisinopril 20 mg Tablet Sig: One (1) Tablet PO DAILY (Daily). 5. Aspirin 81 mg Tablet, Chewable Sig: One (1) Tablet, Chewable PO DAILY (Daily). 6. Trazodone 50 mg Tablet Sig: 0.5 Tablet PO HS (at bedtime) as needed for insomnia. 7. Calcium Carbonate 500 mg Tablet, Chewable Sig: Two (2) Tablet, Chewable PO TID (3 times a day). 8. Cholecalciferol (Vitamin D3) 400 unit Tablet Sig: Two (2) Tablet PO DAILY (Daily). 9. Enoxaparin 30 mg/0.3 mL Syringe Sig: Thirty (30) mg Subcutaneous DAILY (Daily) for 24 days: Please continue until [**4-14**]. 10. Ipratropium Bromide 0.02 % Solution Sig: One (1) neb Inhalation Q6H (every 6 hours) as needed for wheezing. 11. Albuterol Sulfate 2.5 mg /3 mL (0.083 %) Solution for Nebulization Sig: One (1) neb Inhalation Q6H (every 6 hours) as needed for wheezing. 12. Acetaminophen 325 mg Tablet Sig: 1-2 Tablets PO every six (6) hours as needed for pain. 13. Metoprolol tartrate 25 mg tablet Sig: 1 tablet PO every eight hours. Please hold for HR<60 or SBP<95. Discharge Disposition: Extended Care Facility: [**Last Name (un) 1687**] - [**Location (un) 745**] Discharge Diagnosis: Primary Diagnosis: Right Hip Fracture Demand Ischemia Delirium Secondary Diagnosis: Hypertension Anemia Dementia s/p bowel obstruction with ostomy Discharge Condition: Mental Status:Confused - always Level of Consciousness:Lethargic but arousable Activity Status:Out of Bed with assistance to chair or wheelchair Discharge Instructions: Thank you for allowing us to take part in your care. You were admitted to the hospital because you had a mechanical fall at home. You fractured your right hip. While you were in the hospital, you were admitted to the intensive care unit because there was concern about your heart function. We started several new medications while in the hospital. We started metoprolol, a medication to control your heart rate and blood pressure. We also started enoxaparin or Lovenox, a blood thinner that you will take during the next month to reduce your risk of blood clots. We also started medication to help control your pain and help move your bowels. Followup Instructions: We scheduled a follow up appointment for you with the orthopedic department. Your appointment is scheduled on Tuesday, [**4-7**] at 10:20. This is located at the [**Hospital Ward Name 23**] building, [**Location (un) 1773**]. ICD9 Codes: 2762, 5180, 2930, 4019, 2859
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Medical Text: Admission Date: [**2144-10-15**] Discharge Date: [**2144-10-24**] Date of Birth: [**2068-3-4**] Sex: F Service: CARDIOTHORACIC Allergies: Penicillins Attending:[**First Name3 (LF) 492**] Chief Complaint: Transferred from [**Hospital 61603**] Hospital in NY for treatment of Tracheoesophageal Fistula Major Surgical or Invasive Procedure: [**10-15**] 1. Rigid bronchoscopy at the yellow Dumon bronchoscope, Flexible bronchoscopy with therapeutic aspiration, Bronchoalveolar lavage of the left lower lobe, Balloon dilatation, left main stem, Stent placement. Ultraflex 40 x 14 covered stent, left main stem, Silicone Y-stent placement. [**10-16**] Flexible bronchoscopy, Stent revision, Therapeutic aspiration of secretions [**10-16**] Thoracentesis under thoracic ultrasound. [**10-18**] Flexible bronchoscopy, Therapeutic aspiration of secretions. Placement of A-line, CVL R IJ (both removed) History of Present Illness: The patient is a 76 yo non-smoker with NSCLCA, dx'd 1 year ago s/p chemo/XRT, believed to be in remission who was [**2144-9-23**] for a TIA who was found to have a tracheo-esophageal fistula (large defect in esophagus, two small defects in distal trachea lateral to LMS and carina) who underwent Esophageal stent 1 wk ago but remained intubated on vent with difficult weaning. Bronch one week ago demonstrated erosion of stent thru posterior tracheal membrane. The patient was transferred per the family's request for further management of the TEF. Past Medical History: HTN, AFib NSCLCA: originally treated with tarceva only, then LAD progressed and treated with chemo/XRT. LUL opacity developed after XRT and attributed to post rad changes (per son) - PET negative and has subsequently decreased in size, Vertigo, h/o hemoptysis while AC, B TKR, ccy, breast ca s/p lumpectomy Social History: Strong family support, married with two sons Family History: noncontributory Physical Exam: Upon discharge: NAD A and Ox3 PERRL, dry mucus membranes, no JVD, R CVL dressing IJ in place irreg irreg ? sys murmur at URSB coarse bs at bases b/l soft NT/ND Foley in place no c/c slight edema LE 2+ DP b/l L PICC UE R arm severe ecchymoses Pertinent Results: [**2144-10-23**] 02:42AM BLOOD WBC-5.9 RBC-2.70* Hgb-7.9* Hct-23.8* MCV-88 MCH-29.2 MCHC-33.1 RDW-19.6* Plt Ct-118* [**2144-10-15**] 11:09AM BLOOD WBC-7.0 RBC-2.94* Hgb-8.8* Hct-26.6* MCV-90 MCH-29.9 MCHC-33.1 RDW-20.6* Plt Ct-95* [**2144-10-23**] 02:42AM BLOOD Plt Ct-118* [**2144-10-15**] 11:09AM BLOOD PT-12.7 PTT-53.3* INR(PT)-1.1 [**2144-10-23**] 02:42AM BLOOD Glucose-148* UreaN-22* Creat-0.4 Na-136 K-3.5 Cl-99 HCO3-29 AnGap-12 [**2144-10-15**] 11:09AM BLOOD Glucose-81 UreaN-47* Creat-0.7 Na-145 K-4.4 Cl-109* HCO3-29 AnGap-11 [**2144-10-18**] 02:27AM BLOOD ALT-31 AST-18 LD(LDH)-402* AlkPhos-118* TotBili-0.6 [**2144-10-23**] 02:42AM BLOOD Calcium-7.9* Phos-3.3 Mg-1.7 [**2144-10-15**] 11:09AM BLOOD Albumin-2.9* Calcium-7.9* Phos-4.2 Mg-2.1 [**2144-10-23**] 02:41AM BLOOD Vanco-12.3 [**2144-10-23**] 11:49AM BLOOD Type-ART pO2-106* pCO2-31* pH-7.56* calTCO2-29 Base XS-6 [**2144-10-15**] 11:17AM BLOOD Type-ART pO2-213* pCO2-48* pH-7.39 calTCO2-30 Base XS-3 Brief Hospital Course: PROCEDURES DURING ADMISSION [**10-15**] 1. Rigid bronchoscopy at the yellow Dumon bronchoscope, Flexible bronchoscopy with therapeutic aspiration, Bronchoalveolar lavage of the left lower lobe, Balloon dilatation, left main stem, Stent placement. Ultraflex 40 x 14 covered stent, left main stem, Silicone Y-stent placement. [**10-16**] Flexible bronchoscopy, Stent revision, Therapeutic aspiration of secretions [**10-16**] Thoracentesis under thoracic ultrasound. [**10-18**] Flexible bronchoscopy, Therapeutic aspiration of secretions. Placement of A-line, CVL R IJ # TRACHEOESOPHAGEAL FISTULA The patient was transferred intubated from [**Hospital 61603**] Hospital in NY on [**10-15**] for stent revision to a tracheo-esophageal fistula. On [**10-16**] she underwent a CT scan that revealed collapse of the left lung with partial sparing of the lingula. Left main bronchus stent was seen in place and was patent, although there was diffuse attenuation of the airways distal to the stent on the left, with moderate pleural effusions b/l. That day she underwent rigid and flexible bronchoscopy with therapeutic aspiration, BAL of left lower lobe, Balloon dilatation, left main stem Ultraflex 40 x 14 covered stent, and left main stem Silicone Y-stent placement. THe patient tolerated the procedure well, although she remained with copious secretions, and so underwent stent revision on [**10-16**] and again on [**10-18**]. On [**10-17**] she was extubated, which she tolerated well although with need for frequent suctioning, chest PT, and required therapeutic bronchoscopy for secretions on [**10-18**]. She was also maintained on scheduled nebulizers and prednisone. On [**10-21**] she underwent a Barium swallow to assess for the TEF, but the patient was unable to complete the study as she aspirated the Barium during the study. However, contrast was seen within the left main stem bronchus and distal airways, most likely reflecting aspiration although without lateral views, persistent tracheoesophageal fistula could not be excluded. On [**10-22**] she had a follow up CXR that revealed: The stent, central venous access line, and abdominal drain are in unchanged position. The right-sided basal consolidation has decreased in extent. The left retrocardiac atelectasis is unchanged. Also unchanged is still moderate cardiomegaly. Unchanged mediastinal widening and increase in mediastinal diameter. No newly occurred focal parenchymal opacities. # VENTILATOR ASSOCIATED PNEUMONIA The BAL on [**10-18**] revealed MRSA > 100K, and so the patient was started on IV vancomycin for a total therapy duration of two weeks. She remained afebrile and hemodynamically stable throughout her stay. #PLEURAL EFFUSION On [**10-16**] the patient underwent thoracentesis given radiologic and clinic findings that was transudative in nature, with Glucose 214, LDH 170, and total protein of 2.5. She was also started on lasix for diuresis. # HYPERTENSION The patient's hypertension was eventually controlled through a combination of clonidine patch, enalapril, labetolol, and metoprolol. # ATRIAL FIBRILLATION The patient has a history of Atrial fibrillation and was initially placed on IV diltiazem and esmolol for rate control, which was then converted to PO meds via the PEG; however, her rate was not controlled until she was digoxin loaded on [**10-19**] and her rate slowed from AF in the 120s to the 80s. She was then placed on her home dose of digoxin 0.125 mg/day, which controlled her rate throughout her stay. # ATRIAL THROMBUS The CT on [**10-16**] revealed a filling defect along posterosuperior wall of left atrium could represent direct extension of tumor or intraluminal thrombus. Given this finding in the presence of Atrial Fibrillation, she underwent an echocardiogram that revealed a possible 1.1cm mass in the body of LA,Mild-moderate mitral regurgitation, Mild pulmonary artery systolic hypertension, mild symmetric left ventricular hypertrophy, but normal cavity size and global systolic function (LVEF>55%). She was then placed on therapeutic lovenox for the fibrillation and the thrombus, and given her history of a TIA, even though she is at a risk for falls. # DYSPHAGIA The patient had a PEG tube placed by IR on [**10-16**] given that she was intubated for feeding. She was started on tube feeds [**10-17**], which she tolerated, and she was kept NPO given that she aspirated during her [**10-21**] Barium swallow. # C DIFFICILE The patient was transferred from [**Location (un) 61603**] with a history of C difficile diarrhea, and so she was kept on her PO vancomycin. # ANEMIA The patient was admitted from [**Location (un) 61603**] with anemia (Hct 26.6), which has slowly trended down to 23.8, likely secondary to phlebotomy. This should be followed in the future, and her baseline anemia is of unknown etiology. Medications on Admission: catapres TTS qwed, nexium 40 qday, solumedrol 10 qday, reglan 10 q6, enalapril 1.35 q4, haldol 1 q4prn, vanc 250 q6, xopenex Discharge Medications: 1. Bisacodyl 5 mg Tablet, Delayed Release (E.C.) [**Location (un) **]: Two (2) Tablet, Delayed Release (E.C.) PO DAILY (Daily) as needed. 2. Vancomycin 250 mg Capsule [**Location (un) **]: One (1) Capsule PO Q6H (every 6 hours). 3. Nystatin-Triamcinolone 100,000-0.1 unit/g-% Ointment [**Location (un) **]: One (1) Appl Topical [**Hospital1 **] (2 times a day) as needed. 4. Docusate Sodium 50 mg/5 mL Liquid [**Hospital1 **]: One (1) PO BID (2 times a day): Hold for loose stool. 5. Senna 8.6 mg Tablet [**Hospital1 **]: One (1) Tablet PO BID (2 times a day): Hold for loose stool. 6. Metoprolol Tartrate 50 mg Tablet [**Hospital1 **]: Two (2) Tablet PO TID (3 times a day): Hold for SBP < 110, HR < 60. 7. Insulin Regular Human 100 unit/mL Solution [**Hospital1 **]: One (1) Injection ASDIR (AS DIRECTED). 8. Acetylcysteine 20 % (200 mg/mL) Solution [**Hospital1 **]: One (1) ML Miscellaneous Q6H (every 6 hours). 9. Albuterol Sulfate 2.5 mg /3 mL (0.083 %) Solution for Nebulization [**Hospital1 **]: One (1) Inhalation Q6H (every 6 hours). 10. Guaifenesin 100 mg/5 mL Syrup [**Hospital1 **]: 5-10 MLs PO BID (2 times a day). 11. Metoclopramide 10 mg Tablet [**Hospital1 **]: One (1) Tablet PO Q6H (every 6 hours). 12. Lansoprazole 30 mg Tablet,Rapid Dissolve, DR [**Last Name (STitle) **]: One (1) Tablet,Rapid Dissolve, DR [**Last Name (STitle) **] DAILY (Daily). 13. Prednisone 20 mg Tablet [**Last Name (STitle) **]: One (1) Tablet PO DAILY (Daily). 14. Diltiazem HCl 90 mg Tablet [**Last Name (STitle) **]: One (1) Tablet PO QID (4 times a day) as needed for atrial fibrillation: Hold for HR < 60, SBP < 110. 15. Enoxaparin 80 mg/0.8 mL Syringe [**Last Name (STitle) **]: One (1) Subcutaneous Q12H (every 12 hours). 16. Furosemide 40 mg Tablet [**Last Name (STitle) **]: One (1) Tablet PO TID (3 times a day): Decrease pending creatinine levels. 17. Enalapril Maleate 10 mg Tablet [**Last Name (STitle) **]: Four (4) Tablet PO DAILY (Daily) as needed for HTN: Hold for SBP <110. 18. Clonidine 0.3 mg/24 hr Patch Weekly [**Last Name (STitle) **]: One (1) Patch Weekly Transdermal QWED (every Wednesday). 19. Hydrochlorothiazide 12.5 mg Capsule [**Last Name (STitle) **]: One (1) Capsule PO DAILY (Daily): Hold for SBP < 110. 20. Dextromethorphan-Guaifenesin 10-100 mg/5 mL Syrup [**Last Name (STitle) **]: Five (5) ML PO BID (2 times a day). 21. Digoxin 250 mcg/mL Solution [**Last Name (STitle) **]: One (1) Injection DAILY (Daily). 22. Labetalol 100 mg Tablet [**Last Name (STitle) **]: One (1) Tablet PO TID (3 times a day): Hold for SBP < 110, HR < 60. 23. Sodium Chloride 0.9% Flush 10 mL IV PRN line flush Temporary Central Access-ICU: Flush with 10mL Normal Saline daily and PRN. 24. Vancomycin in Dextrose 1 gram/200 mL Piggyback [**Last Name (STitle) **]: One (1) Intravenous Q 24H (Every 24 Hours) for 7 days: Last day [**10-30**]. Discharge Disposition: Extended Care Facility: [**Hospital1 **] [**Location (un) 686**] Discharge Diagnosis: Tracheo-esophageal Fistula, HTN, Atrial Fibrillation, Atrial Thrombus, dysphagia PMx: Non-small cell lung cancer s/p chemo, XRT, Atrial Fibrillation, HTN, Vertigo, h/o hemoptysis while AC, B TKR, ccy, breast ca s/p lumpectomy Discharge Condition: Stable Discharge Instructions: 1. Give medicines as prescribed (through the J tube unless otherwise specified); adjust 2. q2 hour chest PT and suction 3. Oxygen therapy to maintain saturations 90-95% 4. Physical therapy 5. Check CBC, electrolytes once weekly; transfuse as needed 6. Check digoxin level in one week Followup Instructions: 1. Follow-up with Dr [**Last Name (STitle) **]; call office for appointment 2. Follow up with your primary care physician 3. [**Month (only) 116**] reconsider your lovenox therapy in future as determined by safety given your atrial thrombus but also your fall risk [**First Name8 (NamePattern2) **] [**Name8 (MD) **] MD [**Doctor First Name 494**] Completed by:[**2144-10-24**] ICD9 Codes: 5119, 5180, 4240, 2859
{ "dataset_link": "https://huggingface.co/datasets/ricardosantoss/ehrcomplete_icdfiltered", "dataset_name": "ehrcomplete-icdfiltered", "id": 8161 }
Medical Text: Admission Date: [**2196-2-1**] Discharge Date: [**2196-2-18**] Date of Birth: [**2138-7-3**] Sex: F Service: CARDIOTHORACIC Allergies: Ancef / Iodine; Iodine Containing Attending:[**First Name3 (LF) 1505**] Chief Complaint: Dyspnea on exertion Major Surgical or Invasive Procedure: [**2-1**] Redo-sternotomy, Aortic Valve replacement (23mm St. [**Male First Name (un) 923**] tissue), Ascending aorta and hemi-arch replacement (28mm Gelweave), Aortic Endarterectomy [**2-4**] Temporary screw in lead [**2-16**] permanent pacemaker insertion History of Present Illness: 57 year old female with history of bioprosthetic aortic valve replacement in [**2182**] with serial echocardiograms that have shown worsening aortic valve gradients. Currently complaining of dyspnea on exertion with recent admission in [**Month (only) **] for heart failure. Past Medical History: Ascending aortic aneurysm, Bicuspid aortic valve s/p aortic valve replacement [**2182**], Bilateral breast cancer s/p Lumpectomy/XRT/Chemotherapy, Chronic lymphocytic leukemia s/p chemotherapy, h/o Active tuberculosis [**2159**], Splenomegaly, Cholelithiasis, s/p repair of cerebral AVM [**2169**] Social History: [**Name6 (MD) 1403**] as RN on oncology unit Lives with spouse [**Name (NI) 1139**] quit 30 year ago ETOH denies Family History: Mother and father both died of cardiac disease suddenly Physical Exam: VS: 90 16 90/70 5'3" 125# Gen: No acute distress Skin: Unremarkable with well-healed sternotomy incision HEENT: Unremarkable Neck: Supple, full range of motion Chest: Clear lungs bilat. Heart: Regular rate and rhythm with 2/6 systolic murmur radiating to carotids Abd: Soft, non-tender, non-distended +bowel sounds Ext: Warm, well-perfused, -edema Neuro: Grossly intact, alert and oriented x 3 Pertinent Results: [**2196-2-18**] 05:52AM BLOOD WBC-7.0 RBC-3.17* Hgb-9.4* Hct-27.4* MCV-87 MCH-29.5 MCHC-34.1 RDW-15.9* Plt Ct-278 [**2196-2-1**] 01:12PM BLOOD WBC-16.8*# RBC-2.16*# Hgb-6.8*# Hct-20.2*# MCV-93 MCH-31.5 MCHC-33.8 RDW-14.3 Plt Ct-103* [**2196-2-18**] 05:52AM BLOOD Plt Ct-278 [**2196-2-18**] 05:52AM BLOOD PT-13.2 PTT-26.1 INR(PT)-1.1 [**2196-2-17**] 04:45AM BLOOD PT-12.9 INR(PT)-1.1 [**2196-2-1**] 01:12PM BLOOD PT-16.3* PTT-53.7* INR(PT)-1.5* [**2196-2-9**] 03:45AM BLOOD Fibrino-646*# [**2196-2-6**] 02:29AM BLOOD Ret Aut-3.9* [**2196-2-18**] 05:52AM BLOOD Glucose-92 UreaN-20 Creat-0.4 Na-140 K-4.1 Cl-101 HCO3-31 AnGap-12 [**2196-2-1**] 03:17PM BLOOD UreaN-24* Creat-0.8 Cl-108 HCO3-31 [**2196-2-16**] 05:42AM BLOOD Calcium-9.8 Phos-4.7* Mg-2.0 [**2196-2-2**] 02:00AM BLOOD Phos-3.6 Mg-2.0 [**2196-2-14**] 05:30AM BLOOD TSH-4.0 [**2196-2-14**] 05:30AM BLOOD Free T4-1.2 [**2196-2-10**] 01:54AM BLOOD Cortsol-17.6 [**Known lastname **],[**Known firstname **] [**Medical Record Number 107464**] F 57 [**2138-7-3**] Cardiology Report ECG Study Date of [**2196-2-17**] 7:52:02 AM Sinus rhythm with atrial sensing and ventricular pacing. Ventricular ectopy. Compared to the previous tracing atrial fibrillation is no longer present and pacing is new. Read by: [**Last Name (LF) 2194**],[**First Name3 (LF) **] H. Intervals Axes Rate PR QRS QT/QTc P QRS T 99 0 140 392/460 0 130 -51 CHEST, PORTABLE REASON FOR EXAM: 57-year-old woman with CHB status post AVR. New PM implant. Rule out pneumothorax, lead location. Since [**2196-2-11**], left-sided pacemaker was removed and right-sided pacemaker was installed, ending in the right atrium and right ventricle. There Dobbhoff tube is still in place, ending below the diaphragm with its tip not imaged on today's study. A right-sided PICC was also installed ending in the mid SVC. Small right pleural effusion, increased with basilar opacity. Left lower lobe atelectasis improved. There is no pneumothorax. The study and the report were reviewed by the staff radiologist. DR. [**First Name8 (NamePattern2) 4078**] [**Name (STitle) 4079**] DR. [**First Name8 (NamePattern2) 1569**] [**First Name8 (NamePattern2) **] [**Last Name (NamePattern1) 11006**] Approved: TUE [**2196-2-16**] 5:52 PM Provisional Findings Impression: JXRl TUE [**2196-2-9**] 6:02 PM Findings concerning for right frontal infarct with loss of [**Doctor Last Name 352**]-white matter differentiation (2:24-25). Final Report HISTORY: 57-year-old woman status post aortic valve replacement with left hemiparesis. Assess for CVA. COMPARISON: Non-contrast head CT from [**2196-2-2**]. TECHNIQUE: Non-contrast head CT was obtained. FINDINGS: Loss of [**Doctor Last Name 352**]-white differentiation associated with a subtle region of hypodensity within the right frontal lobe near the vertex (2:24-25), new in comparison to CT [**2196-2-2**], is concerning for relatively acute infarction. There is no intracranial hemorrhage, mass effect or shift of normally midline structures. The ventricles and basal cisterns are normal and unchanged in size and configuration. Post-operative changes of the right temporal lobe, with apparent right temporal resection and overlying right temporal bone craniotomy are unchanged. Bones are otherwise unremarkable without lesions suspicious for metastases. Paranasal sinuses and mastoid air cells are well aerated. IMPRESSION: 1. Findings concerning for relavtively acute right frontovertex infarct. 2. Unchanged findings of right temporal lobe resection. COMMENT: The findings were discussed with Mr. [**First Name8 (NamePattern2) **] [**Last Name (Titles) **] (NP, Cardiothoracic Surgery service) by Dr. [**Last Name (STitle) 20059**] on [**2196-2-9**], at approximately 6pm. Findings can be further evaluated with MRI if clinically indicated. The study and the report were reviewed by the staff radiologist. DR. [**First Name11 (Name Pattern1) **] [**Initial (NamePattern1) **] [**Last Name (NamePattern4) **] DR. [**First Name11 (Name Pattern1) **] [**Initial (NamePattern1) **] [**Last Name (NamePattern4) 7593**] Approved: WED [**2196-2-10**] 9:00 AM Brief Hospital Course: Mrs. [**Known lastname 97236**] was a same day admit after undergoing pre-operative work-up prior to her admission. She was taken directly to the operating room where she underwent a redo-sternotomy with an aortic valve replacement as well as an ascending aorta and hemi-arch replacement. Please see operative report for surgical details. Postoperatively she was taken to the intensive care unit for invasive monitoring. She was noted to be in complete heart block and was paced with epicardial pacing. She was quite slow to wean from sedation and focal facial seizures were noted. A neurology consult was obtained and a CT scan was performed. The CT scan was inconclusive and an MRI was recommended but unable due to epicardial wires. Extubation was delayed due to concern for airway protection. An EEG was performed which was abnormal suggesting a widespread encephalopathy or a metabolic anoxic or postictal etiology. A video EEG was performed which did not show any seizure activity but did show a markedly encephalopathic background. Keppra was continued for control of seizure activity. The cardiology service was consulted for her complete heart block. She was taken to the electrophysiology [**Known lastname **] where a temporary screw in pacemaker was placed. Tube feed and intravenous vitamins were started for nutritional support. She slowly became more alert moving her right side and only responding to painful stimuli on her left side. The neurology service felt that all her symptoms were consistent with a brainstem infarct. On postoperative day five she was successfully extubated without incident. She continued with left sided weakness however physical and occupational therapy were consulted to work with her for range of motion activity. Mrs. [**Known lastname 97236**] developed a fever and was pancultured. Vancomycin and zosyn were started. Her sputum culture revealed serratia marcescens and ceftriaxone was started. She continued to improve from a neurological standpoint however remained with no spontaneous left sided movement. She underwent repeat CT scan that had findings concerning for relavtively acute right frontovertex infarct. Her mental status also improved where she could answer questions and respond to commands. Mrs. [**Last Name (STitle) 107465**] was transferred from the ICU on post operative day thirteen. A permanent pacemaker insertion and cardioversion on post operative day fourteen. She was started on coumadin and amiodarone for atrial fibrillation. She has continued to make slow progression, please see speech, occupational and physical therapy notes. Sternal incision no erythema no drainage no edema weight preop 55 kg and discharge 52 kg Medications on Admission: Lasix 40mg qd, Toporol XL 25mg qd, Femara 25mg qd, Calcium and multiple vitamins Discharge Medications: 1. Docusate Sodium 50 mg/5 mL Liquid [**Last Name (STitle) **]: Ten (10) ml PO BID (2 times a day). ml 2. Aspirin 81 mg Tablet, Chewable [**Last Name (STitle) **]: One (1) Tablet, Chewable PO DAILY (Daily). 3. Levetiracetam 500 mg Tablet [**Last Name (STitle) **]: One (1) Tablet PO BID (2 times a day): Continue - if questions please contact Dr [**Last Name (STitle) 107466**] [**Name (NI) 1693**] (neurology). 4. Lansoprazole 30 mg Tablet,Rapid Dissolve, DR [**Last Name (STitle) **]: One (1) Tablet,Rapid Dissolve, DR [**Last Name (STitle) **] DAILY (Daily). 5. Furosemide 20 mg Tablet [**Last Name (STitle) **]: One (1) Tablet PO DAILY (Daily). 6. Amiodarone 200 mg Tablet [**Last Name (STitle) **]: Two (2) Tablet PO BID (2 times a day): 400mg twice a day through [**2-23**] then decrease to 400 mg once daily through [**3-1**], then decrease to 200mg and follow up with Dr [**Last Name (STitle) **] . 7. Clindamycin HCl 150 mg Capsule [**Last Name (STitle) **]: Two (2) Capsule PO Q6H (every 6 hours) as needed for PM implant for 7 doses. 8. Warfarin 3 mg Tablet [**Last Name (STitle) **]: One (1) Tablet PO once a day for 1 days: 3mg [**2-19**] and recheck INR [**2-20**] for further dosing - goal INR 2-2.5 for atrial fibrillation . 9. Femara 2.5 mg Tablet [**Month/Year (2) **]: One (1) Tablet PO once a day. 10. medications Please consider starting betablocker when blood pressure will tolerate, then if stable start ace inhibitor, unable to start during hospitalization due to blood pressure 11. Outpatient [**Name (NI) **] Work PT/INR for coumadin dosing, goal INR 2-2.5 with first draw [**2-20**] Discharge Disposition: Extended Care Facility: [**Hospital3 1107**] [**Hospital **] Hospital - [**Location (un) 38**] Discharge Diagnosis: Bioprosthetic aortic stenosis s/p Aortic Valve replacement Ascending aortic aneurysm s/p replacement Complete heart block s/p permanent pacemaker placement Post operative atrial fibrillation Right frontal infarction Seizure Acute on Chronic systolic heart failure PMH: Bicuspid aortic valve s/p aortic valve replacement [**2182**], Bilateral breast cancer s/p Lumpectomy/XRT/Chemotherapy, Chronic lymphocytic leukemia s/p chemotherapy, h/o Active tuberculosis [**2159**], Splenomegaly, Cholelithiasis, s/p repair of cerebral AVM [**2169**] Discharge Condition: Good Discharge Instructions: 1) Monitor wounds for signs of infection. These include redness, drainage or increased pain. In the event that you have drainage from your sternal wound, please contact the [**Name2 (NI) 5059**] at ([**Telephone/Fax (1) 4044**]. 2) Report any fever greater then 100.5. 3) Report any weight gain of 2 pounds in 24 hours or 5 pounds in 1 week. 4) No lotions, creams or powders to incision until it has healed. You may shower and wash incision. Gently pat the wound dry. Please shower daily. No bathing or swimming for 1 month. Use sunscreen on incision if exposed to sun. 5) No lifting greater then 10 pounds for 10 weeks from date of surgery. 6) No driving for 1 month or while taking narcotics for pain. 7) Call with any questions or concerns. Followup Instructions: Dr. [**Last Name (STitle) **] in [**1-12**] weeks [**Telephone/Fax (1) 170**] Dr. [**Last Name (STitle) **] in [**2-10**] weeks Dr. [**Last Name (STitle) 4390**] after discharged from rehab [**Telephone/Fax (1) 3070**] Dr. [**First Name8 (NamePattern2) 1692**] [**Last Name (NamePattern1) 1693**] after discharged from rehab ([**Telephone/Fax (1) 22692**] Dr [**Last Name (STitle) 1837**] - [**Hospital **] clinic - [**3-20**] at 11 am [**Telephone/Fax (1) 41**] Provider: [**Name10 (NameIs) 676**] CLINIC Phone:[**Telephone/Fax (1) 62**] Date/Time:[**2196-2-24**] 11:30 Provider: [**First Name4 (NamePattern1) **] [**Last Name (NamePattern1) 3919**], [**Name12 (NameIs) 280**] Phone:[**Telephone/Fax (1) 3241**] Date/Time:[**2196-3-8**] 10:00 Provider: [**First Name11 (Name Pattern1) **] [**Last Name (NamePattern4) 3238**], MD Phone:[**Telephone/Fax (1) 3241**] Date/Time:[**2196-3-8**] 10:00 Completed by:[**2196-2-18**] ICD9 Codes: 9971, 5185, 4241, 4280, 2859, 2875
{ "dataset_link": "https://huggingface.co/datasets/ricardosantoss/ehrcomplete_icdfiltered", "dataset_name": "ehrcomplete-icdfiltered", "id": 8162 }
Medical Text: Admission Date: [**2111-12-29**] Discharge Date: [**2112-1-3**] Date of Birth: [**2039-10-23**] Sex: M Service: CARDIOTHORACIC Allergies: No Known Allergies / Adverse Drug Reactions Attending:[**First Name3 (LF) 1505**] Chief Complaint: Palpitations Major Surgical or Invasive Procedure: Mitral Valve Repair [**2111-12-29**] History of Present Illness: 72 y.o. old primary care physician with [**Name Initial (PRE) **] history of severe mitral regurgitation, new onset acute diastolic congestive heart failure. He reports occasional palpitations. He denies shortness of breath, PND, orthopnea, presyncope, or syncope. He reports mild dependent chronic 1+ bilateral LE edema. TEE revealed mildly thickened and myxomatous mitral valve leaflets, moderate to severe MVP with severe 4+MR. [**Name13 (STitle) **] was evaluated by Dr. [**Last Name (STitle) **] and agreed to proceed with elective mitral valve repair. Past Medical History: Mitral Regurgitation/Mitral valve prolapse Hypertension SVT/Atrial Tachycardia Diverticulosis Nephrolithiasis Polymyalgia Rheumatica Osteopenia Low Back Pain/Sciatica OSA-compliant with cpap Left knee arthroscopic knee surgery; case was done under general anesthesia and patient reports post anesthesia course complicated by a bronchospastic reaction along with oxygen desataturation, which required overnight observation prior to discharge. No issues with conscious sedation during prior colonoscopy. Social History: Lives with wife [**Name (NI) **] Occupation: PCP [**Name Initial (PRE) 1139**]: remote- quit 25 yo ETOH: [**1-22**] drinks a week Family History: Non-contributory Physical Exam: Pulse: 60SR Resp: 20 O2 sat: B/P Right: 112/64 Left: Height: 5'9" Weight: 150lb General: NAD, WGWN, appears stated age Skin: Dry [x] intact [x] HEENT: PERRLA [x] EOMI [x] Neck: Supple [x] Full ROM [x] Chest: Lungs clear bilaterally [x] Heart: RRR [x] Irregular [] Murmur 3/6 systolic Abdomen: Soft [x] non-distended [x] non-tender [x] bowel sounds + [x] Extremities: Warm [x], well-perfused [x] Edema- trace Varicosities: None [x] Neuro: Grossly intact x Pulses: Femoral Right:2+ Left:2+ DP Right:2+ Left:2+ PT [**Name (NI) 167**]:2+ Left:2+ Radial Right:2+ Left:2+ Carotid Bruit Right: Left: no bruits Pertinent Results: [**2111-12-29**]:Conclusions PRE-CPB: The left atrium is moderately dilated. No thrombus is seen in the left atrial appendage. No atrial septal defect is seen by 2D or color Doppler. Left ventricular wall thicknesses are normal. Overall left ventricular systolic function is normal (LVEF>55%). The RV systolic function is borderline low normal. There are simple atheroma in the descending thoracic aorta. The aortic valve leaflets (3) appear structurally normal with good leaflet excursion. Trivial aortic regurgitation is seen. The mitral valve leaflets are myxomatous. The portion of the mitral leaflet between P2 and P3 is flail with ruptured chord. There is a anteriorly directed jet of severe MR [**First Name (Titles) 151**] [**Last Name (Titles) 96316**] effect. There is a smaller central MR jet. POST-CPB: A mitral valve annuloplasty ring is present. The anterior leaflet spans the entire length of the mitral annulus, and the posterior leaflet is minimally visible, consistent with a mitral valve repair. There is no residual MR. The peak gradient across the mitral valve is 6mmHg, the mean gradient is 3mmHg.The TR is now mild. The LV systolic function is borderline normal with no new wall motion abnormalities. The RV systolic function appears improved to normal. There is no evidence of dissection. [**2112-1-1**] CXR: FINDINGS: In comparison with the study of [**12-30**], there is partial clearing of the bilateral atelectatic change, though opacification persists in the retrocardiac region at the left base. Blunting of the costophrenic angles is again seen. No evidence of pneumothorax. [**2111-12-29**] 11:32AM BLOOD WBC-1.6*# RBC-2.80*# Hgb-8.8*# Hct-25.0*# MCV-90 MCH-31.4 MCHC-35.1* RDW-13.5 Plt Ct-95* [**2111-12-29**] 12:10PM BLOOD WBC-4.7# RBC-3.44* Hgb-10.6* Hct-30.6* MCV-89 MCH-30.8 MCHC-34.7 RDW-13.5 Plt Ct-103* [**2111-12-29**] 07:15PM BLOOD Hct-32.3* [**2111-12-30**] 04:16AM BLOOD WBC-6.1 RBC-3.54* Hgb-11.2* Hct-31.6* MCV-89 MCH-31.6 MCHC-35.4* RDW-13.5 Plt Ct-100* [**2111-12-31**] 04:16AM BLOOD WBC-7.6 RBC-3.70* Hgb-11.5* Hct-32.5* MCV-88 MCH-31.0 MCHC-35.3* RDW-13.4 Plt Ct-99* [**2112-1-1**] 05:05AM BLOOD WBC-5.7 RBC-3.46* Hgb-10.7* Hct-31.1* MCV-90 MCH-31.0 MCHC-34.4 RDW-13.4 Plt Ct-102* [**2111-12-29**] 11:32AM BLOOD PT-15.4* PTT-36.1* INR(PT)-1.3* [**2111-12-29**] 11:32AM BLOOD Plt Smr-LOW Plt Ct-95* [**2111-12-29**] 12:10PM BLOOD PT-14.4* PTT-38.4* INR(PT)-1.2* [**2111-12-29**] 12:10PM BLOOD Plt Ct-103* [**2111-12-30**] 04:16AM BLOOD Plt Ct-100* [**2111-12-31**] 04:16AM BLOOD Plt Smr-LOW Plt Ct-99* [**2112-1-1**] 05:05AM BLOOD Plt Ct-102* [**2111-12-29**] 12:10PM BLOOD UreaN-16 Creat-0.9 Na-142 K-4.3 Cl-112* HCO3-25 AnGap-9 [**2111-12-29**] 07:15PM BLOOD Na-142 K-4.2 Cl-112* [**2111-12-30**] 04:16AM BLOOD Glucose-122* UreaN-17 Creat-0.9 Na-140 K-4.5 Cl-109* HCO3-26 AnGap-10 [**2111-12-31**] 04:16AM BLOOD Glucose-128* UreaN-20 Creat-1.0 Na-136 K-3.8 Cl-100 HCO3-31 AnGap-9 [**2112-1-1**] 05:05AM BLOOD UreaN-21* Creat-1.0 Na-138 K-3.9 Cl-100 [**2112-1-1**] 11:12PM BLOOD Glucose-112* UreaN-18 Creat-1.0 Na-137 K-4.2 Cl-99 HCO3-31 AnGap-11 Brief Hospital Course: The patient was brought to the operating room on [**2111-12-29**] where the patient underwent mitral valve repair with 28mm ring. Overall the patient tolerated the procedure well and post-operatively was transferred to the CVICU in stable condition for recovery and invasive monitoring. POD 1 found the patient extubated, alert and oriented and breathing comfortably. The patient was neurologically intact and hemodynamically stable, weaned from inotropic and vasopressor support. Beta blocker was initiated and the patient was gently diuresed toward the preoperative weight. The patient was transferred to the telemetry floor for further recovery. Chest tubes and pacing wires were discontinued without complication. The patient was evaluated by the physical therapy service for assistance with strength and mobility and cleared for discharge to home. By the time of discharge on POD 5 the patient was ambulating freely, the wound was healing and pain was controlled with oral analgesics. His home ACE inhibitor was not added back secondary to hypotension. The patient was discharged [**2112-1-3**] in good condition with appropriate follow up instructions. Medications on Admission: CITALOPRAM - 40 mg Tablet - 1 Tablet(s) by mouth once a day ERGOCALCIFEROL (VITAMIN D2) [VITAMIN D] - 50,000 unit Capsule - one Capsule(s) by mouth qweek FUROSEMIDE - 20 mg Tablet - [**11-22**] tab Tablet(s) by mouth once a day - No Substitution LISINOPRIL - 40 mg Tablet - 1 Tablet(s) by mouth once a day METOPROLOL SUCCINATE - 50 mg Tablet Sustained Release 24 hr - 1 Tablet(s) by mouth once a day - No Substitution SILDENAFIL [VIAGRA] - 100 mg Tablet - 1 Tablet(s) by mouth as directed ASPIRIN - (OTC) - 81 mg Tablet, Chewable - 1 Tablet(s) by mouth daily CALCIUM CITRATE [CALCITRATE] - (Prescribed by Other Provider) - 200 mg (950 mg) Tablet - 1 (One) Tablet(s) by mouth twice a week CYANOCOBALAMIN (VITAMIN B-12) - (Prescribed by Other Provider) - 1,000 mcg Tablet Sustained Release - 1 Tablet(s) by mouth twice a week ERGOCALCIFEROL (VITAMIN D2) [VITAMIN D] - (OTC) - 1,000 unit Capsule - 1 Capsule(s) by mouth daily RANITIDINE HCL - (OTC) - 150 mg Tablet - 1 Tablet(s) by mouth prn as needed for GERD Discharge Medications: 1. aspirin 81 mg Tablet, Delayed Release (E.C.) Sig: One (1) Tablet, Delayed Release (E.C.) PO DAILY (Daily). 2. docusate sodium 100 mg Capsule Sig: One (1) Capsule PO BID (2 times a day). 3. oxycodone-acetaminophen 5-325 mg Tablet Sig: 1-2 Tablets PO Q4H (every 4 hours) as needed for pain. Disp:*75 Tablet(s)* Refills:*0* 4. citalopram 40 mg Tablet Sig: One (1) Tablet PO once a day. 5. potassium chloride 20 mEq Tablet, ER Particles/Crystals Sig: One (1) Tablet, ER Particles/Crystals PO Q12H (every 12 hours). Disp:*20 Tablet, ER Particles/Crystals(s)* Refills:*0* 6. furosemide 40 mg Tablet Sig: One (1) Tablet PO BID (2 times a day) for 10 days. Disp:*20 Tablet(s)* Refills:*0* 7. ranitidine HCl 150 mg Tablet Sig: One (1) Tablet PO twice a day. 8. tramadol 50 mg Tablet Sig: One (1) Tablet PO Q4H (every 4 hours) as needed for pain. Disp:*60 Tablet(s)* Refills:*0* 9. metoprolol tartrate 50 mg Tablet Sig: One (1) Tablet PO BID (2 times a day). Disp:*60 Tablet(s)* Refills:*2* 10. ergocalciferol (vitamin D2) 50,000 unit Capsule Sig: One (1) Capsule PO once a week: Per home routine. 11. Vitamin D 1,000 unit Tablet Sig: One (1) Tablet PO once a day: Per home routine. 12. Vitamin B-12 1,000 mcg Tablet Extended Release Sig: One (1) Tablet Extended Release PO twice a week: Per home routine. 13. calcium citrate 200 mg (950 mg) Tablet Sig: One (1) Tablet PO twice a week: Per home routine. Discharge Disposition: Home With Service Facility: [**Hospital 119**] Homecare Discharge Diagnosis: Mitral Regurgitation/Mitral Valve Prolapse Hypertension SVT/Atrial Tachycardia Diverticulosis Nephrolithiasis Polymyalgia Rheumatica Osteopenia Low Back Pain/Sciatica Obstructive Sleep Apnea Discharge Condition: Alert and oriented x3 nonfocal Ambulating, gait steady Sternal pain managed with oral analgesics Sternal Incision - healing well, no erythema or drainage Edema:2+ Discharge Instructions: Please shower daily including washing incisions gently with mild soap, no baths or swimming, and look at your incisions Please NO lotions, cream, powder, or ointments to incisions Each morning you should weigh yourself and then in the evening take your temperature, these should be written down on the chart No driving for approximately one month and while taking narcotics, will be discussed at follow up appointment with surgeon when you will be able to drive No lifting more than 10 pounds for 10 weeks Do not resume your lisinopril Do not resume Viagra Please call with any questions or concerns [**Telephone/Fax (1) 170**] **Please call cardiac surgery office with any questions or concerns [**Telephone/Fax (1) 170**]. Answering service will contact on call person during off hours** Followup Instructions: You are scheduled for the following appointments: Surgeon: Dr.[**Last Name (STitle) **] [**2112-1-21**] @ 1:30pm Phone: [**Telephone/Fax (1) 170**] Cardiologist: Dr. [**Last Name (STitle) **] [**1-19**] @ 1:30pm Please call to schedule the following: Primary Care Dr. [**First Name4 (NamePattern1) **] [**Last Name (NamePattern1) **] in [**2-23**] weeks **Please call cardiac surgery office with any questions or concerns [**Telephone/Fax (1) 170**]. Answering service will contact on call person during off hours** Completed by:[**2112-1-3**] ICD9 Codes: 4240, 4280, 4019
{ "dataset_link": "https://huggingface.co/datasets/ricardosantoss/ehrcomplete_icdfiltered", "dataset_name": "ehrcomplete-icdfiltered", "id": 8163 }
Medical Text: Admission Date: [**2170-1-6**] Discharge Date: [**2170-1-9**] Service: MEDICINE Allergies: Aspirin / Percocet / Codeine / Nutren Pulmonary / Zosyn Attending:[**First Name3 (LF) 96598**] Chief Complaint: hypoxia Major Surgical or Invasive Procedure: BiPAP History of Present Illness: 89 yo F with COPD, HTN, PVD, PEG tube, presents dyspnic from Heb Reb. Recently finished steroid taper at end of [**Month (only) **] for prior COPD exacerbation. The patient recently had a UTI which was treated with abx (? levoflox). She has been having decreased MS/po intake over past few days. . In the ED, initial vitals were T 103.8 rectal, P 100 BP 128/49 R 40 O2 79% on NRB. Changed to BiPAP with good effect and O2 sat increased to 100%. ABG on BiPAP 7.38/48/303/29. Received vanc 1g, Ceftaz 2g for consolidation on CXR in the setting of a nursing home and h/o MRSA. Also received nebs and 10mg dexameth for COPD exacerbation. . On arrival to the unit the patient had decreased responsiveness. Satting well on BiPAP. (However needed to be on NRB for the trip). New gas on bipap 7.39/40/159. BP's in the 80's came up to 90's with gentle bolus. Spoke to family who want full code and invasive measures if necessary. . Past Medical History: 1. Steroid induced hyperglycemia with history of hypoglycemia. 2. Asthma with greater than 5 hospitalizations with history of intubation complicated by MRSA pneumonia. 3. Hypertension. 4. Peripheral vascular disease, status post left femoral peroneal bypass in [**2162**]. 5. COPD with 51% predicted FEV1. 6. MAT. 7. History of multiple aspirations, status post PEG. 8. Left hilar mass. Workup pending. 9. History of GI bleed, declined endoscopy. 10. Diastolic CHF with preserved EF. 11. Anemia of chronic disease, baseline hematocrit 26. 12. Chronic renal insufficiency, last creatinine 1.2. 13. bell's palsy Social History: Daughter involved in the patient's care. Widowed with 3 children. Denies tobacco use. Previous alcohol 3 times per week. None recently. States significant second hand exposure from her father until age 21. Family History: NC Physical Exam: per Dr. [**First Name4 (NamePattern1) **] [**Last Name (NamePattern1) 9570**] VS: 98.8 105/60 HR 97 RR 22 99% on 50% BiPAP GEN - repsponsive only to sternal rub HEENT - BiPAP on, PERRL NECK - supple, no LAD COR - tachy , regular CHEST - diffuse ronchi, worse in R base ABD - soft, +BS EXT - no edema Skin - decub ulcer on sacrum, stasis changes on legs Pertinent Results: Admission CXR - Findings concerning for right pneumonia. Left retrocardiac opacity, consistent with atelectasis, effusion, or consolidation. . Admission EKG - RBBB tachy 109, no change from prior . Admission labs: ABG: 7.39/40/151 U/A: small leuks, small blood, neg nitr, many bacteria . 136 104 83 --------------< 192 4.4 26 1.6 Ca: 10.5 Mg: 2.5 P: 4.4 ALT: 55 Tbili: 0.2 AST: 50 [**Doctor First Name **]: 47 Lip: 20 Lactate:1.1 . 7.7 9.9 >----< 279 22.6 N:92.6 Band:0 L:4.0 M:2.9 E:0.4 Bas:0.1 PT: 12.8 PTT: 27.4 INR: 1.1 . Trends: CK: 20 - 16 CKMB: 3 - 3 Tropo: 0.18 - 0.10 Iron 17, TIBC 205, B12 982, Folate okay, Ferritin 561 . Micro: [**2170-1-7**] 10:06 am SPUTUM Source: Expectorated. GRAM STAIN (Final [**2170-1-7**]): >25 PMNs and <10 epithelial cells/100X field. 3+ (5-10 per 1000X FIELD): GRAM POSITIVE ROD(S). 2+ (1-5 per 1000X FIELD): GRAM POSITIVE COCCI IN PAIRS. 1+ (<1 per 1000X FIELD): GRAM NEGATIVE ROD(S). RESPIRATORY CULTURE (Preliminary): RESULTS PENDING. . . [**2170-1-6**] 8:00 am URINE Site: CATHETER URINE CULTURE (Preliminary): KLEBSIELLA PNEUMONIAE. >100,000 ORGANISMS/ML.. Trimethoprim/Sulfa sensitivity testing confirmed by [**First Name8 (NamePattern2) 3077**] [**Last Name (NamePattern1) 3060**]. 2ND ISOLATE. <10,000 organisms/ml. SENSITIVITIES: MIC expressed in MCG/ML KLEBSIELLA PNEUMONIAE | AMPICILLIN/SULBACTAM-- 16 I CEFAZOLIN------------- =>64 R CEFEPIME-------------- PND CEFTAZIDIME----------- =>64 R CEFTRIAXONE----------- PND CEFUROXIME------------ =>64 R CIPROFLOXACIN--------- =>4 R GENTAMICIN------------ 4 S IMIPENEM-------------- <=1 S MEROPENEM-------------<=0.25 S NITROFURANTOIN-------- 256 R PIPERACILLIN/TAZO----- 8 S TOBRAMYCIN------------ =>16 R TRIMETHOPRIM/SULFA---- =>16 R Brief Hospital Course: 89 yo woman with severe COPD presents with dyspnea from nursing home. Hospital course by problem: . # Respiratory distress - This was thought likely secondary to pneumonia +/- COPD exacerbation. Patient with history of ESBL and MRSA so she was initially covered with meropenem and vanco. Her sputum grew out 3+ gram positive rods, 2+ gram positive cocci, and 1+ gram negative rods (with good sample). Further identification pending upon discharge. We also monitored her in the ICU and treated her with a BiPAP. She was treated with standing nebs, chest PT, singulair, advair and [**Doctor First Name 130**]. Her respiratory status significantly improved with these measures. We also treated with steroids for a COPD exacerbation (initially with IV solumedrol on [**1-8**] with transition to prednisone 60mg PO daily by [**1-9**]). She will need to complete a 10 day course of vancomycin starting on [**1-6**]. Her troughs were therapeutic. . # UTI - Patient with gram negative rods in urine culture from [**1-6**]. Sensitivites indicate that she has largely resistent klebsiella which is sensitive to meropenem. We started this on [**1-6**] and suggest treating for a 10 day course. . # Altered mental status: On evening of [**1-8**], the patient developed altered mental status and garbled speech. This came on suddenly and improved within 15 minutes. A neuro exam at the time indicated a right facial droop (which has been previously documented). She also was alert and oriented to person, place, date, month, time, and situation (10 min after the change in mental status was first appreciated). An ABG at the time showed good oxygenation and no evidence of hypercarbia. Blood glucose was 400. A head CT preliminarily read as no hemorrhage or territorial lesion. Her ms improved. . # Anemia - below baseline but stable at 22. We transfused her one unit of pRBC prior to discharge. . # ARF - labs were initially c/w dehydration. 500cc boluses were given for hypotension and poor urine output. This resulted in improvement in her UOP and stabilization of her blood pressure. . # MAT - EKG appears regular. We were cautious with the verapamil initially given her hypotension but added it back on. Her HR was well controlled in the 100-110 range. She was placed on her home verapamil and had good control of her heart rates. . # Steroid Induced DM - Continued a RISS but also added glargine 6u qhs. This may be titrated in the future as needed. . # HTN - continued verapamil as above. . # Diastolic CHF - continued HR and BP control . # Hilar Mass - work up once stable as outpt . # Decubitus and stasis ulcer - wound care per routine . # h/o post herpetic neuralgia - we held her neurontin while decreased MS [**First Name (Titles) **] [**Last Name (Titles) **]. This was then restarted prior to dispo. . # PPx - hep SC, PPI, bowel reg . # FEN - Tube feeds . # Code Status - Full code . # Contacts - Daughter [**First Name8 (NamePattern2) **] [**Last Name (NamePattern1) 2916**] [**Telephone/Fax (1) 96596**] Medications on Admission: MEDS: TF through PEG, flush 200 cc free water q6h Chronic indwelling foley Multivitamin Zantac 150mg po/ng qdaily Levothyroxine 200mcg po qdaily Vitamin B12 100mcg po daily Vitamin C 500mg daily Neurontin 200mg po tid Buspar 10mg po daily Hep SQ 5000 U TID Lipitor 10mg po daily Metoprolol tartate 25mg po daily Humulin sliding scale Dulcolax 10mg pr prn constipation Albuterol nebs prn wheezing Atrovent nebs prn wheezing Ativan 1mg prn anxiety Tylenol 650mg po q4-6h prn Ultram 50mg po q6h prn pain . ALLERGIES: Penicillins Discharge Medications: 1. Gabapentin 300 mg Capsule [**Telephone/Fax (1) **]: One (1) Capsule PO HS (at bedtime). 2. Heparin (Porcine) 5,000 unit/mL Solution [**Telephone/Fax (1) **]: One (1) Injection TID (3 times a day). 3. Humalog 100 unit/mL Solution [**Telephone/Fax (1) **]: variable Subcutaneous four times a day: please use sliding scale as previously instructed. 4. Insulin Glargine 100 unit/mL Solution [**Telephone/Fax (1) **]: Six (6) units Subcutaneous at bedtime. 5. Lidocaine 5 %(700 mg/patch) Adhesive Patch, Medicated [**Telephone/Fax (1) **]: One (1) Adhesive Patch, Medicated Topical DAILY (Daily): 12h on and 12h off. 6. Docusate Sodium 50 mg/5 mL Liquid [**Telephone/Fax (1) **]: One Hundred (100) mg PO BID (2 times a day). 7. Nexium 20 mg Capsule, Delayed Release(E.C.) [**Telephone/Fax (1) **]: One (1) Capsule, Delayed Release(E.C.) PO once a day. 8. Fexofenadine 60 mg Tablet [**Telephone/Fax (1) **]: One (1) Tablet PO once a day. 9. Fluticasone-Salmeterol 250-50 mcg/Dose Disk with Device [**Telephone/Fax (1) **]: One (1) Disk with Device Inhalation [**Hospital1 **] (2 times a day). 10. Singulair 10 mg Tablet [**Hospital1 **]: One (1) Tablet PO once a day. 11. Senna 8.6 mg Tablet [**Hospital1 **]: Two (2) Tablet PO DAILY (Daily). 12. Verapamil 120 mg Tablet [**Hospital1 **]: One (1) Tablet PO three times a day. 13. Acetaminophen 325 mg Tablet [**Hospital1 **]: One (1) Tablet PO Q4-6H (every 4 to 6 hours) as needed. 14. Zolpidem 5 mg Tablet [**Hospital1 **]: One (1) Tablet PO HS (at bedtime) as needed for insomnia. 15. Bisacodyl 10 mg Suppository [**Hospital1 **]: One (1) Suppository Rectal HS (at bedtime) as needed for constipation. 16. Ipratropium Bromide 0.02 % Solution [**Hospital1 **]: One (1) Inhalation Q6H (every 6 hours) as needed for shortness of breath or wheezing. 17. Albuterol Sulfate 0.083 % Solution [**Hospital1 **]: One (1) Inhalation Q4H (every 4 hours) as needed for shortness of breath or wheezing. 18. Meropenem 500 mg Recon Soln [**Hospital1 **]: One (1) Recon Soln Intravenous Q12H (every 12 hours) for 1 weeks: first does was [**1-6**]. Suggest rx x 10 days. 19. Vancomycin 1,000 mg Recon Soln [**Month/Year (2) **]: One (1) Intravenous once a day for 1 weeks: first dose was [**1-6**]. suggest renally dose by level (<20). suggest completion of 10 day course. 20. Prednisone 20 mg Tablet [**Month/Year (2) **]: Three (3) Tablet PO once a day: Please take 60mg per day for 1 week, then 50mg per day for 1 week, then 40mg a day for 1 week, then 30mg a day for 1 week, then 20mg a day for 1 week, then 10mg a day for 1 week, then 5 mg a day for 1 week. Discharge Disposition: Extended Care Facility: [**Hospital6 459**] for the Aged - MACU Discharge Diagnosis: Primary: UTI: klebsiella COPD exacerbation Anemia of chronic inflammation and iron deficiency altered mental status bell's palsy (documented also in [**11-1**]) . Secondary: ARF c/w prerenal azotemia multifocal atrial tachycardia steroid induced DM HTN diastolic CHF hilar mass decubitus and stasis ulcerations h/o post herpetic neuralgia PVD s/p PEG h/o GI bleed Discharge Condition: fair Discharge Instructions: You were admitted with a COPD exacerbation, shortness of breath, altered mental status, and a UTI. Please take your medications as instructed. Notably, you need to be on antibiotics for a total of 7 days. These were started on [**1-6**]. You were also started on Prednisone and should have a slow taper of this medication. Because your insulin was increased on your prednisone, you need to be sure to decrease this as you decrease your steroid dose. . Please contact your doctor if you develop worsening shortness of breath, altered mental status, fevers, chills, abdominal pain. . Weigh yourself every morning, [**Name8 (MD) 138**] MD if weight > 3 lbs. Adhere to 2 gm sodium diet Fluid Restriction: 1500cc/d Followup Instructions: Provider: [**Name10 (NameIs) 1571**] BREATHING TEST Phone:[**Telephone/Fax (1) 612**] Date/Time:[**2170-1-18**] 2:10 Provider: [**Name10 (NameIs) 1570**],[**Name11 (NameIs) 2162**] [**Name12 (NameIs) 1570**] INTEPRETATION BILLING Date/Time:[**2170-1-18**] 2:30 . Please followup with your PCP within the next two weeks. [**First Name8 (NamePattern2) **] [**Name8 (MD) **] MD [**MD Number(1) 7585**] ICD9 Codes: 486, 5990, 5849, 4280, 4019
{ "dataset_link": "https://huggingface.co/datasets/ricardosantoss/ehrcomplete_icdfiltered", "dataset_name": "ehrcomplete-icdfiltered", "id": 8164 }
Medical Text: Admission Date: [**2136-10-6**] Discharge Date: [**2136-12-4**] Date of Birth: [**2072-5-17**] Sex: F Service: ORTHOPAEDICS Allergies: Penicillins Attending:[**First Name3 (LF) 3190**] Chief Complaint: Back pain with fevers Major Surgical or Invasive Procedure: T3-L3 posterior spinal fusion Iliac crest bone graft T6-7 corpectomy with T5-8 fusion and strut graft History of Present Illness: 64F h/o mental retardation, ESRD on HD, DM2, epidural abscess, p/w GI bleed and resp distress. The pt recently had a complicated hospital course at [**Hospital1 18**] from [**2136-7-16**] to [**2136-9-1**] during which she had sepsis and resp failure requiring mechanical ventilation for roughly 2 weeks. She was found to have epidural spinal abscesses with spinal cord impingement treated operativelyt by Orthopedics [**2136-7-26**] and then with abx. Course was also c/b ATN/ARF requiring HD which the pt required at discharge. She returned on [**9-16**] to [**9-26**] with fevers from rehab and was found to have radiographic worsening of the vertberal osteomyletis which was treated by tailoring abx, without surgery. The plan was for her to continue a course of linezold followed by nafcillin at discharge to [**Hospital **] Rehab. On [**10-5**], the pt was admitted to [**Hospital **] Hospital for tachycardia and respiratory distress. At [**Hospital1 **], she was tachy to 130, was diuresed and put on nitro gtt for suspected CHF. WBC 8.1 though pt was febrile to 101.8. CXR showed CHF and possible infiltrate so pt was treated broadly for PNA, UA was positive as well. Hct was noted to be 23 on admission and had h/o coffee grounds emesis at rehab, though green stool found at [**Hospital1 **]. Pt was transferred to [**Hospital1 18**] for further evaluation. Past Medical History: COPD Mental retardation DVT [**1-/2130**] NIDDM Obesity Sciatica Hypertension Hypercholesterolemia Anxiety Psoriasis Paroxysmal A. fib Osteomyelitis T6-7 Social History: Lives in apartment with 24 hour caregiver; has a long term boyfriend. [**Name (NI) 1403**] part time. Guardian is [**Name (NI) 402**] [**Name (NI) 33801**] [**Telephone/Fax (1) 33802**]. Family History: Pt unable to provide Physical Exam: VS: Temp: 99.9 BP: 131/69 HR: 114 RR: 44 O2sat: 99% 2L NC GEN: moderate tachypnea and resp distress, awake, alert, interactive RESP: crackles [**1-23**] way up, no wheezes CV: RR, S1 and S2 wnl, no m/r/g ABD: nd, +b/s, soft, nt, no masses or hepatosplenomegaly EXT: no c/c/e SKIN: no rashes/no jaundice NEURO: moving all extremities, no ankle clonus Pertinent Results: [**2136-12-3**] 01:41AM BLOOD WBC-7.2 RBC-2.88* Hgb-9.3* Hct-27.0* MCV-94 MCH-32.3* MCHC-34.5 RDW-19.8* Plt Ct-278 [**2136-12-2**] 02:03AM BLOOD WBC-5.6 RBC-2.98* Hgb-9.5* Hct-28.1* MCV-95 MCH-31.8 MCHC-33.6 RDW-19.7* Plt Ct-291 [**2136-12-1**] 02:08AM BLOOD WBC-5.6 RBC-2.95* Hgb-9.2* Hct-27.7* MCV-94 MCH-31.2 MCHC-33.2 RDW-19.6* Plt Ct-289 [**2136-11-30**] 03:52AM BLOOD WBC-5.4 RBC-3.13* Hgb-9.6* Hct-29.4* MCV-94 MCH-30.6 MCHC-32.7 RDW-19.4* Plt Ct-328 [**2136-11-28**] 03:05AM BLOOD WBC-6.2 RBC-2.28* Hgb-7.2* Hct-21.1* MCV-92 MCH-31.7 MCHC-34.4 RDW-20.8* Plt Ct-301 [**2136-11-26**] 03:38AM BLOOD WBC-6.5 RBC-2.36* Hgb-7.5* Hct-22.0* MCV-93 MCH-31.6 MCHC-34.1 RDW-20.7* Plt Ct-287 [**2136-11-24**] 03:33AM BLOOD WBC-7.3 RBC-2.48* Hgb-7.9* Hct-23.1* MCV-93 MCH-31.8 MCHC-34.1 RDW-20.4* Plt Ct-233 [**2136-11-22**] 04:00AM BLOOD WBC-15.4* RBC-3.22* Hgb-10.0* Hct-28.9* MCV-90 MCH-30.9 MCHC-34.5 RDW-20.8* Plt Ct-281 [**2136-11-20**] 02:22AM BLOOD WBC-10.0 RBC-2.39* Hgb-7.4* Hct-21.3* MCV-89 MCH-31.0 MCHC-34.7 RDW-23.4* Plt Ct-212 [**2136-11-17**] 03:09AM BLOOD WBC-7.9 RBC-2.88* Hgb-8.8* Hct-25.8* MCV-90 MCH-30.4 MCHC-34.0 RDW-22.1* Plt Ct-282 [**2136-11-15**] 03:26AM BLOOD WBC-8.1 RBC-3.18* Hgb-9.7* Hct-28.2* MCV-89 MCH-30.5 MCHC-34.4 RDW-20.9* Plt Ct-430 [**2136-11-14**] 06:01PM BLOOD WBC-8.6 RBC-3.23*# Hgb-9.7*# Hct-28.8*# MCV-89 MCH-29.9 MCHC-33.6 RDW-20.7* Plt Ct-438 [**2136-11-13**] 03:14AM BLOOD WBC-10.9 RBC-2.81* Hgb-8.6* Hct-25.2* MCV-90 MCH-30.7 MCHC-34.2 RDW-20.3* Plt Ct-560* [**2136-11-11**] 04:29AM BLOOD WBC-12.1* RBC-3.06* Hgb-9.6* Hct-27.5* MCV-90 MCH-31.4 MCHC-35.0 RDW-18.9* Plt Ct-609* [**2136-11-9**] 02:45AM BLOOD WBC-7.8 RBC-3.10* Hgb-9.4* Hct-27.4* MCV-88 MCH-30.4 MCHC-34.5 RDW-17.6* Plt Ct-541* [**2136-11-7**] 05:16AM BLOOD WBC-9.2 RBC-2.87* Hgb-8.7* Hct-24.8* MCV-86 MCH-30.4 MCHC-35.2* RDW-18.1* Plt Ct-446* [**2136-11-3**] 03:55PM BLOOD WBC-11.9* RBC-3.29* Hgb-10.1* Hct-27.9* MCV-85 MCH-30.7 MCHC-36.2* RDW-16.2* Plt Ct-206 [**2136-11-2**] 03:15PM BLOOD WBC-7.9 RBC-3.37* Hgb-10.4* Hct-28.5* MCV-85 MCH-30.8 MCHC-36.3* RDW-16.1* Plt Ct-87* [**2136-11-1**] 03:05AM BLOOD WBC-8.2 RBC-2.54* Hgb-8.0* Hct-21.9* MCV-86 MCH-31.6 MCHC-36.6* RDW-21.3* Plt Ct-81* [**2136-10-29**] 03:10AM BLOOD WBC-7.8 RBC-3.10* Hgb-9.7* Hct-26.8* MCV-87 MCH-31.4 MCHC-36.3* RDW-21.5* Plt Ct-135* [**2136-10-26**] 03:00AM BLOOD WBC-7.0 RBC-2.87* Hgb-8.8* Hct-24.7* MCV-86 MCH-30.8 MCHC-35.8* RDW-23.7* Plt Ct-238 [**2136-10-23**] 02:16AM BLOOD WBC-8.5 RBC-3.21* Hgb-9.5* Hct-28.3* MCV-88 MCH-29.6 MCHC-33.6 RDW-23.7* Plt Ct-298 [**2136-10-20**] 03:10PM BLOOD Hct-30.0* [**2136-10-19**] 05:29PM BLOOD WBC-8.8# RBC-4.20# Hgb-12.4 Hct-36.9 MCV-88 MCH-29.6 MCHC-33.6 RDW-24.0* Plt Ct-284 [**2136-10-19**] 12:06AM BLOOD Hct-28.5* [**2136-10-16**] 06:00AM BLOOD WBC-6.2 RBC-2.53* Hgb-8.3* Hct-25.2* MCV-100* MCH-32.6* MCHC-32.8 RDW-19.9* Plt Ct-305 [**2136-10-13**] 05:39AM BLOOD WBC-5.9 RBC-2.55* Hgb-8.4* Hct-25.3* MCV-99* MCH-32.7* MCHC-33.0 RDW-19.5* Plt Ct-303 [**2136-10-11**] 05:46PM BLOOD WBC-6.2 RBC-2.78* Hgb-8.9* Hct-26.5* MCV-95 MCH-31.8 MCHC-33.4 RDW-19.8* Plt Ct-318 [**2136-11-29**] 03:11AM BLOOD Neuts-70.4* Lymphs-13.3* Monos-6.0 Eos-10.0* Baso-0.2 [**2136-10-16**] 06:00AM BLOOD Neuts-71.0* Lymphs-15.4* Monos-7.1 Eos-6.2* Baso-0.4 [**2136-10-10**] 05:40AM BLOOD Neuts-72.3* Lymphs-14.1* Monos-5.9 Eos-6.9* Baso-0.8 [**2136-10-6**] 08:27PM BLOOD Neuts-71.4* Lymphs-15.8* Monos-5.4 Eos-7.0* Baso-0.3 [**2136-11-30**] 03:52AM BLOOD PT-14.9* PTT-32.5 INR(PT)-1.3* [**2136-11-23**] 03:31AM BLOOD PT-17.1* PTT-34.0 INR(PT)-1.6* [**2136-11-17**] 03:09AM BLOOD PT-18.1* PTT-35.5* INR(PT)-1.7* [**2136-11-13**] 03:14AM BLOOD Plt Ct-560* [**2136-11-13**] 03:14AM BLOOD PT-19.6* PTT-38.5* INR(PT)-1.9* [**2136-11-11**] 04:29AM BLOOD PT-17.1* PTT-34.7 INR(PT)-1.6* [**2136-11-10**] 03:29AM BLOOD Plt Ct-606* [**2136-11-7**] 05:16AM BLOOD PT-14.8* PTT-34.6 INR(PT)-1.3* [**2136-11-6**] 03:34AM BLOOD PT-14.1* PTT-35.6* INR(PT)-1.3* [**2136-11-5**] 02:09AM BLOOD PT-15.1* PTT-39.2* INR(PT)-1.4* [**2136-11-4**] 03:40AM BLOOD Plt Ct-247 [**2136-11-3**] 03:55PM BLOOD PT-15.2* PTT-31.8 INR(PT)-1.4* [**2136-11-2**] 12:22PM BLOOD PT-14.9* PTT-34.2 INR(PT)-1.3* [**2136-10-30**] 02:44AM BLOOD PT-13.1 PTT-31.5 INR(PT)-1.1 [**2136-10-21**] 02:44AM BLOOD PT-17.0* PTT-35.2* INR(PT)-1.6* [**2136-10-20**] 01:24AM BLOOD Plt Ct-283 [**2136-10-19**] 05:29PM BLOOD Plt Ct-284 [**2136-10-18**] 05:00AM BLOOD PT-15.2* PTT-31.4 INR(PT)-1.4* [**2136-10-13**] 05:39AM BLOOD PT-14.5* PTT-34.8 INR(PT)-1.3* [**2136-10-9**] 12:16PM BLOOD PT-15.0* PTT-29.5 INR(PT)-1.3* [**2136-12-3**] 01:41AM BLOOD Glucose-103 UreaN-47* Creat-1.4* Na-141 K-4.2 Cl-114* HCO3-20* AnGap-11 [**2136-11-30**] 03:52AM BLOOD Glucose-104 UreaN-54* Creat-1.3* Na-144 K-4.7 Cl-116* HCO3-19* AnGap-14 [**2136-11-28**] 03:05AM BLOOD Glucose-117* UreaN-56* Creat-1.5* Na-147* K-5.1 Cl-119* HCO3-17* AnGap-16 [**2136-11-24**] 03:33AM BLOOD Glucose-116* UreaN-43* Creat-1.2* Na-147* K-4.2 Cl-117* HCO3-16* AnGap-18 [**2136-11-21**] 05:11AM BLOOD Glucose-118* UreaN-38* Creat-1.4* Na-141 K-4.8 Cl-108 HCO3-19* AnGap-19 [**2136-11-18**] 02:06AM BLOOD Glucose-127* UreaN-27* Creat-1.6* Na-144 K-3.8 Cl-110* HCO3-18* AnGap-20 [**2136-11-16**] 04:23AM BLOOD Glucose-187* UreaN-27* Creat-1.7* Na-146* K-3.8 Cl-115* HCO3-16* AnGap-19 [**2136-11-14**] 06:01PM BLOOD Glucose-104 UreaN-27* Creat-2.0* Na-147* K-4.5 Cl-118* HCO3-14* AnGap-20 [**2136-11-12**] 02:40AM BLOOD Glucose-153* UreaN-31* Creat-2.1* Na-144 K-3.1* Cl-112* HCO3-19* AnGap-16 [**2136-11-9**] 02:15PM BLOOD Glucose-76 UreaN-35* Creat-2.3* Na-144 K-3.5 Cl-109* HCO3-22 AnGap-17 [**2136-11-8**] 04:28PM BLOOD Glucose-69* UreaN-39* Creat-2.2* Na-145 K-3.6 Cl-109* HCO3-21* AnGap-19 [**2136-11-5**] 02:09AM BLOOD Glucose-122* UreaN-46* Creat-2.1* Na-141 K-4.0 Cl-107 HCO3-20* AnGap-18 [**2136-10-31**] 02:15AM BLOOD Glucose-134* UreaN-61* Creat-2.5* Na-141 K-3.5 Cl-106 HCO3-18* AnGap-21* [**2136-10-27**] 03:00AM BLOOD Glucose-109* UreaN-50* Creat-2.8* Na-136 K-3.5 Cl-105 HCO3-17* AnGap-18 [**2136-10-23**] 04:27PM BLOOD Glucose-119* UreaN-40* Creat-2.4* Na-135 K-3.5 Cl-104 HCO3-19* AnGap-16 [**2136-10-20**] 01:24AM BLOOD Glucose-88 UreaN-41* Creat-1.8* Na-143 K-4.0 Cl-116* HCO3-18* AnGap-13 [**2136-10-19**] 04:47AM BLOOD Glucose-144* UreaN-51* Creat-1.9* Na-141 K-4.6 Cl-110* HCO3-23 AnGap-13 [**2136-10-12**] 05:04AM BLOOD Glucose-101 UreaN-16 Creat-1.9* Na-144 K-3.3 Cl-110* HCO3-28 AnGap-9 [**2136-10-9**] 03:16AM BLOOD Glucose-63* UreaN-20 Creat-2.1* Na-154* K-3.4 Cl-113* HCO3-26 AnGap-18 [**2136-10-10**] 05:40AM BLOOD ALT-5 AST-12 AlkPhos-106 Amylase-17 TotBili-0.4 [**2136-11-24**] 10:28PM BLOOD CK-MB-NotDone cTropnT-0.46* [**2136-11-24**] 03:07PM BLOOD CK-MB-NotDone cTropnT-0.44* [**2136-10-16**] 10:50AM BLOOD CK-MB-4 cTropnT-0.30* [**2136-12-3**] 01:41AM BLOOD Calcium-8.3* Phos-3.1 Mg-2.2 [**2136-12-1**] 02:08AM BLOOD Calcium-8.2* Phos-3.0 Mg-2.0 [**2136-11-29**] 03:11AM BLOOD Calcium-8.4 Phos-2.9 Mg-2.0 [**2136-11-14**] 06:01PM BLOOD Calcium-8.1* Phos-3.1 Mg-2.0 [**2136-11-13**] 09:12PM BLOOD Calcium-8.1* Phos-0.9* Mg-2.2 [**2136-11-11**] 04:29AM BLOOD Calcium-8.1* Phos-2.8 Mg-1.9 [**2136-11-7**] 05:16AM BLOOD Calcium-7.9* Phos-4.5 Mg-1.9 [**2136-11-4**] 12:19PM BLOOD Calcium-7.2* Phos-4.5 Mg-1.9 [**2136-11-1**] 03:05AM BLOOD Calcium-7.4* Phos-4.3 Mg-1.7 [**2136-10-28**] 07:54PM BLOOD Calcium-6.8* Phos-5.1* Mg-2.0 [**2136-10-24**] 03:15AM BLOOD Calcium-5.9* Phos-5.0* Mg-1.9 [**2136-10-19**] 05:29PM BLOOD Albumin-1.9* Calcium-7.9* Phos-4.3 Mg-1.6 Iron-50 [**2136-10-9**] 03:16AM BLOOD Albumin-1.9* Calcium-7.1* Phos-2.4* Mg-1.8 [**2136-11-5**] 04:22PM BLOOD calTIBC-48* Ferritn-GREATER TH TRF-37* [**2136-10-28**] 02:07AM BLOOD Free T4-0.40* [**2136-10-18**] 04:10PM BLOOD PTH-42 [**2136-10-27**] 05:02PM BLOOD Cortsol-27.7* [**2136-10-20**] 01:17PM BLOOD Cortsol-42.7* [**10-6**] CHEST, SINGLE AP VIEW. There are low inspiratory volumes. Allowing for this, there is probably underlying cardiomegaly. Marked prominence of pulmonary vascular markings and vascular blurring most likely reflects the presence of CHF, but is probably also accentuated by low lung volumes. There is increased retrocardiac opacity with obscuration of the left hemidiaphragm and blunting of left greater than right costophrenic angles. Compared with [**2136-9-24**], the degree of left lower lobe consolidation is worse. The inspiratory volumes are lower. A dual lumen right-sided central line is present with tips over distal SVC and SVC/RA junction. [**10-9**] CT Pelvis IMPRESSION: 1) Left lower lobe pneumonia with moderate parapneumonic effusion. Small focus of consolidation/atelectasis in the right posterior medial lung. Without IV contrast we cannot assess for empyema. 2) Destructive process involving the T7 and T8 vertebral bodies. This has progressed markedly compared to the CT of [**2136-8-16**]. Limited assessment on these non-contrast axial images, however there appears to be associated soft tissue. These findings are highly concerning for osteomyelitis and potentially epidural abscess. If the patient is able to cooperate, MRI could better assess for cord involvement and/or epidural abscess. [**10-10**] MR [**Name13 (STitle) 2854**] IMPRESSION: 1. Increased retropulsion of T7 vertebral body with increased kyphotic deformity, destruction of the T8 vertebral body and continued enhancing anterior epidural tissue. This is associated with increasingly severe canal narrowing and development of cord edema at this level. 2. No significant interval change in lumbar spine. [**10-19**] SINGLE AP PORTABLE VIEW OF THE CHEST: ET tube tip is located 34 mm above the carina. Right internal jugular vein dual catheter is in unchanged position. There is no pneumothorax. There is small left pleural effusion. The lungs are better expanded. There is a new left chest tube. Patient is post anterior T5/T8 spinal fusion. There is a small subcutaneous emphysema in the left chest wall. [**11-14**] Chest IMPRESSION: No significant change showing moderate congestive heart failure and stable cardiomegaly. [**11-27**] FINDINGS: Compared to the prior study, there has been no significant interval change. There continues to be left lower lobe volume loss and effusion. There is some mild pulmonary vascular redistribution. There is no overt failure. Tracheostomy tube, spinal fixation devices are unchanged. The right lateral chest is off the film. [**2136-11-24**] 3:30 am SPUTUM Site: ENDOTRACHEAL **FINAL REPORT [**2136-12-2**]** GRAM STAIN (Final [**2136-11-24**]): >25 PMNs and <10 epithelial cells/100X field. 2+ (1-5 per 1000X FIELD): GRAM NEGATIVE ROD(S). 2+ (1-5 per 1000X FIELD): GRAM POSITIVE COCCI. IN PAIRS. RESPIRATORY CULTURE (Final [**2136-12-2**]): RARE GROWTH OROPHARYNGEAL FLORA. ACINETOBACTER BAUMANNII. MODERATE GROWTH. "Note, for Amp/sulbactam, higher-than-standard dosing needs to be used, since therapeutic efficacy relies on intrinsic activity of the sulbactam component". AMIKACIN SENSITIVE AT 8 MCG/ML. ACINETOBACTER BAUMANNII. MODERATE GROWTH. 2ND COLONY TYPE. "Note, for Amp/sulbactam, higher-than-standard dosing needs to be used, since therapeutic efficacy relies on intrinsic activity of the sulbactam component". AMIKACIN SENSITIVE AT 16 MCG/ML. SENSITIVITIES: MIC expressed in MCG/ML _________________________________________________________ ACINETOBACTER BAUMANNII | ACINETOBACTER BAUMANNII | | AMPICILLIN/SULBACTAM-- =>32 R =>32 R CEFEPIME-------------- =>64 R =>64 R CEFTAZIDIME----------- =>64 R =>64 R CIPROFLOXACIN--------- =>4 R =>4 R GENTAMICIN------------ =>16 R =>16 R IMIPENEM-------------- =>16 R =>16 R LEVOFLOXACIN---------- =>8 R =>8 R TOBRAMYCIN------------ 2 S 8 I TRIMETHOPRIM/SULFA---- I I [**2136-11-16**] 4:22 am STOOL CONSISTENCY: WATERY Source: Stool. **FINAL REPORT [**2136-11-16**]** CLOSTRIDIUM DIFFICILE TOXIN ASSAY (Final [**2136-11-16**]): FECES NEGATIVE FOR C. DIFFICILE TOXIN BY EIA. Reference Range: Negative. [**2136-11-13**] 12:32 pm SPUTUM Source: Endotracheal. **FINAL REPORT [**2136-11-18**]** GRAM STAIN (Final [**2136-11-13**]): >25 PMNs and <10 epithelial cells/100X field. 2+ (1-5 per 1000X FIELD): GRAM NEGATIVE ROD(S). 1+ (<1 per 1000X FIELD): GRAM POSITIVE COCCI IN PAIRS. RESPIRATORY CULTURE (Final [**2136-11-18**]): SPARSE GROWTH OROPHARYNGEAL FLORA. Due to mixed bacterial types ( >= 3 colony types) an abbreviated workup will be performed appropriate to the isolates recovered from this site. ACINETOBACTER BAUMANNII. MODERATE GROWTH. "Note, for Amp/sulbactam, higher-than-standard dosing needs to be used, since therapeutic efficacy relies on intrinsic activity of the sulbactam component". Trimethoprim/Sulfa sensitivity testing available on request. AZTREONAM RESISTANT AT >= 64 MCG/ML. TIGECYCLINE RESISTANT AT >12 MCG/ML BY E-TEST. EXTRA SENSIS REQUESTED BY DR.[**Last Name (STitle) **]([**Numeric Identifier 21494**]) ON [**2136-11-15**]. ENTEROBACTER CLOACAE. SPARSE GROWTH. This organism may develop resistance to third generation cephalosporins during prolonged therapy. Therefore, isolates that are initially susceptible may become resistant within three to four days after initiation of therapy. For serious infections, repeat culture and sensitivity testing may therefore be warranted if third generation cephalosporins were used. Trimethoprim/Sulfa sensitivity testing available on request. TIGECYCLINE SENSITIVE AT 1.5 MCG/ML BY E-TEST. AZTREONAM RESISTANT AT >64 MCG/ML. GRAM NEGATIVE ROD #3. SPARSE GROWTH. SENSITIVITIES: MIC expressed in MCG/ML _________________________________________________________ ACINETOBACTER BAUMANNII | ENTEROBACTER CLOACAE | | AMPICILLIN/SULBACTAM-- =>32 R CEFEPIME-------------- =>64 R 2 S CEFTAZIDIME----------- =>64 R =>64 R CEFTRIAXONE----------- =>64 R CIPROFLOXACIN--------- =>4 R =>4 R GENTAMICIN------------ =>16 R =>16 R IMIPENEM-------------- =>16 R <=1 S LEVOFLOXACIN---------- =>8 R =>8 R MEROPENEM------------- <=0.25 S PIPERACILLIN---------- =>128 R TOBRAMYCIN------------ 4 S 8 I [**2136-11-6**] 4:54 pm SPUTUM Source: Endotracheal. **FINAL REPORT [**2136-11-11**]** GRAM STAIN (Final [**2136-11-6**]): >25 PMNs and <10 epithelial cells/100X field. 4+ (>10 per 1000X FIELD): GRAM NEGATIVE ROD(S). RESPIRATORY CULTURE (Final [**2136-11-11**]): ACINETOBACTER BAUMANNII. HEAVY GROWTH. "Note, for Amp/sulbactam, higher-than-standard dosing needs to be used, since therapeutic efficacy relies on intrinsic activity of the sulbactam component". ACINETOBACTER BAUMANNII. SPARSE GROWTH STRAIN 2. "Note, for Amp/sulbactam, higher-than-standard dosing needs to be used, since therapeutic efficacy relies on intrinsic activity of the sulbactam component". SENSITIVITIES: MIC expressed in MCG/ML _________________________________________________________ ACINETOBACTER BAUMANNII | ACINETOBACTER BAUMANNII | | AMPICILLIN/SULBACTAM-- =>32 R =>32 R CEFEPIME-------------- 16 I 8 S CEFTAZIDIME----------- =>64 R =>64 R CIPROFLOXACIN--------- =>4 R =>4 R GENTAMICIN------------ 8 I 4 S IMIPENEM-------------- 8 I 8 I LEVOFLOXACIN---------- =>8 R 4 I TOBRAMYCIN------------ 2 S <=1 S OPERATIVE REPORT [**Last Name (LF) 2194**],[**First Name3 (LF) 900**] J. Signed Electronically by [**Last Name (LF) 2194**],[**First Name3 (LF) 900**] on SAT [**2136-11-24**] 2:51 PM Name: [**Known lastname **], [**Known firstname **] Unit No: [**Numeric Identifier 33886**] Service: MED Date: [**2136-11-9**] Date of Birth: [**2072-5-17**] Sex: F Surgeon: [**First Name11 (Name Pattern1) **] [**Initial (NamePattern1) **] [**Last Name (NamePattern1) **], [**MD Number(1) 33887**] PREOPERATIVE DIAGNOSES: 1. Sepsis. 2. Respiratory failure with prolonged intubation. POSTOPERATIVE DIAGNOSES: 1. Sepsis. 2. Respiratory failure with prolonged intubation. ASSISTANT: [**First Name8 (NamePattern2) **] [**Last Name (NamePattern1) 33888**], RES PROCEDURE PERFORMED: 1. Tracheostomy. 2. Percutaneous endoscopic gastrostomy. INDICATIONS FOR PROCEDURE: The patient is an unfortunate woman who has had a spinal epidural abscess from which she has manifested prolonged sepsis. She is bedridden and ventilator dependent. She has been intubated for a considerable length of time. The patient is quite obese despite a small body frame, and has been quite difficult to manage from a respiratory standpoint. Also, she has been nasogastric tube feed dependent. DETAILS OF THE PROCEDURE: The patient was brought to the operating theater and placed on the operating table supine. A roll was fashioned behind the shoulders and the head was extended on a jelly roll to the extent possible. This was somewhat limited. The patient had a very short neck and was very stout. The patient's breasts were taped, protecting the nipples, and pulled towards the feet. The neck, face, chest and abdomen were now prepared sterilely with Betadine and draped. At this time, a 2-1/2-cm vertical incision was fashioned between the estimated location of the cricoid and the sternal notch. This was deepened carefully using [**Last Name (un) 4161**] cautery through the midline raphe of the neck. The trachea was encountered with a difficult segment of thyroid over it. This was elevated from the trachea with right-angle clamps and suture ligated bilaterally with 2-0 silk suture. At this point, a right-angle clamp was placed under the thyroid and it was further elevated, dividing it with cautery. At this time, there was still residual isthmus which was divided with cautery, and eventually isolated and suture ligated. Now, the 2 lobes of the thyroid were grasped with right-angle clamps and elevated off the trachea and dissected from it with cautery. There was troublesome bleeding behind the right lobe of the thyroid. This was controlled with Surgicel. At this time, the trachea was marked for an inferior-based flap with the incision between the 1st and 2nd tracheal rings. The anesthesiologist was asked to suction the pharynx and deflate the balloon, at which point the stay sutures were placed into the trachea above and the flap below. The balloon was reinflated and the trachea was elevated using stay sutures. At this time, once more the balloon was deflated and a transverse tracheotomy was fashioned. At this point, we noted that we were well above the balloon and the vertical arms of the flap were cut. At this time, the endotracheal tube was withdrawn under direct vision by the anesthesiologist to a point where the tip was just above the tracheotomy. A #8 cuffed Portex tracheostomy tube was now passed into the trachea and connected to the ventilator circuit. Ventilation through this system was unsatisfactory, although the patient was able to be oxygenated. Close inspection revealed that the balloon was herniating outward. My feeling was that this was too large a balloon for her trachea. We therefore withdrew it and re-passed the endotracheal tube from above. The patient was now fully oxygenated. A 7 Portex tube was brought on the field, and the tube was once more withdrawn, and the 7 Portex tube passed without problem into the trachea. The balloon was inflated. It was attached to the circuit and excellent CO2 and gas exchange were observed. At this point, the tracheotomy was slightly closed at the inferior end with a single cutaneous suture. The tracheostomy was sutured in place with 0 silk sutures and secured with umbilical tapes. The tracheostomy part of the procedure was now terminated. At this point, the previously prepared abdomen, which had been covered sterilely, was uncovered from its secondary draping. The gastroscope was passed into the mouth and carefully passed through the esophagus into the stomach. The stomach was inflated. Despite the patient's obesity, it was remarkably easy to isolate the location in the mid stomach where we saw excellent transillumination and easy dimpling visible from the scope. A puncture was fashioned at this point, and the wire was passed into the stomach. At this point, a snare was passed through the gastroscope, grasping the wire, and the wire was pulled along with the gastroscope out through the mouth. Now, an 11 blade was used to incise a generous skin incision for egress of the gastrostomy. The gastrostomy tube was attached to the wire and pulled down until the mushroom was just at the mouth. At this time, the scope was reattached using the snare to the gastrostomy tube and the entire assembly was pulled through the pharynx and into the stomach. The PEG tube came to rest easily at 4 cm. At this point, the snare was loosened and disengaged from the PEG tube. The cross piece was placed, the stomach was suctioned free of air, and the cross piece was secured to the PEG tube. Dry sterile dressings were placed. The PEG was placed to gravity suction. The procedure was terminated. Photo documentation was obtained of the PEG and tracheostomy position. COMPLICATIONS: Both procedures went without apparent complication. ESTIMATED BLOOD LOSS: Minimal. The patient was returned to the ICU in unchanged condition. [**First Name11 (Name Pattern1) **] [**Initial (NamePattern1) **] [**Last Name (NamePattern1) **], MD [**MD Number(2) 33889**] OPERATIVE REPORT [**Last Name (LF) **],[**First Name3 (LF) **] A. Signed Electronically by [**Last Name (LF) **],[**First Name3 (LF) **] on SAT [**2136-11-10**] 10:12 AM Name: [**Known lastname **], [**Known firstname **] Unit No: [**Numeric Identifier 33886**] Service:ORTHO Date: [**2136-11-2**] Date of Birth: [**2072-5-17**] Sex: F Surgeon: [**First Name11 (Name Pattern1) **] [**Last Name (NamePattern4) 3191**], [**MD Number(1) 3192**] First Assistant: [**First Name8 (NamePattern2) 487**] [**Last Name (NamePattern1) 33890**], MD PREOPERATIVE DIAGNOSES: Kyphosis and status post osteomyelitis and epidural abscess. POSTOPERATIVE DIAGNOSES: Kyphosis and status post osteomyelitis and epidural abscess. OPERATIONS: 1. Fusion T3-L3. 2. Multiple thoracic laminotomies. 3. Instrumentation T3-L3. 4. Right iliac crest bone graft. PROCEDURE: The patient was brought to the operating room and placed on the table int he supine position. After adequate general endotracheal anesthesia has been obtained, a Foley catheter was inserted under sterile conditions. [**Male First Name (un) **] hose and intermittent compression stockings were applied. The patient was gently transferred to the [**Location (un) 1661**] table. The arms were kept at less than 90 degrees to prevent injury to the brachial plexus. The legs were extended to maintain their normal natural lumbar lordosis. The back was prepped and draped in the usual sterile fashion. The midline incision was made over the spinous processes from T3 down to L3. Dissection was carried down through the skin and subcutaneous tissue. Meticulous hemostasis was obtained using [**Last Name (un) 4161**] electrocautery. Self-retaining Weitlaner and Gelpi retractors were applied. Exposure was taken down to the level of the midline muscle and fascia. This was divided in the midline and then carried out to the lateral margins of the transverse processes extending from T3 down to L3. There was significant scarring from the previous decompression and fibrosis of the musculature at the T12-L2 levels. The fascia was divided and a revision laminectomy was performed at the level of T12, L1, and L2. The medial border of the pedicle was identified at L1, L2 and L3 and the junction of the superior articular facet and transverse process was decorticated with [**First Name8 (NamePattern2) **] [**Last Name (un) 30565**] bur and then using a reamer probe, pedicle screw holes were made. These were palpated with a ball-tipped probe ensure that no breach of the pedicle had been performed. Then, a 5.5 x 40 mm screw was inserted at each of these levels. On the left at L3, a 6.5 mm screw was placed to obtain purchase. There was moderate osteoporosis encountered. Multiple thoracic laminotomies were performed after removing the spinous processes and interspinous ligament from T3-T12 distally. The inferior articular facets were removed with [**First Name8 (NamePattern2) **] [**Last Name (un) 30565**] burr and the remaining articular cartilage was removed as well by the decortication. The multiple laminotomies were performed by first dividing the midline ligamentum flavum with an angled curette. The ligamentum was then resected with Kerrison rongeurs. A claw construct of hooks was placed with a downward-going hook on the superior lamina at T3 and an upward going at T4. Simlarly hooks were placed at T6 and T8 on the left. A downgoing hook was placed on the superior margin of T4 on the right and upward going hooks were placed at T5 and T7 as well. Sublaminar Atlas cables were applied also at T9 and T10 to enhance the rigidity of the construct. A rod was contoured into ther appropriate thoracic kyphosis and lumbar lordosis and attached to the previously placed segmental instrumentation. All the set caps were applied to the hooks and screws distally and these were tightened down with gentle distraction of the claw constructs superiorly with a torque wrench. Intraoperative x-rays showed accurate location of the implants. Two transverse connectors were applied after decorticating all the transverse processes and remaining lamina with the [**Last Name (un) 30565**] bur. The patient had a separate skin incision made over the right iliac crest. Dissection was carried down through the skin and subcutaneous tissue. Meticulous hemostasis was obtained using [**Last Name (un) 4161**] electrocautery. Self-retaining and Gelpi retractors were applied. Exposure was taken down to the level of the crest where a subperiosteal dissection was performed. An osteotome and mallet was used to obtain cortical and cancellous bone graft. Once adequate bone graft had been obtained, Gelfoam and bone wax were applied for hemostasis. The fascia overlying the crest was then closed with #1 Vicryl suture in a running continuous fashion, after allograft bone was used to restore the crest. The subcutaneous tissue was closed with 2-0 Vicryl and the skin was closed with staples. This bone graft was morselized, mixed with allograft and packed in the posterior gutters from T3-L3. The midline muscle and fascia were reapproximated with #1 Vicryl suture in a running continuous fashion. The subcutaneous tissue was closed with 2-0 Vicryl and the skin was closed with interrupted staples. A sterile dressing including 4x4s, ABDs and Elastoplast tape were applied without tension. Sponge and instrument counts were correct at the end of the case x3. [**First Name11 (Name Pattern1) **] [**Last Name (NamePattern4) 3191**], [**MD Number(1) 3192**] Brief Hospital Course: 64 y/o female with DM, MR, ESRD on HD through tunneled catheter presented to [**Hospital Unit Name 153**] on [**2136-10-6**] with fevers and resp distress. CXR revealed pneumonia and sputum grew out enterobacter. On meropenem with improvement in pna. Was also started on vanco for nosocomial pna and hx MSSA spinal osteo. Sputum has also grown out acenitobacter (likely colonizer) and 1 blood cx out of many coag neg staph (likely a contaminant.) PT was spiking temps on vanco and [**Last Name (un) 2830**]. CT chest/abd/pelvis with pleural effusions and worsening of osteo at T7-T8. Pleural effusion was tapped and consistent with transudate. Pt also with diarrhea- though cdiff negative. Was placed on flagyl. MRI spine with worsening destruction of T7- T8 with cord compression. Ortho-spine consulted surgery for T7-T8 destruction and cord compression. Went to OR [**10-19**] for T6-7 corpectomy with T5-8 strut graft/fusion for osteomyelitis. In SICU, intubated, on neo. Multiple hemodialysis treatments with renal function was improving but now may be having some post-op ATN. Renal following and deciding whether or not to dialyze. She had been stable for over a week - pending repeat surgery of her spine. She was supposed to go to OR- but was nutritionally depleted -so surgical procedure postponed. She remains intubated. The only new culture that has grown out is acinetobacter from the sputum on [**10-20**]. Subsequent sputum cultures did not grow it out - but we decided since she had thick yellow sputum - to treat her for a [**7-30**] day course with Tobra. [**10-25**] Ms. [**Known lastname **] continued to spike through Tobramycin, Nafcillin and Fluconazole without an obvious source. Antibiotics were at appropriate therapeutic levels. At this time Ms. [**Known lastname **] has been continually ventilated since her spinal fusion [**10-19**]. Renal recommendation were followed and dialysis initiated as needed. ID recommendations were followed and antibiotics were titrated to cover source of fevers. [**10-28**] 2 units PRBC were tranfused for Hct of 22 in preparation for posterior spinal fusion with instrumentation. Ms. [**Known lastname **] was thought to have chronic aspirations and was considered for a trach and PEG potentially concurrently with the spinal fusion. Between her thoracolumbar spinal fusion and her posterior spinal fusion she failed extubation due to respiratory distress. [**11-2**] Ms. [**Known lastname **] returned to the Operating Room and was fused posteriorly T3-L3. Her guardian, as with her anterior spinal fusion, gave her consent. Please see Operative Note for procedure in detail. [**11-3**] 2 units PRBC were transfused for post-operative anemia. She remained intubated; however, began making copious urine and the hemodyalisis catheter was discontinued. [**11-9**] Ms. [**Known lastname **] remained intubated and a Trach and PEG was placed. An attempt to wean off the ventilator failed due to respiratory distress. [**11-15**] transfused 2 units PRBC for dropping hematocrit. Responded accordingly. Fevers persisted with a rare acinctobacter which is highly resistant persisting. At this time Linezolid, vancomycin, cefepime and tobramycin. [**11-20**] posterior midline staples removed and incision clean, dry and intact without evidence of source of infection. [**11-21**] Thoracic service was consulted for an air leak around tracheostomy which was determined to be due to tracheostomy being too large. Bronchoscopy at bedside performed and they found the airway without collapse, the cuff was reinflated and the leak obliterated. Thoracentesis performed for large left pleural effusion. Antibiotics adjusted to accommodate the results. [**11-26**] PICC line changed. Source of fevers still inclear. Fever curve improving on Nafcillin. [**12-3**] Rehab screening started and bed found. Planning long term Nafcillin via PICC. Fluconazole X 1 week, began [**12-3**]. Medications on Admission: Paroxetine Albuterol Ipratropium Metoprolol Pantoprazole Discharge Medications: 1. Ipratropium Bromide 17 mcg/Actuation Aerosol Sig: Two (2) Puff Inhalation Q6H (every 6 hours). 2. Albuterol 90 mcg/Actuation Aerosol Sig: 1-2 Puffs Inhalation Q6H (every 6 hours) as needed for wheezing. 3. Insulin Regular Human 100 unit/mL Solution Sig: One (1) syringe Injection ASDIR (AS DIRECTED). 4. Acetaminophen 325 mg Tablet Sig: 1-2 Tablets PO Q4-6H (every 4 to 6 hours) as needed for fever. 5. Miconazole Nitrate 2 % Powder Sig: One (1) Appl Topical [**Hospital1 **] (2 times a day) as needed for rash. 6. Loperamide 2 mg Capsule Sig: One (1) Capsule PO QID (4 times a day) as needed. 7. Epoetin Alfa 4,000 unit/mL Solution Sig: Three (3) syringes Injection QMOWEFR (Monday -Wednesday-Friday). 8. Lamotrigine 25 mg Tablet Sig: Two (2) Tablet PO BID (2 times a day). 9. Olanzapine 5 mg Tablet, Rapid Dissolve Sig: One (1) Tablet, Rapid Dissolve PO DAILY (Daily). 10. Heparin (Porcine) 5,000 unit/mL Solution Sig: One (1) syringe Injection TID (3 times a day). 11. Metoprolol Tartrate 25 mg Tablet Sig: One (1) Tablet PO BID (2 times a day). 12. Sodium Chloride 0.9% Flush 3 ml IV DAILY:PRN Peripheral IV - Inspect site every shift 13. Heparin Flush PICC (100 units/ml) 2 ml IV DAILY:PRN 10 ml NS followed by 2 ml of 100 Units/ml heparin (200 units heparin) each lumen Daily and PRN. Inspect site every shift. 14. Nafcillin 2 gm IV Q4H tx of osteomyelitis 15. Fluconazole 100 mg IV Q24H 16. Hydromorphone 2 mg/mL Syringe Sig: 0.5 mg Injection Q4H (every 4 hours) as needed. 17. Lorazepam 2 mg/mL Syringe Sig: 0.5-2 mg Injection Q2-3H (every 2-3 hours) as needed. 18. Pantoprazole 40 mg Recon Soln Sig: One (1) Recon Soln Intravenous Q12H (every 12 hours). 19. Levothyroxine 200 mcg Recon Soln Sig: Fifty (50) mcg Injection DAILY (Daily). 20. Metoclopramide 5 mg/mL Solution Sig: Ten (10) mg Injection Q6H (every 6 hours). 21. Metoprolol 7.5 mg IV Q4H:PRN HR>100 hold for SBP <100, HR <60 22. Morphine Sulfate 2 mg IV Q2H:PRN pain 23. Outpatient Lab Work Please draw weekly CBC, BUN/Cr, LFT's and fax to [**Hospital **] clinic [**Telephone/Fax (1) 10739**]. 24. Fluconazole Fluconazole 100 mg IV Q24H QAM X 1 week. Began [**2136-12-3**]. Discharge Disposition: Extended Care Facility: [**Hospital3 105**] Northeast - [**Hospital1 **] Discharge Diagnosis: Pneumonia Epidural abscess/Osteomyelitis GI bleed Post-operative fever Post-operative anemia Discharge Condition: Stable Discharge Instructions: Please continue current treatment plan. Inspect the surgical incisions daily for signs of infection. Please draw weekly CBC, BUN/Cr, LFT's and fax to [**Hospital **] clinic [**Telephone/Fax (1) 10739**]. Followup Instructions: Please follow up with the Orthopedic Spine Clinic in two months. Call [**Telephone/Fax (1) 11061**] for an appointment. Provider: [**First Name8 (NamePattern2) 7618**] [**Name11 (NameIs) **], MD Phone:[**Telephone/Fax (1) 457**] Date/Time:[**2137-1-1**] 10:30. Please draw weekly CBC, BUN/Cr, LFT's and fax to [**Hospital **] clinic [**Telephone/Fax (1) 10739**]. Please follow up with your nephrologist at [**Hospital1 **]. Completed by:[**2136-12-4**] ICD9 Codes: 0389, 5119, 496, 5856, 5990, 2851
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Medical Text: Admission Date: [**2159-2-12**] Discharge Date: [**2159-3-1**] Date of Birth: [**2086-5-29**] Sex: F Service: HISTORY OF PRESENT ILLNESS: The patient is a 72 year-old female status post motor vehicle crash, restrained driver with loss of consciousness and confusion at the scene intubated by med flight prior to transfer to this facility for decreased mental status and low blood pressure who presented to our trauma bay for resuscitation. The patient has a known past medical history of paroxysmal atrial fibrillation, hypertension, recent deep venous thrombosis and recurrent urinary tract infections. HOME MEDICATIONS: Coumadin 5 mg po q day with an INR goal of 2 to 2.5, Digoxin 0.125 mg po q day, Paxil 20 mg po q.d., Diltiazem XT 120 mg po q.d. and Prinzide 10/12.5 mg po q.d. ALLERGIES: No known drug allergies. In the trauma bay the patient was found to be intubated, but responsive. Trauma investigation revealed left frontal small intraparenchymal hemorrhage, right parietal subarachnoid hemorrhage also small, bilateral large pulmonary contusions, tiny bilateral pneumothoraceses for which chest tubes were not inserted and a left clavicular fracture. The patient's initial troponins were elevated up to the 30s and the cardiology consult opinion was the patient's motor vehicle accident was probably related to a primary cardiac event causing her pain and disorientation, which resulted in the crash. Following resuscitation in the trauma bay she was transferred to the Trauma Intensive Care Unit intubated. She was maintained on a Propofol drip and was loaded with Dilantin for her intraparenchymal and subarachnoid hemorrhage. On hospital day number two the patient appeared to be in more respiratory distress. Chest x-ray revealed enlarging pneumothorax for which a chest tube was placed on the right side. The patient was also transfused several units of blood. The patient had a prolonged Intensive Care Unit course resulting in a very slow ventilator wean due to her bilateral pulmonary contusions. The patient also developed ventilator related pneumonia for which she was started on antibiotics. The patient was also started on total parenteral nutrition to support her metabolic needs during this extended Intensive Care Unit stay. Finally after a long ventilatory wean, the patient was extubated. Pneumonia was improving and she was restarted on her Coumadin. After several days the Coumadin was held due to increasing white count and the suspicion that the patient might have a calculus cholecystitis, however, after investigation of this proved not to be the case and she was again restarted on her Coumadin and prehospitalization medications. By hospital day seventeen, the patient was afebrile with stable vital signs working well with physical therapy. Her central line was removed. Catheter tip sent for culture, which had no growth. She will complete her antibiotic course, which will be three additional days of Levofloxacin and is in excellent condition to be discharged to rehab. CONDITION ON DISCHARGE: Stable. DISCHARGE STATUS: To rehabilitation. DISCHARGE MEDICATIONS: Heparin subQ 5000 units q 8 hours, Coumadin 2.5 mg po q day with a goal INR of 2 to 2.5, Levofloxacin 500 mg po q day for three days, Paxil 20 mg po q day, Tylenol #3 one to two q 4 to 6 hours prn for pain, Zantac 150 mg po b.i.d., Albuterol and Atrovent meter dose inhalers q 4 hours prn, insulin sliding scale and Boost nutritional supplements one can po t.i.d. FOLLOW UP: 1. The patient should follow up with her primary care physician at some point immediately following discharge. She was not restarted on her prehospitalization Digoxin, because our in house cardiology staff did not feel it was necessary and her primary care physician should reevaluate this as an outpatient. Additionally, the patient was not restarted on her prehospitalization Diltiazem, because her blood pressures during her hospitalization were at normal levels and did not warrant an anti-hypertensive [**Doctor Last Name 360**], nor did her heart rate warrant rate control with a calcium channel blocker. Her pulmonary status and volume status did not appear during this hospitalization to require a diuretic anti-hypertensive [**Last Name (LF) 360**], [**First Name3 (LF) **] therefore her Prinzide was also not restarted as an inpatient. Again, this should be reevaluated by the primary care physician following discharge as it may be necessary. 2. The patient should follow up with the Orthopedic Surgery Clinic for her clavicular fracture two weeks after discharge. 3. The patient may follow up with the Trauma Clinic only prn as necessary and no strict appointment is needed. [**First Name11 (Name Pattern1) **] [**Last Name (NamePattern4) **], M.D. [**MD Number(1) 11889**] Dictated By:[**Last Name (NamePattern1) 22409**] MEDQUIST36 D: [**2159-2-28**] 16:30 T: [**2159-3-1**] 07:26 JOB#: [**Job Number 37389**] ICD9 Codes: 5185, 5070
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Medical Text: Admission Date: [**2109-8-19**] Discharge Date: [**2109-8-26**] Date of Birth: [**2053-10-27**] Sex: F Service: HISTORY OF PRESENT ILLNESS: The patient is a 56 year-old woman with a significant past medical history for resection of pituitary adenoma by right frontal craniotomy thirty seven years ago at age 19. Pathology report was benign. Postoperatively was significant for double vision, which history of right sided jaw pain diagnosed with TMJ and fitted with a prosthesis. She also developed concurrent headaches, which have increased in severity and frequency in the past two years. Headaches are now continuous. The patient also relates a two year history of decreased visual acuity primarily on the right side with increased loss since two months. The patient was seen by an ophthalmologist a week ordered at an outside hospital, which revealed a 4.5 cm right sided frontal temporal lesion. The patient was admitted to the [**Hospital1 69**] for further management. PHYSICAL EXAMINATION: The patient was awake, alert and oriented times three. Pupils are equal, round and reactive to light. Extraocular movements intact. Vision right eye 80/200. Muscle strength is 5 out of 5 in all muscle groups. Plantar reflexes down and her reflexes in the upper and lower extremities were 2+. LABORATORIES ON ADMISSION: White blood cell count 10.4, hematocrit 44.6, platelets 322, INR 1.1, sodium 136, K 3.1, chloride 95, CO2 28, BUN 19, creatinine .8. The patient had an MRI/MRA with and without contrast and also underwent arteriogram with embolization of this right frontal tumor without complications. HOSPITAL COURSE: The patient was then taken to the Operating Room. On [**2109-8-23**] the patient underwent right frontal parietal crani for tumor resection without intraoperative complications. Postoperatively, she was monitored in the Intensive Care Unit. Her vital signs were stable. She was afebrile. Pupils are equal, round and reactive to light. She was transferred to the regular floor on postop day number one. Her vital signs remained stable. She was seen by physical therapy and occupational therapy and found to be safe to discharge to home with outpatient physical therapy. She was sent home on a Decadron taper off over ten to twelve days, Zantac 150 mg po b.i.d., Percocet one to two tabs po q 4 hours prn for pain with follow up with Dr. [**First Name (STitle) **] in one month in the Brain [**Hospital 341**] Clinic and follow up in one week for staple removal. CONDITION ON DISCHARGE: Stable. [**First Name11 (Name Pattern1) 125**] [**Last Name (NamePattern4) 342**], M.D. [**MD Number(1) 343**] Dictated By:[**Last Name (NamePattern1) 344**] MEDQUIST36 D: [**2109-8-27**] 08:33 T: [**2109-8-27**] 09:14 JOB#: [**Job Number 45351**] ICD9 Codes: 4019
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Medical Text: Admission Date: [**2114-2-11**] Discharge Date: [**2114-2-15**] Date of Birth: [**2038-7-14**] Sex: F Service: HISTORY OF PRESENT ILLNESS: Ms. [**Known lastname 52898**] is a 75-year-old female with a prior history of hypothyroidism who presents at [**Hospital3 **] transferred from [**Hospital3 1443**] Hospital with an anterior ST elevation myocardial infarction. She has a prior history of a non-ST elevation myocardial infarction two weeks prior to this admission. Cardiac catheterization revealed left main coronary artery 50% stenosed, 100% proximal left anterior descending with collaterals, 80% mid left circumflex, 100% mid right coronary artery with bridging collaterals. She had three stents placed in the left main coronary artery to the left circumflex. Post catheterization she had an intra-aortic balloon pump placed and was transferred to the Coronary Care Unit for monitoring. Hemodynamics during cardiac catheterization, a right atrium pressure 13, PA pressure 46/27, wedge 25, cardiac index was 3.6 on IABP. Upon arrival to the Coronary Care Unit the patient was hypotensive. CT abdomen revealed a small retroperitoneal hematoma. On exam, blood pressure 130 to 140/64, cardiac output 6.2 with an index of 3.4. Patient was intubated and ventilated on assist control 500 x 16, PEEP of 5, and FIO2 of 0.6. Exam: Patient had coarse breath sounds bilaterally, a soft abdomen. A right groin hematoma was present. She had Dopplerable pulses bilaterally. She was transferred to the Coronary Care Unit on Vecuronium, Midazolam, Lipitor, Synthroid, aspirin, and Plavix. Prior to admission the patient only took Synthroid. At catheterization hematocrit was 35; post catheterization dropped to 31 and then was transfused two units to hematocrit of 33 and then 36. HOSPITAL COURSE BY PROBLEM: 1. Retroperitoneal bleed: Patient was typed and crossed for eight units. Serial hematocrits were performed which were stable throughout her hospitalization. She was consulted on by Vascular Surgery, who followed her during the course of her hospitalization. She had a femoral vascular ultrasound which revealed no pseudo aneurysm and no fistulas. After pulling her sheets on the left thigh, the patient developed a left groin hematoma in addition to her right groin hematoma and retroperitoneal bleed. That hematoma was also stable throughout her hospitalization and was also ultrasound showing no pseudo aneurysm and no fistula. 2. Cardiac: Coronary artery disease: Patient was continued on aspirin, Plavix, and started on a statin. She was weaned off Dopamine after transfer to the Coronary Care Unit. She was initially placed on a balloon pump at 1:1 and was discontinued after 24 hours. At the time of discharge the patient is taking Toprol XL, Lisinopril, aspirin, Plavix, Lipitor, and Cardizem. 3. Pump echo showed left atrial mild dilation. Left ventricle cavity and wall were normal size, moderate left ventricular systolic dysfunction, severe hypokinesis of the distal half of the anterior septum, anterior wall, basal inferior wall and apex. Patient was started on an angiotensin-converting enzyme. She maintained a normal sinus rhythm throughout her hospitalization. 4. Endocrine: Patient was continued on her regular dose of Synthroid. DISCHARGE MEDICATIONS: 1. Aspirin 325. 2. Plavix 75 mg p.o. q.d. 3. Levothyroxine 100 mcg p.o. q.d. 4. Lipitor 20 mg p.o. q.d. 5. Lisinopril 20 mg p.o. q.d. 6. Toprol XL 200 mg p.o. q.d. 7. Diltiazem SR 120 mg p.o. q.d. DISCHARGE CONDITION: Stable. DISPOSITION: To home with primary care physician and cardiac follow up. DISCHARGE INSTRUCTIONS: 1. Patient will go home today. She will be visited by the VNA nursing service this weekend. 2. She will also have follow up with her primary care physician within the next seven to 10 days. 3. She has a follow-up appointment with Dr. [**First Name (STitle) 3236**], her new cardiologist, with [**Location (un) **] River Associates in [**Location (un) 1468**] scheduled for this month. 4. She will also call Dr.[**Name (NI) 9920**] office to arrange a date for follow-up catheterization given her left main stent. [**First Name8 (NamePattern2) **] [**First Name8 (NamePattern2) **] [**Name8 (MD) **], M.D. [**MD Number(1) 7169**] Dictated By:[**Last Name (NamePattern1) 2706**] MEDQUIST36 D: [**2114-2-15**] 11:58 T: [**2114-2-15**] 11:57 JOB#: [**Job Number 52899**] ICD9 Codes: 4019, 2720, 2449
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Medical Text: Admission Date: [**2187-5-15**] Discharge Date: [**2187-5-22**] Date of Birth: [**2132-12-1**] Sex: F Service: MEDICINE Allergies: Penicillins Attending:[**First Name3 (LF) 1162**] Chief Complaint: OD Major Surgical or Invasive Procedure: intubation TLC placement History of Present Illness: 54 yof with unclear PMH BIBA to ER with unresponsiveness. Per EMS, bradycardic and transiently unresponsive enroute where she was given atropine and narcan. Initial vitals T 97.5 HR 92 BP 143/119, 24, 100%RA. Intubated for airway protection after etomidate and succcinylcholine. OG was placed and was given activated charcoal, in the middle of the procedure OG dislodged but no respiratory compromise per ER report. In the ED, ECG without ischemic changes. CXR with bilateral infiltrates, so Given levoflox and Zosyn for aspiration. R IJ placed. CT head without abnormalities. . At time of transfer, patient was awake able to answer questions. Denied any chestpain, shortness of breath. only complaint is of throat pain from ET tube. Able to write on a piece of paper. Wrote "I took the wrog pill wills and I forgot I" took them. Past Medical History: HTN Depression Social History: divorced has been engaged for >10 years to man in [**State **] denied Etoh, tobacco Family History: denies psych history Physical Exam: General Appearance: Well nourished, intubated Eyes / Conjunctiva: sluggishly reactive Head, Ears, Nose, Throat: Normocephalic, Endotracheal tube, OG tube Cardiovascular: (S1: Normal), (S2: Normal), No(t) S3, No(t) S4, (Murmur: No(t) Systolic, No(t) Diastolic) Peripheral Vascular: (Right radial pulse: Present), (Left radial pulse: Present), (Right DP pulse: Present), (Left DP pulse: Present) Respiratory / Chest: (Expansion: Symmetric), (Breath Sounds: Clear : , No(t) Crackles : , No(t) Wheezes : ) Abdominal: Soft, Non-tender, Bowel sounds present Extremities: Right: Absent, Left: Absent Skin: Warm Neurologic: Responds to: Verbal stimuli, Movement: Not assessed, Tone: Not assessed Pertinent Results: [**2187-5-15**] 10:25PM cTropnT-<0.01 [**2187-5-15**] 08:55PM LACTATE-2.7* [**2187-5-15**] 08:40PM GLUCOSE-126* UREA N-16 CREAT-0.7 SODIUM-141 POTASSIUM-4.6 CHLORIDE-114* TOTAL CO2-20* ANION GAP-12 [**2187-5-15**] 08:40PM ALT(SGPT)-14 AST(SGOT)-29 LD(LDH)-232 CK(CPK)-226* ALK PHOS-62 TOT BILI-0.4 [**2187-5-15**] 08:40PM LIPASE-48 [**2187-5-15**] 08:40PM ASA-NEG ETHANOL-NEG ACETMNPHN-NEG bnzodzpn-POS barbitrt-NEG tricyclic-NEG [**2187-5-15**] 08:40PM WBC-6.2 RBC-3.84* HGB-10.9* HCT-35.3* MCV-92 MCH-28.4 MCHC-30.9* RDW-13.7 [**2187-5-15**] 08:40PM NEUTS-91* BANDS-3 LYMPHS-4* MONOS-2 EOS-0 BASOS-0 ATYPS-0 METAS-0 MYELOS-0 FINDINGS: There is no intracranial hemorrhage, mass effect, or shift of normally midline structures. [**Doctor Last Name **]-white matter differentiation is preserved. The ventricles are prominent with proportionately deepened sulci consistent with mild atrophy. There is no acute major vascular territorial infarction. The paranasal sinuses are clear with the exception of a small right mucoid retention cyst within the maxillary sinus. The right mastoid air cells are opacified. Osseous and soft tissue structures are otherwise unremarkable. IMPRESSION: No evidence of intracranial hemorrhage. MRI of brain: FINDINGS: There is no evidence of hemorrhage, edema, mass, mass effect or acute/subacute territorial infarction. The ventricles and sulci are slightly prominent, more than expected for the patient's age. In the brain parenchyma there is no evidence of focal lesions and the FLAIR sequence demonstrates no evidence of gliotic areas or demyelinating lesions. Normal flow void signal is identified in the vascular structures. The orbits appears within normal limits. The paranasal sinuses demonstrates mucosal thickening on the right maxillary sinus, there is evidence of opacities and hyperintensity signal on the right mastoid air cells. IMPRESSION: There is no evidence of focal lesions in the brain parenchyma. Mild prominence of the sulci and ventricles for the patient's age. Right maxillary mucosal thickening and opacities noted on the right mastoid air cells as described above. Brief Hospital Course: # Drug overdose - It was unclear what medication patient took as tox screen positive for benzo and opiate which patient does take at home and may have mistaken. The patient was intubated due to lack of gag reflex. She was seen by the toxicology team and admitted to the [**Hospital Unit Name 153**] for further monitoring. All of her psych meds were initially held and then restarted at a lower dose prior to discharge. It was felt that this was an unintentional overdose as the patient took her meds twice out of confusion. She was followed by psych during her stay and was felt safe for discharge home and psych follow up the day after discharge. She had no evidence of SI or SA during this hospitalization. # Bradycardia ?????? Unclear how bradycardic patient was enroute to ER. On presentation to the ICU, she had two episodes of pause on tele lasting 2.5 sec and 5.9 sec. [**Month (only) 116**] have been from atenolol ingestion or possibly opiates. She had episodes in the [**Hospital Unit Name 153**] of hypertensive urgency requiring IV labetalol. No further bradycardia was observed on tele. She was placed back on atenolol with good control of BP. . Anemia: patient was found to have fe deficiency but was guaiac negative throughout. She was placed on fe supplements and a PPI and will need a colonoscopy as an outpatient. Medications on Admission: Morphine 30 mg Tab Oral 1 Tablet(s) Every morning and at noon, 2 tablets in the evening Amidrine 325 mg-65 mg-100 mg Cap Oral 1 Capsule prn headache Diazepam 10 mg Tab Oral 1 Tablet(s) Three times daily Flexeril 10 mg Tab Oral 1 Tablet(s) Three times daily for 10 days Cloanapin 1 mg tid Loratadine Celexa 20 mg daily Premarin Prilosec seroquel 200 mg daily ambien 10 mg daily nortriptylline 200 mg daily Discharge Medications: 1. Atenolol 50 mg Tablet Sig: One (1) Tablet PO once a day. 2. Morphine 15 mg Tablet Sustained Release Sig: One (1) Tablet Sustained Release PO Q8H (every 8 hours). 3. Prilosec OTC 20 mg Tablet, Delayed Release (E.C.) Sig: One (1) Tablet, Delayed Release (E.C.) PO twice a day. 4. Iron (Ferrous Sulfate) 325 mg (65 mg Iron) Tablet Sig: One (1) Tablet PO once a day. 5. Loratadine 10 mg Tablet Sig: One (1) Tablet PO once a day. 6. Mirtazapine 15 mg Tablet Sig: One (1) Tablet PO HS (at bedtime). Disp:*30 Tablet(s)* Refills:*2* 7. Quetiapine 25 mg Tablet Sig: Two (2) Tablet PO QHS (once a day (at bedtime)) as needed. Disp:*60 Tablet(s)* Refills:*0* 8. Citalopram 20 mg Tablet Sig: One (1) Tablet PO DAILY (Daily). Disp:*30 Tablet(s)* Refills:*2* 9. Diazepam 5 mg Tablet Sig: One (1) Tablet PO Q8H (every 8 hours). Discharge Disposition: Home With Service Facility: [**Company 1519**] Discharge Diagnosis: medication overdose respiratory failure hypertensive urgency depression anemia Discharge Condition: stable Discharge Instructions: You were admitted with a presumed accidental overdose of your medications that required intubation. You will need to label all of your medications carefully. Please follow up with your PCP as described below. Followup Instructions: Dr [**First Name4 (NamePattern1) 449**] [**Last Name (NamePattern1) 78479**] [**Telephone/Fax (1) 78480**], please call for a follow up appointment in 2 weeks. We recommend a GI follow up as well given your persistent normocytic anemia. You have psychiatry follow up tomorrow, [**5-23**] here at [**Hospital1 18**]. ICD9 Codes: 2859
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Medical Text: Admission Date: [**2163-1-16**] Discharge Date: [**2163-1-31**] Service: MEDICINE Allergies: Iodine / Cipro / Sulfonamides / Morphine / Codeine / Levofloxacin Attending:[**First Name3 (LF) 545**] Chief Complaint: left hip pain/concern for sepsis in ED Major Surgical or Invasive Procedure: None History of Present Illness: 86 yo F with hx Renal Cell Carcinoma, ovarian CA, arthritis, s/p right hip replacement with new onset L hip pain for 3 days. pt has had difficulty ambulating, endorses pain with any movements at all. Pt has chronic UTI on keflex at home. She presented to the ED for evaluation of L hip pain. during w/u for possible pathologic Fx pat was noted to be hypotensive to 70s. She was found to have a WBC of 14K, a positive U/A, as well as an elevated creatinine of 2.4 (baseline 1.6-1.8). Her initial lactate was 2.1. CXR was negative for PNA. She was ordered for hip/pelvis plain films. A central line was placed, pat was given zosyn and 3-4L IVF. Started on levophed. Admitted to ICU for urosepsis. Past Medical History: Left renal tumor x2, status post CyberKnife radioablation in [**2162-5-23**]. h/o ovarian cancer with peritoneal metastases (followed by Dr [**Last Name (STitle) 19**] h/o recurrent partial small bowel obstructions CRI (1.3 to 1.6) CHF (EF 50% with mod AS, [**11-24**]+AR, 2+MR) h/o PAD h/o C. difficile infections HTN h/o diverticulitis, h/o recurrent UTIs s/p left CEA, h/o talc pleurodesis TAH/BSO 19 years ago Gout h/o Collagenous colitis Allergies: Iodine / Cipro / Sulfonamides / Morphine / Codeine / Levofloxacin Social History: Lives by herself; close relatives live [**Name2 (NI) 97184**]. No tobacco, EtOH, or IV drug use. Husband died in [**2161-6-23**]. Family History: Not contributory Physical Exam: Gen: lying in bed, non-toxic, well-appearing HEENT: dry MMM Neck: supple, JVD 8 cm, no carotid bruits Chest: CTAB, no wheezes, decreased BS L base CVS: rrr, Grade II/VI syst murmur LUSB Abd: soft, + BS, minimal tenderness LLQ, no rebound or guarding, no masses Extrem: no c/c; 2+ pitting edema b/l Neuro: nonfocal, moves all extremities Pertinent Results: [**2163-1-13**] UCx: PSEUDOMONAS AERUGINOSA. pan-sensitive [**2162-2-23**], [**2162-1-26**]: ESCHERICHIA COLI AMPICILLIN------------ =>32 R AMPICILLIN/SULBACTAM-- 4 S CEFAZOLIN------------- <=4 S CEFEPIME-------------- <=1 S CEFTAZIDIME----------- <=1 S CEFTRIAXONE----------- <=1 S CEFUROXIME------------ 4 S CIPROFLOXACIN--------- =>4 R GENTAMICIN------------ <=1 S IMIPENEM-------------- <=1 S MEROPENEM-------------<=0.25 S NITROFURANTOIN-------- <=16 S PIPERACILLIN/TAZO----- <=4 S TOBRAMYCIN------------ <=1 S TRIMETHOPRIM/SULFA---- <=1 S CXR: 1. Low-lying new central venous catheter, which should be partially withdrawn; no definite pneumothorax. 2. CHF with bilateral pleural effusions. Hip films (WET READ): No cortical irregularity or disruption of trabecular lines detected to suggest acute fracture in the left hip. Right hip replacement and pelvis similar in appearence to previous. No hip dislocation. Given osteopenia, dedicated left hip views vs CT/MRI may be considered if indicated to evaluate subtle fractures. MRI Abd [**2162-12-15**]: 1. Two left-sided renal lesions are again identified. Overall, the size of these lesions is slightly decreased in size since the aforementioned recent prior MRI. 2. Arterial spin labeling sequence does demonstrate blood flow within these lesions as noted. However, no prior ASL is available for comparison. 3. Stable large, cystic lesion within the left adnexa as noted above. RENAL U/S: Limited portable ultrasound performed. No hydronephrosis or stones in the left kidney. The right kidney which is small could not be visualized given overlying bowel gas. A CT abdomen and pelvis may be obtained if warranted for further evaluation. ECHO [**2162-8-31**]: The left atrium is mildly dilated. There is mild symmetric left ventricular hypertrophy with normal cavity size. Regional left ventricular wall motion is normal. There is mild global left ventricular hypokinesis (LVEF = 45%). Tissue Doppler imaging suggests an increased left ventricular filling pressure (PCWP>18mmHg). Right ventricular chamber size and free wall motion are normal. The aortic valve leaflets are severely thickened/deformed. There is severe aortic valve stenosis (area 0.7cm2). Mild to moderate ([**11-24**]+) aortic regurgitation is seen. The mitral valve leaflets are mildly thickened. Mild to moderate ([**11-24**]+) mitral regurgitation is seen. There is mild pulmonary artery systolic hypertension. There is no pericardial effusion. CT CHEST/ABD/PELV: 1. No evidence of loculated pleural effusion or empyema, though evaluation is limited without intravenous contrast. 2. New opacification at the right lung base, and posterior segment of the right upper lobe, concerning for pneumonia, possibly related to aspiration. 3. Unchanged appearance of nonspecific focally distended loops of small bowel. No specific evidence of bowel obstruction. 4. Unchanged appearance of numerous calcified lesions throughout the peritoneum and abdomen, limited evaluation without intravenous contrast, but suspicious for metastatic foci. 5. Unchanged appearance of predominantly cystic left adnexal mass. Brief Hospital Course: 86 y/o F with PMHx of severe AS & CHF admitted with urosepsis, s/p extubation on [**2163-1-23**], had recurrent A.fib with RVR & hypotension that responded to repeat IV fluid boluses, made DNR/DNI on [**1-27**] with continued delirium. . # A.Fib/CV: Pt with severe AS & CHF with EF 50%. Pt developped Afib with RVR c/b hypotension that responded to repeated IVF boluses. Concern for aggressive fluid resuscitation sending pt into pulm edema, likely to compromise resp status. Per family meeting, pt was made DNR/DNI, no lines, no pressors. Pt had intermittent episodes of hypotension requiring further fluid boluses. Avoiding aggressive volume boluses due to tenous volume status. Was on Digoxin 0.125mg every other day to help control rate. . #UTI/Septic Shock: Pt recently completed a 10 day course of Zosyn for pseudomonas urosepsis, successfully extubated on [**1-23**]. WBC had trended down, afebrile. However, pt developed recurrent hypotension likely cardiogenic etiology but was restarted on empiric ABx prior to leaving the ICU (Zosyn/Vancomycin). Upon arrival to the floor, the patient remained afebrile with WBC trending down. Culture data was also negative. Therefore, antibiotics were stopped and the patient was monitored. . # RENAL FAILURE, ACUTE on chronic: Pt initially with oliguric renal failure likely [**12-25**] hypoperfusion vs ATN in setting of shock. Pt began to naturally diurese on [**2163-1-26**], then UOP dropped in setting of hypotension on [**1-27**]. Currently, avoiding volume overload with gentle IVF boluses. Creatinine gradually increasing after transfer from ICU to medicine floor. Urine output decreased and urine studies consistent with pre-renal picture. Patient given intermittent IVF given poor PO intake. . # RESP FAILURE: Pt was intubated on [**1-18**] due to worsening acidosis & MS changes. CXR with bilateral pleural effusions R>L & pulm edema. CT on [**1-18**] showed possible airspace disease in RLL vs chronic changes [**12-25**] to right sided pleurodeisis. Pt extubated successfully on [**1-23**] and has been maintaining sats on 2-3LNC. Was given nebulizer treatments as needed. . # MS CHANGES: Pt with delirium likely secondary to intubation, polypharmacy & prolonged ICU stay. Sleep/wake cycles now very disturbed. Pt has been pulling out lines overnight, had to place restraints temporary. Was started on Zyprexa (initially 5mg [**Hospital1 **], then 2.5/5mg, then 2.5mg [**Hospital1 **] w/ PRN doses). . # LEFT HIP PAIN: Etiology unclear but unlikely due to infectious source. CT neg for joint effusion, bone scan neg for pathologic fracture/metastatic lesion. PT consulted to assist with getting OOB. Initially received Dilaudid in the ICU, however that was stopped due to worry for hypotension and clouding mental status. On transfer to the floor, patient still with significant pain. In discussing with family, decision made to re-start Dilaudid (however in PO form) to control pain, with the understanding that this may cloud mental status. . #Thrombocytopenia ?????? pt has baseline plt ct 50-70s, trended down to 40 & heparin products held [**2163-1-24**]. Plts have been stable. Suspician of HIT very low and HIT Ab never sent from lab. Heparin products were held. . #Sacral Decub/intertriguinous rash - was seen by the wound care nurse [**First Name (Titles) **] [**Last Name (Titles) 7219**] implemented for wound care. Also placed on kinair mattress with regular position changes. Was given antifungal cream as well. . #Nutrition Pleasure feeds with pureed nectar thickened feeds (maintained on aspiration precautions). . Code status: DNR/DNI, no lines, no pressors . On [**1-31**], patient rapidly became hypotensive and unresponsive and expired. Family was notified. Medications on Admission: ALLOPURINOL 100 mg--2 tablet(s) by mouth twice a day CEPHALEXIN 500 mg--1 capsule(s) by mouth twice a day DULCOLAX STOOL SOFTENER 100 mg--1 capsule(s) by mouth four times a day FUROSEMIDE 40 mg--4 tablet(s) by mouth every day Fish Oil 1,000 mg-- HYDROCORTISONE 1 %--apply to affected area twice a day as needed Hydralazine 50 mg--2 tablet(s) by mouth three times a day ISOSORBIDE DINITRATE 20 mg--1 tablet(s) by mouth three times a day MULTIVITAMIN --1 capsule(s) by mouth once a day Micro-K 10 mEq--2 capsule(s) by mouth daily OMEPRAZOLE 40 mg--1 capsule(s) by mouth once a day TAMOXIFEN 10 mg--2 tablet(s) by mouth once a day Discharge Disposition: Expired Discharge Diagnosis: Patient expired Discharge Condition: expired Discharge Instructions: none Followup Instructions: none ICD9 Codes: 5185, 486, 2762, 5990, 5849, 2930, 4280, 4241, 5859, 2749
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Medical Text: Admission Date: [**2100-8-6**] Discharge Date: [**2100-8-14**] Date of Birth: [**2018-3-20**] Sex: M Service: CARDIOTHORACIC Allergies: No Known Allergies / Adverse Drug Reactions Attending:[**First Name3 (LF) 1505**] Chief Complaint: worsening shortness of breath, fatigue and dyspnea Major Surgical or Invasive Procedure: [**2100-8-6**] 1. Aortic valve replacement 25-mm Biocor Epic tissue valve. 2. Coronary artery bypass grafting x3: Left internal mammary artery graft to left anterior descending, reverse saphenous vein graft to the marginal branch and the posterior descending artery History of Present Illness: 82 year old male who has been followed for aortic stenosis since [**2098**] after an echo was performed for a murmur prior to his left total hip replacement. Echo revealed moderate aortic stenosis with peak/mean gradient 62/38. Medically managed with serial echocardiograms over the last several years. He noted a marked decrease in exercise tolerance with generalized fatigue. He also complains of dyspnea on exertion. He attributes some of these symptoms to fairly severe arthritis in his knees and hips. His most recent echo showed severe AS (similar to echo in [**2099**]), given his current symptoms he was referred for surgical evaluation. Past Medical History: PMH: Aortic stenosis Insulin dependent Diabetes Mellitus Arthritis Rheumatic heart disiease Coronary artery disease Hypertension Prostate cancer treated with radiation PSH: s/p Left total hip replacement at the [**Hospital3 **] in [**12-15**] s/p Bilateral knee replacements in [**2096**] Right shoulder surgery Prostatectomy [**2075**] Social History: Race: Caucasian Last Dental Exam: [**2-7**] mos. ago Lives with: wife Occupation: retired engineer, published his very moving book on his WWII experiences, keeps very active- builds furniture Tobacco: never ETOH: quit 3 yrs. ago Family History: non-contributory Physical Exam: Preoperative Pulse: 69 Resp: 18 O2 sat: 98%RA B/P Right: 128/89 Left: 123/85 Height: 66" Weight 93 kg (205 lbs) General: NAD, WGWN, appears younger than stated age Skin: Dry [x] intact [x] HEENT: PERRLA [] EOMI [x] fixed pupils (cataracts) Neck: Supple [x] Full ROM [x] Chest: Lungs clear bilaterally [x] Heart: RRR [x] Irregular [] Murmur 3/6 systolic Abdomen: Soft [x] non-distended [x] non-tender [x] + BS [x] Extremities: Warm [x], well-perfused [x] Edema: trace pedal edema Varicosities: None [x] Neuro: Grossly intact [x] Pulses: Femoral Right: 1+ Left:1+ DP Right: 1+ Left:1+ PT [**Name (NI) 167**]: 1+ Left:1+ Radial Right: cath Left:1+ Carotid Bruit -radiated murmur Pertinent Results: Admission [**2100-8-6**] 08:00AM HGB-11.7* calcHCT-35 [**2100-8-6**] 08:00AM GLUCOSE-131* LACTATE-1.0 NA+-141 K+-4.4 [**2100-8-6**] 12:31PM GLUCOSE-178* LACTATE-1.7 NA+-138 K+-4.8 CL--113* [**2100-8-6**] 12:34PM FIBRINOGE-206 [**2100-8-6**] 12:34PM PT-13.9* PTT-30.9 INR(PT)-1.2* [**2100-8-6**] 12:34PM PLT COUNT-154 [**2100-8-6**] 12:34PM WBC-15.3*# RBC-2.54*# HGB-8.0*# HCT-23.2*# MCV-91 MCH-31.5 MCHC-34.5 RDW-13.8 [**2100-8-6**] 02:18PM UREA N-38* CREAT-1.1 SODIUM-143 POTASSIUM-4.6 CHLORIDE-119* TOTAL CO2-22 ANION GAP-7* Discharge [**2100-8-14**] 04:40AM BLOOD WBC-10.8 RBC-2.79* Hgb-8.4* Hct-24.9* MCV-89 MCH-30.2 MCHC-33.8 RDW-13.8 Plt Ct-352 [**2100-8-14**] 04:40AM BLOOD PT-13.5* INR(PT)-1.2* [**2100-8-14**] 04:40AM BLOOD Glucose-99 UreaN-29* Creat-1.4* Na-136 K-4.6 Cl-100 HCO3-28 AnGap-13 [**2100-8-14**] 04:40AM BLOOD Calcium-8.6 Phos-3.9 Mg-2.2 ECHO [**2100-8-6**]: PREBYPASS: No atrial septal defect is seen by 2D or color Doppler. There is moderate symmetric left ventricular hypertrophy. The left ventricular cavity size is normal. Regional left ventricular wall motion is normal. Overall left ventricular systolic function is normal (LVEF>55%). Right ventricular chamber size and free wall motion are normal. The ascending aorta is mildly dilated. The descending thoracic aorta is mildly dilated. There are simple atheroma in the descending thoracic aorta. The aortic valve leaflets are severely thickened/deformed. There is critical aortic valve stenosis (valve area <0.8cm2). Mild (1+) aortic regurgitation is seen. The mitral valve leaflets are moderately thickened. There is borderline functional mitral stenosis due to mitral annular calcification (MVA-2.2 cm2) Mild (1+) mitral regurgitation is seen. POSTBYPASS: There is preserved biventricular systolic function. There is a well seated, well functioning bioprosthesis in the aortic position. There is trace valvular AI. The remaining study is unchange from prebypass. Chest x-ray [**8-11**]: PA and lateral chest submitted for review on [**8-13**] shows a stable postoperative appearance to the enlarged mediastinum. Aside from mild right basal atelectasis, lungs are clear. Pleural effusions are small if any. No pneumothorax or pulmonary edema. Brief Hospital Course: Mr. [**Known lastname 50500**] was admitted on [**2100-8-6**] and taken to the operating room where he underwent Aortic valve replacement and Coronary artery bypass grafting x3. Please see operative note for details, in summary he had: Aortic valve replacement 25-mm Biocor Epic tissue valve and Coronary artery bypass grafting x3 with left internal mammary artery graft to left anterior descending, reverse saphenous vein graft to the marginal branch and the posterior descending artery. His bypass time was 129 minutes with a crossclamp of 106 minutes. He tolerated the operation and immediately post-operatively was admitted to the ICU intubated and sedated on propofol and on neo for BP support. Propofol was weaned off readily and patient was extubated without difficulty on POD #1. On POD#2 he developed rapid afib which was treated with IV Lopressor and amiodarone and he continued to require neo for blood pressure support. He converted to sinus rhythm and Neo-Synephrine infusion was weaned off. Chest tubes and pacing wires were removed per cardiac surgery protocol. On POD# 3 he was transferred to the step down unit for ongoing post-operative care. He was diuresed postoperatively and developed ATN which improved when Lasix dose was decreased. Once on the stepdown floor he continued to have intermittent episodes of rapid afib and his beta blocker was titrated accordingly, rate control was difficult to achieve. EP was consulted and he was also started on Coumadin for his atrial fibrillation. The remainder of his hospital course was uneventful. He was evaluated by physical therapy for strength and conditioning and a brief rehabilitation stay was recommended prior to returning to home. He was discharged to [**Hospital 24806**] rehab on POD 8. Medications on Admission: Insulin Lispro (Humalog) 30 units daily Insulin Glargine [Lantus]100 unit/mL Solution 30U at 2300 hrs Latanoprost [Xalatan] 0.005 % Drops, 1 drop(s) both eyes bedtime Proscar 5mg daily Ramipril 10mg daily Aspirin 81mg daily Discharge Medications: 1. docusate sodium 100 mg Capsule Sig: One (1) Capsule PO BID (2 times a day). 2. ranitidine HCl 150 mg Tablet Sig: One (1) Tablet PO DAILY (Daily). 3. aspirin 81 mg Tablet, Delayed Release (E.C.) Sig: One (1) Tablet, Delayed Release (E.C.) PO DAILY (Daily). 4. simvastatin 10 mg Tablet Sig: Two (2) Tablet PO DAILY (Daily). 5. finasteride 5 mg Tablet Sig: One (1) Tablet PO DAILY (Daily). 6. tramadol 50 mg Tablet Sig: One (1) Tablet PO Q6H (every 6 hours) as needed for pain. 7. metoprolol tartrate 50 mg Tablet Sig: One (1) Tablet PO TID (3 times a day). 8. latanoprost 0.005 % Drops Sig: One (1) Drop Ophthalmic HS (at bedtime). 9. warfarin 2 mg Tablet Sig: Two (2) Tablet PO once a day for 1 doses: Titrate for a Goal INR 2.0-2.5. 10. guaifenesin 600 mg Tablet Extended Release Sig: Two (2) Tablet Extended Release PO BID () for 3 days. 11. insulin glargine 100 unit/mL Solution Sig: Thirty Five (35) Subcutaneous once a day: at breakfast. 12. Insulin sliding scale Please see attached chart for sliding scale insulin (Humalog) dosing 13. amiodarone 200 mg Tablet Sig: One (1) Tablet PO TID (3 times a day): Please take 200mg three times a day for 5 days. Then take 200mg twice daily for 7 days. Finally, take 200mg daily until stopped by cardiologist. Discharge Disposition: Extended Care Facility: [**Hospital 24806**] Care Center - [**Hospital1 1562**] Discharge Diagnosis: Aortic Stenosis/Coronary artery disease s/p Aortic Valve Replacement and Coronary artery bypass graft x 3 PMH: Diabetes Mellitus Osteoarthritis Rheumatic heart disease Hypertension Prostate cancer s/p XRT s/p left total hip replcaement s/p Bilateral knee replacements in [**2096**] s/p Right shoulder surgery s/p Prostatectomy [**2075**] Discharge Condition: Alert and oriented x3 nonfocal Ambulating with steady gait Incisional pain managed with Tramadol Incisions: Sternal - healing well, no erythema or drainage Leg Right/Left - healing well, no erythema or drainage. Edema 1+ Discharge Instructions: Please shower daily including washing incisions gently with mild soap, no baths or swimming until cleared by surgeon. Look at your incisions daily for redness or drainage Please NO lotions, cream, powder, or ointments to incisions Each morning you should weigh yourself and then in the evening take your temperature, these should be written down on the chart No driving for approximately one month and while taking narcotics, will be discussed at follow up appointment with surgeon when you will be able to drive No lifting more than 10 pounds for 10 weeks Please call with any questions or concerns [**Telephone/Fax (1) 170**] **Please call cardiac surgery office with any questions or concerns [**Telephone/Fax (1) 170**]. Answering service will contact on call person during off hours** Labs: PT/INR for Coumadin ?????? indication afib Goal INR 2.0-2.5 First draw - day after discharge, [**8-15**] Rehab to arrange Coumadin follow-up with PCP Followup Instructions: You are scheduled for the following appointments Surgeon: Dr. [**Last Name (STitle) **] Phone:[**Telephone/Fax (1) 170**] Date/Time:[**2100-9-2**] 1:00 in the [**Hospital **] Medical office building [**Hospital Unit Name **] Cardiologist: Dr. [**First Name11 (Name Pattern1) 125**] [**Last Name (NamePattern4) 126**], MD Phone:[**Telephone/Fax (1) 8645**] Date/Time:[**2100-9-21**] 4:00 Please call to schedule appointments with your Primary Care Dr [**Last Name (STitle) **] [**Telephone/Fax (1) 98813**] to be seen in [**5-11**] weeks **Please call cardiac surgery office with any questions or concerns [**Telephone/Fax (1) 170**]. Answering service will contact on call person during off hours** Completed by:[**2100-8-14**] ICD9 Codes: 5845, 5185, 9971, 2851, 4019
{ "dataset_link": "https://huggingface.co/datasets/ricardosantoss/ehrcomplete_icdfiltered", "dataset_name": "ehrcomplete-icdfiltered", "id": 8171 }
Medical Text: Admission Date: [**2183-8-14**] Discharge Date: [**2183-8-20**] Service: MEDICINE Allergies: Patient recorded as having No Known Allergies to Drugs Attending:[**First Name3 (LF) 13541**] Chief Complaint: Fever, rigors Major Surgical or Invasive Procedure: None. History of Present Illness: Ms. [**Known lastname 1005**] is an 89yo spanish speaking female with PMH significant for multiple ESBL UTIs, lumbar osteomyelitis, and psoas abcess who was admitted to the MICU with a UTI and transient hypotension concerning for urosepsis. Of note, the patient was recently hospitalized in [**2183-5-20**] for E coli and K. pneumo UTI ([**1-17**] BCx + for K. pneumo), tx with cephalexin/cefpodoxime for 14d. Her osteomyelitis was unchanged per MRI at this time. In addition, a PICC was placed on [**7-31**] to administer a 7d course of Imipenem (500mg q8h, [**Date range (1) 50412**]) for an ESBL E. coli UTI [**2-15**] foley catheter (d/c'd [**7-31**]). The PICC was kept until f/u urine studies could be performed 1 wk post-abx. This morning at the patient's NH, she was noted to have fevers and rigor. Her vitals at this time were T 100.0 BP 160/90 AR 130 RR 30 O2 sat 90% RA. ? if she was on carbapenem for a UTI. She was then transferred to [**Hospital1 18**] for further work-up. In the ED, initial vitals were T 99.1 Tmax 101.8 BP 120/80 AR 92 RR 16 O2 sat 99% RA. Foley placed without any complications. She received Flagyl 500mg, Linezolid 600mg, and Meropenem 500mg. Her BP dropped to 90/68. She also was given 2L NS. Upon arrival to the MICU and in the presence of the spanish translator, the patient denies any acute complaints. She denies any chest pain, SOB, abdominal pain, or any other concerning symptoms. She does admit to some low back pain, which is chronic for her. She was hemodynamically stable in the MICU, and so she was called out to the floor. She is being followed by ID in-house and is on meropenem and daptomycin (changed from linezolid [**2-15**] serotonin syndrome concern). On the floor, she only c/o generalized weakness. Past Medical History: 1)VRE stump infection [**1-21**] 2)Klebsiella pneumonia and bacteremia 3)Multiple UTIs including ESBL E. coli [**2183-7-30**] in setting of foley 4)Lumbar osteomyelitis L2-L3 s/p daptomycin and meropenem x8 weeks; biopsy cultures were negative 5)Psoas/iliacus abscesses [**1-21**] 6)Hypertension 7)Type 2 diabetes 8)Stomach carcinoma s/p resection 9)Hx of gastritis/esophagitis 10)Chronic anemia 11)PVD s/p common femoral to left common femoral bypass with PTFE in [**2181-6-14**] 12)L AKA in [**12-21**] c/b klebsiella PNA, VRE UTI, presumed c. diff tx'ed with abx 8 wks 13)Hx urinary incontinence status post collagen injections to bladder neck 14)s/p hysterectomy 15)s/p oophorectomy 30 years ago Social History: She is originally from [**Country 26231**]. She is not employed. She does not use tobacco. She does not use alcohol nor any drugs. Lives at NH. Family History: n/c Physical Exam: VS: 98.9 71 135/44 18 99%RA Gen: Pleasant female, well appearing, alert and oriented to person, place day and month (year - [**2145**]). HEENT: MMM, anicteric sclera Heart: RRR, no m,r,g Lungs: CTAB, few scattered crackles at posterior lung bases Abdomen: Soft, mild tenderness in RLQ, +BS; G-tube in place without any surrounding erythema or tenderness. No CVAT. Extremities: L AKA, no edema of RLE, 2+ DP/PT pulses; quarter sized sacral ulcer with mild surrounding tenderness Pertinent Results: [**2183-8-14**] 09:15AM WBC-13.2* RBC-3.71* HGB-10.0* HCT-30.0* MCV-81* MCH-27.1 MCHC-33.5 RDW-14.8 [**2183-8-14**] 09:15AM PLT SMR-HIGH PLT COUNT-470* [**2183-8-14**] 09:15AM SED RATE-120* [**2183-8-14**] 09:15AM CRP-177.7* [**2183-8-14**] 09:15AM GLUCOSE-106* UREA N-17 CREAT-0.5 SODIUM-130* POTASSIUM-4.6 CHLORIDE-98 TOTAL CO2-24 ANION GAP-13 [**2183-8-14**] 09:47AM LACTATE-3.3* [**2183-8-14**] 10:17AM URINE COLOR-Yellow APPEAR-Cloudy SP [**Last Name (un) 155**]-1.008 [**2183-8-14**] 10:17AM URINE BLOOD-LG NITRITE-NEG PROTEIN-30 GLUCOSE-NEG KETONE-NEG BILIRUBIN-NEG UROBILNGN-NEG PH-6.0 LEUK-MOD [**2183-8-14**] 10:17AM URINE RBC-[**6-24**]* WBC->50 BACTERIA-MANY YEAST-FEW EPI-[**3-19**] [**2183-8-14**] 11:02AM LACTATE-2.2* URINE CULTURE (Final [**2183-8-17**]): ESCHERICHIA COLI. >100,000 ORGANISMS/ML.. PRESUMPTIVE IDENTIFICATION. KLEBSIELLA PNEUMONIAE. 10,000-100,000 ORGANISMS/ML.. SENSITIVITIES: MIC expressed in MCG/ML _________________________________________________________ ESCHERICHIA COLI | KLEBSIELLA PNEUMONIAE | | AMIKACIN-------------- <=2 S AMPICILLIN------------ =>32 R AMPICILLIN/SULBACTAM-- 16 I =>32 R CEFAZOLIN------------- <=4 S <=4 S CEFEPIME-------------- <=1 S <=1 S CEFTAZIDIME----------- <=1 S <=1 S CEFTRIAXONE----------- <=1 S <=1 S CEFUROXIME------------ 4 S 16 I CIPROFLOXACIN--------- =>4 R =>4 R GENTAMICIN------------ =>16 R =>16 R MEROPENEM-------------<=0.25 S <=0.25 S NITROFURANTOIN-------- <=16 S 128 R PIPERACILLIN/TAZO----- <=4 S 32 I TOBRAMYCIN------------ 4 S 8 I TRIMETHOPRIM/SULFA---- <=1 S <=1 S . Urine cx ([**8-15**]): negative Blood cx ([**8-14**]): negative x2 Blood cx ([**8-15**]): NGTD x2 Cdiff toxin neg x1 . CT abd/pelvis ([**8-14**]): IMPRESSION: 1. No acute finding to explain source of infection. 2. Stable destruction of L2 and L3 vertebral bodies. 3. No CT evidence of pyelonephritis. 4. No evidence of intraabdominal or pelvic abscess. . MRI pelvis ([**8-18**]): IMPRESSION: 1) Severely limited study for reasons stated above. [claustrophobia] 2) Bilateral femoral avascular necrosis with severe underlying osteoarthritis. 3) Prominent bilateral subcutaneous edema and edema tracking along the adductor musculature bilaterally. 4) Study not of diagnostic quality to assess the psoas muscles or exclude deep abscess. . MRI T/L spine ([**8-17**]): Impression: Essentially no change in the appearance of the inflammatory changes at L2-L3. . KUB with oral contrast via J tube ([**8-16**]): Single portable radiograph of the abdomen demonstrates oral contrast within a catheter projecting over the left upper and lower quadrants. There is oral contrast within the small bowel. No extravasation is seen. Surgical staples project over the right upper quadrant. There is a non-obstructive bowel gas pattern. No pneumoperitoneum is evident. The appearance of the osseous structures is unchanged compared with [**2183-7-3**]. Surgical staples projecting over the left upper and lower quadrants remain similar in appearance as well. Brief Hospital Course: ## UTI/urosepsis: Patient was initially febrile to 101.8 and hypotensive to 90/68 on admission. She was given flagyl, linezolid, and meropenem in the ED, as well as 2L NS. Foley was placed with purulent urine return. She was initially continued on meropenem and linezolid, but the linezolid was switched to daptomycin on [**8-15**] due to concern for serotonin syndrome given venlafaxine use. Daptomycin d/c'd on [**8-18**] as osteo stable (see below). Urine culture grew E coli and Klebsiella, sensitive to meropenem and bactrim. Due to this, meropenem was switched to bactrim on [**8-19**] to complete a 14 day course. Pt transitioned from Foley to straight cath q8h due to retention to help prevent UTI recurrence (no bladder scan at nursing facility). Since her initial ED presentation, she has remained without hypotension or fevers. She was restarted on lisinopril and metoprolol XL after 24hrs w/o hypotension. ## Osteomyelitis: No complaints of back pain. MRI T/L spine showed stable appearance, so daptomycin was stopped on [**8-18**]. MRI pelvis was attempted, but pt did not tolerate due to claustrophobia (even with ativan). CRP was much decreased on discharge. She will followup in [**Hospital **] clinic. ## Rash Erythematous unilateral macular flank rash w/ small pustules noted. No pain, confirms pruritis. No eos on CBC. Started on 7d course valacyclovir to end [**8-24**] for possible zoster. ## Type 2 DM: Held oral hypoglycemics and had reasonable glucose control with insulin sliding scale. ## FEN Pt gets supplemental tube feeds overnight. Her sutures came loose on [**8-16**], but were reattached by IR. Plain film w/ contrast showed proper positioning, so feeds resumed. ## Decubitus ulcer Known prior to admission. Wound care consulted and pt was repositioned and cleansed per their recs. No e/o communication w/ osteo on MRI. ## Bilateral AVN of femoral head Noted on brief images obtained on MRI pelvis study. Pt asymptomatic and would likely need conservative management. Can consider bisphosphonates in the outpatient setting. ## Dispo All other chronic problems remained stable and treated as prior. She is being discharged back to her [**Hospital1 1501**]. Medications on Admission: Pioglitazone 7.5mg PO daily Fluticasone-salmeterol Omeprazole 20mg PO BID Tiotropium MDI Aspirin 81mg PO daily Metoprolol XL 50 mg PO daily Docusate 100 mg 100mg PO BID Senna PO BID Venlafaxine 25mg PO BID Oxycodone PO Q6H PRN Acetaminophen 650mg PO Q6H Vitamin D PO daily Lisinopril 20mg PO daily Immodium PRN Discharge Medications: 1. Heparin (Porcine) 5,000 unit/mL Solution Sig: One (1) ml Injection TID (3 times a day). 2. Omeprazole 20 mg Capsule, Delayed Release(E.C.) Sig: One (1) Capsule, Delayed Release(E.C.) PO BID (2 times a day). 3. Acetaminophen 325 mg Tablet Sig: Two (2) Tablet PO Q6H (every 6 hours). 4. Venlafaxine 25 mg Tablet Sig: One (1) Tablet PO BID (2 times a day). 5. Docusate Sodium 100 mg Capsule Sig: One (1) Capsule PO BID (2 times a day). 6. Senna 8.6 mg Tablet Sig: One (1) Tablet PO BID (2 times a day) as needed. 7. Aspirin 81 mg Tablet, Chewable Sig: One (1) Tablet, Chewable PO DAILY (Daily). 8. Valacyclovir 500 mg Tablet Sig: Two (2) Tablet PO TID (3 times a day) for 5 days: Last day of 7d total course is [**2183-8-24**]. 9. Metoprolol Succinate 50 mg Tablet Sustained Release 24 hr Sig: One (1) Tablet Sustained Release 24 hr PO DAILY (Daily). 10. Lisinopril 20 mg Tablet Sig: One (1) Tablet PO DAILY (Daily). 11. Multivitamin Tablet Sig: One (1) Tablet PO DAILY (Daily). 12. Actos 15 mg Tablet Sig: [**1-15**] Tablet PO once a day. 13. Spiriva with HandiHaler 18 mcg Capsule, w/Inhalation Device Sig: One (1) Inhalation once a day. 14. Imodium A-D 2 mg Tablet Sig: One (1) Tablet PO after each loose stool as needed for diarrhea. 15. Bactrim DS 160-800 mg Tablet Sig: One (1) Tablet PO twice a day for 8 days: To finish 14d total course on [**2183-8-27**]. Discharge Disposition: Extended Care Facility: [**Hospital1 **] - [**Location 4288**] Discharge Diagnosis: Primary: Urosepsis, Stage IV decubitus ulcer Lumbar osteomyelitis. Secondary diagnoses: Diabetes mellitus type 2, controlled with complications Hypertension Peripheral vascular disease status post left above knee amputation Discharge Condition: Stable hemodynamics, alert and interactive, afebrile. Discharge Instructions: You were admitted to [**Hospital1 18**] because of a bladder infection. This caused you to have low blood pressure, which we fixed with fluids. We started you on intravenous antibiotics for 14 total days for the infection. We imaged your spine with an MRI to see if your previous bone infection had changed, and it looked stable from your last MRI. We have removed the catheter that stays in your bladder because this would make treating the infection difficult. Instead, we will use intermittent catheters, "straight cath," as needed. Also, you have a rash on your back that may be herpes zoster, which is a virus. We will treat you with antibiotics for this as well. Please take all medications as prescribed and follow-up at all appointments. If you notice any problems urinating, fevers, chills, night sweats, weakness, changes in mental status, or any other concerning symptoms, please seek medical attention or come to the emergency department immediately. Followup Instructions: Provider: [**First Name11 (Name Pattern1) **] [**Last Name (NamePattern4) 7447**], MD, Infectious Disease Phone:[**Telephone/Fax (1) 457**] Date/Time:[**2183-8-27**] 11:30 Dr. [**First Name (STitle) 17832**] [**Name (STitle) 16365**], Primary Care, Phone:[**Telephone/Fax (1) 17826**] [**8-22**] at 2:45pm. [**Street Address(2) **] [**Location (un) 577**], [**Numeric Identifier 4544**] [**First Name8 (NamePattern2) **] [**Last Name (NamePattern1) **] MD [**MD Number(2) 13546**] Completed by:[**2183-8-20**] ICD9 Codes: 5990, 4589, 4019
{ "dataset_link": "https://huggingface.co/datasets/ricardosantoss/ehrcomplete_icdfiltered", "dataset_name": "ehrcomplete-icdfiltered", "id": 8172 }
Medical Text: Admission Date: [**2133-2-9**] Discharge Date: [**2133-2-14**] Date of Birth: [**2087-1-10**] Sex: M Service: CARDIOTHORACIC Allergies: Patient recorded as having No Known Allergies to Drugs Attending:[**First Name3 (LF) 1267**] Chief Complaint: Chest Pain Major Surgical or Invasive Procedure: [**2133-2-10**] - CABGx2 (Lima->LAD, SVG->Diag). Mediastinal Lymph Node Biopsy. [**2133-2-8**] - Cardiac Catheterization History of Present Illness: The patient is a 46-year-old man who presented with angina. He has had a history of several LAD stents placed with recurrent thrombosis. This was angioplastied under Dr. [**First Name (STitle) **] with good flow to the distal vessel. In addition, the patient has a left upper lobe lung lesion most likely carcinoma. He now presents for surgical revascularization. Past Medical History: CAD -s/p LAD stent [**2130**] -s/p anterolateral MI ([**5-31**]) [**2-19**] stent occlusion (s/p LAD stent) Hypercholesterolemia Smoker Prior knee surgeries Right arthroscopic rotator cuff surgery ([**2132-5-29**]) Medication non-compliance Social History: Patient is single and has a significant other ([**Name (NI) 3742**]). He works in property maintenance. Family History: [**Name (NI) 1094**] mother died of MI at age 54 (had first MI at earlier age). Father w/ CAD; died [**2-19**] accident. Uncle had CABG in 30s when he passed away. Oldest brother had angina. Physical Exam: Vitals: BP 107/60, HR 72, RR 20, SAT 100% on room air General: well developed male in no acute distress HEENT: oropharynx benign, good dental health Neck: supple, no JVD, transmitted murmur to carotid noted Heart: regular rate, normal s1s2 II/VI diastolic murmur Lungs: clear bilaterally Abdomen: soft, nontender, normoactive bowel sounds Ext: warm, 1+ LE edema, no varicosities Pulses: 2+ distally Neuro: nonfocal Pertinent Results: [**2133-2-9**] 04:45AM PT-12.5 PTT-33.4 INR(PT)-1.0 [**2133-2-9**] 04:45AM PLT COUNT-223 [**2133-2-9**] 04:45AM GLUCOSE-103 UREA N-12 CREAT-0.8 SODIUM-139 POTASSIUM-4.0 CHLORIDE-106 TOTAL CO2-25 ANION GAP-12 [**2133-2-9**] 04:45AM CK-MB-126* MB INDX-14.2* cTropnT-1.35* [**2133-2-9**] 09:45AM PLT SMR-NORMAL PLT COUNT-200 [**2133-2-9**] 09:45AM WBC-8.0 RBC-UNABLE TO HGB-12.1* HCT-34.5* MCV-UNABLE TO MCH-UNABLE TO MCHC-UNABLE TO RDW-UNABLE TO [**2133-2-9**] 09:45AM ALT(SGPT)-32 AST(SGOT)-128* ALK PHOS-57 TOT BILI-0.5 [**2133-2-9**] 09:45AM GLUCOSE-116* UREA N-10 CREAT-0.8 SODIUM-136 POTASSIUM-4.1 CHLORIDE-107 TOTAL CO2-22 ANION GAP-11 [**2133-2-9**] 12:10PM URINE BLOOD-NEG NITRITE-NEG PROTEIN-NEG GLUCOSE-NEG KETONE-NEG BILIRUBIN-NEG UROBILNGN-NEG PH-5.0 LEUK-NEG [**2133-2-13**] 06:45AM BLOOD Hct-23.4* [**2133-2-12**] 04:45AM BLOOD Plt Ct-120* [**2133-2-12**] 04:45AM BLOOD Glucose-101 UreaN-18 Creat-1.0 Na-134 K-4.1 Cl-100 HCO3-27 AnGap-11 [**2133-2-9**] Cardiac Catheterization 1. Selective coronary angiography in this left dominant circulation demonstrated one vessel coronary artery disease. The LMCA had mild luminal irregularities. The proximal LAD had a 30% stenosis. The proximal LAD stents were totally occluded with some retrograde filling of the distal and mid LAD by left to left collaterals. The LCx was a large dominant vessel and had mild luminal irregularities. The OM1 was a moderate size vessel with moderate diffuse disease. The OM2 was also a moderate size vessel without significant obstructive disease. The L-PDA was without any significant flow limiting disease. The RCA was not engage because it was known to be a diminuitive vessel. 2. Resting hemodynamics from right and left heart catheterization demonstrated moderate elevation of right and left heart filling pressures (RVEDP 20mmHg, LVEDP 23mmHg). There was moderate pulmonary arterial hypertension. There was no mitral stenosis appreciated. There was no transaortic pressure gradient upon catheter pullback from the left ventricle to the ascending aorta. The calculated cardiac output by the Fick method was 5.3 L/min with a cardiac index of 2.7. 3. Intravascular ultrasound interrogation of the proximal LAD verified that the occlusion was secondary to thrombus formation and that the previously deployed stents were well opposed. 4. Successful catheter thrombectomy and balloon angioplasty using a 3.25 mm balloon in the proximal LAD late stent thrombosis. Final angiography demonstrated no residual stenosis, no angiographically apparent dissection, and normal flow (See PTCA Comments). [**2133-2-11**] ECHO The left atrium is normal in size. No spontaneous echo contrast is seen in the body of the left atrium or left atrial appendage. No mass/thrombus is seen in the left atrium or left atrial appendage. No atrial septal defect is seen by 2D or color Doppler. No left ventricular aneurysm is seen. There is moderate regional left ventricular systolic dysfunction. Overall left ventricular systolic function is moderately depressed. Resting regional wall motion abnormalities include mid anterior, anterior septum and septum ( moderately hypokinetic). The inferior wall is mildly hypokinetic.The remaining left ventricular segments contract normally. Right ventricular chamber size and free wall motion are normal. There is simple atheroma in the descending thoracic aorta. The aortic valve leaflets (3) appear structurally normal with good leaflet excursion and no aortic regurgitation. There is no aortic valve stenosis. No aortic regurgitation is seen. The mitral valve leaflets are mildly thickened. Mild (1+) mitral regurgitation is seen. There is no pericardial effusion. Post bypass the LV function was unchanged and RV function is preserved. Aorta was in tact post decannulation. [**2133-2-9**] CXR No acute cardiopulmonary process. [**2133-2-9**] EKG Sinus rhythm with ventricular premature depolarizations. Low QRS voltage in the limb leads. Extensive anteroseptal and lateral myocardial infarction. Compared to the previous tracing of [**2132-9-5**] multiple abnormalities as previously noted persist without major change. Brief Hospital Course: Mr. [**Known lastname 27427**] was admitted to the [**Hospital1 18**] on [**2133-2-9**] for further work-up of his chest pain. He underwent a cardiac catheterization which was significant for severe single vessel coronary artery disease. Given the severity of his disease, the cardiac surgical service was consulted for surgical management. Mr. [**Known lastname 27427**] was worked-up in the usual preoperative manner. Heparin was continued for anticoagualtion. Given his new history of a right upper lobe nodule, the thoracic surgery service was consulted for assistance in his care. A mediastinal lymph node biopsy was recommended during his bypass surgery. On [**2133-2-10**], Mr. [**Known lastname 27427**] was taken to the operating room where he underwent coronary artery bypass grafting to two vessels. Afterward he was transferred to the Cardiac surgery recovery unit in stable condition and awakened neurologically intake. He was weaned from ventilator support, extubated, and pressors were weaned. On POD 2 he was then transferred to the Stepdown unit for further recovery. His chest tubes were removed without complication. He was gently diuresed to his preoperative weight, beta blockade and aspirin therapy were resumed, and physical therapy service was consulted to assist with his postoperative strength and mobility. Electrolytes were repleted as needed. On POD 3 he his epicardial pacing wires were removed without complication, he continued to improve his ability to ambulate including climbing stairs without respiratory distress or chest pain. A chest xray demonstrated a left lower lobe consolidation for which he was placed on empiric levaquin. On POD 4 Mr. [**Known lastname 27427**] was at his preop weight with good exercise tolerance, no SOB, or chest pain. His blood pressure was stable. His sternotomy and leg incision were clean, dry, and intact without evidence of infection. He was discharged home on POD 4 with services in good condition, levaquind 500mg po qd for five days, cardiac diet, sternal precautions, and instructed to follow up with his PCP and cardiologist in [**1-19**] weeks. He will follow up with Dr. [**Last Name (STitle) 1290**] in four weeks. Medications on Admission: ASA 325' Zocor 20' Toprol 50' Lisinopril 5' plavix 75' Discharge Medications: 1. Levaquin 500 mg Tablet Sig: One (1) Tablet PO once a day for 5 days. Disp:*5 Tablet(s)* Refills:*0* 2. Docusate Sodium 100 mg Capsule Sig: One (1) Capsule PO BID (2 times a day). Disp:*60 Capsule(s)* Refills:*2* 3. Aspirin 81 mg Tablet, Delayed Release (E.C.) Sig: One (1) Tablet, Delayed Release (E.C.) PO DAILY (Daily). Disp:*30 Tablet, Delayed Release (E.C.)(s)* Refills:*2* 4. Ranitidine HCl 150 mg Tablet Sig: One (1) Tablet PO BID (2 times a day). Disp:*60 Tablet(s)* Refills:*2* 5. Simvastatin 10 mg Tablet Sig: Two (2) Tablet PO DAILY (Daily). Disp:*30 Tablet(s)* Refills:*2* 6. Fluticasone 110 mcg/Actuation Aerosol Sig: Two (2) Puff Inhalation [**Hospital1 **] (2 times a day). Disp:*qs MDI* Refills:*2* 7. Metoprolol Tartrate 25 mg Tablet Sig: One (1) Tablet PO BID (2 times a day). Disp:*60 Tablet(s)* Refills:*2* 8. Ferrous Sulfate 325 (65) mg Tablet Sig: One (1) Tablet PO DAILY (Daily). Disp:*30 Tablet(s)* Refills:*2* 9. Ascorbic Acid 500 mg Tablet Sig: One (1) Tablet PO BID (2 times a day). Disp:*60 Tablet(s)* Refills:*2* Discharge Disposition: Home With Service Facility: [**Location (un) **] vna Discharge Diagnosis: Coronary Artery Disease Anterior STEMI s/p PTCA and stenting Hypercholesterolemia HTN Lung Mass Discharge Condition: Good Discharge Instructions: 1) Monitor wounds for signs of infection. These include redness, drainage and increased pain. 2) Report any weight gain of greater then 2 pounds in 24 hours or 5 pounds in 1 week. 3) Report any fever greater then 100.5. 4) No lifting more then 10 pounds for 10 weeks. 5) No driving for 1 month. 6) Followup Instructions: Follow-up with Dr. [**Last Name (STitle) **] in 1 month. Follow-up with your cardiologist in [**1-19**] weeks. Follow-up with your primary care physician [**Last Name (NamePattern4) **] 2 weeks. Call all providers for appointments. Completed by:[**2133-2-14**] ICD9 Codes: 4280, 5180, 2859, 2720, 3051
{ "dataset_link": "https://huggingface.co/datasets/ricardosantoss/ehrcomplete_icdfiltered", "dataset_name": "ehrcomplete-icdfiltered", "id": 8173 }
Medical Text: Admission Date: [**2172-3-12**] Discharge Date: [**2172-3-17**] Service: MEDICINE Allergies: Lipitor / Amoxicillin / Erythromycin Base / Sulfa (Sulfonamide Antibiotics) / Procainamide / Zocor Attending:[**First Name3 (LF) 2758**] Chief Complaint: Dysuria and hematuria Major Surgical or Invasive Procedure: None History of Present Illness: Mr. [**Known lastname **] is an 88 M with a medical history notable for hormone-resistant prostate cancer and previous urethral trauma who currently has a chronic indwelling Foley catheter. He was sent to the ED from his skilled nursing facility as the [**Hospital1 1501**] was unable to change his Foley. Two days prior to presentation he noted malaise and urinary discomfort. During these two days, he also noted subjective fevers, chills and a poor appetite. He denies vomiting and back pain. His care providers at his [**Hospital1 1501**] tried to change his Foley, but after multiple attempts were unable to do so. He then developed worsening bloody discharge from his urethral meatus. In the ED, initial vs were: T 98.3, P 77, BP 165/59, R 16, O2 sat 98% RA. Patient was febrile in the ED to 101.4. Urology saw the patient in the ED and placed a 14F Coude-tip catheter without difficulty. Approx 200cc of cloudy, foul smelling urine drained. Blood and urine cx were sent. U/A was positive. Patient was given vanco and CTX given his h/o MRSA and proteus UTIs. After which, the patient became hypotensive 70s. Has received 2L of IVF and SBPs only in 90s. The patient felt lightheaded with the low BP in the ED. He was also given zofran and tylenol. He was then admitted to the ICU. Past Medical History: Asbestosis with numerous pleural plaques RUL mass seen on [**8-/2171**] admission, thoracic surgery recommended repeat CT scan spinal stenosis, severe C3-C4 and C6-C7 Afib (not on coumadin secondary to falls) CAD - '[**52**] BMS to mid RCA, '[**64**] DES to mid RCA Diastolic CHF - [**11-25**] EF 55%, LA mod dilated, mild LVH, RV normal, aortic root mildly dilated, no AS, no AI, trivial MR, mod pHTN PAD - s/p stent to RLE SFA in [**12-25**] H/o bladder cancer in [**2166**](s/p local resection) hx of urethral stricture requiring permanent indwelling foley h/o prostate CA (s/p external beam radiation and Lupron injections) Recurrent UTIs - Patient has a h/o of MRSA & Proteus UTI in [**12-26**] as well as STENOTROPHOMONAS, sensitive to bactrim and ENTEROCOCCUS SP, [**Last Name (un) 36**] to vanco in [**8-26**]. Multiple pseudomonas UTIs in past, most were fairly sensitive. Social History: Lives at a skilled nursing facility. Denies current alcohol, IVDU, or smoking. He smoked cigarettes in the past, but quit 45 years ago. Admits to asbestos exposure during WWII. Family History: Mother: had heart problems Father: had heart problems Brother: died from prostate cancer Brother: died from MI Physical Exam: Admission physical exam: General: Alert, oriented x3, no acute distress HEENT: Sclera anicteric, dry MM, oropharynx clear Neck: supple, JVP not elevated, no LAD Lungs: Clear to auscultation bilaterally, no wheezes, rales, ronchi CV: Regular rate and rhythm, normal S1 + S2, no murmurs, rubs, gallops Abdomen: soft, non-tender, mildly distended, bowel sounds present, no rebound tenderness or guarding Back: no CVA tenderness GU: foley in place Ext: warm, well perfused, 2+ pulses, no edema, right heal with pressure ulcer. Neuro: A&Ox3, CN 2-12 intact, MAE. Pertinent Results: Admission Labs: [**2172-3-12**] 02:25PM WBC-9.6# RBC-3.38* HGB-9.9* HCT-31.1* MCV-92 MCH-29.4 MCHC-32.0 RDW-15.9* [**2172-3-12**] 02:25PM GLUCOSE-125* UREA N-29* CREAT-1.7* SODIUM-139 POTASSIUM-4.2 CHLORIDE-99 TOTAL CO2-30 ANION GAP-14 [**2172-3-12**] 04:00PM URINE BLOOD-LG NITRITE-NEG PROTEIN-25 GLUCOSE-NEG KETONE-NEG BILIRUBIN-NEG UROBILNGN-NEG PH-7.0 LEUK-SM [**2172-3-12**] 02:04PM LACTATE-2.2* [**2172-3-12**] 02:25PM PT-13.1 PTT-22.6 INR(PT)-1.1 Discharge Labs: [**2172-3-17**] 07:13AM BLOOD WBC-4.8 RBC-3.21* Hgb-9.7* Hct-28.6* MCV-89 MCH-30.1 MCHC-33.9 RDW-15.7* Plt Ct-186 [**2172-3-17**] 07:13AM BLOOD Glucose-94 UreaN-17 Creat-1.4* Na-141 K-3.7 Cl-101 HCO3-36* AnGap-8 [**2172-3-17**] 07:13AM BLOOD Calcium-8.6 Mg-2.0 MICROBIOLOGY: - admission Urine Culture: SENSITIVITIES: MIC expressed in MCG/ML _________________________________________________________ ESCHERICHIA COLI | PROTEUS MIRABILIS | | AMPICILLIN------------ =>32 R <=2 S AMPICILLIN/SULBACTAM-- 16 I <=2 S CEFAZOLIN------------- <=4 S <=4 S CEFEPIME-------------- <=1 S <=1 S CEFTAZIDIME----------- <=1 S <=1 S CEFTRIAXONE----------- <=1 S <=1 S CIPROFLOXACIN--------- =>4 R =>4 R GENTAMICIN------------ <=1 S <=1 S MEROPENEM-------------<=0.25 S <=0.25 S NITROFURANTOIN-------- <=16 S PIPERACILLIN/TAZO----- <=4 S TOBRAMYCIN------------ <=1 S <=1 S TRIMETHOPRIM/SULFA---- <=1 S 8 R Brief Hospital Course: Mr. [**Known lastname **] presented to the [**Hospital1 18**] ED with 2 days of malaise and for a Foley catheter change. On presentation he was found to have a fever and hypotension. His catheter was changed and he was found to have a UTI with quinolone-resistant E coli and Proteus. He initially required admission to the ICU for fluid-responsive hypotension and was then transferred to the floor. Due to a difficult Foley catheter change he developed hematuria. He received 1 unit of packed red blood cells and his hematuria resolved without intervention. Active medical problems: 1. Catheter-associated UTI - initially treated with Vancomycin and cefepime until cultures returned - continue cefepime with last dose on [**2172-3-22**] for a total 10-day course - has scheduled follow-up with Dr. [**Last Name (STitle) **] for a catheter change at the end of [**Month (only) 958**] 2. Cardiovascular disease including peripheral vascular disease: - continued patient's home regimen of aspirin and Plavix. 3. Paroxysmal atrial fibrillation - had bradycardia and fatigue on his home metoprolol while admitted; this was held but may be restarted after his acute illness has resolved 4. Congestive heart failure with preserved ejection fraction and stage III Chronic kidney disease - required increased doses of Lasix while admitted in the setting of IV fluids and transfusion - restarted home Lasix at discharge - please recheck kidney function and electrolytes on Thursday [**3-19**] and adjust Lasix accordingly - discharge weight: 80.2kg 5. Prostate Cancer - currently being considered for an investigational treatment. He has follow-up with oncologist, Dr. [**Last Name (STitle) **], to discuss treatment options. 6. Skin Care: - for right heel ulcer: Cleanse wound with wound cleanser then pat dry. Apply aloe vesta to dry intact tissues and cover wound with Adaptic - nonadherent dressing. Follow this with dry gauze and ABD pad. Then wrap with Kerlix or stretch gauze. Change this daily. Medications on Admission: Protonix 40mg PO daily Aspirin 81 mg PO daily Citalopram 20mg PO daily Ferrous Sulfate 325mg PO daily Multivitamin 1 tab po daily Lasix 40mg po daily Plavix 75 m PO daily Vitamin B 12 1000mcg Po daily Vit D 400 unit s po daily Calcium Carbonate 500mg PO BID Gabapentin 300mg PO QHS metoprolol tartrate 12.5mg PO BID Tylenol 325mg, 2tabs PO Q6hrs prn Oxycodone 5-325 1 tab PO Q4hrs prn, does not use regularly MOM PRN [**Name (NI) 10687**] 2 tabs PO QHS Miralax PRN Bisacodyl PRN Discharge Medications: 1. pantoprazole 40 mg Tablet, Delayed Release (E.C.) Sig: One (1) Tablet, Delayed Release (E.C.) PO Q24H (every 24 hours). 2. aspirin 81 mg Tablet, Chewable Sig: One (1) Tablet, Chewable PO DAILY (Daily). 3. citalopram 20 mg Tablet Sig: One (1) Tablet PO DAILY (Daily). 4. ferrous sulfate 300 mg (60 mg Iron) Tablet Sig: One (1) Tablet PO DAILY (Daily). 5. multivitamin Tablet Sig: One (1) Tablet PO DAILY (Daily). 6. Milk of Magnesia 400 mg/5 mL Suspension Sig: Five (5) cc PO at bedtime as needed for constipation. 7. Dulcolax 10 mg Suppository Sig: One (1) suppository Rectal once a day as needed for constipation. 8. furosemide 40 mg Tablet Sig: One (1) Tablet PO DAILY (Daily): please monitor weight and electrolytes closely; this may need decreased to 20mg daily. 9. clopidogrel 75 mg Tablet Sig: One (1) Tablet PO DAILY (Daily). 10. cyanocobalamin (vitamin B-12) 500 mcg Tablet Sig: Two (2) Tablet PO DAILY (Daily). 11. cholecalciferol (vitamin D3) 400 unit Tablet Sig: One (1) Tablet PO DAILY (Daily). 12. calcium carbonate 200 mg (500 mg) Tablet, Chewable Sig: One (1) Tablet, Chewable PO BID (2 times a day). 13. gabapentin 300 mg Capsule Sig: One (1) Capsule PO HS (at bedtime). 14. [**Name (NI) **] 8.6 mg Tablet Sig: 1-2 Tablets PO BID (2 times a day) as needed for Constipation. 15. polyethylene glycol 3350 17 gram/dose Powder Sig: One (1) dose PO DAILY (Daily) as needed for constipation. 16. acetaminophen 650 mg/20.3 mL Solution Sig: 1-2 tablets PO Q6H (every 6 hours) as needed for pain. 17. oxycodone 5 mg Tablet Sig: One (1) Tablet PO Q6H (every 6 hours) as needed for moderate to severe pain. 18. CefePIME 1 g IV Q24H 19. ipratropium bromide 17 mcg/Actuation HFA Aerosol Inhaler Sig: One (1) dose Inhalation every six (6) hours as needed for shortness of breath or wheezing. 20. albuterol sulfate 2.5 mg /3 mL (0.083 %) Solution for Nebulization Sig: One (1) treatment Inhalation Q2H (every 2 hours) as needed for shortness of breath. 21. Heparin Flush (10 units/ml) 2 mL IV PRN line flush Mid-line, heparin dependent: Flush with 10 mL Normal Saline followed by Heparin as above, daily and PRN per lumen. Discharge Disposition: Extended Care Facility: [**Hospital **] [**Hospital **] Nursing and rehab Discharge Diagnosis: Catheter-associated urinary tract infection Discharge Condition: Mental Status: Clear and coherent. Level of Consciousness: Alert and interactive. Activity Status: Ambulatory - requires assistance or aid (walker or cane). Discharge Instructions: Dear Mr. [**Known lastname **], You presented to the hospital to have your Foley catheter changed and were found to have a urinary tract infection. You briefly required admission to the ICU and improved with antibiotics. We would like you to complete 10 days total of the antibiotics. The only other change to your medications was holding your metoprolol. Taking this medication seemed to make you quite tired and your heart rates were very low with this medication. You can continue your other medications as before. Please follow-up with Dr. [**Last Name (STitle) **] to discuss treatment options for your prostate cancer. Please also follow-up with Dr. [**Last Name (STitle) **] to have him change your Foley catheter at the end of the month. Followup Instructions: Department: HEMATOLOGY/ONCOLOGY When: THURSDAY [**2172-4-2**] at 9:30 AM With: [**First Name8 (NamePattern2) **] [**Name8 (MD) **], MD,PHD [**Telephone/Fax (1) 22**] Building: SC [**Hospital Ward Name 23**] Clinical Ctr [**Location (un) 24**] Campus: EAST Best Parking: [**Hospital Ward Name 23**] Garage Department: SURGICAL SPECIALTIES When: THURSDAY [**2172-4-16**] at 11:30 AM With: [**First Name11 (Name Pattern1) 275**] [**Last Name (NamePattern4) 276**], M.D. [**Telephone/Fax (1) 277**] Building: [**Hospital6 29**] [**Location (un) **] Campus: EAST Best Parking: [**Hospital Ward Name 23**] Garage ICD9 Codes: 5849, 2851, 5990, 4280, 311
{ "dataset_link": "https://huggingface.co/datasets/ricardosantoss/ehrcomplete_icdfiltered", "dataset_name": "ehrcomplete-icdfiltered", "id": 8174 }
Medical Text: Admission Date: [**2112-10-10**] Discharge Date: [**2112-10-16**] Date of Birth: [**2041-10-20**] Sex: M Service: MEDICINE Allergies: Levofloxacin / Ace Inhibitors Attending:[**First Name3 (LF) 10488**] Chief Complaint: N/V/D Major Surgical or Invasive Procedure: None. History of Present Illness: Mr. [**Known lastname **] is a 70 year old man with h/o CAD, dilated ischemic cardiomyopathy (EF 10%), aflutter on Dabigatran, BiV ICD, DM, HTN, HLD, CKD, R 4th toe amputation with debridement in [**2112-6-3**], s/p 6 weeks of Vanc/Ctx for osteomyelitis, who presents with N/V/D x4 days. Patient has been having nausea, vomiting, and diarrhea for the past 4 days. Diarrhea is watery stool, nonbloody. No recent travel or sick contacts. [**Name (NI) **] abdominal pain. +subjective fevers and chills. Of note, patient finished 6 week course of Vanc/Ctx for R foot osteomyelitis on [**2112-9-11**]. In the ED, initial VS were stable. Patient was given Dilaudid for chronic LE pain, 250cc NS, and Zofran. RUQ U/S with sludge, negative [**Doctor Last Name 515**], no wall edema. Labs notable for lactate 2.7, anion gap 19, Cr 2.2, HCO3 9. pH was 7.21 on VBG. Patient has been relatively hypotensive, SBP 90s. On the Medicine floor, the patient was treated with IVF boluses (1.5L) and started on broad-spectrum antibiotics for concern for sepsis. Patient was altered in the AM, but became more alert in the afternoon. He was refusing VS and lab draws at times. Lactate and anion gap improved initially, but then worsened in the early evening. Given concern for worsening labs, patient was transferred to the ICU for closer monitoring. In the ICU, the patient is currently not complaining of nausea, vomiting, or abdominal pain. He has had no episodes of diarrhea today. He is c/o L knee pain, new from a few weeks ago. Past Medical History: 1. CAD, multiple MIs, CABG ([**2101**]) ([**2101**]): SVG-PL, SVG-Diagonal and LIMA-LAD. He had a PTCA only of the mid Cx with an Apex OTW 2.25x15 mm 2. Dilated ischemic cardiomyopathy with LVEF of 10%. 3. Atrial flutter, status post cardioversion [**2110-11-28**]. 4. BiV ICD pacemaker. 5. Diabetes. 6. Dyslipidemia. 7. Hypertension. 8. Stage III chronic kidney disease secondary to hypertension and diabetes. 9. Retinopathy, neuropathy, and nephropathy from diabetes. 10. Left hip fracture with attempted surgery, which resulted in a cardiac arrest. 11. History of substance abuse. 12. History of pancreatitis. 13. GERD. 14. Colonic polyps. 15. [**6-6**] Right fourth toe amputation. 16. [**5-/2111**] ORIF left hip with persistent nonunion of his subtrochanteric femur fracture 17. Left eye vitrectomy 18. [**2112-7-1**]: RLE Balloon angioplasty of tibioperoneal trunk, Balloon angioplasty of the anterior tibialis artery. 19. [**2112-7-5**]: Debridement of wound down through subcutaneous tissue and including bone with placement of vacuum-assisted closure dressing. 20. R foot osteomyelitis, s/p 6 weeks Vanc/Ctx, finished [**2112-9-11**] Social History: - Previously employed as cab driver, now retired. Lives at home with his wife. - Tobacco history: 40-50 pack year history, quit 15 years ago - ETOH: heavy use until [**2090**] - Illicit drugs: previous heroin/cocaine use Family History: Mother and father died in 70's-80s of cancer. Denies any family history of cardiac disease. No family history of early MI. Physical Exam: ADMISSION EXAM: Vitals: T: 98.8 BP: 92/55 P: 87 R: 20 O2: 98% RA General: Alert, orientedx2, no acute distress HEENT: Sclera anicteric, dry MM, oropharynx clear Neck: supple, JVP elevated, no LAD Lungs: Clear to auscultation bilaterally, no wheezes, rales, rhonchi CV: Regular rate and rhythm, normal S1 + S2, no murmurs, rubs, gallops Abdomen: soft, mild ttp in RLQ, non-distended, bowel sounds present, no rebound tenderness or guarding, no organomegaly GU: foley Ext: cool to touch, palpable/dopplerable distal pulses, no edema, R 4th toe amputated with dry gauze overlying ulcer, L knee with effusion, no warmth/erythema, mild tenderness Neuro: grossly intact Pertinent Results: ADMISSION LABS: [**2112-10-10**] 04:30AM BLOOD WBC-12.8*# RBC-3.88*# Hgb-9.3*# Hct-30.2*# MCV-78* MCH-24.0*# MCHC-30.9* RDW-16.0* Plt Ct-256 [**2112-10-10**] 04:30AM BLOOD Neuts-91.3* Lymphs-4.5* Monos-3.4 Eos-0.6 Baso-0.2 [**2112-10-10**] 09:36AM BLOOD PT-21.5* PTT-40.6* INR(PT)-2.0* [**2112-10-11**] 03:04PM BLOOD Fibrino-556*# [**2112-10-11**] 03:04PM BLOOD ESR-35* [**2112-10-10**] 04:30AM BLOOD Glucose-156* UreaN-47* Creat-2.2*# Na-132* K-4.4 Cl-104 HCO3-9* AnGap-23* [**2112-10-10**] 04:40AM BLOOD ALT-32 AST-37 AlkPhos-330* TotBili-1.4 [**2112-10-10**] 04:40AM BLOOD Lipase-17 [**2112-10-10**] 09:36AM BLOOD CK-MB-4 [**2112-10-10**] 09:36AM BLOOD Calcium-8.7 Phos-4.4# Mg-2.0 [**2112-10-11**] 05:59AM BLOOD CRP-161.1* [**2112-10-10**] 06:00PM BLOOD Digoxin-1.0 [**2112-10-10**] 08:08AM BLOOD pO2-62* pCO2-38 pH-7.21* calTCO2-16* Base XS--12 Comment-GREENTOP [**2112-10-10**] 04:41AM BLOOD Lactate-2.7* [**2112-10-10**] 06:07PM BLOOD O2 Sat-68 [**2112-10-10**] 11:50AM BLOOD freeCa-1.13 URINE: [**2112-10-10**] 10:45PM URINE Color-Red Appear-Cloudy Sp [**Last Name (un) **]-1.016 [**2112-10-10**] 10:45PM URINE Blood-LG Nitrite-NEG Protein-100 Glucose-NEG Ketone-NEG Bilirub-NEG Urobiln-NEG pH-5.5 Leuks-LG [**2112-10-10**] 10:45PM URINE RBC-36* WBC->182* Bacteri-FEW Yeast-NONE Epi-0 [**2112-10-10**] 10:45PM URINE WBC Clm-FEW [**2112-10-10**] 10:45PM URINE Hours-RANDOM UreaN-92 Creat-124 Na-91 K-25 Cl-63 [**2112-10-10**] 10:45PM URINE Osmolal-312 MICRO: [**2112-10-10**] BCx: MRSA STAPH AUREUS COAG + | CLINDAMYCIN-----------<=0.25 S ERYTHROMYCIN---------- =>8 R GENTAMICIN------------ <=0.5 S LEVOFLOXACIN---------- 4 R OXACILLIN------------- =>4 R RIFAMPIN-------------- <=0.5 S TETRACYCLINE---------- <=1 S TRIMETHOPRIM/SULFA---- <=0.5 S VANCOMYCIN------------ 1 S [**2112-10-10**] UCx: negative STUDIES: [**2112-10-10**] ECHO: Left ventricular hypertrophy with cavity dilatation and severe global biventricular hypokinesis c/w diffuse process (multivessel CAD, toxin, metabolic, etc.) Severe pulmlonary artery hypertension. Tricuspid regurgitation. Mild-moderate mitral regurgitation. Compared with the prior study (images reviewed) of [**2110-12-1**], global and regional left ventricular systolic function is now more depressed. The severity of tricuspid regurgitation is slightly increased. [**2112-10-10**] RUQ U/S: 1. Nondistended gallbladder filled with sludge, negative son[**Name (NI) 493**] [**Name2 (NI) 515**] sign, and minimal gallbladder wall edema and pericholecystic fluid. Findings likely due to chronic liver disease. 2. Mild perihepatic ascites and small left pleural effusion. 3. Normal common bile duct diameter measuring 3 mm. 4. Homogeneous echogenicity of the liver without focal lesion. [**2112-10-11**] L Knee XR: 1. Incompletely seen intramedullary rod with distal interlocking screw, with ossification surrounding the head of the screw and distal lateral femur. No signs of orthopedic hardware loosening. 2. No definite acute fracture or dislocation. 3. Extensive vascular calcified atherosclerotic disease at the left knee soft tissues. 4. Trace knee joint effusion [**2112-10-12**] CXR: Left pectoral CCD with defibrillator leads leading to the right ventricle and other two leads each terminating into the right atrium and left ventricle are unchanged in position. Patient is status post median sternotomy and has intact sternal sutures. Moderate-to-large cardiomegaly and mediastinal and hilar contours are stable. Bilateral lung volumes remain low with mild improvement in the pulmonary edema. No pleural effusion. No discrete opacities concerning for pneumonia. Brief Hospital Course: Mr. [**Known lastname **] is a 70 year old man with h/o CAD, sCHF (EF <20%), DM, HTN, CKD, s/p R 4th toe amputation and recent Abx, who was admitted with N/V/D x 4days. He was transferred from the medical floor to the ICU for sepsis, found to have MRSA bacteremia. Likely source is from his R foot, where he recently had a toe amputation and osteomyelitis. Despite treatment with broad-spectrum antibiotics (Linezolid and Zosyn), the patient declined rapidly and had multi-system organ failure. The patient and family declined further invasive lines and treatments. The family and medical team decided to make the patient comfort measures only on [**2112-10-13**]. The patient was transitioned to inpatient hospice on the medical floor. He expired on [**2112-10-16**]. Medications on Admission: ASA 81mg PO daily Atorvastatin 40mg PO qhs Dabigatran 150mg PO BID Digoxin 0.125mg PO daily Metoprolol XL 50mg PO daily Imdur 30mg PO daily NTG 0.4mg SL q5min prn Valsartan 80mg PO daily Spironolactone 25mg PO daily Torsemide 60mg PO daily Gabapentin 100mg PO TID Oxycontin 10mg PO BID Percocet 2tabs PO q4-6h prn Oxycodone 5mg PO BID prn Lorazepam 0.5mg PO q6h prn Trazodone 25mg PO BID NPH Humalog Ascorbic acid 250mg PO BID Colace 100mg PO BID Ferrous sulfate 325mg PO BID Discharge Medications: Expired Discharge Disposition: Expired Discharge Diagnosis: MRSA sepsis Discharge Condition: Expired Discharge Instructions: Expired Followup Instructions: Expired Completed by:[**2112-10-18**] ICD9 Codes: 5849, 2762, 2761, 4254, 3572, 4280
{ "dataset_link": "https://huggingface.co/datasets/ricardosantoss/ehrcomplete_icdfiltered", "dataset_name": "ehrcomplete-icdfiltered", "id": 8175 }
Medical Text: Admission Date: [**2123-11-10**] Discharge Date: [**2123-12-3**] Date of Birth: [**2047-10-15**] Sex: M Service: MEDICINE Allergies: Tetracycline Analogues / Niacin / Almond Oil / Tree Nut / Fruit Extracts / Nafcillin / cefazolin Attending:[**Doctor First Name 3298**] Chief Complaint: fever, rigor, vomiting Major Surgical or Invasive Procedure: TEE [**11-12**], no vegetations, EF 40-45% DCCV: [**11-16**], converted to NSR PICC line placed R arm Temporary HD line placed R IJ [**2123-11-26**], removed [**2123-12-3**] History of Present Illness: Mr. [**Known lastname 23**] is a 76 yo M with h/o CAD, CHF, a-fib, AVR, DM, HTN, HLD, p/w one day of fever, rigor, nausea and vomiting. Pt felt sudden onset rigor one day ago, with fever to 100, and BP reportedly to 220/120 at home. He had some valium and was able to sleep. He Of note, pt did not have recent sickness, no weight loss, night sweats. He did report some exercise intolerance recently in the gym, which he attributed to hypoglycemia. Of note, pt had a PCI with 2 drug eluting stents placed in LAD and R-PDA. Pt had no recent dental work and never had colonoscopy. Pt went to [**Hospital1 **] [**Location (un) **] today, where he had VS: 102.1 HR: 101 BP: 123/49 Resp: 23 O(2)Sat: 100%. Lab showed WBC of 11.3 with 7% Bands, INR 3.2, Cr 2.4, CK 1400, CK-MB 6, Trop 0.035; and moderate hepatocellular transaminitis. Pt underwent noncontrast CT-head, which did not reveal acute intracranial bleed. Blood culture later grew GPC in pairs and clusters. Pt received 2L IVF and one dose ceftriaxone / zosyn, and transferred to [**Hospital1 **] [**Location (un) **]. In [**Hospital1 **] [**Location (un) **], patient was switched to nafcillin once cultures showed MSSA. After starting nafcillin, his urine output diminished significantly and his creatinine bumped. At this time, the patient presented to our service. Past Medical History: IDDM c/b neuropathy HTN HLD CAD s/p CABG in [**2113**] and [**2119**] and multiple stents s/p biologic AVR [**2119**] c/b transient heart block post op treated with pacer insertion ([**Company 1543**] Sensia dual-chamber pacemaker). Paroxysmal Atrial Fibrillation (last pacer interrogation demonstrated no episodes of AF) Chronic Systolic Heart Failure (EF 35% to 40% in [**2119**]) BPH Hypothyroidism CKD Social History: Exercises at the gym 2-3 times per week. Has a bachelor's degree, previously worked as a pharmacist and a small business owner, and is currently retired. Married and lives with his wife. [**Name (NI) 4084**] smoked. Rarely drinks a single drink. No illicits Family History: Notable for a mother who died at 81 and had a brain tumor and a sibling with Alzheimer disease. There is also thyroid, lung cancer in other family members. Brother: pancreatic and liver cancer in his brother. [**Name (NI) **] family history of CAD or sudden cardiac death. Physical Exam: PHYSICAL EXAM ON ADMISSION Vitals: 97.2, 78, 108/57, 19. 97% on RA General: Alert & oriented X3, no acute distress HEENT: Sclera anicteric, MMM, oropharynx clear Neck: supple, JVP not elevated, no LAD Lungs: Clear to auscultation bilaterally, no r/rh/w CV: Regular rate and rhythm, soft S1, S2, no m/r/g Abdomen: soft, non-tender, non-distended, bowel sounds present, no rebound tenderness or guarding, no organomegaly Ext: warm, well perfused, 2+ pulses bl, no clubbing, cyanosis or edema, no splinter hemorrhage NEURO: MMS notable for poor memory and normal attention, CN2-12 grossly intact, slight pronator drift on the right, otherwise no focal neurological findings, normal strength throughout. On Discharge: VS: 97.5, 142/73, 82, 18, 97RA BG 62, 95, 45 Physical Exam: General: pleasant this morning, easy to arouse HEENT: PERRL, EOMI, sclerae anicteric, neck supple, moist mucous membranes, no ulcers / lesions / thrush CV: RRR, normal S1, S2, Pul: CTAB BACK: no focal tenderness, no costovertebral angle tenderness GI: normoactive bowel sounds, soft, non-tender, distended, no hepatosplenomegaly Extremities: warm and well perfused, 2+ DP pulses palpable bilaterally, bilateral nonpitting edema of hands and feet LYMPH: no cervical, axillary, or inguinal lymphadenopathy SKIN: the original skin reaction to the antibiotic is resolvign with some lingering drying ulcers. However, there is a new petechial rash on the back of his right leg . No excoriations. The same petechial rash is present on the back of his left elbow, but in a more limited area. I did not notice the rash there yesterday but I may have missed it. NEURO: resting tremor in arms bilaterally, awake, slightly sedated but oriented x3, CN 2-12 intact, 5/5 strength, sensation in /tact bilaterally, no asterixis PSYCH: non-anxious, normal affect, frustrated with length of stay Pertinent Results: On Admission: [**2123-11-10**] 04:15PM BLOOD WBC-9.2 RBC-3.42* Hgb-9.9* Hct-29.7* MCV-87 MCH-29.1 MCHC-33.5 RDW-13.3 Plt Ct-199 [**2123-11-10**] 04:15PM BLOOD Neuts-42* Bands-40* Lymphs-2* Monos-2 Eos-0 Baso-0 Atyps-1* Metas-11* Myelos-0 Promyel-2* [**2123-11-10**] 04:15PM BLOOD Hypochr-2+ Anisocy-1+ Poiklo-1+ Macrocy-1+ Microcy-1+ Polychr-OCCASIONAL Ovalocy-1+ [**2123-11-10**] 04:15PM BLOOD PT-34.2* PTT-43.1* INR(PT)-3.4* [**2123-11-10**] 04:15PM BLOOD Glucose-388* UreaN-40* Creat-1.8* Na-136 K-4.2 Cl-102 HCO3-19* AnGap-19 [**2123-11-10**] 04:15PM BLOOD ALT-195* AST-185* CK(CPK)-1240* AlkPhos-103 TotBili-0.8 [**2123-11-10**] 04:15PM BLOOD CK-MB-7 cTropnT-0.03* [**2123-11-10**] 04:15PM BLOOD Albumin-3.3* Calcium-8.0* Phos-2.3* Mg-1.8 [**2123-11-14**] 04:12AM BLOOD Free T4-4.5* [**2123-11-14**] 04:12AM BLOOD TSH-0.042* Imaging: Portable TEE (Complete) Done [**2123-11-12**] Conclusions No spontaneous echo contrast or thrombus is seen in the body of the left atrium/left atrial appendage or the body of the right atrium/right atrial appendage. A patent foramen ovale is present. Overall left ventricular systolic function is mildly depressed (LVEF= 40-45 %). Right ventricular chamber size and free wall motion are normal. There are simple atheroma in the aortic arch and complex atheroma n the descending thoracic aorta. A bioprosthetic aortic valve prosthesis is present. The aortic valve prosthesis appears well seated, with normal leaflet/disc motion. No masses or vegetations are seen on the aortic valve. The mitral valve leaflets are mildly thickened. No mass or vegetation is seen on the mitral valve. Mild (1+) mitral regurgitation is seen. No vegetation/mass is seen on the pulmonic valve. There is no pericardial effusion. IMPRESSION: No echocardiographic evidence of endocarditis or abscess seen. Normal functioning aortic valve bioprosthesis. Mildly depressed left ventricular function. Mild spontaneous echo contrast in the left atrium without evidence of thrombus in the left atrium or left atrial appendage. CT HEAD W/O CONTRAST Study Date of [**2123-11-15**] CONCLUSION: 1. No finding to suggest acute vascular territorial infarct; in this setting, MRI with DWI (if feasible) would be more sensitive. 2. Evidence of chronic small vessel ischemic disease. 3. Chronic inflammatory disease involving the bilateral sphenoid air cells with superimposed acute inflammation involving the left sphenoid air cell; correlate clinically. CHEST (PA & LAT) Study Date of [**2123-11-17**] IMPRESSION: 1. Left lower lobe opacity worrisome for pneumonia in the right clinical setting, less likely atelectasis. 2. No pulmonary vascular congestion. RENAL U.S. Study Date of [**2123-11-23**] IMPRESSION: Normal renal ultrasound. 2.4 cm exophytic left lower pole renal cyst. CHEST (PA & LAT) Study Date of [**2123-11-24**] IMPRESSION: 1. Interval development of mild interstitial pulmonary edema and enlargement of still small layering bilateral pleural effusions. 2. Persistent retrocardiac opacification that could either represent atelectasis though pneumonia is also a possibility in the correct clinical setting. ABDOMEN (SUPINE ONLY) Study Date of [**2123-11-24**] IMPRESSION: No ileus or obstruction. Labs on Discharge: [**2123-12-2**] 04:24AM BLOOD WBC-13.0* RBC-2.91* Hgb-8.2* Hct-26.0* MCV-89 MCH-28.2 MCHC-31.5 RDW-17.1* Plt Ct-630* [**2123-11-30**] 06:00AM BLOOD Neuts-79* Bands-1 Lymphs-8* Monos-10 Eos-0 Baso-0 Atyps-0 Metas-1* Myelos-1* [**2123-11-30**] 06:00AM BLOOD Hypochr-NORMAL Anisocy-1+ Poiklo-1+ Macrocy-1+ Microcy-OCCASIONAL Polychr-OCCASIONAL Ovalocy-OCCASIONAL Schisto-OCCASIONAL Burr-OCCASIONAL [**2123-12-3**] 04:44AM BLOOD PT-19.3* PTT-29.7 INR(PT)-1.8* [**2123-12-3**] 04:44AM BLOOD Glucose-42* UreaN-138* Creat-5.5* Na-141 K-4.4 Cl-99 HCO3-27 AnGap-19 [**2123-11-28**] 05:06AM BLOOD CK(CPK)-87 [**2123-11-29**] 06:19AM BLOOD CK-MB-7 cTropnT-0.49* [**2123-12-3**] 04:44AM BLOOD Calcium-8.6 Phos-7.4* Mg-2.6 [**2123-12-3**] 04:44AM BLOOD Vanco-22.8* Brief Hospital Course: 76 y/o M with a history of CHF, afib, DM2, CAD with a history of CABG s/p recent PCI in early [**2123-10-19**] with DES to LAD and distal PDA presented to [**Hospital1 **] with fever, malaise, R arm weakness and was found to have transaminitis, bandemia, and ARF. The patient was put on nafcillin for MSSA but developed anuria and increase in creatinine. The patient was stabilized and started on steroids, at which point the patient was presented to our service. ##MSSA Bacteremia presenting as sepsis. Likely source thought to be due to introduction of skin bacteria during recent coronary angiogram/PCI. TEE on [**11-12**] did not show vegetation. Pt was followed by ID with plan to treat with 4 week course of naficillin until [**12-8**].The patient became anuric and his creatinine bumped on nafcillin, so he was switched to cefazolin, on which he developed a rash. It is unclear if the rash was from the nafcillin or the cefazolin. In any case, we switched him to vancomycin to be safe. He is to complete his course on [**12-8**]. Goal trough is 15-20. Given his poor kidney function, he will require daily trough with dosing daily to maintain that trough. The course will complete on [**12-8**]. . #Acute renal failure d/t AIN Pt developed progressive renal failure, which was concerning for probable AIN due to nafcillin. Nafcillin was discontinued, and Nephrology was consulted. Due to worsening renal function, pt became progressively fluid overloaded. Diuresis was attepted with aggressive diuretics (Metolazone 5 mg followed by Lasix 120 mg IV, BID), with minimal response. Pt became nearly anuric, and pt subsequently developed uremia with asterixis. Pt was also symptomatic from volume overload, with mild dyspnea at rest, cough, nausea, early satiety, and poor appetite (likely d/t bowel edema). Pt was started on empiric steroids on [**2123-11-25**] for presumed AIN after discussion with both Nephrology and ID. He will continue on Prednisone, and will taper over the next 30 days. His discharge dose is 50mg /day and it will be tapered by 5mg every 3 days until the course is completed. Urgent HD access was obtained by Interventional Radiology, as pt is anticoagulated on Warfarin for atrial fibrillation, as well as aspirin and plavix. Pt underwent his first round of HD on [**2123-11-26**]. The patient required dialysis until [**2123-11-29**] at which point his urine output increase significantly and we would evaluate him daily, both in terms of his I/Os, and in terms of his electrolytes and kidney function labs. The patient did not require any further HD, and his catheter was pulled and the patient was discharged. The patient is to have CBC and Chem7 drawn and faxed to the nephrologists on Monday [**12-6**] for follow up. #NSTEMI: type 2 MI due to demand in setting of sepsis presenting with arm discomfort. Troponin peak to 0.46 on [**11-13**]. Cardiology recommended continued medical management of known CAD with ASA/plavix (recent PCI in early [**Month (only) **]). His dose of statin reduced in context of use of amiodarone. On discharge, we decided to increase his statin dose to 80mg (home dose), given his history of recent MI in [**Month (only) **]. #Diabetes Type 2: uncontrolled with complications (MI): he is on aggressive insulin regmin including parandial humalog and basal lantus at home. [**Last Name (un) **] was consulted and helped up titrate his SS and basal insulin for better glucose control. [**Last Name (un) **] continued to follow and make recommendations. On 2 occasions, the patient was found to have a glucose aroudn 50-60. On one occasion, the patient was difficult to arouse, but was easily reversed with dextrose. On the second occasion, he was completely asymptomatic, though dextrose was given anyways. The patient's sliding scale and daily NPH dose has been adjusted based on [**Hospital1 4087**] recs. The patient should have his glucose monitored and his insulin should be adjusted according to his glucose trends. It is likely that his insulin requirements will change as his prednisone is tapered. #Afib: paroxysmal afib known on history with afib and RVR during ICU stay requiring a combination of betablockers and CCB as well as initiation of amiodarone. He underwent DCCV on [**11-16**] with return of NSR. Since then he has been on toprol XL and amiodarone 400mg TID. As of [**11-21**] he received 9300mg loading dose of amiodarone and was transitioned to 200mg amiodarone daily with f/u with cardiology to decide on any further need of admiodarone. He was anticoagulated with coumadin. His INR should be trended daily and his coumadin dose should be adjusted accordingly, as his coumadin requirements may be different now with his diminished kidney function. He was discharged at a dose of 3mg per day and INR 1.8. #Question of stroke: presented to [**Hospital Unit Name 153**] at [**Hospital1 18**] with aphasia and R upper extremity weakness with old strokes on non-contrast head CT done at OSH. Seen by neurology in ICU who felt that symptoms could be due to recrudescence of previous stroke or possibly a small new stroke in setting of sepsis. An MRI was not possible because he has a pacemaker. A repeat CT performed 72 h after CT done at [**Location (un) 620**] did not show evidence of stroke. He reamined on anticoagulation given afib and high risk of stroke given CHADS2>=4. His speech returned to baseline and he did not have further extremity weakness other than L shoulder due to suspected rotator cuff tear. #Rotator cuff tear: inability to comfortable move L shoulder with discomfort in upper arm. Xray showed degenerative joint disease. Ortho consult suspected partial rotator cuff tear on physical exam and recommended ROM as tolerated with outpatient f/u in the sports medicine clinic. His shoulder improved during the course of the hospitalization. #Thyroid function abnormalities: PMH documents history of hypothyroidism and home med included levothyroxine, but dose of 20mcg is very low for someone his size. TSH low at 0.042, free T4 slightly high at 4.5. Rather than repeat TFTs in acute setting which could be abnormal for sick euthyroid, his dose of levothyroxine was discontinued and recommend close outpatient monitoring of TSH, free T4 as he is now on amiodarone. #R cephalic vein clot noted on U/S of R upper arm, not a DVT #Transitional Issues: Please follow daily INR and vancomycin trough. His vancomycin and coumadin doses need to be adjusted accordingly. His goal INR is [**1-21**]. His goal trough is 15-20 until [**12-8**]. If the patient's trough is less than 16, he is to get a dose of 500mg of vancomycin. If the trough is greater than 16, the dose is to be held for that day. He should also have a full CBC/Chem7 done on Monday [**12-6**] and the results should be faxed to [**Numeric Identifier 4088**]. Thank you Medications on Admission: AMITRIPTYLINE 25MG - One every evening ASPIRIN 81MG - ONE EVERY DAY ATORVASTATIN 80 mg - once a day CLOPIDOGREL 75 mg - once a day DIAZEPAM 5 mg - at bedtime as needed for prn FUROSEMIDE 20 mg - once a day HYDROCODONE-ACETAMINOPHEN - 5 mg-500 mg - one by mouth qd prn INSULIN GLARGINE - 52 units every AM INSULIN LISPRO [HUMALOG] - sliding scale L-THYROXINE 25MCG - ONE EVERY DAY LISINOPRIL 30 mg - once a day METFORMIN 500 mg - twice a day METOPROLOL SUCCINATE 100 mg - twice a day NEURONTIN 300MG - EVERY EVENING NITROGLYCERIN 0.4 mg -sublingually qd prn chest pain TAMSULOSIN 0.4 mg Capsule - 2 Capsule(s) by mouth at bedtime WARFARIN - as directed by coumadin clinic CHOLECALCIFEROL 2,000 unit - once a day MULTIVIT-IRON-MIN-FOLIC ACID [CENTRUM] - 1 Tablet daily . Discharge Medications: 1. clopidogrel 75 mg Tablet Sig: One (1) Tablet PO DAILY (Daily). 2. aspirin 81 mg Tablet, Chewable Sig: One (1) Tablet, Chewable PO DAILY (Daily). 3. multivitamin,tx-minerals Tablet Sig: One (1) Tablet PO DAILY (Daily). 4. tamsulosin 0.4 mg Capsule, Ext Release 24 hr Sig: One (1) Capsule, Ext Release 24 hr PO HS (at bedtime). 5. gabapentin 300 mg Capsule Sig: One (1) Capsule PO every other day: give dose at night. 6. metoprolol succinate 100 mg Tablet Extended Release 24 hr Sig: One (1) Tablet Extended Release 24 hr PO BID (2 times a day). 7. amitriptyline 25 mg Tablet Sig: One (1) Tablet PO HS (at bedtime). 8. cholecalciferol (vitamin D3) 400 unit Tablet Sig: Two (2) Tablet PO DAILY (Daily). 9. nitroglycerin 0.3 mg Tablet, Sublingual Sig: One (1) Tablet, Sublingual Sublingual ONCE MR2 (Once and may repeat 2 times). 10. heparin, porcine (PF) 10 unit/mL Syringe Sig: One (1) ML Intravenous PRN (as needed) as needed for line flush. Disp:*100 ML(s)* Refills:*0* 11. Heparin Flush (10 units/ml) 2 mL IV PRN line flush PICC, heparin dependent: Flush with 10mL Normal Saline followed by Heparin as above daily and PRN per lumen. 12. Sodium Chloride 0.9% Flush 3 mL IV Q8H:PRN line flush Peripheral line: Flush with 3 mL Normal Saline every 8 hours and PRN. 13. cholecalciferol (vitamin D3) 400 unit Tablet Sig: Two (2) Tablet PO DAILY (Daily). 14. amiodarone 200 mg Tablet Sig: One (1) Tablet PO DAILY (Daily). 15. camphor-menthol 0.5-0.5 % Lotion Sig: One (1) Appl Topical QID (4 times a day) as needed for itching. 16. hydrocortisone 2.5 % Cream Sig: One (1) Appl Rectal [**Hospital1 **] (2 times a day). 17. albuterol sulfate 2.5 mg /3 mL (0.083 %) Solution for Nebulization Sig: One (1) Inhalation Q6H (every 6 hours) as needed for wheezing. 18. heparin (porcine) 5,000 unit/mL Solution Sig: One (1) Injection TID (3 times a day): discontinue once patient is mobile. 19. senna 8.6 mg Tablet Sig: One (1) Tablet PO BID (2 times a day). 20. bisacodyl 5 mg Tablet, Delayed Release (E.C.) Sig: Two (2) Tablet, Delayed Release (E.C.) PO DAILY (Daily). 21. calcium acetate 667 mg Capsule Sig: Three (3) Capsule PO TID W/MEALS (3 TIMES A DAY WITH MEALS). 22. vancomycin 500 mg Recon Soln Sig: [**12-20**] Intravenous see details for 5 days: Please follow vanco trough for goal 15-20 daily. If patient is below 16 vanco trough, please administer 500mg that day. 23. prednisone 5 mg Tablet Sig: 1-10 Tablets PO once a day for 30 days: please start with 10 pills (50mg) for 3 days, then decrease dose by 5mg (1 pill) every three days for a total of thirty days. 24. insulin lispro 100 unit/mL Solution Sig: One (1) dose Subcutaneous as directed by sliding scale: 1 dose as directed by sliding scale. 25. atorvastatin 80 mg Tablet Sig: One (1) Tablet PO once a day. 26. furosemide 20 mg Tablet Sig: One (1) Tablet PO once a day. 27. levothyroxine 25 mcg Tablet Sig: One (1) Tablet PO once a day. 28. Lab Please check CBC and Chem7 and fax results to [**Telephone/Fax (1) 4089**] (c/o Dr. [**Last Name (STitle) 4090**] 29. warfarin 3 mg Tablet Sig: One (1) Tablet PO once a day: adjust per INR. Discharge Disposition: Extended Care Facility: Newbridge on the [**Doctor Last Name **] - [**Location (un) 1411**] Discharge Diagnosis: MSSA bacteremia NSTEMI ARF/AIN requiring initiation of hemodialysis rotator cuff tear uncontrolled type 2 diabetes Discharge Condition: Mental Status: Clear and coherent. Level of Consciousness: Alert and interactive. Activity Status: Ambulatory - requires assistance or aid (walker or cane). Discharge Instructions: You were hospitalized for a blood stream infection with staph aureus (MSSA). You will need to complete a long course of antibiotics ending on [**12-8**]. Please have your INR checked daily and have the coumadin dose adjusted accordingly. Please also have your vancomycin trough checked daily and have the vancomycin dose adjusted daily until your course is complete on [**12-8**]. Please have full chem7 and CBC with INR checked on Monday [**12-6**] to make sure that your electrolytes are fine. [**Month/Year (2) **] changes start Vancomycin IV until [**12-8**] start Amiodoarone start calcium acetate start prednisone stop lisinopril stop metformin stop diazepam stop hydrocodone-acetaminophen . Dose changes coumadin Insulin regimen Followup Instructions: Department: INFECTIOUS DISEASE When: TUESDAY [**2123-12-28**] at 9:30 AM With: [**First Name4 (NamePattern1) **] [**Last Name (NamePattern1) 4091**], MD [**Telephone/Fax (1) 457**] Building: LM [**Hospital Ward Name **] Bldg ([**Last Name (NamePattern1) **]) [**Hospital 1422**] Campus: WEST Best Parking: [**Hospital Ward Name **] Garage Department: NEUROLOGY When: FRIDAY [**2124-1-14**] at 11:00 AM With: [**First Name11 (Name Pattern1) 4092**] [**Last Name (NamePattern1) 4093**], MD [**Telephone/Fax (1) 2574**] Building: Ks [**Hospital Ward Name 860**] Building ([**Hospital Ward Name 1826**]/[**Hospital Ward Name 1827**] Complex) [**Location (un) 1951**] Campus: EAST Best Parking: [**Known lastname 23**] Garage Name: [**Last Name (LF) **],[**First Name7 (NamePattern1) 2946**] [**Initial (NamePattern1) **] [**Last Name (NamePattern4) 4094**]: INTERNAL MEDICINE Location: [**Hospital1 **] HEALTHCARE - [**State 3753**]GROUP Address: [**State **], [**Apartment Address(1) 3745**], [**Location (un) **],[**Numeric Identifier 809**] Phone: [**Telephone/Fax (1) 2205**] **Please discuss with the staff at the facility a follow up appointment with your PCP when you are ready for discharge.** Completed by:[**2123-12-5**] ICD9 Codes: 5845, 5849, 2762, 2851, 3572, 4280, 5859, 2449
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Medical Text: Admission Date: [**2192-11-20**] Discharge Date: [**2192-11-22**] Date of Birth: [**2138-11-23**] Sex: F Service: MED PREOPERATIVE DIAGNOSIS: 1. Postmenopausal bleeding status post dilation and curettage. 2. Congestive heart failure. 3. Hypertension. 4. Diabetes. 5. Postoperative CRFA endometritis. HISTORY OF PRESENT ILLNESS: This is a 53-year-old woman with a history of diabetes, chronic hypertension, and congestive heart failure, who presented originally with postmenopausal bleeding x1 episode. An ultrasound done as an outpatient showed an endometrial stripe of 12 mm and normal ovaries. The decision was made to do a D and C to rule out malignancy. PAST MEDICAL HISTORY: Significant for coronary artery disease, CHF with a ejection fraction of 55% on a [**2192-3-28**] echo, insulin dependent diabetes, atypical chest pain with a negative work up and a negative MIBI on [**2192-3-28**], asthma, sleep apnea, anemia, lower extremity edema, GERD, and a PE in [**2188-9-28**] requiring 12 months of Coumadin anticoagulation, obesity, hypercholesterolemia, migraines, colon polyps, depression, hypercholesterolemia. PAST SURGICAL HISTORY: D and C x3, open cholecystectomy in [**2161**], right knee arthroscopy bilateral rotator cuff repair and acromioplasties. MEDICATIONS: 1. Singulair 10 q day. 2. Prilosec 20 q day. 3. Renodil 800 t.i.d. with meals. 4. Humulin. 5. Seroquel 25 at bedtime. 6. Verapamil 240 q day. 7. Albuterol. 8. Bupropion. 9. Lisinopril 20 q day. 10. Effexor. 11. Lasix 40 q day. 12. Advair. ALLERGIES: Codeine, aspirin, Augmentin, Trazodone, ibuprofen, Atrovent, Reglan, Ampicillin, and Lipitor. SOCIAL HISTORY: She lives alone and ambulates independently. She denies any type of alcohol or drug use. FAMILY HISTORY: Significant for heart disease, diabetes, and colon cancer. HOSPITAL COURSE: She was admitted on [**11-20**] for an outpatient procedure of a dilation and curettage for postmenopausal bleeding. However, during the procedure the patient was noted to have dis-complete ventilating by anesthesia. A quick curettage was done. The hysteroscopy portion was aborted and the patient was too unstable to extubate, although intraoperative chest x-ray was consistent with pulmonary edema that was thought to be due to her CHF. She was brought to the ICU for diuresis and ventilation weaning. She was given Lasix overnight on postoperative day #0, and diuresed well. A chest x-ray done 4 hours after the initial chest x-ray done intraoperatively showed improvement of the pulmonary edema after IV Lasix. She continued to diurese well overnight and was extubated on postoperative day #1. She remained well oxygenated on room air into postoperative day #2. Cardiac: Given the flash pulmonary edema, cardiac enzymes were cycled x3 and were all negative for any evidence of a troponin leak. An EKG was noted to have a right bundle branch block, but had been noted at a preoperative EKG. Hypertension: The patient was started on a nitro drip for the CHF, which was successfully weaned off by postoperative day #1. She was started on her home regimen of hypertensive medications. Her blood pressure ranged in the less than 120's to 202/60's to 80's. The 202/64 was noted to be an out layer and on postoperative day #2 it was felt that she was well controlled on her home regimen. Diabetes: She was started on a regular insulin sliding scale with adequate control of her sugars in the 200's. She was started on her diabetic diet on postoperative day #1, and started on her home insulin regimen with sugars in the mid 200's. Asthma: She was started on her home regimen of Albuterol inhaler, had noticed some productive cough, and this was sent off for cultures. However, as noted, the chest x-ray that was done after diuresis did not show any evidence of infiltrates suggestive of pneumonia. Postoperative fever: She spiked to 101.3 on postoperative day #0, and given the chest x-ray with no evidence of infiltrates beyond pulmonary edema, as well as a negative UA, it was felt this was most likely consistent with endometritis. She was started on Gentamycin and Clindamycin until she was 24 hours afebrile. This was discontinued on postoperative day #2. After a thorough discussion with the ICU team, it was felt that she was stable for discharge home. She continued to have no postoperative issues with regards to her medical management. The ICU team felt that her current home regimen was actually adequate for the [**Hospital 228**] medical issues. She will follow up closely with her primary care physicians, as well as her respective specialists. She was discharged home in stable condition on postoperative day #2 from the ICU. DISCHARGE MEDICATIONS: Continue home regimen. She will also use extra strength Tylenol at home for pain control, as ibuprofen causes gastritis. ATTENDING PHYSICIAN: [**Name10 (NameIs) 34301**] [**Name11 (NameIs) 34302**], MD CONSULT ATTENDING:[**Last Name (NamePattern1) 94923**] [**First Name11 (Name Pattern1) **] [**Last Name (NamePattern4) 8037**], MD Dictated By:[**Last Name (NamePattern1) 57757**] MEDQUIST36 D: [**2192-11-22**] 10:40:13 T: [**2192-11-22**] 11:31:42 Job#: [**Job Number 94924**] ICD9 Codes: 5185, 4280, 4019, 2720, 2859, 311, 9971
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Medical Text: Admission Date: [**2123-7-4**] Discharge Date: [**2123-7-28**] Service: CARDIOTHORACIC Allergies: Heparin Agents Attending:[**First Name3 (LF) 1505**] Chief Complaint: AS, PAF Major Surgical or Invasive Procedure: [**7-16**] AVR, MVRepair, MAZE History of Present Illness: Patient is a 84 year old female with a history of PAF, HTN and AS who presented to an OSH one day PTA with SOB and palpitations. SHw was found to be in afib in the 150s. She was transferred to [**Hospital1 18**] for cardiac catheterization and surgical evaluation. Past Medical History: HTN AF s/p TAH [**2099**] s/p right ORIF [**2121**] AS Social History: retired No tobacco No Etoh No IVDA Family History: Non contributory Physical Exam: On discharge: Afebrile, BP 128/88, HR 89, AFib, 93% on RA Irreg, irreg, no m/r/g Lungs CTAB, min crackles +1 BLE edema, some mottling (baseline), large ecchymotic area on LUE Neurologically grossly intact Abdomin soft non tender and nondistended Midsternal incision clean dry and intact Pertinent Results: [**2123-7-27**] 01:12AM BLOOD WBC-9.2 RBC-4.19* Hgb-12.7 Hct-37.4 MCV-89 MCH-30.4 MCHC-34.0 RDW-13.9 Plt Ct-215 [**2123-7-27**] 01:12AM BLOOD PT-16.3* INR(PT)-1.8 [**2123-7-27**] 01:12AM BLOOD Glucose-83 UreaN-30* Creat-0.9 Na-138 K-4.1 Cl-99 HCO3-31 AnGap-12 Brief Hospital Course: An Echo done on [**7-5**] demonstrated AS with peak gradient 102, mean gradient of 72, estimated valve area of 0.6cm2, 3+ MR, and EF of 55%. Held coumadin in prep for cardiac cath, which she received on [**7-7**], demonstrating AO valve area of 0.4 cm, peak grad 50; CO/CI of 2.99/1.71 (3.63/2.99 with dobuta); RA 11; RV 38/10; PA 38/30; PCWP 24. LV gram with preserved Ef and inf apical and mid ant-lat HK. Coronary angiogram revealed nl LMCA, 50-60% small diag off of lad and 40-50% rca without any flow limiting dz. After results of the cath were known, cardiothoracic surgery was consulted for AVR/MVR surgery. She awaited preop workup, and normalization of INR. Post operatively she was transferred to the icu in critical but stable condition on epi, milrinone, norepi, amio and propofol. She was extubated on post op day 4, and her drips were weaned to off by post op day 6, however she was placed on natrecor. She was seen in consultation by electrophysiology for rate control who recommended diltiazem beta blockade and amiodarone, with follow up in 6 weeks for possible cardioversion. She was given a 7 day course of vancomycin and levofloxacin for sputum cultures positive for MRSA and gram negative rods. She was HIT + without clinical signs and was anticoagulated with coumadin already for her atrial fibbrilation. Medications on Admission: Digoxin, verapamil, lopressor, colace, levoxyl, coumadin(3 alt with 4), lasix Discharge Medications: 1. Metoprolol Tartrate 50 mg Tablet Sig: One (1) Tablet PO BID (2 times a day). Disp:*60 Tablet(s)* Refills:*2* 2. Potassium Chloride 20 mEq Tab Sust.Rel. Particle/Crystal Sig: One (1) Tab Sust.Rel. Particle/Crystal PO Q12H (every 12 hours) for 5 days. Disp:*10 Tab Sust.Rel. Particle/Crystal(s)* Refills:*0* 3. Docusate Sodium 100 mg Capsule Sig: One (1) Capsule PO BID (2 times a day). Disp:*60 Capsule(s)* Refills:*2* 4. Pantoprazole Sodium 40 mg Tablet, Delayed Release (E.C.) Sig: One (1) Tablet, Delayed Release (E.C.) PO Q24H (every 24 hours). Disp:*30 Tablet, Delayed Release (E.C.)(s)* Refills:*2* 5. Aspirin 81 mg Tablet, Delayed Release (E.C.) Sig: One (1) Tablet, Delayed Release (E.C.) PO DAILY (Daily). Disp:*30 Tablet, Delayed Release (E.C.)(s)* Refills:*2* 6. Oxycodone-Acetaminophen 5-325 mg Tablet Sig: One (1) Tablet PO Q4-6H (every 4 to 6 hours) as needed for pain. Disp:*40 Tablet(s)* Refills:*0* 7. Amiodarone 200 mg Tablet Sig: One (1) Tablet PO once a day. Disp:*30 Tablet(s)* Refills:*2* 8. Diltiazem HCl 60 mg Tablet Sig: One (1) Tablet PO QID (4 times a day). Disp:*120 Tablet(s)* Refills:*2* 9. Albuterol-Ipratropium 103-18 mcg/Actuation Aerosol Sig: Two (2) Puff Inhalation Q4H (every 4 hours). Disp:*1 Inh* Refills:*2* 10. Fluticasone 110 mcg/Actuation Aerosol Sig: Two (2) Puff Inhalation [**Hospital1 **] (2 times a day). Disp:*1 Inh* Refills:*2* 11. Levothyroxine Sodium 25 mcg Tablet Sig: One (1) Tablet PO DAILY (Daily). Disp:*30 Tablet(s)* Refills:*2* 12. Warfarin Sodium 1 mg Tablet Sig: Three (3) Tablet PO once a day for 1 doses: Please check INR on [**7-29**], and PRN. Disp:*30 Tablet(s)* Refills:*0* 13. Lasix 20 mg Tablet Sig: One (1) Tablet PO twice a day for 5 days. Disp:*10 Tablet(s)* Refills:*0* Discharge Disposition: Extended Care Facility: Lifecare of [**Location 15289**] Discharge Diagnosis: AS, MR, Afib PAF CHF HTN Hypothyroid s/p TAH s/p hip and leg surgery Discharge Condition: Good. Discharge Instructions: No driving or lifting more than 10 pounds until follow up appointment or while taking pain medication. Call with temperature more than 100.5, redness or drainage from incision, or weight gain greater than 2 pounds in 1 day or 5 in 1 week. Shower, wash incision with mild soap and water and pat dry, no lotions, creams or powders, no baths, keep covered when in the sun. Followup Instructions: Dr. [**Last Name (STitle) **] 4 weeks Dr. [**Last Name (STitle) 29478**] 1-2 weeks Dr. [**Last Name (STitle) **] 1-2 weeks Completed by:[**2123-7-28**] ICD9 Codes: 5990, 4019, 2449
{ "dataset_link": "https://huggingface.co/datasets/ricardosantoss/ehrcomplete_icdfiltered", "dataset_name": "ehrcomplete-icdfiltered", "id": 8178 }
Medical Text: Admission Date: [**2157-7-26**] Discharge Date: [**2157-8-1**] Date of Birth: [**2084-8-9**] Sex: M Service: CARDIOTHORACIC Allergies: Codeine Attending:[**First Name3 (LF) 1505**] Chief Complaint: Asymptomatic AS/CAD Major Surgical or Invasive Procedure: [**2157-7-26**] - Aortic Valve Replacement(23mm St.[**Male First Name (un) 923**] Epic), CABGx2(LIMA-LAD,SVG-Dg) - Dr. [**Last Name (STitle) **] History of Present Illness: 72 year old male with known aortic valve stenosis which has been followed by serial echocardiograms which most recently showed severe aortic stenosis. A stress test was also performed however it was stopped due to hypotension. In preparation for surgery, a cardiac catheterization was performed which showed two vessel disease. He is now admitted for surgical management. Past Medical History: AS,Gout,HTN,Hyperlipidemia,hypothyroidism,torn RT rotator cuff, bilat knee sx,lipoma removal,cyst excisions. Social History: Accountant attorney. Never smoked. Rare alcohol use. Lives with wife. [**Name (NI) **] dental exam was Spring [**2156**]. Family History: Unremarkable Physical Exam: 76 sr 13 172/82 177/90 69" 210 GEN: NAD HEENT: Unremarkable, NCAT/PERRL/OP Benign NECK: Supple, From, No JVD LUNGS: Clear HEART: RRR, III/VI SEM ABD: S/NT/ND/NABS EXT: Warm, well perfused, trace LE edema. No varicosities. 2+ pulses. NEURO: Nonfocal. Murmur transmitted to b/l carotids. Pertinent Results: [**2157-7-26**] ECHO PREBYPASS No spontaneous echo contrast or thrombus is seen in the body of the left atrium or left atrial appendage. No thrombus/mass is seen in the body of the left atrium. No atrial septal defect or patent foramen ovale is seen by 2D, color Doppler. There is moderate symmetric left ventricular hypertrophy with normal cavity size. Overall left ventricular systolic function is normal (LVEF>55%). Right ventricular chamber size and free wall motion are normal. There are simple atheroma in the abdominal aorta. The aortic valve leaflets are severely thickened/deformed. There is severe aortic valve stenosis (area <0.8cm2). No aortic regurgitation is seen. Moderate (2+) mitral regurgitation is seen. There is no pericardial effusion. POSTBYPASS Preserved biventricular systolic function. There is a well seated, well functioning bioprosthesis ([**First Name8 (NamePattern2) **] [**Male First Name (un) 923**] 23 mm Epic, supra-annular bio). No aortic valve insufficiency is visualized. No aortic dissection seen. The mitral regurgitation is now mild (1+) The study is otherwise unchanged compared to prebypass. Brief Hospital Course: Mr. [**Known lastname 11309**] was admitted to the [**Hospital1 18**] on [**2157-7-26**] for elective surgical management of his aortic valve and coronary artery disease. He was taken directly to the operating room where he underwent coronary artery bypass grafting to two vessels and an aortic valve replacement using a 23mm St. [**Male First Name (un) 923**] epic tissue valve. Please see operative note for details. Postoperatively he was taken to the intensive care unit for monitoring. Within 24 hours, Mr. [**Known lastname 11309**] had awoke neurologically intact and was extubated. Beta blockade, a statin and aspirin were resumed. Later on postoperative day one, he was transferred to the step down unit for further recovery. Mr. [**Known lastname 11309**] was gently diuresed towards his preoperative weight. The physical therapy service was consulted for assistance with his postoperative strength and mobility. The patient developed atrial fibrillation on POD 3. Amiodarone drip was initiated and eventually transitioned to oral amiodarone. Rate control was established with lopressor. The patient was anticoagulated with coumadin. By the time of discharge on POD 6, the patient was ambulating freely, the wound was healing and pain was controlled with oral analgesics. The patient was d/c'd to home in good condition. Medications on Admission: L o v a statin40',Lisinopril-Hctz10/12.5',ASA81',MVI,Levothyroxin0.5mcg' Discharge Medications: 1. Docusate Sodium 100 mg Capsule Sig: One (1) Capsule PO BID (2 times a day) for 1 months. Disp:*60 Capsule(s)* Refills:*0* 2. Aspirin 81 mg Tablet, Delayed Release (E.C.) Sig: One (1) Tablet, Delayed Release (E.C.) PO DAILY (Daily). Disp:*30 Tablet, Delayed Release (E.C.)(s)* Refills:*0* 3. Acetaminophen 325 mg Tablet Sig: Two (2) Tablet PO Q4H (every 4 hours) as needed. Disp:*60 Tablet(s)* Refills:*0* 4. Oxycodone-Acetaminophen 5-325 mg Tablet Sig: 1-2 Tablets PO Q4H (every 4 hours) as needed for pain. Disp:*60 Tablet(s)* Refills:*0* 5. Lovastatin 20 mg Tablet Sig: Two (2) Tablet PO daily (). Disp:*60 Tablet(s)* Refills:*0* 6. Levothyroxine 50 mcg Tablet Sig: 0.5 Tablet PO DAILY (Daily). Disp:*30 Tablet(s)* Refills:*0* 7. Ranitidine HCl 150 mg Tablet Sig: One (1) Tablet PO DAILY (Daily) for 1 months. Disp:*30 Tablet(s)* Refills:*0* 8. Warfarin 3 mg Tablet Sig: One (1) Tablet PO once a day: md will change dose daily based on inr goal [**12-26**]. Disp:*30 Tablet(s)* Refills:*0* 9. Metoprolol Succinate 100 mg Tablet Sustained Release 24 hr Sig: One (1) Tablet Sustained Release 24 hr PO DAILY (Daily): take in the a.m. Disp:*30 Tablet Sustained Release 24 hr(s)* Refills:*0* 10. Metoprolol Succinate 100 mg Tablet Sustained Release 24 hr Sig: One (1) Tablet Sustained Release 24 hr PO HS (at bedtime). Disp:*30 Tablet Sustained Release 24 hr(s)* Refills:*0* 11. Lasix 20 mg Tablet Sig: One (1) Tablet PO once a day for 7 days. Disp:*7 Tablet(s)* Refills:*0* 12. Amiodarone 200 mg Tablet Sig: Two (2) Tablet PO BID (2 times a day) for 2 weeks. Disp:*56 Tablet(s)* Refills:*0* 13. Amiodarone 200 mg Tablet Sig: One (1) Tablet PO twice a day for 1 weeks. Disp:*14 Tablet(s)* Refills:*0* 14. Amiodarone 200 mg Tablet Sig: One (1) Tablet PO once a day: Amio: 400mg 2x/day for 2 weeks, then 200mg 2x/day for 1 week, then 200mg 1x/day until further instructed. Disp:*30 Tablet(s)* Refills:*2* Discharge Disposition: Home With Service Facility: [**Hospital1 1474**] VNA Discharge Diagnosis: Aortic Stenosis Coronary Artery Disease Hyperlididemia Hypothyroidism Gout s/p tonsillectomy s/p bilateral knee surgery torn RT rotator cuff Discharge Condition: Good Discharge Instructions: No lifting more than 10 pounds for 10 weeks Shower daily No swimming, tub baths No lotion, creams or powders to incisions No driving Take all medications as prescribed report any temperature greater than 101.5 or wound drainage weigh daily and report any weight gain more than 3 pounds Followup Instructions: Followup with Dr. [**Last Name (STitle) **] in 4 weeks ([**Telephone/Fax (1) 170**]) Follow up with Dr. [**Last Name (STitle) **] in [**11-24**] weeks. Completed by:[**2157-8-1**] ICD9 Codes: 4241, 4019, 2724, 2449, 2749
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Medical Text: Admission Date: [**2157-5-6**] Discharge Date: [**2157-5-8**] Service: ACOVE-MEDICINE HISTORY OF PRESENT ILLNESS: The patient is an 86 year old gentleman presenting from the [**Hospital3 **] facility for altered mental status described as "lethargy" times approximately four days, as well as question of worsening anemia. The patient is [**Country 532**] speaking and upon arrival in was minimally responsive to even noxious stimuli. The eye position was midposition. The pupils were felt to be minimally reactive. The patient was not following commands, even commands in Russian. The patient in the Emergency Department became increasingly awake and alert, status post dosing of Narcan although it Emergency Department was negative for narcotics. On repeat examination at the time the patient arrived at the floor, through an interpreter, the patient was awake and alert and not sure why he was at the [**Hospital1 188**] or really the name of the facility. Even he denied fever, chills, chest pain, shortness of breath, headache, abdominal pain, change in vision, change in strength, change in sensation. He stated he had been somewhat short of breath approximately seven days ago but had not experienced the symptoms since that time. The patient is reported to have had an episode of decrease in blood pressure on [**2157-5-2**], at the [**Hospital3 **] Center. He does have a recent history of discharge from the [**Hospital1 69**] on [**2157-4-30**], for anemia and transient renal insufficiency. Additionally, please note that the patient had a recent admission to the [**Hospital1 69**] between [**2157-4-13**], and [**2157-4-16**], for atrial fibrillation with hospital course complicated by an exaggerated response to Lopressor producing unresponsiveness and hypotension, noting that the patient's vital signs in the Emergency Department at this admission were stable at a heart rate of 75, blood pressure 122/90, respiratory rate 20, and pulse oximetry 97% on four liters. PAST MEDICAL HISTORY: 1. Recent discharge [**2157-4-29**], for anemia. 2. Parkinson's disease. 3. Depression with psychotic features with a history of a suicide attempt. 4. Colon cancer, status post hemicolectomy in [**2153**]. 5. Benign prostatic hypertrophy. 6. Gastroesophageal reflux disease. 7. History of atrial fibrillation. 8. History of C. difficile. 9. History of loculated pericardial effusion with pericarditis. 10. Alert and oriented times two at baseline. ALLERGIES: No known drug allergies. MEDICATIONS ON ADMISSION: 1. Lasix 40 mg p.o. b.i.d. 2. Neurontin 500 mg p.o. t.i.d. 3. Atenolol 25 mg p.o. q.d. 4. Aspirin 81 mg p.o. q.d. 5. Sinemet 25/100 two tablets p.o. q.i.d. and one tablet p.o. q.h.s. 6. Ibuprofen 600 mg p.o. t.i.d. 7. Prevacid 30 mg p.o. q.d. 8. Flomax 0.4 mg p.o. q.d. 9. Seroquil 100 mg p.o. b.i.d. (noting that had been recently decreased from 150 mg p.o. b.i.d. PHYSICAL EXAMINATION: In the Emergency Department, afebrile at 98.4, pulse 74, blood pressure 144/63, respiratory rate 12, 97% in room air and 100% on four liters. General - somnolent, opening eyes to verbal commands, not following commands, normocephalic and atraumatic. The pupils are equal, round, and reactive to light and accommodation. The neck was supple. Chest was clear. Cardiac - regular rate and rhythm. The abdomen was benign. Rectal examination was negative for occult blood. There was 1+ edema bilaterally. The skin was warm and dry. The patient as noted was somnolent and unable to follow commands. The examination when the patient arrived on the floor the night of [**2157-5-6**], the patient was afebrile, blood pressure 148/100, pulse 53, respiratory rate 18, pulse oximetry 93% in room air. In general, the patient is awake, alert in no apparent distress. There was a question of jugular venous distention but the pulsus was 4 to 5 (not elevated). The oropharynx was exceptionally dry. There was noted to be poor dentition. There were upper dentures in place with white exudate versus dry mucus in the posterior aspect of the oropharynx. The patient was oriented to [**Location (un) 4551**] and the year [**2156**], with the month being [**2156**], on repeated questioning. He could pick the type of building as hospital from a list but could not generate this on his own. The pupils are equal, round, and reactive to light and accommodation. Extraocular movements are intact. The strength was full and symmetrical to limited examination in the upper and lower extremity flexors and extensors. Cardiac examination was unremarkable with regular rate and rhythm, no murmurs were noted. There were dry crackles at the bases, right greater than the left, and otherwise the patient was clear to auscultation bilaterally. The abdomen demonstrated a well healed midline scar, soft, nontender abdomen with normal abdominal sounds. There is no edema noted. The patient was awake and alert in no apparent distress. LABORATORY DATA: White blood cell count at the time of admission was 5.3, hematocrit 28.8, with normal differential. Platelet count was 317,000. Coagulation studies were essentially unremarkable. Urine was negative for urinary tract infection. Chem7 sent at the time of admission on [**2157-5-6**], at 1:30 p.m. was sodium 139, potassium 3.8, chloride 98, bicarbonate 28, blood urea nitrogen 20, creatinine 1.5**a significant value. Glucose 111. Calcium 8.8, magnesium 1.6, phosphate 2.9. Arterial blood gases in the Emergency Department on [**2157-5-6**], at 3:40 p.m. had a pH 7.47, pCO2 46, pO2 77. Urine culture is pending at the time of this dictation. Head CT was performed on [**2157-5-6**], with the following impression: "No acute intracranial pathology, brain atrophy". Chest x-ray was performed on [**2157-5-6**], with the following impression: "Persistent pericardial and pleural effusions". HOSPITAL COURSE: The patient was admitted with the above complaints with having received doses of Narcan in the Emergency Department. Although the toxicology screen was negative for narcotics, the patient's mental status improved markedly although there was no clear cause and effect relationship for this change. By the time the patient arrived at the medical floor, his mental status was apparently more or less at the baseline. His creatinine was noted to be elevated to 1.5 and the patient was gently hydrated with 750 ccs of normal saline overnight with a resultant decrease in the patient's creatinine to 0.9 the day following admission, noting that the patient's mouth had been quite dry at the time of admission and it was moist on the morning following admission. The etiology of the patient's mental status change observed in the Emergency Department with stable vital signs and unclear precipitant of resolution at this time is still unclear, but possibilities are felt to include dehydration which has now been corrected, the possibility of narcotic ingestion responding to Narcan, the patient's psychiatric or neurologic problems including depression or [**Name (NI) 5895**] disease although Parkinson's disease the Sinemet has not recently changed. The Seroquil has recently been decreased and is currently being held though these possibilities appear less likely than others. Head CT was performed as noted above to rule out acute intracranial pathology including bleeding. Additionally, please note that the geriatric fellow raised the possibility of seizure although the patient is not reported to have had positive phenomenon including tonoclonic movements or eye movements consistent with seizure during the period of unresponsiveness. The possibility of occult seizure is still open to question and the patient will be observed for approximately 24 additional hours to insure that such an episode does not recur. At this time, the patient's mental status is approximately baseline and the patient is stable and will be observed for the forthcoming day with reassessment at that time and possible discharge back to [**Hospital3 **] Center in the morning. MEDICATIONS ON DISCHARGE: (at the time of this dictation) 1. Lopressor 25 mg p.o. b.i.d. (to be changed to Atenolol 25 mg p.o. q.d. prior to the time of the patient's discharge to [**Hospital3 **]). 2. Flomax 0.4 mg p.o. q.d. 3. Prevacid 30 mg p.o. q.d. 4. Sinemet 25/100 two tablets p.o. q.i.d. and one tablet p.o. q.p.m. 5. Aspirin 81 mg p.o. q.d. 6. Colace 100 mg p.o. b.i.d. DISCHARGE DIAGNOSES: 1. Dehydration. 2. Altered mental status possibly secondary to dehydration or other factors yet to be determined. Please note that additional diagnoses may be found in past medical history. CONDITION AT TIME OF DICTATION: Stable. DISCHARGE PLAN: The current plan is for discharge back to [**Hospital3 **] Center. The patient should not have increased beta blocker without close supervision including frequent blood pressure monitoring and neurologic checks as he has a history of unresponsiveness and hypotension because of sensitivity to beta blockade although he is stable on his current dosing. Sedating medications should be avoided. The patient should be closely monitored for signs of dehydration and creatinine should be checked q.d. to q.o.d. for one week versus signs for volume overload including pulse oxygenation measured b.i.d. and on examination as the patient may either need additional hydration or diuretic to insure that he does not begin to become dehydrated, nor does he have worsening of his pulmonary status. DR.[**Last Name (STitle) **], [**First Name3 (LF) 177**] Dictated By:[**Name8 (MD) 2058**] MEDQUIST36 D: [**2157-5-7**] 11:51 T: [**2157-5-7**] 14:03 JOB#: [**Job Number 21687**] ICD9 Codes: 2765, 2761, 5070
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Medical Text: Admission Date: [**2107-1-25**] Discharge Date: [**2107-1-29**] Date of Birth: [**2030-5-5**] Sex: M Service: CSU HISTORY OF PRESENT ILLNESS: This is a 76 year old male with a known history of coronary artery disease, who reports some episodes of chest pain with radiation to his jaw, right ear, and right arm. He also reported progressive shortness of breath, all occurring a few times over the past couple of months. He said he also had one episode on [**1-14**] while at rest. He had a stress test on [**12-29**] which showed inferior, posterior and lateral infarct, inferoapical lateral hypokinesis and ejection fraction of 47 percent. He denied any nausea, vomiting or diaphoresis. His cardiac catheterization showed ejection fraction of 51 percent, LAD 90 percent lesion, circumflex 90 percent lesion, OM1 80 percent lesion and the RCA 70 percent lesion. His past medical history includes being hard of hearing, hypothyroidism, no tendons in his right foot and hepatitis in [**2052**]. Past surgical history includes appendectomy, tonsillectomy and left ear surgery at age 6 months. He had no known drug allergies. Medications preop were levothyroxine, 100 mcg po daily and ibuprofen, 800 mg po prn. He is married and lived in [**Hospital1 **]. He is retired. He had no tobacco history and no use of alcohol. Preop chest x-ray showed no active lung disease, but tortuosity of thoracic aorta with calcification. Please refer to the official report dated [**2107-1-20**]. Preop EKG on [**2107-1-20**] showed sinus rhythm at 93 with some low amplitude T waves and LVH. Please refer to the official report dated [**2107-1-20**]. On exam he is 5 feet 8 inches tall, 152 pounds, in sinus rhythm at 86 with a blood pressure of 162/97, respiratory rate 16, sating 98 percent on room air. He was lying flat in bed in no apparent distress. He was alert and oriented times three and appropriate. Moving all extremities. His lungs were clear bilaterally. His heart was regular rate and rhythm with S1 and S2 tones and a grade 2/6 systolic ejection murmur. His abdomen was soft, flat, nontender, nondistended with positive bowel sounds. Extremities warm, dry and well perfused with no edema or varicosities noted. He had 2 plus bilateral radial and DP pulses and 1 plus bilateral PT pulses. Preop labs are as follows. White count 4.9, hematocrit 30.1, platelet count 161,000. Sodium 139, potassium 3.3, chloride 108, bicarb 28, BUN 38, creatinine 0.8 with a blood sugar of 158. PT 13.0, PTT 31.2, INR 1.1. AST 13, ALT 15, alkaline phosphatase 68, total bilirubin 0.5, albumin 3.5. Urinalysis preop was negative for UTI, but had trace hematuria. Additional labs as follows: albumin 3.5, cholesterol 142, anion gap 10, triglycerides 70, HDL 36, cholesterol to HD ratio 3.9, calculated LDL 92. The patient went home over the weekend and came back for surgery on [**1-25**], the day of admission, and underwent coronary artery bypass grafting times four with LIMA to the LAD, vein graft to the OM, vein graft to PL and vein graft to the RCA by Dr. [**Last Name (STitle) **]. He was transferred to the cardiothoracic ICU in stable condition on a Neo-Synephrine drip at 0.3 mcg per kg per minute and a propofol drip at 30 mcg per kg per minute. On postoperative day one, the patient was stable hemodynamically with a blood pressure 106/50 in sinus rhythm at 97. He remained ventilated with CPAP early that morning with a white count of 8.1, hematocrit 32.8. Potassium 4.4, BUN 20, creatinine 0.9. PA pressures of 38/16 with an index of 3.35 and a mixed venous of 80 percent. He was also evaluated by case management. Later that evening he was extubated, overnight had some wheezes and got some racemic epinephrine therapy, kept in the unit on postoperative day one just to keep an eye on his respiratory status. He was evaluated by case management on postoperative day two. His creatinine remained stable at 0.9. He was hemodynamically stable with a blood pressure of 136/66 in sinus rhythm in the 90s. Beta blockade was begun. He was transferred out to the floor. A swallow study was ordered as there was some question of some aspiration risk and was to be re-evaluated during the day. If a swallow study was needed, it would be ordered for him at that time. His beta blockade was increased on postoperative day two on the floor. He was evaluated by physical therapy and was encouraged to increase his activity level and ambulate with the physical therapist and the nurses. On [**1-27**] his chest tubes were discontinued and his wires were discontinued. On postoperative day three he was alert and oriented. He had nonfocal exam. His lungs were clear. His heart was regular rate and rhythm. He remained on Lasix, 20 mg twice a day. Lopressor was increased to 75. Pacing wires were discontinued. He was sating 93 percent on 4 liters nasal cannula. His Foley was removed and he voided successfully. He had evaluation by orthopedics given the fact that he had no tendons in his right foot and had a long-standing old remote injury. He complained of some pain on ambulation. They recommended possible strength training exercises, elevating his foot and ankle, only weightbearing as tolerated and giving him ibuprofen for prn pain control. He was alert and oriented and steady on his feet. His diet was advanced. On postoperative day three his creatinine remained stable at 1.0 with hematocrit of 32.8 and white count of 11.5. He was independently ambulating. Was denying any pain. He appeared to be sleeping well. He had a T-max of 100.3 on postoperative day three, but then rapidly became afebrile. He was ambulating a level 5 and moving all extremities and doing extremely well. On the day of discharge his blood pressure was 156/76, sating 97 percent on room air. Heart rate 80. His lungs were clear bilaterally. His heart was regular rate and rhythm. He was alert and oriented. His abdomen was soft, nontender, nondistended. He had some trace bilateral lower extremity edema. He was doing very well and was discharged to home with VNA services on [**2107-1-29**] with the following discharge instructions. He was instructed to see Dr. [**Last Name (STitle) **] in the office approximately four weeks postop and to see his primary care physician in approximately two weeks post discharge. DISCHARGE DIAGNOSES: 1. Status post coronary artery bypass grafting times four. 2. Hard of hearing. 3. Hypothyroidism. 4. Status post right foot injury with absence of tendons. 5. Remote hepatitis in [**2052**]. DISCHARGE MEDICATIONS: 1. Colace, 100 mg po twice a day. 2. Enteric coated aspirin, 81 mg po once a day. 3. Percocet 5/325, 1 to 2 tablets po prn q4 hours for pain. 4. Levothyroxine sodium, 100 mcg po once daily. 5. Metoprolol, 75 mg po twice a day. 6. Lasix, 20 mg po once a day for 7 days. The patient was discharged to home on [**2107-1-29**]. [**First Name11 (Name Pattern1) **] [**Last Name (NamePattern1) 1714**], [**MD Number(1) 1715**] Dictated By:[**Last Name (NamePattern1) **] MEDQUIST36 D: [**2107-3-17**] 09:35:56 T: [**2107-3-17**] 12:27:40 Job#: [**Job Number 60022**] ICD9 Codes: 2449
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Medical Text: Admission Date: [**2135-12-1**] Discharge Date: [**2135-12-16**] Service: MEDICINE Allergies: Patient recorded as having No Known Allergies to Drugs Attending:[**First Name3 (LF) 905**] Chief Complaint: Dyspnea Major Surgical or Invasive Procedure: AV fistulogram Tunneled dialysis catheterization Hemodialysis History of Present Illness: Mr. [**Known lastname 97237**] is an 88 y/o man with PMH notable for stage IV CKD, afib on coumadin, and CHF who was at his home earlier today when he noted the onset of nausea. He reports no chest pain, diaphoresis or abdominal pain at the time. He did have several episodes of dry heaves. He called EMS and was taken to [**Hospital1 **]. On arrival to the [**First Name4 (NamePattern1) **] [**Last Name (NamePattern1) **], he was noted to have acute decompensation. O2 sat on arrival was 77-80% on [**Name6 (MD) 597**] [**Name8 (MD) **] MD notes. He received lasix 100 mg and bumex 1 mg but made only 100 cc urine over the course of his stay; he then received 50 more mg of lasix with no response. He was also placed on a nitro gtt but blood pressures declined to 80s-90s systolic so this was intermittently stopped. As his primary nephrologist is at [**Hospital1 18**] and the outside hospital ED was worried about dialysis initiation, he was then transferred to [**Hospital1 18**] for further evaluation. . In the [**Hospital1 18**] ED, initial VS were T 96.8, HR 62, BP 92/61, RR 17, 99% on bipap. BP transiently dropped to 88/28 and he was given a 250 cc NS bolus X 1. Due to ? infiltrate on CXR, he was given 1 g IV vancomycin and 750 mg IV levofloxacin. He was also treated with combivent nebs. Eventually, he was placed on a [**Hospital1 597**] but dropped his O2 sats to 88-92% so was placed back on BiPAP with improvement in sats. Nitro gtt was also discontinued. Potassium was found to be 6.8 and he was given calcium gluconate, insulin/D50 and kayexelate. . On the floor, the patient states his breathing has improved compared to earlier today. He denies any current nausea, chest pain, abdominal pain, headache, dizziness, or diaphoresis. He would like to try to take off the BIPAP again. He states he did have a few canned soups over the past few days but no other dietary changes. After seeing Dr. [**Last Name (STitle) **] on Tuesday, he held his lasix on Tuesday afternoon and Wednesday morning per instructions and then resumed 80 mg Wednesday evening. . ROS: Denies fever, chills, night sweats. Denies headache, sinus tenderness, rhinorrhea or congestion. Does have dizziness intermittently, especially with lying down. Denies cough, chest pain or tightness, palpitations. Denies PND or orthopnea. Uses CPAP at night chronically. Denies vomiting, diarrhea, constipation or abdominal pain. No recent change in bowel or bladder habits. Occasionally has small amounts of bright red blood in stool but none recently. No dysuria but some difficulty initiating urination. Slight decrement in urine output. Denies arthralgias or myalgias. Past Medical History: # CAD s/p CABG [**2123**]. # Diabetes Mellitus, type 2 - HbA1C 6.3 [**12/2131**] # ESRD on HD initiated [**2135-12-9**] - s/p LUE AV fistula in [**3-/2135**] # Atrial fibrillation on coumadin # Chronic systolic CHF, EF 25% [**2135-12-2**] # Hypertension # Hyperlipidemia # chronic venous stasis Social History: Married, lives with wife in [**Hospital3 **] facility. Daughter lives in close proximity. No EtOH or tobacco. Family History: Mother with aortic dissection. Father with MI. Physical Exam: VS: T 97.2, BP 112/46, HR 61, RR 22, O2 96% Gen: no distress, pleasant HEENT: NCAT, EOMI, PERRL. Anicteric, no conjunctival pallor. OP clear, MMM. Neck: JVD difficult to assess, no LAD, no thyromegaly Cor: irregularly irregular, no appreciable murmur Pulm: no wheezing, + bibasilar crackles Abd: soft, normoactive bowel sounds, nontender to palpation Extrem: no peripheral edema, feet cool bilaterally with stigmata of chronic venous stasis, DP pulses dopplerable bilaterally, LUE AV fistula Skin: dry skin bilateral anterior legs with color change compatible with venous stasis bilaterally but L>R Neuro: alert, speaking clearly and in full sentences, face symmetric, moving all extremities without difficulty Pertinent Results: Admission: [**2135-12-11**] 01:50AM BLOOD WBC-9.7 RBC-2.90* Hgb-9.9* Hct-28.0* MCV-97 MCH-34.0* MCHC-35.3* RDW-18.5* Plt Ct-168 [**2135-12-10**] 03:04PM BLOOD Glucose-219* UreaN-88* Creat-3.1* Na-136 K-4.2 Cl-98 HCO3-26 AnGap-16 [**2135-12-11**] 01:50AM BLOOD Glucose-121* UreaN-54* Creat-2.7* Na-143 K-4.5 Cl-104 HCO3-28 AnGap-16 [**2135-12-1**] 06:20PM BLOOD WBC-13.6*# RBC-3.75* Hgb-12.1* Hct-36.9* MCV-98 MCH-32.4* MCHC-32.9 RDW-19.0* Plt Ct-167 [**2135-12-1**] 06:52PM BLOOD PT-30.0* PTT-32.3 INR(PT)-3.1* [**2135-12-1**] 06:20PM BLOOD Glucose-163* UreaN-92* Creat-4.2* Na-137 K-6.5* Cl-103 HCO3-20* AnGap-21* [**2135-12-1**] 06:20PM BLOOD CK(CPK)-92 [**2135-12-2**] 02:04AM BLOOD CK(CPK)-91 [**2135-12-2**] 08:00AM BLOOD CK(CPK)-102 [**2135-12-1**] 06:20PM BLOOD CK-MB-NotDone proBNP-[**Numeric Identifier **]* [**2135-12-1**] 06:20PM BLOOD cTropnT-0.20* [**2135-12-2**] 02:04AM BLOOD CK-MB-NotDone cTropnT-0.20* [**2135-12-2**] 08:00AM BLOOD CK-MB-4 cTropnT-0.19* [**2135-12-2**] 02:04AM BLOOD Calcium-9.4 Phos-5.9* Mg-2.4 [**2135-12-1**] 06:35PM BLOOD Glucose-149* Lactate-3.2* Na-138 K-6.8* Cl-101 calHCO3-20* [**2135-12-1**] 06:56PM BLOOD Lactate-3.1* K-6.4* [**2135-12-1**] 10:53PM BLOOD Lactate-3.4* K-6.1* [**2135-12-16**] 08:00AM BLOOD WBC-10.3 RBC-2.63* Hgb-8.7* Hct-25.3* MCV-96 MCH-33.0* MCHC-34.3 RDW-18.7* Plt Ct-181 [**2135-12-15**] 05:35AM BLOOD PT-26.6* PTT-38.9* INR(PT)-2.6* [**2135-12-16**] 08:00AM BLOOD Glucose-192* UreaN-56* Creat-4.0* Na-130* K-4.4 Cl-95* HCO3-26 AnGap-13 [**2135-12-10**] 10:51AM BLOOD CK(CPK)-85 [**2135-12-10**] 03:04PM BLOOD CK(CPK)-78 [**2135-12-10**] 10:30PM BLOOD CK(CPK)-79 [**2135-12-15**] 11:50AM BLOOD CK(CPK)-45 [**2135-12-10**] 10:51AM BLOOD CK-MB-NotDone cTropnT-0.46* [**2135-12-10**] 03:04PM BLOOD CK-MB-NotDone cTropnT-0.50* [**2135-12-10**] 10:30PM BLOOD CK-MB-NotDone cTropnT-0.58* [**2135-12-15**] 11:50AM BLOOD CK-MB-NotDone cTropnT-0.40* [**2135-12-16**] 08:00AM BLOOD Albumin-3.3* Calcium-9.5 Phos-3.9 Mg-1.9 [**2135-12-9**] 05:45AM BLOOD calTIBC-268 Ferritn-246 TRF-206 [**2135-12-10**] 03:04PM BLOOD PTH-691* [**2135-12-10**] 08:00AM BLOOD HBsAg-NEGATIVE HBsAb-NEGATIVE HBcAb-NEGATIVE IgM HBc-NEGATIVE [**2135-12-9**] 04:15PM BLOOD HBsAg-NEGATIVE HBsAb-NEGATIVE HBcAb-NEGATIVE [**2135-12-9**] 04:15PM BLOOD HCV Ab-NEGATIVE [**2135-12-10**] 10:54AM BLOOD Type-ART pO2-77* pCO2-55* pH-7.20* calTCO2-22 Base XS--6 Intubat-NOT INTUBA [**2135-12-10**] 03:10PM BLOOD Lactate-1.6. [**2135-12-1**] 06:20PM URINE Color-Yellow Appear-Clear Sp [**Last Name (un) **]-1.012 [**2135-12-1**] 06:20PM URINE Blood-NEG Nitrite-NEG Protein-30 Glucose-NEG Ketone-NEG Bilirub-NEG Urobiln-NEG pH-5.0 Leuks-NEG [**2135-12-1**] 06:20PM URINE RBC-0-2 WBC-0 Bacteri-RARE Yeast-NONE Epi-0 [**2135-12-2**] 02:04AM URINE Color-Amber Appear-Hazy Sp [**Last Name (un) **]-1.018 [**2135-12-2**] 02:04AM URINE Blood-LG Nitrite-NEG Protein-30 Glucose-NEG Ketone-TR Bilirub-SM Urobiln-NEG pH-5.0 Leuks-SM [**2135-12-2**] 02:04AM URINE RBC-21-50* WBC-[**3-9**] Bacteri-MOD Yeast-NONE Epi-0 [**2135-12-7**] 08:42AM URINE Blood-LG Nitrite-NEG Protein-TR Glucose-NEG Ketone-NEG Bilirub-NEG Urobiln-NEG pH-5.0 Leuks-TR [**2135-12-7**] 08:42AM URINE RBC-[**6-14**]* WBC-[**3-9**] Bacteri-RARE Yeast-NONE Epi-0-2 [**2135-12-10**] 01:45PM URINE Color-Yellow Appear-Hazy Sp [**Last Name (un) **]-1.026 [**2135-12-10**] 01:45PM URINE Blood-LG Nitrite-NEG Protein-100 Glucose-TR Ketone-TR Bilirub-SM Urobiln-NEG pH-5.0 Leuks-SM [**2135-12-10**] 01:45PM URINE RBC-21-50* WBC-[**11-24**]* Bacteri-MANY Yeast-NONE Epi-0-2 [**2135-12-11**] 04:41PM URINE Color-Yellow Appear-Clear Sp [**Last Name (un) **]-1.019 [**2135-12-11**] 04:41PM URINE Blood-MOD Nitrite-NEG Protein-TR Glucose-NEG Ketone-TR Bilirub-SM Urobiln-NEG pH-5.0 Leuks-TR [**2135-12-11**] 04:41PM URINE RBC-[**6-14**]* WBC-[**3-9**] Bacteri-MOD Yeast-NONE Epi-0 MICRO: Blood CX: [**12-1**], [**12-1**], [**12-10**], [**12-10**], [**12-10**], [**12-10**]: NO GRWOTH [**12-14**], 12,10: NGTD Urine Cx: [**12-2**], [**12-7**], [**12-10**], [**12-11**] NO GROWTH [**12-2**]: TTE The left atrium is moderately dilated. There is mild symmetric left ventricular hypertrophy. The left ventricular cavity is moderately dilated. There is severe global left ventricular hypokinesis (LVEF = 25 %). No masses or thrombi are seen in the left ventricle. There is no ventricular septal defect. The right ventricular cavity is mildly dilated with mild global free wall hypokinesis. The aortic root is mildly dilated at the sinus level. The ascending aorta is mildly dilated. The aortic valve leaflets (3) are mildly thickened. There is a minimally increased gradient consistent with minimal/mild aortic valve stenosis. Trace aortic regurgitation is seen. The mitral valve leaflets are mildly thickened. Moderate (2+) mitral regurgitation is seen. The tricuspid valve leaflets are mildly thickened. There is moderate pulmonary artery systolic hypertension. There is no pericardial effusion. Compared with the prior study (images reviewed) of [**2134-6-8**], the LVEF appears slightly lower. [**12-1**] CXR: IMPRESSION: Limited evaluation due to low inspiratory volumes. Retrocardiac opacity may represent atelectasis but developing infection is not excluded. A dedicated PA and lateral views of the chest are recommended when the patient is able to take a better inspiration for further evaluation of the lung bases. [**12-2**] CXR IMPRESSION: Cardiomegaly without evidence of pulmonary edema or focal infiltrate to suggest pneumonia. Bibasilar atelectasis. Unchanged retrocardiac opacity likely reflective of a moderate-to-large hiatal hernia. When clinically feasible, this can be better evaluated with dedicated repeat PA and lateral radiographs. [**12-10**] CXR This film is somewhat obscured by motion. There are patchy alveolar opacities that have increased compared to the prior study and retrocardiac opacity has probably increased as well. The findings are suggestive of increased pulmonary edema although an infectious etiology cannot be totally excluded. There is a right IJ line with tip in the SVC/RA junction. [**12-9**] AV Fistula PFI: Left AV fistulogram demonstrated mild stenosis at the proximal venous portion of the cephalic vein and mild stenosis at the distal portion of the cephalic vein near the anastomosis site. Balloon dilation at both stenosis sites with both stenoses resolved and improved flow. Brief Hospital Course: 88 year old male with a history of CAD s/p CABG, CHF (EF 25%), ESRD newly initiated on [**Hospital **] transferred to the ICU with hypoxia, pulmonary edema, and lactic acidosis. . #Dyspnea/ Hypoxia: Mr. [**Known lastname 97237**] was initially admitted to [**Hospital1 18**] ICU on [**12-1**] after transfer from an OSH with CHF exacerbation and hypoxia. A repeat ECHO on [**12-2**] showed slight worsening of systolic function (EF 25%). He was treated with a lasix gtt (due to borderline low blood pressures), and was weaned to nasal cannula. He was transferred to the Cardiology service on [**12-3**]. While on the Cardiology service he was transitioned to bolus diuretics and was responding well to lasix 60 mg IV BID and metolazone 5 mg po BID with I/Os 1-1.5 L negative per day. . It was eventually decided to initiate HD during this hospital admission. He had a fistulogram performed [**12-9**] and also had a tunnelled R IJ HD catheter placed and he had his first run of HD without ultrafiltration. In the setting of HD initiation it was requested that his diuretics be held so he did not receive lasix or metolazone yesterday. The patient became acutely SOB on [**12-10**] in the morning. O2 sats were in the mid-80s on nasal cannula and improved to 90% on [**Month/Day (4) 597**]. Prior to episode, patient was hypertensive with SBP 160 and was tachycardic on telemetry as high as 140s. CXR c/w pulmonary edema. ABG showed 7.20/55/77 with a lactate of 7.4. The patient's venous lactate was repeated and was 6.2. The patient also had a leukocytosis of 12.8. Blood cultures were sent and the patient got a 1gm of Vancomycin. The patient had a new AG of 21. Cardiac enzymes were eventually negative x3 (elevated Trop, but flat CK in the setting of renal failure). He received albuterol and atrovent nebulizers, 80 mg of IV lasix, and 1 inch of nitropaste with improvement. . The patient had HD again on [**12-10**] w/ 1.5kg removed and weaned to home CPAP overnight and 3L NC in the morning. His AG improved and lactate normalized. The patient's WBC trended down to 9.7. The patient's UA was also postive and he was started on cipro, but urine cx were negative and cipro was discontinued. The patient was transferred back to the floor on [**12-11**] on 3L NC. He continuned dialysis with fluid removal and was able to be weaned to back to room air on [**12-14**]. The patient's repiratory status improved and he was discharged on [**12-16**]. His home lasix was held secondary to low blood pressure and having fluid removed at dialysis and he should be followed up as an outpatient regarding reinitiation. . # ESRD: It was eventually decided to initiate HD during this hospital admission. He had a fistulogram performed [**12-9**] and also had a tunnelled R IJ HD catheter placed and he had his first run of HD on [**12-9**] without ultrafiltration. On [**12-10**] the patient again had HD with 1.5L removed. The patient continued to have HD with fluid removal and his respirtroy status improved. He had hepatitis serologies performed and were negative. Additionally, he had a PPD placed that was also negative. The patient continuned HD and was closely followed by the renal team. He was setup with outpatient HD M/W/F. His last HD session prior to discharge was [**12-16**] and will have outpatient HD on Monday, [**12-9**]. # anion gap metabolic acidosis: The patient was transferrred to the ICU on [**12-10**] with elevated lactate. There was no clear source of the new lactic acidosis. The patient also had a newly elevated WBC count but not left shifted so could have been a stress response from pulmonary edema. The patient did receive vancomycin 1 gram per HD protocol to cover for possible bacteremia from line placement, but blood cultures were negative. However, the patient's lactate rapidly closed and leukocytosis resolved. . # CHF: The patient had an ECHO that showed his EF 25% down from 30-40%. Please see above. The patient was restarted on metoprolol 6.25mg [**Hospital1 **], but was limited by his low blood pressure. Additionally, his ACE-I was attempted to be restarted, but his blood pressures could not tolerate. . # AF: The patient has been on coumadin, but was held for his HD line placement. His coumadin was restarted on his home dose on [**12-11**] (INR 1.2) . The patient's INR continued to trend upward and was therapeutic on discharge. He was continued on his home dose of 4.5mg daily at dischage. The was also continued on metoprolol 6.25mg [**Hospital1 **] for rate control, but the dose was limited by low blood pressures. . # DM2: The patient was continued on his home NPH dose of 15U in the AM and 30U in the PM. His blood sugars were well controlled, however he did have an episode of asymptomatic hypoglycemia with a AM glucose of 44, repeat FS showed 64 on [**12-15**]. He was given juice and crackers. The patient's PM NPH dose was adjusted to 25U and was titrated back to 28U on discharge given mildly elevated AM sugars 194. He was followed with QID FS and ISS during his stay. . # CAD: s/p CABG. On [**12-10**] the patient had cardiac enzymes drawn that were eventually negative x3 (elevated Trop, but flat CK in the setting of renal failure). He also did not have compliants of chest pain or EKG changes. The patient also had an episode of chest pain on [**12-15**] after working with PT. The episode resolved spontaneously and no EKG changes and CE x1 were negative. The patient was continued on ASA and his BB. The patient remained chest pain free at discharge. . # FEN: cardiac, renal diet . # PPx: coumadin, bowel regimen . # ACCESS: R tunnelled HD catheter, PIV x2 . # Code: DNR/DNI, confirmed with patient Medications on Admission: Lipitor 10 mg once a day Zemplar 1 mcg once a day Aranesp 60 mcg/0.3 mL s/c once a week Humulin N 100 unit/mL Susp, Sub-Q Inj 15 u in the AM and 30 u in the PM, humalog 4 U prior to dinner Aspirin [**Hospital1 1926**] 81 mg once a day Allopurinol 200 mg once a day Furosemide 80 mg twice a day Enalapril Maleate 40 mg once a day Cozaar 100 mg once a day Ferrous Gluconate 324 mg once a day Warfarin 4.5 mg once a day Toprol XL 50 mg once a day Discharge Medications: 1. Allopurinol 100 mg Tablet Sig: One (1) Tablet PO EVERY OTHER DAY (Every Other Day). 2. Aspirin 81 mg Tablet, Chewable Sig: One (1) Tablet, Chewable PO DAILY (Daily). 3. Ferrous Gluconate 325 mg (37.5 mg Iron) Tablet Sig: One (1) Tablet PO DAILY (Daily). 4. Atorvastatin 10 mg Tablet Sig: One (1) Tablet PO DAILY (Daily). 5. Acetaminophen 325 mg Tablet Sig: 1-2 Tablets PO Q6H (every 6 hours) as needed for pain/fever. 6. Docusate Sodium 100 mg Capsule Sig: One (1) Capsule PO BID (2 times a day). Disp:*60 Capsule(s)* Refills:*2* 7. Sevelamer Carbonate 800 mg Tablet Sig: One (1) Tablet PO TID W/MEALS (3 TIMES A DAY WITH MEALS). 8. Senna 8.6 mg Tablet Sig: One (1) Tablet PO BID (2 times a day). Disp:*60 Tablet(s)* Refills:*2* 9. B Complex-Vitamin C-Folic Acid 1 mg Capsule Sig: One (1) Cap PO DAILY (Daily). 10. Metoprolol Tartrate 25 mg Tablet Sig: 0.25 Tablet PO BID (2 times a day). Disp:*15 Tablet(s)* Refills:*2* 11. Metoclopramide 10 mg Tablet Sig: 0.5 Tablet PO TID W/MEALS (3 TIMES A DAY WITH MEALS) as needed for nausea. Disp:*45 Tablet(s)* Refills:*0* 12. Warfarin 1 mg Tablet Sig: 4.5 Tablets PO Once Daily at 4 PM. 13. Insulin NPH Human Recomb 100 unit/mL Cartridge Sig: as directed Subcutaneous twice a day: 15U in the AM 28U in the PM. 14. Humalog 100 unit/mL Solution Sig: Four (4) U Subcutaneous prior to dinner. 15. Zemplar 1 mcg Capsule Sig: One (1) Capsule PO once a day. Discharge Disposition: Home With Service Facility: [**Hospital3 **] VNA Discharge Diagnosis: Primary Diagnosis: 1. Acute on chronic renal failure (Stage IV) 2. Chronic systolic congestive heart failure 3. Respiratory distress Secondary Diagnosis: 1. Coronary artery disease status post coronary artery bypass grafting in [**2123**]. 2. Hypertension. 3. Hyperlipidemia. 4. Chronic venous stasis 5. Type 2 Diabetes Discharge Condition: Stable. Breathing comfortably. Discharge Instructions: You were admitted for shortness of breath. This was caused by worsening of your kidney function. You received diuretics during your admission that helped with your breathing. You also were initiated with hemodialysis during your hospitalization. Unless otherwise indicated, you should resume all of your home medications as presribed. It is very important that you take your medications as prescribed. Please Stop: 1) Enalapril Maleate 40mg daily 2) Cozaar 100mg daily 3) Toprol XL 50mg daily New Medications: 1) Metoprolol 6.25mg [**Hospital1 **] 2) Metoclopramide 5mg po TID w/meals 3) Docusate 100mg [**Hospital1 **] 4) Senna 1 tab [**Hospital1 **] Please keep all your medical appointments. If you develop chest pain, shortness of breath, or any other concerning symptoms, please call your PCP or go to your local Emergency Department immediately. Followup Instructions: Provider: [**First Name4 (NamePattern1) **] [**Last Name (NamePattern1) 3707**] [**Telephone/Fax (1) 2205**]. Appointment: [**12-20**]. (Tues) 3:30pm Provider: [**First Name8 (NamePattern2) **] [**Last Name (NamePattern1) 2540**], RN Phone:[**Telephone/Fax (1) 435**] Date/Time:[**2135-12-28**] 11:00 Provider: [**First Name11 (Name Pattern1) **] [**Last Name (NamePattern4) 1244**], MD Phone:[**Telephone/Fax (1) 1237**] Date/Time:[**2136-1-17**] 3:00 Provider: [**Name10 (NameIs) **] [**Last Name (NamePattern4) 6559**], MD Phone:[**Telephone/Fax (1) 62**] Date/Time:[**2136-2-24**] 1:40 [**Name6 (MD) 251**] [**Name8 (MD) **] MD [**MD Number(1) 910**] Completed by:[**2135-12-18**] ICD9 Codes: 5849, 2762, 5990, 5856, 4280, 2724, 2767
{ "dataset_link": "https://huggingface.co/datasets/ricardosantoss/ehrcomplete_icdfiltered", "dataset_name": "ehrcomplete-icdfiltered", "id": 8182 }
Medical Text: Admission Date: [**2101-10-4**] Discharge Date: [**2101-10-7**] Date of Birth: [**2043-6-3**] Sex: F Service: General Surgery HISTORY OF PRESENT ILLNESS: This is a 58 year-old woman with chronic pancreatitis, status post multiple abdominal surgeries who presented disoriented. Her History of Present Illness is obtained from her son. Apparently the patient was in her usual state of health until five days prior to presentation when she started having nausea and vomiting of unclear frequency. She was also noted to have decreased appetite and increased weakness to the point where she couldn't ambulate with assistance. She was found to be short of breath on the day of admission. Abdominal pain is unknown and whether se was having gas or not was unknown. The patient denies diarrhea, fever, chills, cough, urinary symptoms, headaches, photophobia but due to this weakness is brought to the operating room. In the Emergency Room she was confused, was afebrile with a heart rate of 90 and blood pressure of 110/70 initially. Her blood pressure then dropped into the 70s and she was noted to have a very tender abdomen. She was given 2 liters of fluid and started on a Dopamine drip. She was admitted to the Medical Service in the Intensive Care Unit. PAST MEDICAL HISTORY: Includes [**Doctor Last Name 14837**] Roux-en-Y in [**2096**], a laparoscopic cholecystectomy in [**2097**], a sphincterotomy in [**2099**], splenectomy in [**2079**] secondary to motor vehicle accident, an appendectomy, a right carotid endarterectomy in [**2099**] and an aorto-[**Hospital1 **]-femoral graft placement which was revised secondary to infection and replacement with an ex [**Hospital1 **]-femoral. She also had chronic pancreatitis, coronary artery disease with an ejection fraction of 45 percent, an AICD placement in [**2100-1-13**], gastroesophageal reflux disease, history of deep venous thrombosis in [**2096**], hypercholesterolemia and migraines. Her medications at home included Coumadin, Prilosec, Creon, Atenolol, Celebrex and folic acid. She was an active smoker but denies alcohol. FAMILY HISTORY: Her sister died of liver cancer and her father died of an myocardial infarction at an unknown age. On the evening of admission the medical Intensive Care Unit staff consulted surgery for question of abdominal process. When she was seen by surgery she was 99.5 with a heart rate of 100, blood pressure of 70/21 on Dopamine at 10 and she was markedly acidotic with a bicarbonate of 15 and a base deficit of 7. She was awake but confused. Her abdomen was soft, distended and diffusely tender, left greater than right side. She had perfusion tenderness and guarding and she had gross blood and stool in the rectal vault. Her white count is 16.6. Her hematocrit had fallen from 30 to 28, platelets 268. Her PT was 22.5, PTT 63 and INR of 3.5. Chem-7 135/4.0, 100/16, 11/1.1 and 58. Her urinalysis was positive for nitrites, had 11 to 20 white cells and many bacteria. Her ALT was 21, AST 59, alk phos 291 and total bilirubin .6 and amylase of 11, lipase of 16 and lactate level of 3.2. Her CK was 966. She underwent an abdominal CT which showed portal venous air and apparently a right colon that was thickened mid transverse colon consistent with colonic ischemia. She also had pneumatosis. She was therefore diagnosed with likely dead bowel and taken to the operating room where she underwent exploratory laparotomy and found to have dense adhesions and a frankly necrotic sigmoid and proximal rectum. She underwent left sigmoid resection and transverse colostomy and underwent extensive lysis of adhesions. She was then admitted to the Surgical Intensive Care Unit in critical condition. She was initially maintained on a Levophed drip and received 4 units of packed cells and 4 of fresh frozen plasma over her first day. She was given Levophed and Flagyl for antibiotics. She was maintained with extreme acidosis with base deficit in the 10 - 11 range. On postoperative day one her platelets fell to 28 and her abdomen was very distended with drains pouring out serosanguinous fluid. A bladder pressure was obtained with a question of abdominal compartment syndrome. This was found to be 19 and at that time she had systolic blood pressure of 119 so no further treatment was required for that. By postoperative day two she had deteriorated and required a change of pressors from Levophed to dobutamine secondary to a low cardiac index. She was also placed on Pitressin with these maintaining her blood pressure in the 80/60 range. Her next problem area was oxygenation with worsening oxygenation over the night and a low pO2 of 36 with improvement of pO2 in the 50's on pressure control once she was paralyzed and sedated. She received 8 more units of fresh frozen plasma over the night of postoperative day number two to treat elevated coags. Discussion was undertaken on postoperative day number two with her sons given her worsening clinical status, her worsening acidosis. At this point her lactate was 17 and her sons made it clear that they did not want to continue treatment and elected for comfort measures only status when the pressors were withdrawn. The patient died quickly. DISPOSITION: Death. [**First Name8 (NamePattern2) 251**] [**Name8 (MD) **], M.D. [**MD Number(1) 4984**] Dictated By:[**Last Name (NamePattern1) 7589**] MEDQUIST36 D: [**2101-10-7**] 12:55 T: [**2101-10-11**] 14:44 JOB#: [**Job Number 14838**] ICD9 Codes: 5849, 4019, 2720
{ "dataset_link": "https://huggingface.co/datasets/ricardosantoss/ehrcomplete_icdfiltered", "dataset_name": "ehrcomplete-icdfiltered", "id": 8183 }
Medical Text: Admission Date: [**2163-3-5**] Discharge Date: [**2163-3-9**] Date of Birth: [**2163-3-5**] Sex: M Service: NB DISCHARGE DIAGNOSIS: Premature twin A, 33 weeks gestation. HISTORY OF PRESENT ILLNESS: [**Known firstname **] [**Known lastname 59015**] is the [**2068**]-gram product of a 33-week IVF-twin gestation born to a 41-year-old gravida 3, para 1 now 2, living 3 female. Her prenatal screens revealed she is O positive, hepatitis B surface antigen negative, RPR nonreactive, rubella immune, and group B Strep status was unknown. Pregnancy was otherwise unremarkable. Because of preterm labor, mom was allowed to deliver. She delivered twin A by spontaneous vaginal delivery with Apgars of 9 and 9. Twin had to be delivered by cesarean section for transverse lie. Infant was admitted to the [**Hospital3 **] Special Care Nursery. PHYSICAL EXAMINATION ON ADMISSION: Physical exam on admission revealed a pink, active infant in room air, and no murmur heard. Blood cultures and CBC were sent. Dextrostick 62. PROBLEMS DURING HOSPITAL STAY: Respiratory: Infant remained in room air throughout the hospital course with a rare episode of apnea and bradycardia of prematurity. Cardiac: There were no cardiac issues. Infectious disease: Infant had initial CBC with a WBC count of 9.6, 16 polys, 0 bands, and 68 lymphocytes with 298 platelets and 57.8 hematocrit. Ampicillin and gentamicin were begun, and at 48 hours with negative cultures, the antibiotics were discontinued. Feeding and nutrition: At the time of transfer, the infant is on 100 cc/kg of mother's milk, Special Care 20, mostly pg, but occasional p.o. partial feedings. His weight at the time of transfer was grams. Hematologic: Initial hematocrit was 57.8. His initial bilirubin on [**3-8**] was 8.5 and on [**3-9**] was Parents would like the babies to be transferred closer to home, and for this reason, they are being moved to [**Hospital3 **]. They will be in the care of Dr. [**Last Name (STitle) 59016**] on the Special Care Nursery. Upon discharge, they will be followed up at [**Hospital1 **] [**Hospital1 3494**] Center by Dr. [**Last Name (STitle) 59017**]. DR.[**Last Name (STitle) **],[**First Name3 (LF) **] 50-393 Dictated By:[**Last Name (NamePattern1) 56049**] MEDQUIST36 D: [**2163-3-8**] 09:45:50 T: [**2163-3-8**] 10:10:06 Job#: [**Job Number 59018**] ICD9 Codes: V290
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Medical Text: Admission Date: [**2119-9-10**] Discharge Date: [**2119-9-15**] Date of Birth: [**2065-7-31**] Sex: M Service: MEDICINE Allergies: No Known Allergies / Adverse Drug Reactions Attending:[**First Name3 (LF) 613**] Chief Complaint: respiratory distress Major Surgical or Invasive Procedure: Right internal jugular line ([**9-10**]) History of Present Illness: 53 yo M w/ h/o Down's syndrome, non-verbal at baseline, hypothyroidism, cataracts, dysphagia s/p G-tube, h/o aspiration pna's, hypoNa on 4Lnc QHS who presents w/ cough and hypoxia from group home. Per report, patient with acute on chronic cough found to desat to 88% on RA this AM. Looked as if he were in respiratory distress. Per OMR had been empirically treated for pna back in [**6-/2118**] w/ multiple notes documenting cough. In the ED, initial VS were: 98.2 74 92/50 28 100% nrb. Tmax 100.2. On exam +crackles L>R. Labs notable for Na 129, Cl 93, HCO3 28, BUN 11, Cr 0.8, Glu 114, Lactate 1.4, UA neg leuk/nitr/3wbc/neg bact/epis O, wbc 7.2, HCT 41.3, plt 313. CXR: gastric distention, bibasilar atelectasis. He received ceftriaxone and levo, vanc, and Flagyl, 1LNS. A right IJ was placed and followup chest x-ray showed small right upper lobe pneumothorax. On the floor, Abx were narrowed to Zosyn. He became hypotensive to 76/doppler, thick secretions on nasotracheal suctioning and increased work of breathing. Mentation was unchanged during event and held his sats at 100% on 3LNC. CXR showed new pneumothorax and bilateral infiltrates. He received albuterol/impratropium and 500cc NS, pressures improved to 83/doppler. He was transferred to the MICU for hypotension. On arrival to the MICU, the patient is lethargic, awakens to sternal rub, does not interact. Not in acute distress. Past Medical History: Down's syndrome, non-verbal at baseline -Alzheimer's -B12 deficiency -hypothyroidism -cataracts, legally blind -dysphagia s/p G-tube -h/o aspiration pna's -h/o DVT -h/o cdiff Social History: Lives in a group home, brothers very involved with care. Family History: No memory disorders Physical Exam: General: Lethargic, arouses to sternal rub, no acute distress HEENT: Pupils equal, round and reactive Neck: No LAD CV: Regular rate and rhythm, no murmurs Lungs: No accessory muscle use, no retractios. Good air movement. Diffuse ronchi throughout. Abd: Soft, Gtube site c/d/i, normoactive BS, nontender nondistended GU: Foley in place Ext: warm, well perfused, 2+ pulses pedal pulses, no clubbing, cyanosis or edema Pertinent Results: Admission Labs: [**2119-9-10**] 11:02PM URINE HOURS-RANDOM UREA N-59 CREAT-7 SODIUM-127 POTASSIUM-11 CHLORIDE-126 [**2119-9-10**] 11:02PM URINE OSMOLAL-291 [**2119-9-10**] 11:02PM URINE BLOOD-NEG NITRITE-NEG PROTEIN-NEG GLUCOSE-NEG KETONE-NEG BILIRUBIN-NEG UROBILNGN-NEG PH-6.5 LEUK-NEG [**2119-9-10**] 10:32PM GLUCOSE-96 UREA N-6 CREAT-0.5 SODIUM-135 POTASSIUM-3.4 CHLORIDE-99 TOTAL CO2-31 ANION GAP-8 [**2119-9-10**] 10:32PM CALCIUM-7.9* PHOSPHATE-2.6* MAGNESIUM-1.8 [**2119-9-10**] 10:32PM TSH-3.0 [**2119-9-10**] 10:32PM WBC-5.9 RBC-3.55* HGB-12.5* HCT-36.9* MCV-104* MCH-35.3* MCHC-33.9 RDW-13.3 [**2119-9-10**] 10:32PM PLT COUNT-262 [**2119-9-10**] 09:07AM LACTATE-1.4 [**2119-9-10**] 08:55AM GLUCOSE-114* UREA N-11 CREAT-0.8 SODIUM-129* POTASSIUM-4.4 CHLORIDE-93* TOTAL CO2-28 ANION GAP-12 [**2119-9-10**] 08:55AM WBC-7.2# RBC-3.99* HGB-14.0 HCT-41.3 MCV-104* MCH-35.2* MCHC-34.0 RDW-12.9 [**2119-9-10**] 08:55AM NEUTS-79.7* LYMPHS-13.4* MONOS-4.5 EOS-1.5 BASOS-0.9 [**2119-9-10**] 08:55AM PLT COUNT-313 [**Hospital3 **]: [**2119-9-12**] 06:36AM BLOOD Albumin-2.9* Calcium-7.9* [**2119-9-10**] 10:32PM BLOOD TSH-3.0 [**2119-9-11**] 03:28AM BLOOD Cortsol-11.9 [**2119-9-13**] 05:13AM BLOOD Vanco-24.9* [**2119-9-13**] 09:58PM BLOOD Vanco-19.8 Discharge Labs: [**2119-9-15**] 05:50AM BLOOD WBC-5.4 RBC-3.71* Hgb-13.1* Hct-39.9* MCV-108* MCH-35.2* MCHC-32.8 RDW-12.9 Plt Ct-264 [**2119-9-15**] 05:50AM BLOOD Glucose-94 UreaN-7 Creat-0.9 Na-138 K-4.2 Cl-97 HCO3-31 AnGap-14 Microbiology: [**2119-9-14**] SPUTUM GRAM STAIN-FINAL; RESPIRATORY CULTURE-FINAL; FUNGAL CULTURE-PRELIMINARY [**2119-9-10**] URINE Legionella Urinary Antigen - FINAL [**2119-9-10**] URINE CULTURE - FINAL [**2119-9-10**] MRSA SCREEN - POSITIVE FOR METHICILLIN RESISTANT STAPH AUREUS [**2119-9-10**] BLOOD CULTURE - PENDING Imaging: CXR [**2119-9-10**]: Two frontal radiographs were obtained. Lung volumes are low. There is no focal consolidation, large effusion, or pneumothorax. There are no abnormal cardiac or mediastinal contours. Basilar atelectasis is noted. CXR [**2119-9-11**]: As compared to the previous radiograph, there is increasing radiodensity in the right lung, predominating in the right upper lobe. Developing pneumonia cannot be excluded. CXR [**2119-9-14**]: As compared to the previous radiograph, the current image is taken in a highly rotated patient position. As a result, hyperlucency of the left lung apex without definite signs of pneumothorax is seen. The pre-existing opacity at the right lung apex is unchanged. Lung volumes have minimally decreased, but the pre-existing signs suggesting fluid overload have decreased. No evidence of pleural effusions, interposition of colon between the liver and the abdominal wall. Unchanged position of the right internal jugular vein catheter. Unchanged appearance of the cardiac silhouette. CXR [**2119-9-15**]: The lungs are now clear. Right upper lobe opacity has completely resolved. There is only minimal bibasilar atelectasis. Right jugular line ends in upper SVC. Mediastinal and cardiac contours are normal. No significant pleural effusions or pneumothorax. CT Head without contrast [**2119-9-15**]: pending at time of discharge Brief Hospital Course: SUMMARY: 54 yo M w/ h/o Down's syndrome, non-verbal at baseline, hypothyroidism, dysphagia s/p G-tube, h/o aspiration pna's, hypoNa on 4Lnc QHS who presents w/ cough and hypoxia from group home. # Hypotension: Blood pressure on the floor dropped to 92/50 and he was transferred to the MICU where his blood pressure responded to fluid boluses (total 3L). The etiology of his hypotension is likely secondary to acute infection. On CXR he has a possible right lobe infiltrate that could represent infection, pneumonitis or pulmonary edema. He was started on IV Vanc and Zosyn for coverage of healthcare associated pneumonia since he lives in a group home. At the time of discharge, his blood pressure was at baseline (100s/80s) and did not require pressors. # Respiratory Distress: Initially hypoxic to 88% at group home. No evidence of CHF by exam or CXR. No history of CHF in past. Could be secondary to infiltrate in right lobe that could represent pneumona, pneumonitis or pulmonary edema. EKG did not have any ischemic changes. On [**9-10**] patient had RIJ placed and follow up CXR showed small pneumothorax but there was no change in the patient's respiratory status. He was put on supplemental oxygen, and on [**9-11**] CXR showed resolution of the pneumothorax. He was discharged on a total 14 day course of antibiotics for his presumed HCAP, due to complete [**9-24**]. At the time of discharge, his oxygen saturation was high 90s on 2L nasal cannula. # pulmonary edema: No cardiac history, but patient developed findings c/w pulmonary edema on CXR after minimal fluids. EKG was unconcerning. # Seizure Disorder: Etiology unclear. Myoclonic jerks observed after transfer from MICU to the floor, and EEG showed seizure activity. His home Keppra was increased to 1.5g [**Hospital1 **]. # HypoNa: Chronic per facility records, though hypovolemic this admission. Resolved with fluid resuscitation. # Down's syndrome, non-verbal at baseline: Per NH at baseline. Given his lack of responsiveness, head imaging was performed to ensure lack of new pathology. # Hypothyroidism: Continued on home synthroid. TSH was normal. # Social: Over the last few months that patient's health has been declining and he was made DNR/DNI by HCP (brother). Currently in discussion with PCP about making [**Name9 (PRE) 3225**] and moving to hospice care. During this admission a meeting with the patient's group home, DMH case worker, [**Hospital1 18**] social work and case management, [**Hospital 18**] medical staff, and the patient's two brothers was held to discuss his prognosis and goals of care. The medical team stated that the patient's overall life expectancy is in the range of months, but that this could be much shorter if he has an acute respiratory event. He will continue to aspirate and may continue to have infections. However, treating these infections may require him to remain in a hospital, which his family agrees is not the best setting for his comfort. His brothers recognized that moving to hospice/DNH and taking him back to the group home would improve his quality of life, but they were concerned that this might shorten his overall lifespan. After discussion of the options, they decided to complete this course of antibiotics (2 weeks) and then plan to return him to the group home. They recognized that this course of treatment may not provide him any long-term benefit, and that he could die while undergoing the treatment. They stated that they would consider a DNH order after this current course of antibiotics. FOLLOW-UP ISSUES 1. Please follow up on his blood cultures and sputum cultures. They were pending at the time of discharge. 2. Please evaluate for evidence of seizure-like activity. At the time of discharge, he was having occasional myoclonic jerks that did not correspond to epileptiform discharges on EEG. He may need an EEG at a future time. 3. Please check his sodium and fluid balance, as he presented initially with hyponatremia, likely secondary to dehydration. 4. Patient tested positive for MRSA, and should be on contact precautions. 5. Head CT read pending on discharge, may show signs of subacute pathology that changes his overall prognosis. 6. IV Zosyn and vancomycin planned 14 day course through [**9-24**], however this may be adjusted by the patient's response and clinical situation. Medications on Admission: - Acetaminophen 650 mg PO Q4H:PRN Pain/Fever - Atropine Sulfate 1% 2 DROP SL Q4H:PRN Secretions - Bacitracin Ointment 1 Appl TP [**Hospital1 **]:PRN open wounds - Bisacodyl 10 mg PO/PR DAILY:PRN constipation - Denta 5000 Plus *NF* (sodium fluoride) 1.1 % Dental [**Hospital1 **] - Fleet Enema 1 Enema PR DAILY:PRN constipation - Haloperidol 0.5-1 mg NG Q4H:PRN agitation - Kaopectate (bismuth subsalicy) *NF* (bismuth subsalicylate) - LeVETiracetam 500 mg PO QAM - LeVETiracetam 1000 mg PO QPM - Levothyroxine Sodium 88 mcg PO/NG QAM - Lorazepam 0.5 mg PO/NG Q4H:PRN Anxiety - Milk of Magnesia 30 mL NG PRN constipation - Multivitamins 5 mL PO/NG DAILY - Neutra-Phos 1 PKT PO BID - OxycoDONE (Immediate Release) 5 mg PO Q4H:PRN Pain/Shortness of Breath - Simethicone 40 mg PO Q4H Discharge Medications: 1. Acetaminophen 650 mg PO Q4H:PRN Pain/Fever 2. Bacitracin Ointment 1 Appl TP [**Hospital1 **]:PRN open wounds Apply to open wounds on coccyx and buttocks 3. Bisacodyl 10 mg PO/PR DAILY:PRN constipation 4. Fleet Enema 1 Enema PR DAILY:PRN constipation If dulcolax not effective 5. Haloperidol 0.5-1 mg NG Q4H:PRN agitation Via G tube 6. LeVETiracetam 1500 mg PO BID 7. Levothyroxine Sodium 88 mcg PO QAM Via G tube 8. Lorazepam 0.5 mg PO Q4H:PRN Anxiety Via G tube 9. Milk of Magnesia 30 mL PO PRN constipation If no BM for 3 days. Give via G tube 10. Multivitamins 5 mL PO DAILY Via G tube 11. OxycoDONE (Immediate Release) 5 mg PO Q4H:PRN Pain/Shortness of Breath 12. Simethicone 40 mg PO Q4H 13. Denta 5000 Plus *NF* (sodium fluoride) 1.1 % Dental [**Hospital1 **] 14. Kaopectate (bismuth subsalicy) *NF* (bismuth subsalicylate) 262 mg/15 mL Oral QD:PRN diarrhea Per G tube 15. Neutra-Phos 1 PKT PO BID 16. Atropine Sulfate 1% 2 DROP SL Q4H:PRN Secretions 17. Vancomycin 1000 mg IV Q 12H RX *vancomycin 500 mg 1000mg IV twice a day Disp #*44 Each Refills:*0 18. Piperacillin-Tazobactam 4.5 g IV Q8H RX *piperacillin-tazobactam 4.5 gram 4.5mg IV every 8 hours Disp #*33 Each Refills:*0 19. Ipratropium Bromide Neb 1 NEB IH Q6H wheezing, dyspnea RX *ipratropium bromide 0.2 mg/mL (0.02 %) 1 NEB Every six hours Disp #*15 Each Refills:*1 20. Albuterol 0.083% Neb Soln 1 NEB IH Q6H:PRN dyspnea, wheezing RX *albuterol sulfate 2.5 mg/3 mL (0.083 %) 1 NEB Every six hours Disp #*15 Each Refills:*1 Discharge Disposition: Extended Care Facility: [**Hospital3 105**] - [**Location (un) 86**] Discharge Diagnosis: Primary: - Aspiration pneumonia Secondary: - hypvolemia - Hypotension - Hyponatremia - Seizure disorder - Down's syndrome - Alzheimer's dementia Discharge Condition: Mental Status: Confused - always. Level of Consciousness: Lethargic and not arousable. Activity Status: Out of Bed with assistance to chair or wheelchair. Discharge Instructions: Dear Mr. [**Known lastname 3291**], It was a pleasure taking care of you in the hospital. You were admitted for shortness of breath, and were found to have an infection of your lungs from chronic aspiration. You were treated with IV antibiotics and regular suctioning of oral secretions, and your breathing improved. Your blood pressure was also occasionally low, and received IV fluids. You were found to have seizure activity during this hospitalization, and your home doses of keppra was increased. Please start taking the following medications: 1. IV vancomycin 1gm twice a day 2. Piperacillin-Tazobactam 4.5 g IV every 8 hours 3. Albuterol 0.083% Neb Soln every 6 hours as needed for shortness of breath 4. Ipratropium Bromide Neb every 6 hours as needed for shortness of breath Please change the dosing on the following medications: 1. Levetiracetam 1500 mg twice a day Please continue to take your other medications. Followup Instructions: Department: PODIATRY When: MONDAY [**2119-9-18**] at 2:20 PM With: [**First Name11 (Name Pattern1) 3210**] [**Initial (NamePattern1) **] [**Last Name (NamePattern4) **], DPM [**Telephone/Fax (1) 543**] Building: Ba [**Hospital Unit Name 723**] ([**Hospital Ward Name 121**] Complex) [**Location (un) **] Campus: WEST Best Parking: [**Street Address(1) 592**] Garage Department: MEDICAL SPECIALTIES When: THURSDAY [**2120-5-2**] at 2:00 PM With: [**First Name8 (NamePattern2) **] [**Name8 (MD) **], MD [**Telephone/Fax (1) 612**] Building: [**Hospital6 29**] [**Location (un) **] Campus: EAST Best Parking: [**Hospital Ward Name 23**] Garage [**First Name5 (NamePattern1) **] [**Last Name (NamePattern1) **] MD [**MD Number(2) 617**] Completed by:[**2119-9-15**] ICD9 Codes: 5070, 2761, 4589, 2449
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Medical Text: Admission Date: [**2182-5-16**] Discharge Date: [**2182-5-18**] Date of Birth: [**2113-12-5**] Sex: M Service: MEDICINE Allergies: No Known Allergies / Adverse Drug Reactions Attending:[**First Name3 (LF) 14145**] Chief Complaint: Shortness of breath Major Surgical or Invasive Procedure: Pacemaker placement ([**2182-5-17**]) History of Present Illness: 68M with h/o diastolic CHF, bradycardia p/w SOB since this evening, which awoke him from sleep tonight. His symptoms feel like his previous CHF, and he was last admitted ~1.5mos ago for same and noted to be bradycardic at which time his BB was stopped. Currently, he denies cp, fevers, light headedness or leg swelling. . He was admitted for CHF exacerbation [**Date range (1) 34845**] and [**Date range (1) 22380**]. Lasix was increased on this last admission. He was also brady that admission so they stopped his metoprolol. Saw cardiologist two weeks ago who increased lasix from 40mg to 60mg. Tuesday feeling more SOB than normal (even with rest). Last night breathing heavier and brought in at 2am. He thought this was similar to prior CHF exacerbations and therefore presented to the ER. . In the ED, initial VS: 95.8 42 101/35 22 98%. A CXR revealed mild pulmonary edema. He was noted to be in [**Last Name (un) **]. He received atropine x 1. He was given 1 amp of calcium for concern for prolonged QT secondary to hypocalcemia. His bradycardia persisted to the 40s, it was thought to be junctional vs afib per cardiology and he developed hypotension to the 80s, which was asymptomatic. He was then given 1L of fluid with improvement to the high 90s. He refused a rectal guiac. Cr noted to be 2.7 from a baseline of 1.4-1.6. His BNP was 1594 (it was 1362 on [**4-11**] and was 324 in [**2181-12-15**]). Blood cultures were drawn. CXR showed mild congestion. EKG showed slow junctional rhythm. EKG on [**4-12**] was NSR and showed LAD. Echo in [**2174-12-15**] showed EF > 60% and LVH. On transfer to the floors, HR 60's, BP 121/39, Pox 95RA. . On the floor, he denies dizziness. He denies dietary noncompliance and is not sure what his weight has been doing. . ROS: Denies fever, chills, night sweats, headache, vision changes, rhinorrhea, congestion, sore throat, cough, shortness of breath, chest pain, abdominal pain, nausea, vomiting, diarrhea, constipation, BRBPR, melena, hematochezia, dysuria, hematuria. Past Medical History: 1. CARDIAC RISK FACTORS: Diabetes, Dyslipidemia, Hypertension 2. CARDIAC HISTORY: Two stents placed in past. Patient seen by Dr. [**Last Name (STitle) **] and reportedly had a "normal" stress (as per the patient) about 6 months ago. Prescribed nitroglycerin but only uses it twice/year. -CABG: N/a -PERCUTANEOUS CORONARY INTERVENTIONS: In [**2174**], ramus was stented with a 2.5 x 12 mm drug-eluting Taxus stent. In [**2168**], mid LAD was stented with a 3.5 x [**Street Address(2) 104404**] GFX stent. -PACING/ICD: None. 3. OTHER PAST MEDICAL HISTORY: --Prostate cancer --Glaucoma Social History: Used to work for [**Company 25186**]/[**Company 25187**] in the claims department. Is married and likes to travel with his wife. One son who lives in [**Name (NI) 622**]. Smoked 2 PPD for 54 years - recently quit. Has an occasional shot of ETOH on the weekends. Denies illicits. Family History: Mother and grandmother with DM. Mother died of aneurysm and father died of "old age." Physical Exam: ON admission: VS: T Afebrile BP 102/31, HR 46, RR 18, Pox 98RA GENERAL: Well-appearing man in NAD, comfortable, appropriate. HEENT: NC/AT, PERRLA, EOMI, sclerae anicteric, MMM, OP clear. NECK: Supple, JVD slightly elevated. HEART: RRR, no MRG, nl S1-S2. LUNGS: bibasilar rales, good air movement, resp unlabored. ABDOMEN: Soft/NT/ND, no masses or HSM, no rebound/guarding. EXTREMITIES: WWP, no c/c/e, 2+ peripheral pulses. SKIN: No rashes or lesions. NEURO: Awake, A&Ox3, muscle grossly intact . ON discharge: VS: T 98.5 BP (116-158)/49-74, HR 73-91, RR 20, Pox 92-98%RA GENERAL: Well-appearing man in NAD, comfortable, appropriate. HEENT: NC/AT, PERRLA, EOMI, sclerae anicteric, MMM, OP clear. NECK: Supple, JVD slightly elevated. HEART: RRR, no MRG, nl S1-S2. LUNGS: bibasilar rales, good air movement, resp unlabored. ABDOMEN: Soft/NT/ND, no masses or HSM, no rebound/guarding. EXTREMITIES: WWP, no c/c/e, 2+ peripheral pulses. SKIN: No rashes or lesions. NEURO: Awake, A&Ox3, muscle grossly intact Pertinent Results: On admission: . [**2182-5-16**] 03:10AM BLOOD WBC-6.8 RBC-3.79* Hgb-11.6* Hct-36.1* MCV-95 MCH-30.6 MCHC-32.2 RDW-16.1* Plt Ct-239 [**2182-5-16**] 03:10AM BLOOD Neuts-51 Bands-0 Lymphs-42 Monos-7 Eos-0 Baso-0 Atyps-0 Metas-0 Myelos-0 [**2182-5-16**] 03:10AM BLOOD PT-13.2 PTT-22.9 INR(PT)-1.1 [**2182-5-16**] 03:10AM BLOOD Glucose-154* UreaN-82* Creat-2.7*# Na-138 K-4.9 Cl-101 HCO3-22 AnGap-20 [**2182-5-16**] 03:10AM BLOOD cTropnT-0.02* [**2182-5-16**] 03:10AM BLOOD proBNP-1594* [**2182-5-16**] 03:10AM BLOOD Calcium-9.9 Phos-5.3*# Mg-2.4 . CXR: Mild pulmonary congestion . [**5-16**] EKG: Probable junctional rhythm with atrial premature beat. Delayed R wave progression with late precordial QRS transition is non-diagnostic. Since the previous tracing of [**2182-4-12**] probable junctional rhythm has replaced sinus rhythm. . Pacemaker: PPM interrogation AAI-DDD R - 7.3mV, 584 ohms, 1V @ 0.5 ms P - 5.5 mV, 496 ohms, 0.5V@0.5ms . On discharge: [**2182-5-18**] 07:45AM BLOOD WBC-6.4 RBC-3.97* Hgb-12.3* Hct-38.4* MCV-97 MCH-30.9 MCHC-32.0 RDW-16.0* Plt Ct-212 [**2182-5-18**] 07:45AM BLOOD Glucose-117* UreaN-32* Creat-1.4* Na-139 K-4.8 Cl-106 HCO3-22 AnGap-16 . Blood cultures: NGTD Brief Hospital Course: 68M with h/o diastolic CHF, CAD s/p RCA and LAD stents, longstanding DM, and bradycardia p/w SOB since this evening who now has diastolic congestive heart failure, acute kidney injury, and bradycardia. . #) Bradycardia: Noted on last 2 hospital admissions but had been attributed to beta-blocker, which was stopped in [**March 2182**]. On presentation to the ED, HR in 30s-40s showing junctional rhythm with occasional sinus beats. He was given 1 mg atropine in the ED. The patient did complain of intermittent lightheadedness at home. EP was consulted and elected to place a dual chamber pacemaker on [**2182-5-18**]. He is to follow-up in device clinic in 1 week. He was started on Toprol 25 mg per day. . #) Diastolic CHF: Two recent admissions for decompensated CHF in [**Month (only) **] and [**2182-3-15**]. Lasix had recently been increased by his outpatient cardiologist to 60 mg per day. On admission, BNP was elevated to 1594, CXR showed mild congestion, and [**Last Name (un) **] was present. He was given IV Lasix 20 mg on HD#1. His discharge lasix dose was 60 mg per day. . #) CAD: Last stent in [**2174**], currently on ASA 325 and plavix. These were continued. Once pacemaker was place, he was started on metoprolol succinate at 25 mg qday. . #) [**Last Name (un) **]: Creatinine elevated to 2.7 from baseline 1.4-1.6. Likely secondary to poor forward flow in the setting of bradycardia. Creatinine returned to baseline of 1.6 by HD#1 with gentle diuresis. Cr was 1.4 on discharge. . #) Glaucoma: continued eye drops . #) DM: continued novolog and SSI . #) HL: continued atorvastatin . DVT prophylaxis was with subQ heparin. He remained full code. Medications on Admission: 1. Novolog Mix 70-30 100 unit/mL (70-30) Solution , 44units [**Hospital1 **] 2. Actos 45 mg Daily 3. Lipitor 40 mg Daily 4. clopidogrel 75 mg Daily 5. aspirin 325 mg Tablet Daily 6. prednisolone sodium phosphate Ophthalmic 7. Azopt Ophthalmic 8. Travatan Z Ophthalmic 9. Lasix 60 mg Tablet Sig: One (1) Tablet PO once a day. Discharge Medications: 1. Novolog Mix 70-30 100 unit/mL (70-30) Solution Sig: Forty Four (44) units Subcutaneous twice a day. 3. atorvastatin 40 mg Tablet Sig: One (1) Tablet PO DAILY (Daily). 4. clopidogrel 75 mg Tablet Sig: One (1) Tablet PO DAILY (Daily). 5. aspirin 81 mg Tablet, Chewable Sig: One (1) Tablet, Chewable PO DAILY (Daily). 6. travoprost 0.004 % Drops Sig: One (1) Ophthalmic qd (). 7. brinzolamide 1 % Drops, Suspension Sig: One (1) Ophthalmic [**Hospital1 **] (2 times a day). 8. prednisolone sodium phosphate 1 % Drops Sig: One (1) Ophthalmic twice a day. 9. cephalexin 500 mg Capsule Sig: One (1) Capsule PO Q6H (every 6 hours) for 1 days. Disp:*4 Capsule(s)* Refills:*0* 10. metoprolol succinate 25 mg Tablet Extended Release 24 hr Sig: One (1) Tablet Extended Release 24 hr PO DAILY (Daily). Disp:*30 Tablet Extended Release 24 hr(s)* Refills:*1* 11. furosemide 40 mg Tablet Sig: 1.5 Tablets PO once a day. Disp:*45 Tablet(s)* Refills:*0* Discharge Disposition: Home Discharge Diagnosis: Primary Diagnosis 1. Sinus node dysfunction 2. Acute on chronic diastolic heart failure Discharge Condition: Mental Status: Clear and coherent. Level of Consciousness: Alert and interactive. Activity Status: Ambulatory - Independent. Discharge Instructions: You were admitted because you short of breath thought to be due to slow heart rate. You were noted to have abnormal heart rhythm which was thought to be from age associated fibrosis. A pacemaker was implanted to help with your slow heart rate without any complications. . FOLLOWING MEDICATION CHANGES WERE MADE TO YOUR MEDICAL REGIMEN START METOPROLOL SUCCUNATE 25 mg daily DECREASE ASPIRIN to 81 mg by mouth once a day CONTINUE LASIX 60 mg by mouth once a day . Should you experience any symtpoms that concern you after leaving the hospital, please call your cardiologist. Weigh yourself every morning, [**Name8 (MD) 138**] MD if weight goes up more than 3 lbs. . Followup Instructions: Please call your outpatient cardiologist's office on Monday in order to schedule an appointment within 1 week. . Please call Device Clinic at ([**Telephone/Fax (1) 2037**] on Monday in order to schedule a follow-up appointment in 1 week for wound check. Please make an appointment with your primary care physician [**Last Name (NamePattern4) **] [**Telephone/Fax (1) 3581**] within a week. ICD9 Codes: 5849, 2762, 4280, 2724
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Medical Text: Admission Date: [**2159-2-7**] Discharge Date: [**2159-2-12**] Date of Birth: [**2078-6-10**] Sex: F Service: SURGERY Allergies: Penicillins / Ciprofloxacin / Zithromax Attending:[**First Name3 (LF) 6346**] Chief Complaint: Abdominal pain, malaise, fever Major Surgical or Invasive Procedure: None History of Present Illness: 80 year old female on remicade for Ulcerative Colitis (last dose [**1-30**]), presents to the ED with 3 days of malaise, low grade fever to 100.5, anorexia, and mild abdominal pain. She has been having diarrhea, however this is not unusual for her due to her colitis. Denies any urinary symptoms, nausea, vomiting, chest pain, or shortness of breath. Anorexia over the past 2 days. She was seen by her PCP today and her SBP was in the 80's and she was instructed to go to the ED. On arrival, she initially responded to fluid, however her BP continues to run 80's-90's systolic, and she developed crackles on lung exam. She was given Zosyn and Ceftriaxone in ED. Past Medical History: 1. Severe colitis - Thought to be collagenous colitis vs. medication-induced; on Remicade, last infusion in [**10-10**]. Diarrhea with some blood in it at baseline. 2. PE 3. Recurrent UTI 4. Hypertension 5. Anemia 6. Hearing loss 7. Hyperparathyroidism 8. Osteoarthritis. 9. Hypercholesterolemia. 10. Osteoporosis Social History: Married to a physician from [**Name9 (PRE) 112**], 5 grown children. Still active in her own business finding homes for international American medical students. Her husband has retired and is her full-time care-giver. She does not currently have services at home. Family History: Father died of lung ca at 67; mother died of MI at 50 (1st MI in 40s), had eclampsia. Physical Exam: On Admission: VS: 97.4 77 82/53 (95/60 after administration of 2L fluids) 12 99% RA GEN: A&O x 3, NAD HEENT: PERRL, EOMI, anicteric COR: RRR LUNGS: Mild crackles at bilateral bases ABD: Soft, distended, normal bowel sounds, mildly tender suprapubically and in LLQ, no rebound or guarding RECTAL: guiac + EXTREM: LE warm, no edema Pertinent Results: On ADmission: [**2159-2-7**] 08:15AM PT-20.4* INR(PT)-1.9* [**2159-2-7**] 08:15AM PLT COUNT-246 [**2159-2-7**] 08:15AM WBC-20.2*# RBC-4.01* HGB-11.4* HCT-35.6* MCV-89 MCH-28.4 MCHC-31.9 RDW-14.5 [**2159-2-7**] 08:15AM TRIGLYCER-108 HDL CHOL-82 CHOL/HDL-2.4 LDL(CALC)-89 [**2159-2-7**] 08:15AM CALCIUM-9.0 IRON-16* CHOLEST-193 [**2159-2-7**] 08:15AM ALT(SGPT)-11 AST(SGOT)-14 ALK PHOS-93 TOT BILI-0.8 [**2159-2-7**] 08:15AM UREA N-22* CREAT-1.1 SODIUM-133 POTASSIUM-3.9 CHLORIDE-97 [**2159-2-7**] 08:15AM GLUCOSE-108* [**2159-2-7**] 10:00AM CK-MB-NotDone [**2159-2-7**] 10:00AM cTropnT-<0.010 [**2159-2-7**] 10:00AM LIPASE-33 [**2159-2-7**] 10:12AM LACTATE-1.3 [**2159-2-7**] 11:43AM URINE HYALINE-[**4-6**]* [**2159-2-7**] 11:43AM URINE RBC-0-2 WBC-[**7-12**]* BACTERIA-FEW YEAST-NONE EPI-21-50 [**2159-2-7**] 11:43AM URINE BLOOD-SM NITRITE-NEG PROTEIN-25 GLUCOSE-NEG KETONE-TR BILIRUBIN-NEG UROBILNGN-NEG PH-6.5 LEUK-MOD [**2159-2-7**] 08:06PM URINE RBC->50 WBC-0-2 BACTERIA-RARE YEAST-NONE EPI-<1 [**2159-2-7**] 11:43AM URINE COLOR-Yellow APPEAR-Clear SP [**Last Name (un) 155**]-1.012 [**2159-2-7**] 10:03PM CORTISOL-34.1* . IMAGING: [**2159-2-7**] ABD/PELVIC CT W/CONTRAST: 1. Sigmoid diverticulitis and microperforation. Follow up imaging or colonoscopy is recommended after treatment to ensure resolution. 2. Unchanged left adnexal cyst. Second cystic lesion adjacent to the known left adnexal cyst may be a secondary additional cyst, and was present on the prior study. Can consider ultrasound on a non-urgent basis for further evaluation of adnexa. . [**2159-2-7**] CXR: FINDINGS: Cardiac silhouette is enlarged but unchanged from [**2158-3-6**]. The mediastinal contours are unchanged. Atherosclerotic calcifications are once again noted within the thoracic aorta. The lungs appear clear with no evidence of consolidation, pleural effusion or pneumothorax. Degenerative changes are noted within the thoracic spine. IMPRESSION: No acute cardiopulmonary process. . [**2159-2-7**] ECG: Sinus rhythm. Baseline artifact. Non-specific precordial T wave inversion. Compared to the previous tracing of [**2158-3-4**] T wave inversion is new in leads V3-V6. Intervals Axes: Rate PR QRS QT/QTc P QRS T 78 158 74 398/429 51 26 98 . MICROBIOLOGY: [**2159-2-7**] Blood Cx: No growth to date - Prelim. [**2159-2-7**] Urine Cx: Contaminant. [**2159-2-7**] MRSA Screen: Negative. Brief Hospital Course: The patient was admitted to the TSICU from the Emergency Department on [**2159-2-7**] for further evaluation and treatment of sepsis and hypotension. She was made NPO except medications, started on IV fluids and empiric IV Zosyn and Flagyl, and a foley catheter was placed. The patient was hemodynamically stabilized. . Neuro: The patient did not experience any significant pain, and did not require any pain medications during this admission. She remained neurologically intact. . CV: Upon arrival in the ED, the patient's blood pressure was 82/53; after an initial 2 liter IV fluids, her blood pressure increased to 95/60. Anti-hypertensives were held. Further aggressive fluid rescusitation and an infusion of albumin in the TSICU resulted in resolution of the hypotension. Thereafter, the patient remained stable from a cardiovascular standpoint; vital signs were routinely monitored. Home anti-hypertensives were restarted prior to discharge. . Pulmonary: Admission CXR was unremarkable. The patient remained stable from a pulmonary standpoint; vital signs were routinely monitored. Good pulmonary toilet, early ambulation and incentive spirrometry were encouraged throughout hospitalization. . GI/GU/FEN: Upon arrival, the patient was made NPO with IV fluids started. As above, she received aggressive IV fluid rescusitation and a unit of albumin with good effect, and resolution of hypotension. She was started on sips of clears on [**2159-2-9**], which was progressively advanced to a low residue regular diet by [**2159-2-11**] with good tolerability. At midnight on [**2159-2-10**], the foley catheter was discontinued. She subsequently voided without problem. Patient's intake and output were closely monitored, and IV fluid was adjusted when necessary. Electrolytes were routinely followed, and repleted when necessary. . ID: Upon admission, the patient was started on empiric IV Zosyn and Flagyl. Admission urine culture was unremarkable, and blood culture no growth to date. On [**2159-2-10**], IV Zosyn was discontinued, and Ciprofloxacin added to the Flagyl. The patient was discharged home on a total of 14 days of Ciprofloxacin and Flagyl. The patient's white blood count and fever curves were closely watched for signs of infection. . Endocrine: The patient's blood sugar was monitored throughout her stay; sliding scale insulin was administered accordingly. Cortisol stimulation test result was 34.1; prednisone was discontinued. She was continued on her home dose of synthroid. . Hematology: The patient's complete blood count was examined routinely; no transfusions were required. . Prophylaxis: Coumadin prophylaxis for history of PE was intially continued upon admission, but was discontinued on [**2159-2-11**] for an INR of 3.0, most likely due to drug-drug interaction with Flagyl and Ciprofloxacin, which can elevate INR. Upon discharge, she was restarted on Coumadin 1.5mg daily ([**2-3**] regular dose) with a home PT/INR draw scheduled for [**2159-2-15**]. The patient PCP, [**Last Name (NamePattern4) **]. [**Last Name (STitle) **], has kindly agreed to follow the patient's INR and manage Coumadin dosing after discharge. Venodyne boots were used during this stay; was encouraged to get up and ambulate as early as possible. . At the time of discharge, the patient was doing well, afebrile with stable vital signs. The patient was tolerating a low residue regular diet, ambulating, voiding without assistance, and she was not experiencing any pain. She was discharged home only with home phlebotomy services. The patient received discharge teaching and follow-up instructions with understanding verbalized and agreement with the discharge plan. Medications on Admission: 1. Levothyroxine 75 mcg Tablet Sig: One (1) Tablet PO DAILY (Daily). 2. Atenolol 50 mg Tablet Sig: One (1) Tablet PO DAILY (Daily). 3. Ramipril 5 mg Capsule Sig: One (1) Capsule PO BID (2 times a day). 4. Hydrochlorothiazide 12.5 mg Capsule Sig: One (1) Capsule PO DAILY (Daily). 5. Omeprazole 20 mg Capsule, Delayed Release(E.C.) Sig: One (1) Capsule, Delayed Release(E.C.) PO once a day. 6. Alendronate 70 mg Tablet Sig: One (1) Tablet PO once a week. 7. WelChol 625 mg Tablet Sig: Three (3) Tablet PO twice a day. 8. Ergocalciferol (Vitamin D2) 50,000 unit Capsule Sig: One (1) Capsule PO once a month. 9. Remicade 100 mg Recon Soln Sig: Three Hundred (300) mg Intravenous Q3 MONTHS. 10. Prednisone 10 mg Tablet Sig: Three (3) Tablet PO once a day for 8 days before and 2 days after remicade or as directed. 11. Loperamide 2 mg Tablet Sig: One (1) Tablet PO once a day as needed for diarrhea. 12. Fexofenadine 60 mg Tablet Sig: 1-2 Tablets PO twice a day as needed for allergy symptoms. 13. Calcium 500 500 mg (1,250 mg) Tablet, Chewable Sig: One (1) Tablet, Chewable PO twice a day. 14. Ferrous Sulfate 134 mg (27 mg Iron) Tablet Sig: One (1) Tablet PO once a day. 17. Acetaminophen 325 mg Tablet Sig: 1-2 Tablets PO every [**5-8**] hours as needed for fever or pain. 18. Coumadin 3 mg Tablet Sig: 1 Tablet PO once a day [**Month/Day (3) 766**] through Saturday; 0.5 tablet PO on Sunday. Discharge Medications: 1. Levothyroxine 75 mcg Tablet Sig: One (1) Tablet PO DAILY (Daily). 2. Atenolol 50 mg Tablet Sig: One (1) Tablet PO DAILY (Daily). 3. Ramipril 5 mg Capsule Sig: One (1) Capsule PO BID (2 times a day). 4. Hydrochlorothiazide 12.5 mg Capsule Sig: One (1) Capsule PO DAILY (Daily). 5. Omeprazole 20 mg Capsule, Delayed Release(E.C.) Sig: One (1) Capsule, Delayed Release(E.C.) PO once a day. 6. Alendronate 70 mg Tablet Sig: One (1) Tablet PO once a week. 7. WelChol 625 mg Tablet Sig: Three (3) Tablet PO twice a day. 8. Ergocalciferol (Vitamin D2) 50,000 unit Capsule Sig: One (1) Capsule PO once a month. 9. Remicade 100 mg Recon Soln Sig: Three Hundred (300) mg Intravenous Q3 MONTHS. 10. Prednisone 10 mg Tablet Sig: Three (3) Tablet PO once a day for 8 days before and 2 days after remicade or as directed. 11. Loperamide 2 mg Tablet Sig: One (1) Tablet PO once a day as needed for diarrhea. 12. Fexofenadine 60 mg Tablet Sig: 1-2 Tablets PO twice a day as needed for allergy symptoms. 13. Calcium 500 500 mg (1,250 mg) Tablet, Chewable Sig: One (1) Tablet, Chewable PO twice a day. 14. Ferrous Sulfate 134 mg (27 mg Iron) Tablet Sig: One (1) Tablet PO once a day. 15. Metronidazole 500 mg Tablet Sig: One (1) Tablet PO Q8H (every 8 hours) for 12 days. Disp:*36 Tablet(s)* Refills:*0* 16. Ciprofloxacin 500 mg Tablet Sig: One (1) Tablet PO Q12H (every 12 hours) for 12 days. Disp:*24 Tablet(s)* Refills:*0* 17. Acetaminophen 325 mg Tablet Sig: 1-2 Tablets PO every [**5-8**] hours as needed for fever or pain. 18. Coumadin 3 mg Tablet Sig: 0.5 Tablet PO once a day. Disp:*15 Tablet(s)* Refills:*0* Discharge Disposition: Home Discharge Diagnosis: Primary: 1. Sigmoid diverticulitis 2. Hypotension . Secondary: 1) Colitis 2) History of pulmonary emboli 3) Hypertension 4) Hypothyroidism Discharge Condition: Mental Status:Clear and coherent Level of Consciousness:Alert and interactive Activity Status:Ambulatory - Independent Discharge Instructions: Please resume all regular home medications , unless specifically advised not to take a particular medication. Also, please take any new medications as prescribed. Please get plenty of rest, continue to ambulate several times per day, and drink adequate amounts of fluids. Avoid lifting weights greater than [**6-11**] lbs until you follow-up with your surgeon, who will instruct you further regarding activity restrictions. Avoid driving or operating heavy machinery while taking pain medications. Please follow-up with your surgeon and Primary Care Provider (PCP) as advised. . Coumadin (Warfarin): What is this medicine used for? This medicine is used to thin the blood so that clots will not form. How does it work? Warfarin changes the body's clotting system. It thins the blood to prevent clots from forming. What you should contact your healthcare provider [**Name Initial (PRE) **]: Signs of a life-threatening reaction. These include wheezing; chest tightness; fever; itching; bad cough; blue skin color; fits; or swelling of face, lips, tongue, or throat, severe dizziness or passing out, falls or accidents, especially if you hit your head. Talk with healthcare provider even if you feel fine, significant change in thinking clearly and logically, severe headache, severe back pain, severe belly pain, black, tarry, or bloody stools, blood in the urine, nosebleeds, coughing up blood, vomiting blood, unusual bruising or bleeding, severe menstrual bleedin, or rash. Call your doctor if you are unable to eat for several days, for whatever reason. Also call if you have stomach problems, vomiting, or diarrhea that lasts more than 1 day. These problems could affect your Coumadin??????/warfarin dosage. Coumadin (Warfarin) and diet: Certain foods and beverages can impair the effect of warfarin. For this reason, it's important to pay attention to what you eat while taking this medication. Until recently, doctors advised [**Name5 (PTitle) **] taking warfarin to avoid foods high in vitamin K. This is because large amounts of vitamin K can counteract the benefits of warfarin. However, recent research shows that rather than eliminating vitamin K from your diet, it is more important to be consistent in your dietary vitamin K intake. These foods contain vitamin K: Fruits and vegetables, such as: Kiwi, Blueberries, Broccoli, Cabbage, [**Location (un) 2831**] sprouts, Green onions, Asparagus, Cauliflower, Peas, Lettuce, Spinach, Turnip, collard, and mustard greens, Parsley, Kale, Endive. Meats, such as: Beef liver, Pork liver. Other: Mayonnaise, Margarine, Canola oil, Soybean oil, Vitamins, Soybeans and Cashews. Limit alcohol. Alcohol can affect your Coumadin??????/warfarin dosage but it does not mean you must avoid all alcohol. Serious problems can occur with alcohol and Coumadin??????/warfarin when you drink more than 2 drinks a day or when you change your usual pattern. Binge drinking is not good for you. Be careful on special occasions or holidays, and drink only what you usually would on any regular day of the week. Monitoring: The doctor decides how much Coumadin??????/warfarin you need by testing your blood. The test measures how fast your blood is clotting and lets the doctor know if your dosage should change. If your blood test is too high, you might be at risk for bleeding problems. If it is too low, you might be at risk for forming clots. Your doctor has decided on a range on the blood test that is right for you. The blood test used for monitoring is called an INR. Use of Other medications: When Coumadin??????/warfarin is taken with other medicines it can change the way other medicines work. Other medicines can also change the way Coumadin??????/warfarin works. It is very important to talk with your doctor about all of the other medicines that you are taking, including over-the-counter medicines, antibiotics, vitamins, or herbal products. Followup Instructions: Please call ([**Telephone/Fax (1) 8105**] to schedule a follow-up appointment with Dr. [**First Name (STitle) 2819**] (Surgery) in 2weeks. . You have an appointment with Dr. [**Last Name (STitle) **] (PCP) scheduled for Wednesday, [**2159-2-28**] at 1:30PM, [**Hospital Ward Name **] 1B, [**Last Name (NamePattern1) 439**], [**Hospital1 18**], [**Location (un) 86**]. Please call ([**Telephone/Fax (1) 24024**] if you have any questions. . A phlebotomist from the [**Hospital1 18**] laboratory will come to your home on Thursday, [**2159-2-15**] in the morning to draw blood for a PT/INR test. Dr.[**Name (NI) 6844**] office will then contact you with any Coumadin dose adjustments. Completed by:[**2159-2-12**] ICD9 Codes: 4589, 2449, 4019, 2720
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Medical Text: Admission Date: [**2136-9-22**] Discharge Date: [**2136-9-26**] Date of Birth: [**2090-3-9**] Sex: M Service: MEDICINE Allergies: Patient recorded as having No Known Allergies to Drugs Attending:[**First Name3 (LF) 3043**] Chief Complaint: Hyponatremia Major Surgical or Invasive Procedure: None History of Present Illness: 46 yo man with history of HIV (CD4 330, viral load undetectable) with HCV likely cirrhosis who was transferred to [**Hospital1 18**] from [**Hospital3 22439**] for management of hyponatremia. . Per MICU Admit note, patient's sodium was initially noted to be 120 at his primary care physician's office on [**2136-9-19**] where he presented with complaints of nausea/vomiting and RUQ abdominal pain. Patient's nausea had been persistent X 2 months with nonbloody, nonbiliary emesis. Patient was initially treated at [**Hospital3 22439**] with IVF and dilaudid for presumed SIADH. Chest Xray and KUB were negative at the time. Patient was transferred here for refractory hyponatremia. Of note, patient was recently started on Lasix 40mg qod and Matolazone (8/12-14/09) . In the ED, initial VS were: T97 HR86 BP122/64 RR16 O2sat98%. He was mentating well and did not show evidence of seizures. He appeared euvolemic on exam and was given Kayexalate for hyperkalemia. . In the MICU, he was initially fluid restricted but with continuing hyponatremia. He was continued on fluid restriction with hypertonic saline with transient improvement of his sodium level (122). Renal was consulted and patient started on Lasix and Aldactone in addition to fluid restriction <800cc and hypertonic saline. Heme/Onc was consulted for patient's elevated LDH, low haptoglobin and reticulocytosis. They did not feel this was consistent with TTP or DIC (no schistocytes seen on blood smear). Thick and thin smears for parasites (babesia) have been negative. Patient stated he wished to leave AMA while in MICU with ?SI to his outpatient case manager by phone; psych consult stated patient does not have capacity currently to leave AMA (altered mental status) and recommended head CT. Upon transfer to the floor, patient's VS: Tm98.7 Tc 98.2 HR 73-107 BP 107/52 RR 16 O295% RA. . Review of Systems otherwise negative for fever, chills, night sweats, recent weight loss or gain. Denies headache, sinus tenderness, rhinorrhea or congestion. Denied cough, shortness of breath. Denied chest pain or tightness, palpitations. No recent change in bowel or bladder habits. No dysuria. Denied arthralgias or myalgias. No hematochezia, melena, hematemesis. Past Medical History: * HIV (most recent CD4 330, viral load undetectable) * HCV (never treated, unable to biopsy for cirrhosis diagnosis [**2-27**] thrombocytopenia) * EtOH abuse (quit in [**Month (only) 116**]/[**2136-6-25**] with ?intermittent/infrequent binges) * Concommitant Lyme/Babesia/Erlichiosis treated with ?doxycycline in [**Month (only) **]/[**2136-7-25**] * Bipolar disorder vs. personality disorder Social History: Lives on [**Hospital1 64171**]in HIV group home. Has friend support group, no family (h/o sexual abuse by brother/cousin). Quit smoking/EtOH in [**Month (only) 116**]/[**2136-6-25**] with ?infrequent intermittent EtOH binges. Denied IVDU. Family History: Mother with hypertension Physical Exam: VS: Tm98.7 Tc 98.2 HR 78 BP 107/52 RR 16 O295%RA. General: Oriented X3 but lethargic, no apparent distress, temporal wasting. HEENT: Normocephalic atraumatic, icteric sclera, moist mucus membranes, normal oropharynx Neck: Soft, supple, no JVD or LAD Lungs: Clear to auscultation bilaterally, no wheezes/rhonchi/rales CV: Regular rate and rhythm, normal S1 + S2, no murmurs/gallops/rubs Abdomen: +Bowel Sounds, soft, non-tender, mildly distended with fluid wave ascites, +hepatosplenomegaly Ext: warm, well perfused, 2+ DP/PT pulses, no clubbing/cyanosis/edema, dry skin in bilateral lower extremity Neuro: CN2-12 grossly intact, ?+ asterixis Pertinent Results: UreaN:935 FeNa = 70%, FeUrea = 61.97% (?ATN) Creat:98 Na:74 Osmolal:652 . Chem 10 122 97 17 93 AGap=10 4.9 20 1.1 . ALT: 57 AP: 135 Tbili: 7.3 AST: 71 LDH: 208 . CBC 6.6 > 9.6 < 34 29.4 . PT: 17.7 PTT: 37.5 INR: 1.6 . Cortisol 31.3, TSH 4.2 . DDimer 3055, Fibrinogen 183, Retic 6.3 (h), Haptoglobin <20 (l) . Micro: Urine Cx negative . Images: RUQ U/S: 1. Very heterogeneous nodular appearing liver consistent with cirrhosis. While no liver lesion is identified it is difficult to fully assess the hepatic tissue due to the degree of heterogeneity. The left lobe in particular could not be visualized due to overlying bowel gas. A CT or MRI is suggested for further evaluation. 2. Reversed flow in the main portal vein and right portal vein. Numerous vessels could not be identified as described above. 3. Splenomegaly. 4. Ascites. . CXR ([**2136-9-22**]): No previous images. The heart is normal in size and the lungs are clear without vascular congestion or pleural effusion. . EKG: Sinus with PACs, no peaked Ts Brief Hospital Course: * Patient left AGAINST MEDICAL ADVICE on [**2136-9-26**] after Psychiatry deemed his mental status improved and patient competent to make his own medical decisions. * . 46 yo man with HIV and HCV (?cirrhosis) who presents with nausea/vomiting and hyponatremia 115-122 that has been refractory to normal saline, hypertonic saline, fluid restriction and Lasix/Aldactone. Also notable on admission to MICU are elvated transaminases, elevated creatinine, hyperkalemia, mild megaloblastic anemia and thrombocytopenia. Patient continues to have transaminitis, megaloblastic anemia and thrombocytopenia. . # Euvolemic hyponatremia: It remains unclear whether patient was hypo or euvolemic on initial presenation. Differential diagnosis included SIADH (? due to cirrhosis, pain/nausea) although patient's sodium remained resistant to treatments, with slight improvements on the last day of admission. Patient was continued on fluid restriction upon arrival to CC7 with some questions of non-compliance. Before Lasix could be re-started per Renal recommendations, patient's sodium had improved (125 <-- 118) and patient left against medical advice. CT noncon of chest and CT with contrast of head ordered to assess cerebral edema and malignant sources for SIADH on [**2136-9-25**] were negative. Sodium continued to be checked every 8 hours, dependent on patient's cooperation and patient was continued on telemetry without incidence. . #. Altered mental status: Patient's physical exam became concerning by [**2136-9-25**] for altered mental status. While in the MICU, patient was evaluated by Psychiatry for threatening to leave AMA in order to "walk into traffic" (passive SI). Psych at that time deemed patient not competent to make his own medical decisions. Hepatology evaluated patient with differential diagnosis of Meningitis vs. Hepatic Encephalopathy (from hepatitis C, genetic or autoimmune liver disease) vs. spontaneous bacterial peritonitis. Lumbar puncture and diagnostic paracentesis were considered to further work patient up for these possibilities but patient was mentating better on [**2136-9-26**]. Psychiatry determined patient competent to make medical decisions and he decided to leave AMA. Anti-smooth muscle antibody, Ferritin, [**Doctor First Name **], were all pending upon patient's departure. . # ARF: Baseline unknown. Cr 1.1 at OSH. Ample urine output in MICU and creatinine remained within normal limits the remainder of this admission. . # Hyperkalemia: Received Kayexalate in ED. Potassium was within normal limits thereafter. Spironolactone was held. . # Transaminase elevation, elevated bilirubin, h/o HCV: Elevated total bilirubin and INR were likely secondary to depressed synthetic function. Patient had recent transaminitis (with usual delayed rise in total bili and alkaline phosphatase) after his triple tick infection. The RUQ ultrasound poorly visualized the left lobe of the liver (for masses) although veins were patent. CT/MRI were deferred during this admission. Patient's LFTs were monitored during this admission with progressive improvement. . # Thrombocytopenia: Differential diagnosis includes hypersplenism/splenic sequestration (from liver cirrhosis) vs HIV vs TTP (unlikley). Apparently at OSH, patient's Plt 58 and HCT 32. Patient's thrombocytopenia was monitored during this admission. . # Megaloblastic anemia: Differential diagnosis includes HIV vs vitamin deficiency. HCT has remained stable. Patient's folate was 9.0, 11.6 (within normal limits). Patient was continued on Folate repletion of 2mg daily. . # HIV: Patient was continued on Truvada, Norvir, Prezista. His viral load and CD4 were not repeated during this admission as he had relatively recent labs and symptoms not suggestive of HIV encephalopathy or other HIV-based etiology. . FEN: Patient's fluid was restricted to <800 although patient did drink a pitcher of water the evening of [**9-24**]. . Code: Full (discussed with patient) . Medications on Admission: Medications on admission (confirmed by pharmacy): Truvada 200 mg-300 mg Daily Norvir 100 mg Twice Daily Prezista 600 mg Twice Daily Spironolactone 50 mg Twice Daily Omeprazole 20 mg [**Hospital1 **] Enalapril 10 mg daily Ativan 1 mg q6-8h prn Nadolol 20 mg Once Daily Lactulose 10 gram/15 mL [**Hospital1 **]-TID Hydroxyzine 25 mg 1-2 tablets q6h prn for itch KCL 20 mEq TID Lasix 40mg qod and Metolazone prescribed on [**7-29**]/[**2136**] . Allergies: NKDA . Medications on Transfer to CC7: IV * Lactulose 30 mL PO TID * Darunavir 600 mg PO BID * Multivitamins W/minerals 1 TAB PO DAILY * Emtricitabine-Tenofovir (Truvada) 1 TAB PO DAILY * Nadolol 20 mg PO DAILY * FoLIC Acid 1 mg PO DAILY * Omeprazole 20 mg PO DAILY * Furosemide 20 mg PO DAILY * RiTONAvir 100 mg PO BID * HydrOXYzine 25 mg PO Q6H:PRN itching Discharge Medications: * Lactulose 30 mL PO TID * Darunavir 600 mg PO BID * Multivitamins W/minerals 1 TAB PO DAILY * Emtricitabine-Tenofovir (Truvada) 1 TAB PO DAILY * Nadolol 20 mg PO DAILY * FoLIC Acid 1 mg PO DAILY * Omeprazole 20 mg PO DAILY * Furosemide 20 mg PO DAILY * RiTONAvir 100 mg PO BID * HydrOXYzine 25 mg PO Q6H:PRN itching Discharge Disposition: Home Discharge Diagnosis: Hyponatremia Discharge Condition: Improved Discharge Instructions: Patient left Against Medical Advice Followup Instructions: Patient left Against Medical Advice but was informed that should any of his symptoms (nausea, malaise, vomiting) recur, he should seek medical attention. He was also informed that should he become more confused, lethargic (signs of cerebral edema), he should go immediately to the Emergency Room. ICD9 Codes: 5849, 2767, 2875
{ "dataset_link": "https://huggingface.co/datasets/ricardosantoss/ehrcomplete_icdfiltered", "dataset_name": "ehrcomplete-icdfiltered", "id": 8188 }
Medical Text: Admission Date: [**2101-8-7**] Discharge Date: [**2101-8-10**] Date of Birth: [**2041-1-14**] Sex: F Service: NEUROSURGERY Allergies: Dilaudid / morphine Attending:[**First Name3 (LF) 5084**] Chief Complaint: headache Major Surgical or Invasive Procedure: none History of Present Illness: This is a 60 year old RH female who reported sudden onset headaches 2 days ago that progressed. She took motrin, tylenol without significant relief. Patient was taken to [**Hospital **] Hospital where a head CT showed a SDH. She was loaded with dilantin and sent to [**Hospital1 18**] for further management. At OSH, she received 1gm phosphenatoin, 8mg morphine total, 4mg zofran. Today, she complains of headache. She denies any nausea, vomiting, weakness or paresthesia. Images were shown to patient and family. Natural history was discussed in detail and the possible need for surgical intervention. Past Medical History: HTN, migraines Social History: married with children Family History: non contributory Physical Exam: On [**2101-8-7**] Admission: PHYSICAL EXAM: O: T: 97.9 82 124/78 16 96% Gen: WD/WN, comfortable, NAD. HEENT: atraumatic, eyes clear, hearing grossly intact, Pupils: PERRL Neck: Supple. Extrem: Warm and well-perfused. Neuro: GCS 15, AOX3, PERRL 5-2mm, face with right nasolabial fold, tongue midline, no pronator drift, motor [**5-14**] b/l, sensory intact Toes downgoing bilaterally, no clonus On Discharge: Intact Pertinent Results: CT HEAD W/O CONTRAST Study Date of [**2101-8-7**] 10:41 PM FINDINGS: Again seen is an acute on subacute subdural hematoma, with mixed hyper- and hypodense components. This is stable at 1 cm in thickness, and tracks superiorly along the falx cerebri and inferiorly along the left tentorium cerebelli. There is subjacent sulcal effacement, with persistent 9 mm rightward shift and subfalcine herniation. There is also a left uncal herniation, extending over the tentorium with asymmetric widening of the left ambient cistern relative to the right. Cerebellar tonsils are in expected position at the level of the foramen magnum. There is no intraparenchymal or intraventricular hemorrhage. There is no evidence of infarction. Note is made of mild hyperostosis frontalis interna. There is mild mucosal thickening throughout multiple ethmoid air cells. Mastoid air cells and middle ear cavities are clear. Orbits and intraconal structures are symmetric. IMPRESSION: Stable appearance of subacute subdural hematoma measuring up to 1 cm, with 9 mm rightward shift, subfalcine herniation, and early uncal herniation. CHEST (PORTABLE AP) Study Date of [**2101-8-7**] 11:45 PM FINDINGS: No previous images. There is striking scoliosis of the thoracic spine convex to the right and centered at approximately T9. However, there is no evidence of acute pneumonia, vascular congestion, or pleural effusion. NCHCT [**2101-8-8**] 1. Stable left subdural hematoma with underlying sulcal effacement. 2. Midline shift to the right, unchanged compared to prior. 3. No progression of left subfalcine or left uncal herniation. 4. There is a possible fracture immediately anterior to the left coronal suture. There is an area of hemorrhage in a biconvex configuration immediately below the fracture that may represent an epidural rather than subdural location. Brief Hospital Course: This is a 60 year old RH female who reported sudden onset headaches 2 days ago that progressed. The patient was taken to [**Hospital **] Hospital where a head CT showed a SDH and was loaded with 1 gram of phosphenatoin and sent to [**Hospital1 18**] for further management. The patient continued to experience complains of headache. The patient denied any nausea, vomiting, weakness or paresthesia. The images were shown to patient and family. Natural history was discussed in detail and the possible need for surgical intervention. The patient was admitted to the surgical intensive care unit for close neurological assessment and kept NPO for possible surgical intervention in case patient decompensated. On [**2101-8-8**], A repeat NCHCT was performed at 1100 am which was found to be stable and the images were shown and explained to the patients and her husband. The patient was transferred to the Step Down Unit and a regular diet was initiated. The patient continued to report headache and was given oxycodone and fioricet for pain. The patient reported that following dilaudid and morphne doses she experienced pruitis and these medications were documented as allergies. She had no further issues while in the hospital. She was discharged home with 24 hour supervision per OT recs on [**8-10**]. Medications on Admission: Preadmission medications listed are correct and complete. Information was obtained from Patient. 1. Lisinopril 10 mg PO DAILY Discharge Medications: 1. Acetaminophen 325-650 mg PO Q6H:PRN pain or headache, fever 2. Lisinopril 10 mg PO DAILY 3. Hydrocodone-Acetaminophen (5mg-500mg [**1-10**] TAB PO Q6H:PRN pain RX *Co-Gesic 5 mg-500 mg [**1-10**] tablet(s) by mouth q6 hours Disp #*50 Tablet Refills:*0 Discharge Disposition: Home Discharge Diagnosis: Sub Dural Hematoma Discharge Condition: AOx3. Activity as tolerated. Discharge Instructions: Nonsurgical Brain Hemorrhage ?????? Take your pain medicine as prescribed. ?????? Exercise should be limited to walking; no lifting, straining, or excessive bending. ?????? Increase your intake of fluids and fiber, as narcotic pain medicine can cause constipation. We generally recommend taking an over the counter stool softener, such as Docusate (Colace) while taking narcotic pain medication. ?????? Unless directed by your doctor, do not take any anti-inflammatory medicines such as Motrin, Aspirin, Advil, or Ibuprofen etc. CALL YOUR SURGEON IMMEDIATELY IF YOU EXPERIENCE ANY OF THE FOLLOWING ?????? New onset of tremors or seizures. ?????? Any confusion, lethargy or change in mental status. ?????? Any numbness, tingling, weakness in your extremities. ?????? Pain or headache that is continually increasing, or not relieved by pain medication. ?????? New onset of the loss of function, or decrease of function on one whole side of your body. Followup Instructions: Follow-Up Appointment Instructions ??????Please call ([**Telephone/Fax (1) 88**] to schedule an appointment with Dr. [**Last Name (STitle) **], to be seen in 4 weeks. ??????You will need a CT scan of the brain without contrast prior to your appointment. This can be scheduled when you call to make your office visit appointment. ??????We recommend you see Dr [**First Name (STitle) **] in the Traumatic Brain Injury (TBI) clinic the phone number is [**Telephone/Fax (1) 6335**]. If you have any problems booking this appointment please ask for [**First Name8 (NamePattern2) 16367**] [**Last Name (NamePattern1) 16368**]. Completed by:[**2101-8-10**] ICD9 Codes: 4019
{ "dataset_link": "https://huggingface.co/datasets/ricardosantoss/ehrcomplete_icdfiltered", "dataset_name": "ehrcomplete-icdfiltered", "id": 8189 }
Medical Text: Admission Date: [**2190-5-20**] [**Month/Day/Year **] Date: [**2190-5-27**] Date of Birth: [**2117-9-11**] Sex: F Service: MEDICINE Allergies: Hydralazine / Opioid Analgesics / Compazine Attending:[**First Name3 (LF) 1973**] Chief Complaint: Respiratory Distress Major Surgical or Invasive Procedure: None History of Present Illness: Ms. [**Known lastname 108904**] is a 72 yo female with PMH significant for ESRD. She underwent HD on day PTA but presented to the ED with SOB. Per patient, her breathing has become more difficult over the past 4 days but has not been feeling very well over the past few weeks. Upon arrival to the ED her BP was 210/104 and O2 sat~68% RA. She was placed on CPAP and was started on a nitro gtt. She was transferred to the MICU for emergent dialysis. EKG was unchanged and cardiac enzymes were negative. Upon transfer to the MICU her BPs slowly improved with nitro gtt which was d/c'ed. She was also started on Vancomycin/Levaquin given her leukocytosis. She currently denies any fevers, chills, chest pain, dizziness, abdominal pain. She continues to feel SOB. Past Medical History: 1. Hypertension 2. Hypothyroidism [**2-5**] thyroidectomy in [**2173**] 3. Type 2 DM 4. ESRD on HD T, Th, Sat; s/p Left loop forearm AV graft in [**2187**] 5. s/p CVA 2 years ago 6. Gait disorder 7. s/p splenectomy in [**2145**] [**2-5**] trauma, never prescribed prophylactic antibiotics. 8. SVC stenosis Social History: Lives at home alone locally. Had 8 children, 1 son died recently. Daughter comes to see her frequently, helps with grocery shopping, meds, etc. She is a nonsmoker and no EtOH Family History: Noncontributory Physical Exam: vitals T 98.4 BP 172/78 AR 60 RR 18 O2 sat 95% on 3L Gen: Pleasant female, appears tired HEENT: MMM Heart: distant heart sounds, Lungs: scattered crackles posteriorly Abdomen: soft, NT/ND, +BS Extremities: [**1-5**]+ bilateral edema Pertinent Results: Laboratory results: [**2190-5-20**] 12:10AM BLOOD WBC-20.1*# RBC-3.81* Hgb-12.7# Hct-37.6# MCV-99* MCH-33.2* MCHC-33.6 RDW-16.0* Plt Ct-399 [**2190-5-27**] 06:50AM BLOOD WBC-11.2* RBC-3.48* Hgb-11.2* Hct-34.1* MCV-98 MCH-32.1* MCHC-32.8 RDW-15.8* Plt Ct-348 [**2190-5-27**] 06:50AM BLOOD PT-23.6* PTT-32.0 INR(PT)-2.4* [**2190-5-20**] 12:10AM BLOOD Glucose-220* UreaN-47* Creat-6.6*# Na-131* K-5.1 Cl-91* HCO3-27 AnGap-18 [**2190-5-20**] 12:10AM BLOOD cTropnT-0.04* [**2190-5-20**] 12:10AM BLOOD Calcium-9.3 Phos-3.9# Mg-2.5 Relevant Imaging: 1)Cxray ([**5-19**]): No large pneumothorax. Pulmonary edema. 2)Cxray ([**5-23**]): No radiographic evidence suggestive of volume overload. Small bilateral pleural effusions and underlying massive pulmonary arterial hypertension. 3)EKG: sinus @ 64, LAD, nl intervals, TWI II,III,AVF (old), normalization of T in V5-V6 Brief Hospital Course: Ms. [**Known lastname 108904**] is a 72yo female with ESRD who presents to ED with respiratory distress in the setting of hypertension. 1)Respiratory Distress: Patient presented with acute decline in respiratory status in setting of severely elevated blood pressures. Initial cxray was consistent with pulmonary edema which improved with BP control and dialysis. Troponins slightly elevated in setting of renal insufficiency but no new EKG changes. She was placed on BIPAP in the ED and this was continued upon transfer to the MICU. Upon arrival to the floor she was on NC which was quickly weaned off during the remainder of her stay. She was followed closely by her nephrologist and she was dialyzed T, TH, Sat with improvement in her volume status. 2)Malignant hypertension: Patient presented with extremely elevated blood pressures on admission. Likely due to fluid retention with worsening renal function. She was initially started on a Nitro gtt which was weaned off in the MICU. She was also started on Clonidine PO and her dose of [**Last Name (un) **] was increased. Upon transfer to the floor the Clonidine was stopped and she started on Minoxidil with goal SBP ~140's given her history vertebral insufficiency. Her blood pressures improved with her regimen (Lisinopril, Losartan, Clonidine patch, Minoxidil, and Metoprolol)and dialysis. 3)Leukocytosis: Patient presented with leukocytosis of 20.1 which returned to baseline on [**Last Name (un) **]. She was started on Levaquin and Vancomycin since she was at risk for an infection since she has an HD line in place. 1/2 blood culture bottles grew GPC. She received a 7d course of Levaquin which was stopped at time of [**Last Name (un) **] and she was given Vancomycin at dialysis. Surveillance cultures remained negative. 4)ESRD: Patient was followed closely by her primary renal attending. She was dialyzed 3x/week with improvement in her blood pressures and volume status. 5)Hypothyroidism: Continued on Levoxyl. 6)Type 2 DM: Patient on Glipizide as outpatient. She was placed on Glargine and RISS initially on admission since she had been unable to take adequate PO. Upon transfer to the floor she was started on Glipizide with appropriate control of her blood sugars. 7)H/O of SVC stenosis: Anticoagulation was initially held in the ED but restarted by the MICU team. Medications on Admission: Medications at home: Acetaminophen 325 mg PO Q4-6H Metoprolol Tartrate 150 mg PO TID Losartan 25 mg PO DAILY Lansoprazole 30 mg Tablet DR [**Last Name (STitle) **] DAILY Levothyroxine 100 mcg PO DAILY Clonidine 0.3 mg/24 hr Patch QMON Isosorbide Mononitrate 90 mg Tablet Sustained Release 24 hr PO DAILY Amlodipine 10 mg PO DAILY Lisinopril 40 mg PO DAILY Hexavitamin PO once a day. Glipizide 2.5 mg Tab,Sust Rel PO once a day. Coumadin 5 mg Tablet qhs Calcium Acetate 1334 mg PO TID W/MEALS Medications on transfer: Medications: Vancomycin 1g IV @ HD Levaquin 500mg PO Q48 Acetaminophen 325 mg PO Q4-6H Metoprolol Tartrate 150 mg PO TID Losartan 50 mg PO DAILY Lansoprazole 30 mg Tablet DR [**Last Name (STitle) **] DAILY Levothyroxine 100 mcg PO DAILY Clonidine 0.3 mg/24 hr Patch QMON Clonidine 0.1mg PO TID Imdur 90mg PO daily Amlodipine 10 mg PO DAILY Lisinopril 40 mg PO DAILY Hexavitamin PO once a day. Glipizide 2.5 mg Tab,Sust Rel PO once a day. Coumadin 5 mg Tablet qhs Calcium Acetate 1334 mg PO TID W/MEALS [**Last Name (STitle) **] Medications: 1. Acetaminophen 325 mg Tablet [**Last Name (STitle) **]: One (1) Tablet PO Q4-6H (every 4 to 6 hours) as needed. 2. Amlodipine 5 mg Tablet [**Last Name (STitle) **]: Two (2) Tablet PO DAILY (Daily). Disp:*60 Tablet(s)* Refills:*1* 3. Metoprolol Tartrate 50 mg Tablet [**Last Name (STitle) **]: Three (3) Tablet PO TID (3 times a day). 4. Warfarin 5 mg Tablet [**Last Name (STitle) **]: One (1) Tablet PO HS (at bedtime). 5. Docusate Sodium 100 mg Capsule [**Last Name (STitle) **]: One (1) Capsule PO BID (2 times a day). 6. Glipizide 5 mg Tablet [**Last Name (STitle) **]: 0.5 Tablet PO DAILY (Daily). 7. Calcium Acetate 667 mg Capsule [**Last Name (STitle) **]: Two (2) Capsule PO TID W/MEALS (3 TIMES A DAY WITH MEALS). 8. Minoxidil 10 mg Tablet [**Last Name (STitle) **]: One (1) Tablet PO DAILY (Daily). Disp:*30 Tablet(s)* Refills:*2* 9. Losartan 50 mg Tablet [**Last Name (STitle) **]: Two (2) Tablet PO DAILY (Daily). Disp:*60 Tablet(s)* Refills:*2* 10. Lisinopril 20 mg Tablet [**Last Name (STitle) **]: Two (2) Tablet PO DAILY (Daily). 11. Levothyroxine 100 mcg Tablet [**Last Name (STitle) **]: One (1) Tablet PO DAILY (Daily). 12. Lansoprazole 30 mg Tablet,Rapid Dissolve, DR [**Last Name (STitle) **]: One (1) Tablet,Rapid Dissolve, DR [**Last Name (STitle) **] DAILY (Daily). 13. Lactulose 10 g/15 mL Syrup [**Last Name (STitle) **]: Thirty (30) ML PO Q8H (every 8 hours) as needed. 14. Isosorbide Mononitrate 60 mg Tablet Sustained Release 24 hr [**Last Name (STitle) **]: One (1) Tablet Sustained Release 24 hr PO once a day. 15. Clonidine 0.3 mg/24 hr Patch Weekly [**Last Name (STitle) **]: One (1) Patch Weekly Transdermal QMON (every Monday). 16. Isosorbide Mononitrate 30 mg Tablet Sustained Release 24 hr [**Last Name (STitle) **]: One (1) Tablet Sustained Release 24 hr PO once a day: please take with 60mg tablet for total of 90mg. [**Last Name (STitle) **] Disposition: Home With Service Facility: [**Location (un) 1468**] VNA [**Location (un) **] Diagnosis: Primary diagnoses: 1) End stage renal disease 2) Malignant hypertension 3) Respiratory failure Secondary diagnoses: 1)Hypothyroidism 2)Type 2 Diabetes 3)Superior vena cava stenosis [**Location (un) **] Condition: Stable [**Location (un) **] Instructions: 1) Please take all medications as listed in the [**Location (un) **] instructions. 2)You have been started on several new medications which you will be given prescriptions for: Norvasc 10mg once daily, Minoxidil 10mg once daily, and your dose of Losartan has been increased to 100mg once daily. You should continue all your other medications as you were taking them at home. 3)Please schedule an appointment with Dr. [**First Name (STitle) 4370**] [**Name (STitle) **] in [**Hospital **] as your new primary care physician. [**Name10 (NameIs) **] information is listed below. 4) If you experience any fevers, chills, chest pain, SOB, dizziness or any other concerning symptoms please return to the emergency room. Followup Instructions: Please call Dr. [**First Name (STitle) 4370**] [**Name (STitle) **] at [**Telephone/Fax (1) 250**] to schedule a follow-up appointment after being discharged from the hospital. ICD9 Codes: 4280, 5856, 7907, 486
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Medical Text: Admission Date: [**2112-11-24**] Discharge Date: [**2112-12-3**] Service: NEUROLOGY Allergies: Patient recorded as having No Known Allergies to Drugs Attending:[**First Name3 (LF) 8747**] Chief Complaint: delta MS, weakness Major Surgical or Invasive Procedure: none History of Present Illness: 83 yo male, h/o metastatic breast and lung cancer, brain mets, ICH in the past, presenting with weakness and delta MS x [**4-5**] days. History obtained via pt and his son. As per family, Mr. [**Known lastname 13783**] has not been acting like himself for the past 4-5 days. By report, he has been weak, confused since his last XRT treatment on friday, [**11-18**]. Pt has known hip, brain mets for which he is receiving XRT; he just completed a 10-treatment course for his hip mets and has received 2 treatments for his head, most recently on [**11-18**]. Son reports that he has had some episodes of urinary incontinence over the past few days, thought to be [**2-3**] the fact that he has been too weak to make it to the bathroom. Pt has not had a bowel movement in [**4-5**] days. He denies fever/NS/cp/sob/n/v/d; he has had chills, however. Son denies that he has been more clumsy/denies one-sided weakness or focal deficits. He walks, at baseline, with a walker, and gait has been at baseline. . In the [**Name (NI) **], pt was A&Ox2, CT of the head showed interval development of hypodensity within the grey matter of the bilateral posterosuperior parietal, possibly occipital lobes. He was also found to be hypertensive with SBP to 180s, HR 40's. There was some thought that this was [**Location (un) 3484**] reflex [**2-3**] increased intracerebral pressure. Neurology was consulted and felt that new stroke/infection could not be excluded; they recommended ?LP, antibiotics, MRI. EKG had no specific changes, but had possible new TWI in L, V6; TNT was elevated to 0.46 with flat [**Name (NI) **] (pt without sx). He was given ASA, Decadron 10 mg IV x 1, admitted for mgt. Past Medical History: PMH: 1. DCIS of right breast, [**2104**], s/p mastectomy, chemo, XRT, neg LNs (or not examined); mets to left hip (s/p bx [**10-5**]), brain. Completed 10 radiations for hip, 2 for brain (most recently [**2112-11-19**]) 2. Lung cancer diagnosed radiographically, no rx 3. DM, diet controlled 4. LBP, s/p L4-5 laminectomy [**2108**] 5. s/p Carpal tunnel release 6. ICH, seen at [**Hospital1 112**] [**2111**] (pres with HA, left sided clumsiness) 7. HTN Social History: Lives downstairs from son, wife passed away fairly recently; 70+ pack year history (still smoking), no etoh/drugs, retired electrictian Family History: son with NHL, mother died CVA, father died MI age 72 Physical Exam: Admission PE: 98.8, BP: 183/55, HR: 44, RR: 19, O2sat: 98% 2L GEn: NAD, pleasant male, sitting in bed HEENT: CN II-XII grossly intact; some asymmetry of right eyelid/increased closure Lungs: CTA bilat, no w/r/r CV: [**Last Name (LF) 8450**], [**First Name3 (LF) **] S1/s2, 2/6 SEM at LUSB Abd: soft, nt/nd, nabs Extr: no c/c/e, PT 2+ bilat Neuro: moving all 4 extremities, CN as above, weakness of L foot Rectal: guaiac neg Skin: no [**Last Name (un) **] lesions, no splinter hemorrhages, no other stigmata of endocarditis Pertinent Results: EKG: 1st degree AV block SR in 40's, with LAD, TWI in I, L, V4-V6 (?new in L, V6), no other T-wave or ST changes. . Imaging: CT head: interval devpt of hypodensity iwthin [**Doctor Last Name 352**] matter of bilateral posterosuperior parietal, possibly occipital lobes, new from [**11-4**] . MRI brain: multiple embolic strokes in cerebellar, parietal, occipital lobes; enhancement of mets, temporal lobes . Echo: Conclusions: 1. The left atrium is mildly dilated. 2. The left ventricular cavity size is normal. Overall left ventricular systolic function is mildly depressed. Antero-apical hypokinesis is present. 3. The aortic valve leaflets (3) are mildly thickened. Trace aortic regurgitation is seen. 4. The mitral valve leaflets are mildly thickened. Trivial mitral regurgitation is seen. . Carotid series: IMPRESSION: Minimal plaque with bilateral less than 40% carotid stenosis. However, waveforms in the common carotid arteries may be indicative of a more proximal disease. Clinical correlation and potential MRA followup is warranted. . [**2112-11-24**] 10:52AM BLOOD WBC-15.8* RBC-4.79 Hgb-13.7* Hct-41.4 MCV-86 MCH-28.6 MCHC-33.1 RDW-16.3* Plt Ct-140* [**2112-11-29**] 06:05AM BLOOD WBC-11.1* RBC-3.33* Hgb-9.5* Hct-27.4* MCV-82 MCH-28.5 MCHC-34.6 RDW-16.3* Plt Ct-110* [**2112-11-24**] 10:52AM BLOOD Neuts-86.1* Bands-0 Lymphs-9.7* Monos-3.7 Eos-0.5 Baso-0 [**2112-11-25**] 02:45AM BLOOD Neuts-91.4* Bands-0 Lymphs-4.0* Monos-3.7 Eos-0.1 Baso-0.1 [**2112-11-25**] 02:45AM BLOOD PT-15.0* PTT-83.7* INR(PT)-1.5 [**2112-11-29**] 04:00PM BLOOD PT-13.0 PTT-37.0* INR(PT)-1.1 [**2112-11-28**] 04:00PM BLOOD Fibrino-290 D-Dimer-1726* [**2112-11-24**] 11:05AM BLOOD Glucose-145* UreaN-30* Creat-1.3* [**2112-11-25**] 02:45AM BLOOD Glucose-161* UreaN-32* Creat-1.2 Na-139 K-4.0 Cl-105 HCO3-23 AnGap-15 [**2112-11-29**] 06:05AM BLOOD Glucose-204* UreaN-29* Creat-1.1 Na-136 K-4.2 Cl-106 HCO3-20* AnGap-14 [**2112-11-24**] 11:05AM BLOOD ALT-21 AST-28 CK(CPK)-47 AlkPhos-113 TotBili-0.8 [**2112-11-24**] 11:05AM BLOOD CK-MB-NotDone cTropnT-0.46* [**2112-11-24**] 06:45PM BLOOD CK-MB-NotDone cTropnT-0.42* [**2112-11-25**] 02:45AM BLOOD CK-MB-4 cTropnT-0.43* [**2112-11-24**] 11:05AM BLOOD Calcium-10.0 Phos-3.9 Mg-1.8 [**2112-11-28**] 07:45AM BLOOD Calcium-8.6 Phos-3.4 Mg-1.8 [**2112-11-29**] 06:05AM BLOOD CEA-246* . [**11-24**] MRI (full read): FINDINGS: There are multiple new areas of T2 signal abnormality, involving the cortex and underlying white matter of the occipital lobes and cerebellar hemispheres. These areas exhibit diffusion signal hyperintensity, consistent with recent infarction. However, there are also small foci of diffusion signal abnormality in both parietal and frontal lobes, primarily near the cortical surface. These areas are difficult to distinguish from regions of chronic infarction and gliosis also identified as hyperintense foci on T2 and FLAIR images. There is ventricular enlargement, but not substantially changed since previous exam. The right occipital lobe enhancing metastasis is unchanged in size and less well seen on today's study than previously. Other small areas of enhancement are appreciated, some of which are in locations of infarction. Overall, the post-gadolinium images are blurry due to motion artifact. Gradient echo images demonstrate previously identified areas of susceptibility artifact. MRA of the circle of [**Location (un) 431**] demonstrates flow in both intracranial internal carotid arteries and in the anterior and middle cerebral arterial branches proximally. There is attenuation of flow in the left vertebral artery. Flow signal is observed in the right vertebral artery, basilar artery and proximal portions of the posterior cerebral and superior cerebellar arteries. IMPRESSION: 1. Multifocal recent infarction is identified within the cerebrum and cerebellum. 2. MRA of the circle of [**Location (un) 431**] is limited but demonstrates flow in the major branches of this circulation, though flow is attenuated in the left vertebral artery. Brief Hospital Course: A/P: 83 yo male, h/o metastatic breast and lung cancer, presenting with weakness, delta MS, new findings on head CT, elevated troponin. . 1. Neuro: upon admission, pt had a head MRI performed which showed new multifocal cerebral and cerebellar infarcts which were believed to be responsible for the mental status changes and R sided weakness. The cause of the new multifocal infarcts was believed to be hypercoagulability [**2-3**] malignancy. Pt was initially started on heparin IV, but a decision was made to discontinue this given the pt's high fall risk and he was instead placed on aggrenox. He was continued on decadron and a decision was made to stop XRT. His mental status subsequently improved, as did his weakness. He was continued on decadron 4mg PO q6hrs. . 2. Metastatic breast/lung cancer: previously undergoing XRT, which was stopped given the mental status changes. A decision in conjunction with primary oncologist and family not to pursue further agressive treatment was made. . 3. Elevated troponin: no changes in CK-MB, no significant EKG changes, no symptoms suggestive of cardiac ischemia. Likely due to decreased renal clearance given slightly elevated creatinine. . 4. DM: pt maintained on ISS. Had poor control of sugars while on steroids. . 5. FEN - diabetic diet, Cr improved with some hydration. Medications on Admission: Meds on Admission: Atenolol 50 mg daily Zantac Vicodin PRN Decadron (?4mg [**Hospital1 **] as per son, unclear on dose) Discharge Medications: 1. Hydrocodone-Acetaminophen 5-500 mg Tablet Sig: 1-2 Tablets PO Q4-6H (every 4 to 6 hours) as needed for pain: hold for oversedation. 2. Docusate Sodium 100 mg Capsule Sig: One (1) Capsule PO BID (2 times a day). 3. Senna 8.6 mg Tablet Sig: One (1) Tablet PO BID (2 times a day) as needed for constipation. 4. Bisacodyl 5 mg Tablet, Delayed Release (E.C.) Sig: Two (2) Tablet, Delayed Release (E.C.) PO DAILY (Daily) as needed for constipation. 5. Dexamethasone 4 mg Tablet Sig: One (1) Tablet PO Q12H (every 12 hours). 6. Captopril 25 mg Tablet Sig: One (1) Tablet PO TID (3 times a day). 7. Nicotine 21 mg/24 hr Patch 24HR Sig: One (1) Patch 24HR Transdermal DAILY (Daily). 8. Pantoprazole 40 mg Tablet, Delayed Release (E.C.) Sig: One (1) Tablet, Delayed Release (E.C.) PO Q24H (every 24 hours). 9. Atorvastatin 10 mg Tablet Sig: One (1) Tablet PO DAILY (Daily). 10. Dipyridamole-Aspirin 200-25 mg Cap, Multiphasic Release 12 HR Sig: One (1) Cap PO BID (2 times a day). 11. Heparin (Porcine) 5,000 unit/mL Solution Sig: One (1) mL Injection TID (3 times a day). Discharge Disposition: Home With Service Facility: [**Hospital 3894**] Hospice VNA Discharge Diagnosis: Metastatic lung cancer Breast cancer Stroke, ischemic Insulin dependent diabetes Discharge Condition: fair Discharge Instructions: Please follow-up with Dr. [**Last Name (STitle) **] as needed. Take your medications as prescribed. Followup Instructions: Schedule follow-up with your PCP as needed Completed by:[**2112-12-7**] ICD9 Codes: 4019
{ "dataset_link": "https://huggingface.co/datasets/ricardosantoss/ehrcomplete_icdfiltered", "dataset_name": "ehrcomplete-icdfiltered", "id": 8191 }
Medical Text: Admission Date: [**2192-5-16**] Discharge Date: [**2192-5-23**] Date of Birth: [**2113-12-14**] Sex: F Service: MEDICINE Allergies: Prednisone / Azithromycin / Trilisate / Sulfa (Sulfonamides) Attending:[**First Name3 (LF) 425**] Chief Complaint: palpitations Major Surgical or Invasive Procedure: cardioversion History of Present Illness: 78 yo F w/ PMH Afib on coumadin who presents with a "racing heart". Patient states that she exeprienced palpitatins one day ago, however was unsure if she was in a. fib. She had an appt with PCP for neck pain when ECG done showed a. fib with RVR so she was sent to ED. She denies any chest pain, sob, palpitations. denies doe. Denies recent fevers or chills, caugh/n/v. . In the ED, 96.9 HR 130 BP 122/76 and 98%RA. she received 325 mg aspirin and lopressor 5 mg IV X 3 with slowing of her heart rate to 110s. . On transfer to the floor pt c/o neck pain which she states has been bothering her for several months. She has tried tylenol with minimal relief. Some relief with local heat and bengay. Denies any recent trauma. . On review of symptoms, she denies any prior history of stroke, TIA, deep venous thrombosis, pulmonary embolism, bleeding at the time of surgery, myalgias, cough, hemoptysis, black stools or red stools. . Cardiac review of systems is notable for absence of chest pain, dyspnea on exertion, paroxysmal nocturnal dyspnea, orthopnea, ankle, syncope or presyncope. Past Medical History: 1. Parkinson's disease 2. Congestive heart failure with an ejection fraction of 50-55% on TEE in [**1-29**] 3. Atrial fibrillation 4. Hypertension 5. Constipation 6. Dizziness 7. Colonic polyps 8. Irritable bowel syndrome 9. Gastritis 10. Hyponatremia 11. Back pain 12. Hearing loss 13. Insomnia 14. Basal cell carcinoma 15. Left bundle-branch block Social History: Social history is significant for the absence of current tobacco use. There is no history of alcohol abuse. Pt cares for her husband at home, has [**Name (NI) **] on Wheels, cleaning woman every other week; husband has aide 4x/week. Family History: Her parents died when they were in their 60s, her mother of renal disease, her father of heart disease. Physical Exam: Vitals: T 97.6 HR 65 BP 158/78 RR: 20 100% 2L Gen: awake, alert, sitting in chair breathing comfortably HEENT: Clear OP, MMM NECK: Supple, No LAD, JVP 8-10 CV: RR, NL rate. NL S1, S2. soft sys murmur LLSB LUNGS: crackles bilaterally [**1-24**] way up. ABD: Soft, NT, ND. NL BS. No HSM EXT: trace edema. 2+ DP pulses BL Pertinent Results: REPORTS: . CHEST (PORTABLE AP) [**2192-5-16**] 1:11 PM IMPRESSION: 1. Unchanged cardiomegaly, without evidence of pulmonary edema. 2. Probable small bilateral pleural effusions with bilateral basilar atelectasis. . CHEST (PORTABLE AP) [**2192-5-19**] 9:34 AM Cardiac silhouette is enlarged, and there has been development of congestive heart failure with perihilar and basilar edema. Bilateral moderate pleural effusions have increased in size with adjacent atelectasis. . TTE: [**2192-5-21**]: Conclusions: The left atrium is elongated. No left atrial mass/thrombus seen (best excluded by transesophageal echocardiography). The right atrium is markedly dilated. The estimated right atrial pressure is 11-15mmHg. Left ventricular wall thicknesses and cavity size are normal. There is mild regional left ventricular systolic dysfunction with severe hypokinesis of the inferior and inferoseptal walls. The remaining segments contract well. [Intrinsic left ventricular systolic function is likely more depressed given the severity of valvular regurgitation.] The right ventricular cavity is mildly dilated. Right ventricular systolic function is normal. [Intrinsic function may be depressed given the severity of tricuspid regurgitation.] The aortic valve leaflets (3) are mildly thickened but aortic stenosis is not present. Trace aortic regurgitation is seen. The mitral valve leaflets are structurally normal. There is no mitral valve prolapse. Moderate (2+) mitral regurgitation is seen. Moderate [2+] tricuspid regurgitation is seen. There is severe pulmonary artery systolic hypertension. The end-diastolic pulmonic regurgitation velocity is increased suggesting pulmonary artery diastolic hypertension. There is a small pericardial effusion without hemodynamic evidence of compromise/tamponade physiology. . Compared with the prior study (images reviewed) of [**2192-1-4**], the inferior/inferoseptal wall motion abnormality is new, overall LVEF is more depressed, and the severity of mitral regurgitation has increased. The severity of pulmonary artery systolic hypertension is also markedly increased. . . ADMISSION LABS: [**2192-5-16**] 12:55PM GLUCOSE-102 UREA N-34* CREAT-1.3* SODIUM-138 POTASSIUM-4.1 CHLORIDE-95* TOTAL CO2-29 ANION GAP-18 [**2192-5-16**] 12:55PM estGFR-Using this [**2192-5-16**] 12:55PM CK(CPK)-61 [**2192-5-16**] 12:55PM cTropnT-<0.01 [**2192-5-16**] 12:55PM CK-MB-NotDone [**2192-5-16**] 12:55PM WBC-7.7 RBC-3.60* HGB-11.5* HCT-34.4* MCV-96 MCH-32.0 MCHC-33.5 RDW-15.0 [**2192-5-16**] 12:55PM NEUTS-66.8 LYMPHS-26.2 MONOS-4.7 EOS-0.6 BASOS-1.7 [**2192-5-16**] 12:55PM MACROCYT-1+ [**2192-5-16**] 12:55PM PLT COUNT-454* [**2192-5-16**] 12:55PM PT-25.5* PTT-33.4 INR(PT)-2.6* [**2192-5-23**] 06:20AM BLOOD WBC-8.1 RBC-3.43* Hgb-11.1* Hct-32.5* MCV-95 MCH-32.5* MCHC-34.3 RDW-15.2 Plt Ct-395 [**2192-5-21**] 06:06AM BLOOD Neuts-62.7 Lymphs-27.8 Monos-7.1 Eos-2.0 Baso-0.4 [**2192-5-23**] 06:20AM BLOOD Plt Ct-395 [**2192-5-23**] 06:20AM BLOOD PT-23.1* PTT-150 INR(PT)-2.3* [**2192-5-22**] 01:00PM BLOOD PT-18.8* PTT-24.9 INR(PT)-1.8* [**2192-5-21**] 06:06AM BLOOD PT-24.2* PTT-30.4 INR(PT)-2.4* [**2192-5-23**] 06:20AM BLOOD Glucose-89 UreaN-26* Creat-0.9 Na-141 K-3.7 Cl-97 HCO3-34* AnGap-14 [**2192-5-20**] 05:09AM BLOOD CK(CPK)-94 [**2192-5-19**] 04:35PM BLOOD ALT-9 AST-35 LD(LDH)-193 CK(CPK)-136 AlkPhos-109 Amylase-83 TotBili-0.8 [**2192-5-20**] 05:09AM BLOOD CK-MB-3 cTropnT-<0.01 [**2192-5-19**] 04:35PM BLOOD CK-MB-3 cTropnT-<0.01 [**2192-5-19**] 11:05AM BLOOD CK-MB-3 cTropnT-<0.01 [**2192-5-20**] 05:09AM BLOOD calTIBC-339 VitB12-912* Folate-19.0 Ferritn-33 TRF-261 [**2192-5-19**] 11:28AM BLOOD Type-ART pO2-91 pCO2-58* pH-7.28* calTCO2-28 Base XS-0 [**2192-5-19**] 11:28AM BLOOD Lactate-2.2* Brief Hospital Course: 78 yo F with CHF (EF 50%) and a history of Afib who presented with palpitations due to recurrent Afib. . #. Rhythm: The patient presented in Afib w/RVR. There were no signs of infection or any complaint of chest pain suggesting ischemia as etiology for afib recurrance. Had rates 120's-130's on admission, with stable blood pressure. Initially rate control was attempted by increasing metoprolol to 75mg [**Hospital1 **], however pt still had HR's in 110's. Pt was then DC cardioverted, and remained in NSR. She did not need a TEE prior to cardioversion, as PCP records were [**Name9 (PRE) 97121**] and INR had largely been therapeutic in past month. Metoprolol dose was then decreased to home dose as pt had rate in 70's. --pt's INR became supratherapeutic, so coumadin was held for several days, and then re-started once INR was in acceptable range. --started sotalol for rhythm control, however pt had prolonging QTc. Sotalol dose was then decreased from 80mg [**Hospital1 **] to 40mg [**Hospital1 **]. QTc was monitored while on sotalol. . #. Pump - EF 40% -- given renal insufficiency on admission and dry mucous membranes, lasix and lisinopril were held, however lasix and lisinopril were later restarted -- approximately 24 hours after cardioversion, pt c/o SOB and had hypoxic respiratory failure, which was thought secondary to post-cardioversion CHF. She required a 100% NRB, nitro gtt, and was transferred to the CCU for BiPAP. She underwent aggressive diuresis along with BiPAP, and SOB and O2 requirement greatly improved. Pt now satting well on 2L NC and returned to the floor once breathing was stable. She ruled out for MI during this episode. . #. CAD: no documented history of CAD, though inferior HK on echo --she was contined on BB, asa --she was not previously on statin LDL 102 [**2192-1-23**], previously 114. Simvastatin was started during the admission. #. HTN: The lasix, metoprolol, and lisinopril were held on admission, then restarted to her home doses. . #. [**Doctor First Name 48**]: Pt had elevated BUN and creatinine up to 1.3 on admission, came down to 1.0. ACEI and Lasix were held on admission, now both have been re-started . #. Nausea + Abdominal distension: pt complained of this during her episode of SOB. Now resolved. KUB negative for obstruction. Likely due to constipation. LFTs WNL. . #. Parkinson's Disease - continued Sinemet . # Neck pain: Pt has had chronic neck pain for several months, thought [**2-24**] arthritis. Has tried ultram and physical therapy in the past without relief. Pain consult was called, however would need C-spine MRI prior to any injections, so will continue conservative management for now and hold off on inpatient consult. We re-scheduled her outpatient pain appointment (had appt scheduled for [**5-22**] prior to admission). . #. FEN - low-sodium/cardiac diet, replete lytes prn . #. Access: PIV #. PPx: therapeutic INR, bowel regimen, PPI #. Code: Full Medications on Admission: Coumadin 5 mg PO daily Lasix 20 mg PO daily Lisinopril 10 mg daily Toprol XL 50 mg qhs Sinemet 25-100MG-- 1.5 tablets TID Coenzyme Q10 400 mg TID Fosamax 70 mg q weekly Calcium Citrate With D [**Hospital1 **] Discharge Medications: 1. Toprol XL 50 mg Tablet Sustained Release 24 hr Sig: One (1) Tablet Sustained Release 24 hr PO once a day. 2. Aspirin 81 mg Tablet, Chewable Sig: One (1) Tablet, Chewable PO DAILY (Daily). 3. Carbidopa-Levodopa 25-100 mg Tablet Sig: One (1) Tablet PO TID (3 times a day). 4. Coenzyme Q10 10 mg Capsule Sig: One (1) Capsule PO tid (). 5. Pantoprazole 40 mg Tablet, Delayed Release (E.C.) Sig: One (1) Tablet, Delayed Release (E.C.) PO Q24H (every 24 hours). 6. Mirtazapine 15 mg Tablet Sig: One (1) Tablet PO HS (at bedtime). 7. Magnesium Hydroxide 400 mg/5 mL Suspension Sig: Thirty (30) ML PO Q6H (every 6 hours) as needed. 8. Calcium Carbonate 500 mg Tablet, Chewable Sig: One (1) Tablet, Chewable PO QID (4 times a day) as needed. 9. Acetaminophen 325 mg Tablet Sig: One (1) Tablet PO Q4-6H (every 4 to 6 hours) as needed. 10. Cholecalciferol (Vitamin D3) 400 unit Tablet Sig: One (1) Tablet PO DAILY (Daily). 11. Alendronate 70 mg Tablet Sig: One (1) Tablet PO QSUN (every Sunday). 12. Sotalol 80 mg Tablet Sig: 0.5 Tablet PO BID (2 times a day). 13. Warfarin 5 mg Tablet Sig: One (1) Tablet PO HS (at bedtime). 14. Furosemide 20 mg Tablet Sig: One (1) Tablet PO DAILY (Daily). 15. Lisinopril 10 mg Tablet Sig: One (1) Tablet PO DAILY (Daily). 16. Simvastatin 10 mg Tablet Sig: One (1) Tablet PO DAILY (Daily). Discharge Disposition: Extended Care Facility: [**Hospital 169**] Center Discharge Diagnosis: Primary diagnoses: Afib w/RVR hypoxic respiratory failure pulmonary edema s/p cardioversion Secondary diagnoses: Parkinson's disease CHF HTN Discharge Condition: Stable. In sinus rhythm. Discharge Instructions: Please seek medical attention immediately if you experiences chest pain, shortness of breath, palpitations, nausea, vomiting, sweating, or any other concerning symptoms. Please take all medications as prescribed. You have been started on sotalol. Followup Instructions: You have the following appointments scheduled: Provider: [**Name10 (NameIs) 19245**] [**Last Name (NamePattern4) 19246**], MD Date/Time:[**2192-5-22**] 10:40 Provider: [**First Name11 (Name Pattern1) **] [**Last Name (NamePattern4) 2847**], MD Phone:[**Telephone/Fax (1) 719**] Date/Time:[**2192-6-13**] 11:30 Provider: [**Name10 (NameIs) **] [**Last Name (NamePattern4) **], MD Phone:[**Telephone/Fax (1) 62**] Date/Time:[**2192-6-20**] 1:40 [**First Name4 (NamePattern1) 1193**] [**Last Name (NamePattern1) 1194**] Clinic appointment [**2192-6-7**] at 2:30pm ([**Telephone/Fax (1) 19088**] ICD9 Codes: 4280, 4240, 5859
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Medical Text: Admission Date: [**2128-1-11**] Discharge Date: [**2128-1-21**] Date of Birth: [**2057-1-13**] Sex: M Service: CARDIOTHORACIC Allergies: Patient recorded as having No Known Allergies to Drugs Attending:[**First Name3 (LF) 1267**] Chief Complaint: Chest pain Major Surgical or Invasive Procedure: [**2128-1-11**] - Cardiac Catheterization [**2128-1-15**] CABGx4 (LIMA->LAD, SVG->OM, DIAG, PDA) History of Present Illness: 70 year old gentleman with history of HTN, hyperlipidemia and chronic hepatitis C who was woke from sleep with severe chest pain. He presented to the emergency department at [**Hospital 882**] Hospital where an EKG revealed ST changes. He was treated with aspirin, lopressor and heparin. He was subsequently transferred to the [**Hospital1 18**] for further care. Past Medical History: HTN Dyslipidemia Hepatitis C H/O TB Diabetes mellitus type II Atrial Fibrillation STEMI Social History: Former Korean war vet. Used to smoke 2 ppd for 20 years, quit 30 years ago. Drank 6 beers per day for 20 years quitting in [**2119**]. No drug use. Lives with wife in [**Name (NI) 1268**]. Family History: Father died of MI in his 60's. Two brothers died in 60's of CAD. Sister with lung cancer. Physical Exam: GEN: WDWN in NAD NECK: No JVD CHEST: Clear HEART: RRR, nl s1-s2, no murmur ABD: Soft, NT, ND, NABS EXT: No edema, warm, pulses intact Pertinent Results: [**2128-1-11**] 07:00AM PT-16.0* PTT-112.4* INR(PT)-1.8 [**2128-1-11**] 07:00AM PLT SMR-NORMAL PLT COUNT-267 [**2128-1-11**] 07:00AM WBC-16.7*# RBC-4.69 HGB-15.0 HCT-41.9 MCV-89 MCH-32.0 MCHC-35.8* RDW-13.1 [**2128-1-11**] 07:00AM ALT(SGPT)-19 AST(SGOT)-29 CK(CPK)-180* ALK PHOS-76 TOT BILI-0.5 [**2128-1-11**] 07:00AM GLUCOSE-146* UREA N-19 CREAT-1.0 SODIUM-138 POTASSIUM-3.7 CHLORIDE-97 TOTAL CO2-22 ANION GAP-23* [**2128-1-11**] 12:25PM WBC-10.9 RBC-4.21* HGB-13.7* HCT-36.6* MCV-87 MCH-32.6* MCHC-37.4* RDW-13.0 [**2128-1-11**] 08:40PM PT-13.8* PTT-36.3* INR(PT)-1.3 [**2128-1-18**] 09:00AM BLOOD WBC-11.7* RBC-2.91* Hgb-9.2* Hct-25.9* MCV-89 MCH-31.6 MCHC-35.4* RDW-14.4 Plt Ct-165 [**2128-1-18**] 09:00AM BLOOD Plt Ct-165 [**2128-1-18**] 09:00AM BLOOD Glucose-137* UreaN-28* Creat-0.9 Na-133 K-4.8 Cl-99 HCO3-24 AnGap-15 [**2128-1-20**] CXR Continued cardiomegaly and small bilateral pleural effusion and bibasilar patchy atelectasis. [**2128-1-11**] Cardiac Catheterization 1. Coronary angiography revealed a right dominant system. The LMCA showed a 40% tapering distal stenosis, which did not angiographically appear to be flow-limiting. The LAD showed a 60% proximal and 90% midsegment stenosis. The LCX showed a 90% proximal stenosis followed by a 100% distal segment stenosis. The RCA showed mild diffuse calcified disease in the proximal and mid segments with a 100% stenosis in the posterolateral branch just distal to the right posterior descending artery, with left to right collaterals filling the distal right posterolateral branch artery. The right acute marginal artery showed a 100% stenosis. 2. Left ventriculography did not adequately visualize the ventricular lumen due to insufficient contrast volume. The LVEF was approximately 50% with posterobasal akinesis and [**2-9**]+ mitral regurgitation. 3. Limited left-sided hemodynamics demonstrated severely elevated left ventricular end-diastolic pressures of 25 mmHg, suggestive of severe diastolic dysfunction. [**2128-1-15**] EKG Sinus rhythm. Left axis deviation. There are Q waves in the inferior leads consistent with prior infarction. Low voltage. Compared to the previous tracing voltage has decreased. [**2128-1-12**] ECHO 1.The left atrium is mildly dilated. 2.Left ventricular wall thicknesses are normal. The left ventricular cavity size is normal. Overall left ventricular systolic function is mildly depressed. Resting regional wall motion abnormalities include inferolateral and basal lateral with apical hypokinesis. 3. Right ventricular chamber size is normal. Right ventricular systolic function is normal. 4.The aortic valve leaflets (3) appear structurally normal with good leaflet excursion. No aortic regurgitation is seen. 5.The mitral valve leaflets are structurally normal. No mitral regurgitation present. 6.There is an anterior space which most likely represents a fat pad, though a loculated anterior pericardial effusion cannot be excluded. Brief Hospital Course: Mr. [**Known lastname **] [**Known lastname 1269**] was admitted to the [**Hospital1 18**] on [**2128-1-11**] for further management of his chest pain and EKG changes. Heparin and aspirin were continued without chest pain. A cardiac catheterization was performed which revealed severe three vessel disease, [**2-9**]+ mitral regurgitation and an ejection fraction of 50%. Integrilin was started. Given the severity of his disease, the cardiac surgery service was consulted for surgical revascularization. Mr. [**Known lastname **] [**Known lastname 1269**] was worked-up in the usual preoperative manner. As he elevated blood sugars, the [**Last Name (un) 387**] diabetes service was consulted for assistance with his management. An echocardiogram was performed which revealed an ejection fraction of 40%, no mitral regurgitation, normal aortic valve and diffuse left ventricular hypokinesis. Integrilin was discontinued in preparation for cardiac surgery. On [**2128-1-15**], Mr. [**Known lastname **] [**Known lastname 1269**] was taken to the operating room where he underwent coronary artery bypass grafting to four vessels. Postoperatively he was taken to the cardiac surgical intensive care unit for monitoring. On postoperative day one, Mr. [**Known lastname **] [**Known lastname 1269**] awoke neurologically intact and was extubated. Aspirin and beta blockade were resumed. He developed atrial fibrillation which converted to normal sinus rhythm with beta blockade and amiodarone. Later on postoperative day two, he was transferred to the cardiac surgical step down unit for further recovery. He was gently diuresed towards his preoperative weight. The physical therapy service was consulted for assistance with his postoperative strength and mobility. His drains and pacing wires were removed without issue. Mr. [**Known lastname **] [**Known lastname 1269**] continued to make steady progress and was discharged home on postoperative six. He will follow-up with Dr. [**Last Name (STitle) **], his cardiologist and his primary care physician as an outpatient. Medications on Admission: Zestril 5 mg once daily HCTZ 25 mg once daily Lipitor 10mg once daily Discharge Medications: 1. Docusate Sodium 100 mg Capsule Sig: One (1) Capsule PO BID (2 times a day). Disp:*60 Capsule(s)* Refills:*0* 2. Pantoprazole 40 mg Tablet, Delayed Release (E.C.) Sig: One (1) Tablet, Delayed Release (E.C.) PO Q24H (every 24 hours). Disp:*30 Tablet, Delayed Release (E.C.)(s)* Refills:*0* 3. Oxycodone-Acetaminophen 5-325 mg Tablet Sig: 1-2 Tablets PO Q4H (every 4 hours) as needed for pain. Disp:*40 Tablet(s)* Refills:*0* 4. Aspirin 81 mg Tablet, Delayed Release (E.C.) Sig: One (1) Tablet, Delayed Release (E.C.) PO DAILY (Daily). Disp:*30 Tablet, Delayed Release (E.C.)(s)* Refills:*0* 5. Atorvastatin 10 mg Tablet Sig: One (1) Tablet PO DAILY (Daily). Disp:*30 Tablet(s)* Refills:*0* 6. Clopidogrel 75 mg Tablet Sig: One (1) Tablet PO DAILY (Daily). Disp:*30 Tablet(s)* Refills:*0* 7. Furosemide 20 mg Tablet Sig: One (1) Tablet PO BID (2 times a day) for 7 days. Disp:*14 Tablet(s)* Refills:*0* 8. Amiodarone 200 mg Tablet Sig: One (1) Tablet PO once a day for 1 months. Disp:*30 Tablet(s)* Refills:*0* 9. Potassium Chloride 10 mEq Capsule, Sustained Release Sig: Two (2) Capsule, Sustained Release PO Q12H (every 12 hours) for 7 days. Disp:*28 Capsule, Sustained Release(s)* Refills:*0* 10. Metoprolol Tartrate 25 mg Tablet Sig: One (1) Tablet PO BID (2 times a day). Disp:*60 Tablet(s)* Refills:*0* Discharge Disposition: Home With Service Facility: [**Hospital 119**] Homecare Discharge Diagnosis: CAD HTN hyperlipidemia Hepatitis C TB s/p RUL resection Discharge Condition: Good. Discharge Instructions: Shower, wash incision with soap and water and pat dry. No lotions, creams or powders to incisions. Call with fever, redness or drainage from incision, or weight gain more than 2 pounds in one day or five in one week. No lifting more than 10 pounds or driving. Followup Instructions: Dr. [**Last Name (STitle) **] 4 weeks Dr. [**Last Name (STitle) 1270**] in 2 weeks return to [**Hospital Ward Name 121**] 2 in [**3-13**] weeks for staple removal and wound check Completed by:[**2128-1-21**] ICD9 Codes: 4240, 4019, 2724
{ "dataset_link": "https://huggingface.co/datasets/ricardosantoss/ehrcomplete_icdfiltered", "dataset_name": "ehrcomplete-icdfiltered", "id": 8193 }
Medical Text: Admission Date: [**2139-8-5**] Discharge Date: [**2139-8-11**] Date of Birth: [**2062-9-30**] Sex: M Service: [**Location (un) **] SERVICE. ANTICIPATED DISCHARGE: [**2139-8-12**]. HISTORY OF THE PRESENT ILLNESS: This is a 76-year-old male nursing home resident with a history of cerebrovascular accident, which resulted in dementia and aphasia, history of aspiration pneumonia plus dysphagia, status post G-tube placement and history of hypernatremia. The patient presented with fevers. The patient had a cyst on his back for over one week and had been treated with Duricef for one week and started on Levofloxacin the day prior to admission for failure to respond to Duricef. On the morning of admission, he developed a fever to 104.2. Vital signs at the nursing home were significant for an oxygen saturation of 88% on room air, which increased to 93% on two liters nasal cannula. The patient is demented and aphasic at baseline and he is unable to communicate. PAST MEDICAL HISTORY: 1. History of cerebrovascular accident leading to dementia, plus aphasia. 2. History of dysphasia plus aspiration pneumonia status post G-tube placement. 3. Hypernatremia. 4. Depression. 5. Hypertension. 6. Atypical psychosis. ALLERGIES: The patient has no known drug allergies. SOCIAL HISTORY: The patient is a resident at [**Hospital3 2558**]. PHYSICAL EXAMINATION: Examination on admission revealed the following: Vital signs: Temperature 103, heart rate 96, blood pressure 123/66, respiratory rate 20, saturating 92% on two liters. GENERAL: The patient was aphasic in no acute distress. HEENT: Pupils equal, round, and reactive to light. Mucous membranes were dry. LUNGS: Lungs were clear to auscultation, but limited examination secondary to patient unable to comply. CARDIOVASCULAR: Regular rate and rhythm, no murmurs, rubs, or gallops. NECK: Abdomen was soft, nontender, mildly distended. G tube in place. LOWER EXTREMITIES: No clubbing, cyanosis or edema. Back revealed a 10-cm raised, erythematous, warm, fluctuant area on the upper mid back. LABORATORY DATA: Pertinent labs on admission: White count 22.7, hematocrit 44.7, platelet count 293,000, differential and the white count were 79 neutrophils, 2 bands, 13 lymphs, 5 monos. Chem 7: Sodium 157, potassium 3.5, chloride 118, bicarbonate 27, BUN 37, creatinine 1.3, glucose 119. Serum osmolality 334, urine osmolality 429. Chest x-ray: Showed an infiltrate involving the entire left lower lobe. HOSPITAL COURSE: (by systems) #1. INFECTIOUS DISEASE: The patient was taken to the operating room on the day of admission for incision and drainage of his back abscess. Cultures subsequently grew out proteus and two out two blood cultures in the emergency department grew out proteus. The chest x-ray on admission also showed a left lower lobe pneumonia, possibly an aspiration pneumonia given the patient's history. He was started on Unasyn, but changed to Vancomycin, Levofloxacin, and Flagyl. Sensitivities from the Proteus came back as intermediate to Levofloxacin and he was changed to Ceftriaxone. The Vancomycin was also discontinued, but the Flagyl was continued for empiric anaerobic coverage. The patient defervesced and the white count came down. On hospital day #7, he was switched to PO cefpodoxime and PO Flagyl. He will be continued for a total antibiotic course of 14 days. #2. FLUIDS, ELECTROLYTES, AND NUTRITION: The patient was hypernatremic on admission with a sodium of 157. He was initially felt to be volume depleted, as well as having a free-water deficit. He was initially repleted with normal saline and then ?????? normal saline as well as free-water boluses via the G tube feeds. He remained hyponatremic and the IV fluids were switched to D5 water and the sodium subsequently corrected to 143. He is being discharged on free-water boluses via the G-tube at 250 cc q.6. #3. PULMONARY: The patient had a left lower lobe pneumonia on admission. They had difficulty extubating him after going to the operating room for incision and drainage and he remained in the SICU for two days. He was extubated late postoperative day #1 and subsequently maintained his saturations in the 90s on minimal oxygen. He received chest PT and nasopharyngeal suctioning. #4. GASTROINTESTINAL: Abdomen was distended on admission, but he tolerated G tube feeds that were titrated up to 75 cc an hour with no residuals. He subsequently had bowel movements and his abdomen became less distended. He is being discharged on a bowel regimen. #5. CARDIOVASCULAR: The patient's blood pressure remained well controlled on his outpatient Norvasc. #5. SKIN: The patient had an incision and drainage of his back abscess on the day of admission. The Department of General Surgery followed him throughout the stay. He required no further debridement, but careful wound care with wet-to-dry dressing changes twice a day and turning of the patient every two hours to prevent pressure on his back. #6. PSYCHIATRIC: The patient was continued on his outpatient medications. #7. CODE STATUS: The patient is full code. CONDITION ON DISCHARGE: Stable at the time of this discharge summary. MEDICATIONS ON DISCHARGE: 1. Cefpodoxime 200 mg per G-tube q.12h. through [**2139-8-20**]. 2. Flagyl per G tube q.8h. through [**2139-8-18**]. 3. Lactulose 30 cc per G tube q.d. 4. Colace 100 mg PO G tube b.i.d. 5. Multivitamin liquid 5 cc per G tube q.d. 6. Hyoscyamine 0.125 mg PO G tube t.i.d. 7. Trazodone 25 mg per G tube q.d. 8. Sertraline 100 mg per G tube q.d. 9. Norvasc 10 mg per G tube q.d. 10. Seroquel 25 mg per G tube q.a.m. 11. Heparin 5000 units subcutaneously b.i.d. 12. Pantoprazole 40 mg per G tube q.d. DIAGNOSIS ON DISCHARGE: 1. Status post incision and drainage of back abscess, cultures positive for Proteus. 2. Proteus bacteremia. 3. Left lower lobe pneumonia. 4. Hypernatremia. DR.[**Last Name (STitle) **],[**First Name3 (LF) **] 12-924 Dictated By:[**Name8 (MD) 27241**] MEDQUIST36 D: [**2139-8-11**] 14:50 T: [**2139-8-11**] 15:02 JOB#: [**Job Number 27242**] ICD9 Codes: 7907, 2760, 5070, 4019
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Medical Text: Admission Date: [**2157-9-26**] Discharge Date: [**2157-10-2**] Date of Birth: [**2079-12-15**] Sex: F Service: CARDIOTHORACIC Allergies: No Known Allergies / Adverse Drug Reactions Attending:[**First Name3 (LF) 1505**] Chief Complaint: dyspnea on exertion Major Surgical or Invasive Procedure: Mitral valve repair (28mm CG Future Annuloplasty Ring), Tricuspid valve repair (28mm Contour 3D) [**9-27**] History of Present Illness: Ms. [**Known lastname 18329**] is a 77 year old female with history of valvular disease, now admitted for atrial fibrillation and heart failure. She has been having increasing dyspnea with activity and has been followed with serial echocardiograms. The most recent study showed moderate to severe mitral regurgitation, moderate aortic regurgitation and tricuspid regurgitation. A cardiac catheterization on [**7-20**] revealed no significant coronary artery disease but aortic and mitral regurgitation. She now presents for a heparin bridge from coumadin for surgery. Past Medical History: Mitral regurgitation Tricuspid regurgitation Aortic regurgitation Hypertension heart failure d/t valvular disease Atrial fibrillation Chronic constipation IBS GERD Polyuria Osteopenia Arthritis Vertigo Allergic rhinitis Heriditary homocystemia Pericarditis [**2132**] Palendromic rheumatism Renal infarction Shingles Rt eye affecting 5th cranial nerve - lost sensation in cornea and underwent corneal transplant x2 Glaucoma right eye s/p Hernia repair s/p Total Hysterectomy [**2136**] s/p Tonsillectomy s/p Corneal transplant [**2148**] and [**2150**] s/p arthoscopy right knee [**2148**] s/p right total knee replacement [**2149**] s/p gall bladder removal [**2149**] s/p cataract removal [**2149**] Social History: Family History: mother deceased 73 heart disease and TB, sibling deceased 78 heart disease Race:Caucasian Last Dental Exam: ~ 4 months Lives with: Husband Contact: [**Name (NI) 18330**] [**Known lastname 18329**] (spouse) Phone # [**Telephone/Fax (1) 18331**] Occupation: Retired used to work in insurance company Cigarettes: Smoked no [] yes [X] quit 42 years ago ~ 54 pack year history Other Tobacco use: ETOH: 1 glass a month Family History: Ms. [**Known lastname 18332**] mother died at age 73 of heart disease and tuberculosis. A sibling was noted to have died at age 78 of heart disease. Physical Exam: Admission Physical Exam Pulse: 87 Resp: 16 Sat 100% RA B/P 126/70 General: Pleasant, interactive no acute distress Skin: Dry [x] intact [x] old healed ulcer right ankle, right knee surgical scar HEENT: PERRLA [x] EOMI [x] right eye sclera reddened no drainage Neck: Supple [x] Full ROM [x] Chest: Lungs clear bilaterally [x] Heart: RRR [] Irregular [x] Murmur [**1-30**] holosystolic Abdomen: Soft [x] non-distended [x] non-tender [x] bowel sounds + [x] Extremities: Warm [x], well-perfused [x] Edema [x] trace bilateral lower extremities mid calf down Varicosities: multiple bilateral lower extremities Neuro: Alert and oriented x3 nonfocal Pulses: Femoral Right: +1 Left: +1 DP Right: +1 Left: +1 PT [**Name (NI) 167**]: +1 Left: +1 Radial Right: +2 Left: +2 Carotid Bruit no bruit Pertinent Results: [**Hospital1 18**] ECHOCARDIOGRAPHY REPORT [**Known lastname **], [**Known firstname 539**] [**Hospital1 18**] [**Numeric Identifier 18333**] (Complete) Done [**2157-9-27**] at 9:41:08 AM PRELIMINARY Referring Physician [**Name9 (PRE) **] Information [**Name9 (PRE) **], [**First Name3 (LF) **] R. [**Hospital1 18**], Division of Cardiothorac [**Hospital Unit Name 4081**] [**Location (un) 86**], [**Numeric Identifier 718**] Status: Inpatient DOB: [**2079-12-15**] Age (years): 77 F Hgt (in): 64 BP (mm Hg): 123/60 Wgt (lb): 119 HR (bpm): 96 BSA (m2): 1.57 m2 Indication: Aortic valve disease. Atrial fibrillation. Hypertension. Left ventricular function. Mitral valve disease. Shortness of breath. Valvular heart disease. ICD-9 Codes: 428.0, 427.31, 786.05, 424.1, 424.0, 424.2 Test Information Date/Time: [**2157-9-27**] at 09:41 Interpret MD: [**First Name8 (NamePattern2) **] [**Last Name (NamePattern1) 168**], MD Test Type: TEE (Complete) Son[**Name (NI) 930**]: [**Initials (NamePattern4) **] [**Last Name (NamePattern4) 168**], MD Doppler: Full Doppler and color Doppler Test Location: Anesthesia West OR cardiac Contrast: None Tech Quality: Adequate Tape #: 2011AW-:1 Machine: us3 Echocardiographic Measurements Results Measurements Normal Range Left Atrium - Four Chamber Length: *6.7 cm <= 5.2 cm Right Atrium - Four Chamber Length: *5.6 cm <= 5.0 cm Left Ventricle - Septal Wall Thickness: 0.9 cm 0.6 - 1.1 cm Left Ventricle - Inferolateral Thickness: 0.9 cm 0.6 - 1.1 cm Left Ventricle - Diastolic Dimension: 4.1 cm <= 5.6 cm Left Ventricle - Ejection Fraction: 55% to 60% >= 55% Aorta - Sinus Level: 2.6 cm <= 3.6 cm Aorta - Ascending: 3.4 cm <= 3.4 cm Aorta - Arch: 2.4 cm <= 3.0 cm Aorta - Descending Thoracic: 2.4 cm <= 2.5 cm Aortic Valve - LVOT diam: 1.8 cm Findings LEFT ATRIUM: Mild spontaneous echo contrast in the body of the LA. Mild spontaneous echo contrast in the LAA. Depressed LAA emptying velocity (<0.2m/s) No thrombus in the LAA. RIGHT ATRIUM/INTERATRIAL SEPTUM: Mildly dilated RA. No ASD by 2D or color Doppler. LEFT VENTRICLE: Normal LV wall thickness. Normal LV cavity size. Normal regional LV systolic function. Overall normal LVEF (>55%). RIGHT VENTRICLE: Normal RV chamber size and free wall motion. AORTA: Normal aortic diameter at the sinus level. Normal ascending aorta diameter. Normal aortic arch diameter. Complex (>4mm) atheroma in the aortic arch. Normal descending aorta diameter. Simple atheroma in descending aorta. AORTIC VALVE: Mildly thickened aortic valve leaflets (3). No AS. Moderate (2+) AR. MITRAL VALVE: Mildly thickened mitral valve leaflets. No MS. Moderate (2+) MR. TRICUSPID VALVE: Mild to moderate [[**12-26**]+] TR. PERICARDIUM: No pericardial effusion. GENERAL COMMENTS: A TEE was performed in the location listed above. I certify I was present in compliance with HCFA regulations. The patient was under general anesthesia throughout the procedure. No TEE related complications. The rhythm appears to be atrial fibrillation. See Conclusions for post-bypass data Conclusions PRE-BYPASS: Mild spontaneous echo contrast is seen in the body of the left atrium. Mild spontaneous echo contrast is present in the left atrial appendage. The left atrial appendage emptying velocity is depressed (<0.2m/s). No thrombus is seen in the left atrial appendage. No atrial septal defect is seen by 2D or color Doppler. Left ventricular wall thicknesses are normal. The left ventricular cavity size is normal. Regional left ventricular wall motion is normal. Overall left ventricular systolic function is normal (LVEF>55%). Right ventricular chamber size and free wall motion are normal. There are complex (>4mm) atheroma in the aortic arch. There are simple atheroma in the descending thoracic aorta. The aortic valve leaflets (3) are mildly thickened. There is no aortic valve stenosis. Moderate (2+) aortic regurgitation is seen. The mitral valve leaflets are mildly thickened. A central jet of moderate (2+) mitral regurgitation is seen. There is no pericardial effusion. POST-BYPASS: The patient is AV paced, on no inotropes. Biventricular function is unchanged. There is a mitral annuloplasty ring in good position. No mitral regurgitation is seen. No paravalvular leak is seen. There is no mitral stenosis with a mean gradient of 2mmHg at a cardiac output of 3.7 L/min. There is a tricuspid annuloplasty ring in good position. There is no tricuspid regurgitation. No paravalvular leak is seen. There is a mean gradient of 1 mmHg across the tricuspid valve with cardiac output at 3.7 L/min.. Aortic regurgitation is mild to moderate ([**12-26**]+). The aorta is intact post-decannulation. Final Report PA AND LATERAL CHEST HISTORY: 77-year-old woman following mitral valve and tricuspid valve repair. Assess right pleural effusion. IMPRESSION: PA and lateral chest compared to [**9-26**] through 6. Small bilateral pleural effusions, right greater than left have both decreased since [**9-29**] and pulmonary vascular engorgement in the upper lobes and previous mild pulmonary edema in the lower has decreased as well. Severe cardiomegaly is stable. No pneumothorax. CT CHEST W/CONTRAST Clip # [**Clip Number (Radiology) 18334**] Reason: eval for right effusion/ apical thickening/ neoplasm Contrast: VISAPAQUE Amt: 75CC [**Hospital 93**] MEDICAL CONDITION: 77 year old woman s/p mv repair/ tv repair with preoperative apical thickening on the right, chronicity undetermined REASON FOR THIS EXAMINATION: eval for right effusion/ apical thickening/ neoplasm CONTRAINDICATIONS FOR IV CONTRAST: None. Final Report INDICATION: Status post mitral valve repair and tricuspid repair with preoperative thickening on the right. CT CHEST: MDCT imaging was performed from the thoracic inlet to the upper abdomen after the uneventful intravenous administration of Visipaque. Axial 5 and 1.25-mm images were displayed. Sagittal and coronal reformats were performed. COMPARISON: CTA chest [**2152-10-17**], chest radiograph [**9-30**], [**2156**]. FINDINGS: The right apical thickening is present. Nodular opacities in the lingula (2:31) measuring 8 mm and in the right middle lobe (2:35) are likely secondary to infectious or inflammatory foci. Atelectasis is present. Small pleural effusions are present without evidence for nodularity or loculation. The patient is recently status post cardiac surgery with a small amount of air in the anterior mediastinum. A minimal left anterior pneumothorax is present (3:36). A small amount of air is located subdiaphragmatically (2:56) which is likely due to the presence of a small posterior diaphragmatic defect better evaluated on the CT abdomen examination from [**2152-10-17**]. A region of thrombus at inferior wall of the the aortic arch measuring 11 x 3 mm is only slightly increased in size since the prior examination. Prosthetic mitral, and tricuspid valves are present. The heart is top normal in size. Pleural plaques are present along the diaphragm and along the right pleura. Sternal wires are intact. The lobes of the thyroid appear normal. The main pulmonary artery is enlarged up to 4 cm. No pathologically enlarged lymph nodes are present in the axilla, hilum, or mediastinum. Although not tailored for subdiaphragmatic evaluation, limited views of the upper abdomen demonstrate a small fat-containing defect in the right posterior diaphragm. Again minimal air is located along the left anterior subdiaphragmatic contour. BONE WINDOWS: No suspicious bone lesions are present. IMPRESSION: 1. Apical thickening, but without discrete mass identified. Nodularity in the lingula, and right middle lobe which is likely infectious in etiology, but a 3-month followup chest CT should be performed to assess for resolution. 2. Extensive subcutaneous and mediastinal air related to recent surgery. Trace amount of left anterior subdiaphragmatic air may relate to prior chest tube or air tracking through a previously noted small diaphragmatic defect. 3. Small trace basilar left pneumothorax. 4. Minimal increased size of thrombus at the aortic arch. 5. Enlarged pulmonary artery suggestive of pulmonary hypertension, which is little changed since [**2151**]. [**2157-9-26**] 12:40PM BLOOD WBC-4.7 RBC-3.33* Hgb-11.3* Hct-33.4* MCV-100* MCH-33.9* MCHC-33.7 RDW-14.5 Plt Ct-167 [**2157-9-27**] 11:09AM BLOOD WBC-4.0 RBC-2.37*# Hgb-7.8*# Hct-24.5*# MCV-103* MCH-33.0* MCHC-31.9 RDW-14.7 Plt Ct-105* [**2157-9-27**] 12:29PM BLOOD WBC-4.7 RBC-3.06*# Hgb-10.2*# Hct-31.3*# MCV-102* MCH-33.3* MCHC-32.6 RDW-14.6 Plt Ct-123* [**2157-9-27**] 05:30PM BLOOD Hct-29.0* [**2157-9-27**] 10:08PM BLOOD Hgb-9.5* Hct-26.6* [**2157-9-28**] 03:05AM BLOOD WBC-7.5# RBC-3.02* Hgb-10.3* Hct-28.3* MCV-94# MCH-34.2* MCHC-36.5*# RDW-16.5* Plt Ct-79* [**2157-9-29**] 05:30AM BLOOD WBC-8.8 RBC-3.35* Hgb-11.0* Hct-32.6* MCV-97 MCH-32.9* MCHC-33.8 RDW-16.0* Plt Ct-83* [**2157-9-30**] 05:45AM BLOOD WBC-7.6 RBC-3.14* Hgb-10.3* Hct-31.4* MCV-100* MCH-32.8* MCHC-32.8 RDW-15.6* Plt Ct-87* [**2157-10-1**] 06:20AM BLOOD WBC-5.9 RBC-3.27* Hgb-10.4* Hct-32.1* MCV-98 MCH-31.8 MCHC-32.4 RDW-15.1 Plt Ct-102* [**2157-9-26**] 12:40PM BLOOD PT-15.6* PTT-28.3 INR(PT)-1.4* [**2157-9-26**] 12:40PM BLOOD Plt Ct-167 [**2157-9-27**] 11:09AM BLOOD PT-20.0* PTT-46.9* INR(PT)-1.8* [**2157-9-27**] 11:09AM BLOOD Plt Ct-105* [**2157-9-27**] 12:29PM BLOOD PT-16.9* PTT-46.0* INR(PT)-1.5* [**2157-9-27**] 12:29PM BLOOD Plt Ct-123* [**2157-9-28**] 03:05AM BLOOD PT-16.2* PTT-33.5 INR(PT)-1.4* [**2157-9-28**] 03:05AM BLOOD Plt Smr-VERY LOW Plt Ct-79* [**2157-9-29**] 05:30AM BLOOD Plt Ct-83* [**2157-9-29**] 08:45AM BLOOD PT-17.6* INR(PT)-1.6* [**2157-9-30**] 05:45AM BLOOD PT-19.1* INR(PT)-1.7* [**2157-9-30**] 05:45AM BLOOD Plt Ct-87* [**2157-10-1**] 06:20AM BLOOD PT-20.0* PTT-34.0 INR(PT)-1.8* [**2157-10-1**] 06:20AM BLOOD Plt Ct-102* [**2157-10-2**] 06:40AM BLOOD PT-21.8* INR(PT)-2.0* [**2157-9-26**] 12:40PM BLOOD Glucose-88 UreaN-22* Creat-1.1 Na-143 K-3.7 Cl-102 HCO3-30 AnGap-15 [**2157-9-27**] 12:29PM BLOOD UreaN-15 Creat-0.8 Na-142 K-3.9 Cl-109* HCO3-23 AnGap-14 [**2157-9-28**] 03:05AM BLOOD Glucose-117* UreaN-17 Creat-1.0 Na-141 K-4.1 Cl-107 HCO3-23 AnGap-15 [**2157-9-29**] 05:30AM BLOOD Glucose-80 UreaN-24* Creat-1.1 Na-140 K-4.3 Cl-104 HCO3-26 AnGap-14 [**2157-9-30**] 05:45AM BLOOD Glucose-106* UreaN-30* Creat-1.1 Na-142 K-3.4 Cl-103 HCO3-31 AnGap-11 [**2157-10-1**] 06:20AM BLOOD Glucose-103* UreaN-32* Creat-1.1 Na-145 K-3.8 Cl-104 HCO3-34* AnGap-11 [**2157-10-2**] 06:40AM BLOOD UreaN-28* Creat-1.1 Na-144 K-3.8 Cl-101 [**2157-9-26**] 12:40PM BLOOD ALT-20 AST-36 LD(LDH)-198 AlkPhos-68 Amylase-105* TotBili-0.6 [**2157-10-2**] 06:40AM BLOOD Mg-2.1 Brief Hospital Course: On [**9-26**] Ms. [**Known lastname 18329**] was admitted for a heparin bridge from coumadin before undergoing surgery. On [**9-27**] she underwent a mitral valve repair (28mm CG Future Annuloplasty Ring), tricuspid valve repair (28mm Contour 3D) performed by Dr. [**Last Name (STitle) **]. Please see the operative note for details. She tolerated the procedure well and was transferred in critical but stable condition to the surgical intensive care unit for recovery and invasive monitoring. She extubated later that same day. Beta blocker was initiated and the patient was gently diuresed toward the preoperative weight. By the following day her chest tubes were removed and she was ready for transfer to the step down floor. On POD2, pacing wires were removed and coumadin was resumed for chronic atrial fibrillation. Narcotics were held due to lethargy. Physical therapy was consulted for strength and mobility and cleared her for home with PT when medically ready. Chest CT was performed to evaluate right pleural thickening found on preop chest xray. By the time of discharge on POD 5 the patient was ambulating freely, the wound was healing and pain was controlled with acetaminophen. The patient was discharged to home with VNA and PT services in good condition with appropriate follow up instructions. Medications on Admission: Prednisolone AC 1% 1 gtt daily - right eye Travatan 0.04% 1 drop daily - right eye Combigan 0.2/5% twice a day - right eye Fluticasone 50 mcg nares daily Coumadin 2.5 mg daily - last dose ? [**9-20**] Torsemide 20 mg daily Dicyclomine 10 mg twice a day Omeprazole 20 mg daily Norvasc 5 mg daily Diovan 320 mg daily Atenolol 50 mg daily Clonazepam 0.125 mg twice a day Plaquenil 200 mg daily Folic Acid 3 mg at 8am then 2 mg at 6pm Vitamin B 6 100mg daily Vitamin B 12 500 mg daily Aspirin 81 mg daily Centrum daily Vitamin D 1000 mg daily Vitamin C 1000 mg daily Tums 1500 mg daily Discharge Medications: 1. prednisolone acetate 1 % Drops, Suspension Sig: One (1) Drop Ophthalmic DAILY (Daily): Right eye. 2. travoprost 0.004 % Drops Sig: 1 Drop Ophthalmic Daily (): Right eye. 3. Combigan 0.2-0.5 % Drops Sig: One (1) Drop Ophthalmic [**Hospital1 **] (2 times a day): Right eye. 4. fluticasone 50 mcg/Actuation Spray, Suspension Sig: One (1) Spray Nasal DAILY (Daily). 5. docusate sodium 100 mg Capsule Sig: One (1) Capsule PO BID (2 times a day): hold for loose stools. Continue while on narcotic pain medication. Disp:*30 Capsule(s)* Refills:*2* 6. omeprazole 20 mg Capsule, Delayed Release(E.C.) Sig: One (1) Capsule, Delayed Release(E.C.) PO once a day. 7. amlodipine 10 mg Tablet Sig: One (1) Tablet PO once a day. Disp:*30 Tablet(s)* Refills:*2* 8. metoprolol tartrate 50 mg Tablet Sig: One (1) Tablet PO BID (2 times a day). Disp:*60 Tablet(s)* Refills:*3* 9. valsartan 320 mg Tablet Sig: One (1) Tablet PO once a day. 10. folic acid 1 mg Tablet Sig: Three (3) Tablet PO QAM (once a day (in the morning)). 11. folic acid 1 mg Tablet Sig: Two (2) Tablet PO QPM (once a day (in the evening)). 12. cyanocobalamin (vitamin B-12) 500 mcg Tablet Sig: One (1) Tablet PO DAILY (Daily). 13. aspirin 81 mg Tablet, Delayed Release (E.C.) Sig: One (1) Tablet, Delayed Release (E.C.) PO DAILY (Daily). 14. cholecalciferol (vitamin D3) 1,000 unit Tablet Sig: One (1) Tablet PO DAILY (Daily). 15. ascorbic acid 1,000 mg Tablet Sig: One (1) Tablet PO once a day. 16. calcium carbonate 200 mg calcium (500 mg) Tablet, Chewable Sig: Three (3) Tablet, Chewable PO DAILY (Daily). 17. warfarin 2.5 mg Tablet Sig: One (1) Tablet PO once a day: Please have PT/INR checked Tues [**10-4**]. 18. Outpatient Lab Work Please have PT/INR checked Tues [**10-4**] and results to Dr. [**First Name4 (NamePattern1) 2174**] [**Last Name (NamePattern1) 2912**] Phone: [**Telephone/Fax (1) 8543**] Fax: [**Telephone/Fax (1) 13359**] 19. hydroxychloroquine 200 mg Tablet Sig: One (1) Tablet PO DAILY (Daily). 20. pyridoxine 100 mg Tablet Sig: One (1) Tablet PO once a day. 21. furosemide 40 mg Tablet Sig: One (1) Tablet PO twice a day for 10 days. Disp:*20 Tablet(s)* Refills:*0* 22. potassium chloride 20 mEq Tablet, ER Particles/Crystals Sig: One (1) Tablet, ER Particles/Crystals PO once a day for 10 days. Disp:*10 Tablet, ER Particles/Crystals(s)* Refills:*0* 23. torsemide 20 mg Tablet Sig: One (1) Tablet PO once a day: Please start after finishing course of furosemide for 10 days. 24. clonazepam 0.125 mg Tablet, Rapid Dissolve Sig: One (1) Tablet, Rapid Dissolve PO twice a day: per home regimen. 25. Do not restart atenolol. You may resume dicyclomine after completing potassium course 26. acetaminophen 325 mg Tablet Sig: 1-2 Tablets PO every four (4) hours as needed for pain. Discharge Disposition: Home With Service Facility: [**Hospital 2255**] [**Name (NI) 2256**] Discharge Diagnosis: mitral regurgitation, aortic regurgitation, tricuspid regurgitation Discharge Condition: Alert and oriented x3 nonfocal Ambulating with steady gait Incisional pain managed with Incisions: Sternal - healing well, no erythema or drainage Leg Right/Left - healing well, no erythema or drainage. Edema Discharge Instructions: Please shower daily including washing incisions gently with mild soap, no baths or swimming until cleared by surgeon. Look at your incisions daily for redness or drainage Please NO lotions, cream, powder, or ointments to incisions Each morning you should weigh yourself and then in the evening take your temperature, these should be written down on the chart No driving for approximately one month and while taking narcotics, will be discussed at follow up appointment with surgeon when you will be able to drive No lifting more than 10 pounds for 10 weeks Please call with any questions or concerns [**Telephone/Fax (1) 170**] Females: Please wear bra to reduce pulling on incision, avoid rubbing on lower edge **Please call cardiac surgery office with any questions or concerns [**Telephone/Fax (1) 170**]. Answering service will contact on call person during off hours** Recommended Follow-up: Followup Instructions: You are scheduled for the following appointments Surgeon: Dr. [**Last Name (STitle) **] [**Telephone/Fax (1) 170**] on [**11-2**] at 1:15pm in the [**Hospital **] medical office building [**Hospital Unit Name **] Cardiologist: [**First Name4 (NamePattern1) 2174**] [**Last Name (NamePattern1) 2912**] [**11-8**] at 2:30pm Please call to schedule appointments with your Primary Care Dr.[**Last Name (STitle) 13358**],[**First Name3 (LF) 2747**] A. [**Telephone/Fax (2) 8543**]in 4-5 weeks **Please call cardiac surgery office with any questions or concerns [**Telephone/Fax (1) 170**]. Answering service will contact on call person during off hours** Labs: PT/INR for Coumadin ?????? atrial fibrillation Goal INR:[**1-27**] First draw:Tues [**2157-10-4**] Results to:Dr. [**First Name4 (NamePattern1) 2174**] [**Last Name (NamePattern1) 2912**] Phone: [**Telephone/Fax (1) 8543**] Fax: [**Telephone/Fax (1) 13359**] Completed by:[**2157-10-2**] ICD9 Codes: 4168, 2875, 5990, 4019
{ "dataset_link": "https://huggingface.co/datasets/ricardosantoss/ehrcomplete_icdfiltered", "dataset_name": "ehrcomplete-icdfiltered", "id": 8195 }
Medical Text: Admission Date: [**2157-2-15**] Discharge Date: [**2157-2-17**] Date of Birth: [**2083-8-18**] Sex: F Service: MEDICINE Allergies: Allopurinol / Ethambutol / Colchicine / Efavirenz Attending:[**First Name3 (LF) 9240**] Chief Complaint: dyspnea Major Surgical or Invasive Procedure: Hemodialysis History of Present Illness: HPI: 73-yo-woman w/ CAD, CHF, ESRD presents w/ dyspnea x 12 hours. She was feeling well until 1 day prior to admission during dinner, when she developed acute onset dyspnea assoc w/ substernal chest pain. The pain was "achy," moderate severity, non-radiating. There were no assoc palpitations, cough, nausea, vomiting, or diaphoresis. ROS reveals no fever, weight loss, increasing edema, orthopnea, PND, or dietary indiscretion. She has been taking all her meds as prescribed. Her last HD session was the day prior to presentation to the ED. . In the [**Hospital1 18**] ED, she was initially hypertensive w/ BP 210/110, HR 80, O2 sat 100% on BiPAP. She was treated w/ nitro gtt, hydralazine 5mg IV, and enalapril 1.25mg IV x 1, and BP improved to 190/82. Chest pain resolved early during her ED stay. She was dialyzed urgently and admitted to the MICU where she had no further CP or SOB. She was called out to the floor after 1 day. Past Medical History: 1. 3-V CAD; s/p NSTEMI [**6-/2154**], Had Taxus stent placed [**2154-6-7**] in mid-LCx. 2. CHF: Echo [**12-6**] with EF=20%, 1+ AR, [**1-4**]+MR 3. H/o malignant hypertension. 4. Status post intubation for flash pulmonary edema on [**2154-6-3**], complicated by laryngeal edema. 5. History of human immunodeficiency virus, CD4 count 302 on [**2156-12-8**]; viral load less than <50 on [**12-8**], on [**Month/Year (2) 2775**] therapy. 6. End-stage renal disease on hemodialysis secondary to HIV nephropathy. 7. DM II, diet controlled 8. Spinal tuberculosis. 9. Hypercholesterolemia. 10. Hepatitis C viral infection. 11. Gout - has been on prednisone tapers in the past for flares. 12. H/o anemia 13.s/p unknown back surgery, possibly for spinal TB Social History: Pt lives alone and gets around with a walker. She cooks for herself. Her daughter comes over daily to help her take her meds. She denies tobacco, EtOH, IVDA, herbals/vitamins. She has 6 kids. Family History: She has a son with DM and CAD Physical Exam: PE: T 98.8 rectal, BP 143/67, HR 77, RR 14, O2 sat 100% RA Gen: chronically ill appearing elderly woman, lying at 45 degrees in bed, pleasant and conversational, breathing comfortably. [**Month/Year (2) 4459**]: anicteric, EOMI, PERRL, OP clear w/ [**Month/Year (2) 5674**], EJ fills to the mandible at 45 degrees. CV: reg s1/s2, + 2/6 systolic murmur at apex, no s3/s4/r Pulm: CTA anteriorly, no crackles or wheezes. Abd: obese, +BS, soft, NT, ND Ext: warm, 2+ DP b/l, no edema Neuro: a/o x 3, CN 2-12 intact (vision impaired), strength 4/5 throughout, sensation to fine touch intact throughout. Pertinent Results: [**2157-2-15**] 11:08PM CK(CPK)-80 [**2157-2-15**] 11:08PM CK-MB-NotDone cTropnT-0.43* [**2157-2-15**] 04:17PM K+-5.5* [**2157-2-15**] 04:00PM GLUCOSE-235* UREA N-53* CREAT-6.3*# SODIUM-139 POTASSIUM-5.4* CHLORIDE-96 TOTAL CO2-30 ANION GAP-18 [**2157-2-15**] 04:00PM ALT(SGPT)-29 AST(SGOT)-39 LD(LDH)-259* CK(CPK)-75 ALK PHOS-159* AMYLASE-272* TOT BILI-0.3 [**2157-2-15**] 04:00PM LIPASE-129* [**2157-2-15**] 04:00PM CK-MB-NotDone proBNP-9881* [**2157-2-15**] 04:00PM CALCIUM-10.5* PHOSPHATE-6.7*# MAGNESIUM-2.5 [**2157-2-15**] 04:00PM WBC-6.6 RBC-3.52*# HGB-13.9# HCT-43.4# MCV-123* MCH-39.6* MCHC-32.1 RDW-17.6* [**2157-2-15**] 04:00PM NEUTS-70.2* LYMPHS-23.9 MONOS-3.5 EOS-1.8 BASOS-0.6 [**2157-2-15**] 04:00PM PT-11.8 PTT-27.2 INR(PT)-1.0 [**2157-2-15**] 04:00PM URINE BLOOD-MOD NITRITE-NEG PROTEIN-100 GLUCOSE-100 KETONE-NEG BILIRUBIN-NEG UROBILNGN-NEG PH-8.0 LEUK-NEG . EKG: NSR @ 93 bpm, LAD, LVH, pseudonormalization of T waves in V1-V6 since prior tracing [**5-7**]. . pCXR [**2157-2-15**]: Since most recent comparison film, there appears to be increased interstitial alveolar opacities likely representing [**Month/Day/Year 9140**] pulmonary edema with unchanged appearance to cardiomegaly, and linear calcifications within the ascending and descending thoracic aorta. No focal parenchymal consolidation, pleural effusions, or pneumothorax is identified . pCXR [**2157-2-16**]: A small atelectasis is seen in the left lower lobe retrocardiac area. There has been almost complete resolution of the pulmonary edema. There is no pneumothorax or pleural effusion. Mild cardiomegaly is unchanged. The aorta is unfolded with extensive atheromatous plaques in the ascending, descending, and the arch Brief Hospital Course: 73-yo-woman w/ CAD, CHF, ESRD on HD, HIV, HCV, HTN, and anemia presents w/ dyspnea, thought [**2-4**] pulmonary edema in setting of hypertensive emergency. . # Dyspnea: The patient's shortness of breath was felt most likely secondary to pulmonary edema as evidenced by initial exam and CXR in setting of severe hypertension. Pt with CHF and renal failure, making her prone to this. There is no evidence of PNA, PE, or obstructive disease. The precipitant is unknown, but the patient does have a history of flash pulmonary edema. She denies medication non-compliance or excessive sodium consumption. Her shortness of breath resolved after hemodialysis and better BP control, and she maintained her O2 saturation on room air. Cardiac enzymes revealed flat CKs and elevated troponins (in setting of ESRD) which did not rise. She continued hemodialysis and will continue to be followed by the [**Hospital6 **] in [**Location (un) **]. . # Chest pain: The patient is known to have 3vd, w/ stent in LCX. Her pain was in the setting of hypertensive emergency and resolved with control of her blood pressure, including nitro drip. There were no specific EKG changes on presentation to indicate active ischemia. Her cardiac enzymes were notable for an elevated troponin (in setting of ESRD), with flat CKs. She was monitored on telemetry withoug event. Her chest pain did not recur. She was placed back on her home medications: ASA, metoprolol, ACEI, lipitor, and zetia. She should follow up with her cardiologist. . # ESRD: Her renal failure is secondary to HIV nephropathy. She was urgently dialyzed on the day of admission and then placed back on her usual dialysis schedule(M,W,F). She was followed by the renal service who recommended to switch lisinopril to captopril [**Hospital1 **] (this was done). She was continued on Renagel and Sensipar. The patient will continue to be followed by the [**Hospital6 **] in [**Location (un) **], with dialysis M,W,F. . # Hypertensive Emergency: The patient's blood pressure was initially controlled with volume removal by HD, IV enalapril, IV hydralazine, and nitroglycerin drip. Her BP normalized and she was placed back on her home regimen and monitored. Her pressures remained appropriate. As per renal, her ACEI was changed to Captopril 50mg [**Hospital1 **]. She will continue on Toprol XL and Captopril [**Hospital1 **] as an outpatient. Her HD will resume at [**Hospital6 **] tomorrow. . # Elevated amylase/lipase: This is chronic and likely a chemical pancreatitis from her [**Hospital6 2775**] therapy. There were no signs of clinical pancreatitis. The patient will follow with her ID physician, [**Last Name (NamePattern4) **]. [**Last Name (STitle) 724**]. . # HIV: The patient's viral load is suppressed with [**Last Name (STitle) 2775**]. She was continued on lamivudine, nevirapine, and zidovudine. She has follow up scheduled with her Infectious disease specialist this month. . # DM type 2: This is controlled with diet as an outpt. Her fingerstick blood glucose was check four times daily. She was covered with an insulin sliding scale. She did not require much insulin and will resume diet control as an outpatient. . # FEN: [**Doctor First Name **], low sodium, cardiac diet. Her electrolytes were repleted prn. . # Proph: She was given heparin SC, but developed a hematoma in her abdomen from these injections. Therefore her heparin injections were stopped. She was ambulatory on the floor. She was given a bowel regimen. . * FULL CODE Medications on Admission: * ASA 325 mg daily * plavix 75 mg daily * lisinopril 20mg daily * Toprol xl 100 mg daily * lipitor 80 mg daily * zetia 10 mg daily * lamivudine 100 mg daily * nevirapine 200 mg [**Hospital1 **] * zidovudine 100 mg tid * renagel 1600 mg tid * sensipar 30 mg daily Discharge Medications: 1. Sevelamer 800 mg Tablet Sig: Two (2) Tablet PO TID (3 times a day). 2. Atorvastatin 80 mg Tablet Sig: One (1) Tablet PO DAILY (Daily). 3. Aspirin 325 mg Tablet Sig: One (1) Tablet PO DAILY (Daily). 4. Captopril 50 mg Tablet Sig: One (1) Tablet PO twice a day. Disp:*60 Tablet(s)* Refills:*2* 5. Cinacalcet 30 mg Tablet Sig: One (1) Tablet PO DAILY (Daily). 6. Clopidogrel 75 mg Tablet Sig: One (1) Tablet PO DAILY (Daily). 7. Ezetimibe 10 mg Tablet Sig: One (1) Tablet PO DAILY (Daily). 8. Lamivudine 100 mg Tablet Sig: One (1) Tablet PO DAILY (Daily). 9. Metoprolol Succinate 100 mg Tablet Sustained Release 24HR Sig: One (1) Tablet Sustained Release 24HR PO DAILY (Daily). 10. B Complex-Vitamin C-Folic Acid 1 mg Capsule Sig: One (1) Cap PO DAILY (Daily). 11. Nevirapine 200 mg Tablet Sig: One (1) Tablet PO BID (2 times a day). 12. Zidovudine 100 mg Capsule Sig: One (1) Capsule PO three times a day. Discharge Disposition: Home With Service Facility: [**Location (un) 86**] VNA Discharge Diagnosis: Primary: 1. Hypertensive emergency 2. Pulmonary edema 3. Congestive Heart failure 4. End Stage Renal Disease Discharge Condition: Stable, symptoms resolved. Discharge Instructions: You were admitted with shortness of breath and chest pain, thought due to severe high blood pressure and fluid building up in the lungs. You were treated with hemodialysis and blood pressure medications. . You should take all medications as prescribed. Please note that your lisinopril was changed to captopril, which is to be taken twice a day. All your other medications are unchanged. . Call your doctor or return to the hospital if you have shortness of breath, chest pain, dizziness, or any other symptom that concerns you. Followup Instructions: * Please follow up with your primary physician [**Last Name (NamePattern4) **] [**1-4**] weeks. * Please continue Dialysis at [**Hospital6 **] in [**Location (un) **] on M,W,F as before. * Please keep your appointments with your infectious disease physician, [**Last Name (NamePattern4) **]. [**Last Name (STitle) 724**], and your Cardiologist, Dr. [**Last Name (STitle) 8499**], as below: Provider: [**First Name8 (NamePattern2) **] [**Last Name (NamePattern1) **], MD Phone:[**Telephone/Fax (1) 457**] Date/Time:[**2157-2-22**] 1:30 Provider: [**First Name11 (Name Pattern1) **] [**Last Name (NamePattern4) 10134**], MD Phone:[**Telephone/Fax (1) 7976**] Date/Time:[**2157-4-5**] 9:00 Completed by:[**2157-2-18**] ICD9 Codes: 4280, 5856, 5180, 2749
{ "dataset_link": "https://huggingface.co/datasets/ricardosantoss/ehrcomplete_icdfiltered", "dataset_name": "ehrcomplete-icdfiltered", "id": 8196 }
Medical Text: Admission Date: [**2142-7-30**] Discharge Date: [**2142-9-4**] Service: MED Allergies: Penicillins / Sulfa (Sulfonamides) / Aspirin / Heparin Agents Attending:[**First Name3 (LF) 905**] Chief Complaint: Transfer from [**Hospital3 628**] for infectious disease and neurosurgical evaluation of epidural abscess with MRSA Major Surgical or Invasive Procedure: Multiple VAC Dressing Changes in the Operating [**Apartment Address(1) 41332**]/204: "Incision and drainage of postoperative wound which was treated elsewhere." [**2142-8-16**]:"Incision and drainage of the osteomyelitis, incision and drainage of the postoperative wound, and exchange nailing using Synthes, subtrochanteric nail." [**2142-8-30**]: Closure of Wound with irrigation and drainage History of Present Illness: This is an 87 y.o. female s/p Right Hip ORIF in [**2142-2-4**] who presented to [**Hospital3 628**] on [**2142-7-11**] after her daughter tripped on her and she fell, sustaining a Left Hip Fracture. She underwent a Left Hip ORIF on [**2142-7-13**]. (She was anticoagulated with coumadin given a heparin allergy). Her hospital course was complicated by a temp spike to 101 on [**7-14**] with 2/4 bottles + for MRSA. (per her family she had been febrile for several weeks prior). A TEE on [**7-17**] was (-) for SBE and a PICC line was placed for 6 weeks of vancomycin. Surveillance cx on [**7-18**] grew [**4-8**] MRSA and the PICC line was d/c'd. On [**7-24**] surveillance cultures were (-) and another PICC line was placed. On the same day the patient complained of back pain and a CT T-L Spine demonstrated multiple compression fractures and an MRI on [**7-27**] demonstrated L2-3 diskitis and a small epidural abscess (w/o evidence of cord compression). She was transferred to [**Hospital1 18**] on [**2142-7-30**] for neurosurgical and infectious disease evaluation. Past Medical History: 1) Hypertension 2) GERD 3) CVA [**2140**] (residual short-term memory loss and diminished vision b/l) 4) Right Hip Fracture s/p ORIF by Dr. [**Last Name (STitle) 28272**] in [**2-7**] 5) Hypothyroidism 6) Asthma Social History: No Tob/EtOH. Independent prior to 1st hip fracture. Close with daughters [**Name (NI) **] (Healthcare proxy) and [**Name (NI) **]. Family History: non-contributory Physical Exam: T:99.3, BP:140/70, HR:102, RR:22, O2:99% 2L Gen: NAD. A/O x 3 HEENT: Small ulcer on hard palate. No LAD, supple neck CV: II/VI SM at RUSB Pulm: CTA B/L. ABD: S/NT/ND Ext:Swollen left LE with TTP. Trace PT. Erythematous Papules in diaper area, under breasts, eythema at Right PICC line site. Neuro: CN II-XII GI. MAEW. Sensation GI Pertinent Results: WBC:12.3 Hct:31.5 Plt:636 Na:132 K:3.4 Cl:91 HCO3:31.6 BUN:9 Cr:0.7 Gluc:91 Ca:8.2 CXR: PICC line well positioned w/o CHF/infiltrates MRI: L2-3 diskitis, possible small epidural abscess, no cord compression Brief Hospital Course: The patient had a long and complicated hospital course as follows by issue: 1) ID:(ID Service--[**Doctor First Name **] [**Doctor Last Name **]--following) (also see ortho below) She spiked a temp to 101 on [**7-14**] and blood cx drew [**2-7**] MRSA and vancomycin was started. [**7-16**] - repeat cx no growth [**7-17**]- no growth, picc line placed. TTE negative [**7-18**] spiked temp and cultures at that time grew [**4-8**] mrsa [**7-19**] continued to be febrile -- picc line d/c'd (picc tip cx grew staph coag negative NOT MRSA), gent added for synergy (duration 4 days) abdominal CT negative for abscess [**7-20**] TEE negative for evidence of endocarditis [**Date range (1) 9435**] surveillence cultures negative [**7-22**] LOST IV ACCESS therefore no IV abx for 2 days [**2058-7-22**] -- spiked temp, surviellence cx negative [**7-25**] PICC placed, then cx from [**7-24**] [**1-7**] MRSA [**7-26**] pt c/o back pain, plain films negative, rifampin added, ESR 66 [**7-27**] underwent MRI L2-L3 diskitis, small epidural abcess, no cord compression When initially evaluated by ID the following recommendations were made: -Dose of vanco (begun on [**7-14**]) was changed to [**Hospital1 **] with trough checks q72 hours -Rifampin (begun on [**7-28**]) was continued with LFT checks qweek. [**8-1**] and [**8-5**]: left knee was tapped with no growth [**8-3**]: Repeat MRI with L2-3 epidural abscess without cord compression [**2142-8-5**]: Vanco changed to q8 hours [**2142-8-6**]: Ortho hardware removal with Deep tissue (from hip) Culture + for Enterobacter resistant to all organisms save meropenem, bactrim and cefepime. Given possibility of inducible resistance, Meropenem begun after desensitization in the MICU (given h/o cefepime allergy) [**2142-8-7**]: Spiked to 102.4 on [**8-14**]. CXR with ? LLL infiltrate [**2142-8-16**]: Left hip hardware exchange performed with I+D. [**2142-8-20**]: Given persistent low-grade fevers and +yeast in tissue cx and urine, started Fluconazole on [**8-20**]. D/C Antibiotic Plan as follows: -Vanco/Rifampin until [**2142-9-17**] for treatment of epidural abscess and left hip, then po doxycycline 100 po BID indefinitely (given sensitivity of MRSA and Enterobacter to doxycycline) -Meropenem for enterobacter soft issue infectionuntil [**2142-9-27**] -Fluconazole until [**2142-9-2**] -LFTs, CBC and Chem-7 followed at rehab -F/U with [**Doctor First Name **] [**Doctor Last Name 9404**] in [**Hospital **] clinic in [**10-8**] 2) EPIDURAL ABCESS Dr [**Last Name (STitle) 1338**] (neurology) consulted. He advised medical management, neurologically intact. [**8-2**]: incontinence of stool, ? decreased rectal tone therefore repeated MRI ---> stable epidural abcess, no cord compression 3) ORTHO: Intertrochanteric fx of Left Hip s/p orif ortho following (Dr. [**First Name (STitle) 1022**]. [**8-1**]: knee tap negative for septic joint [**8-5**]: Ct guided aspiration of left hip -- cx ngtd [**8-6**]: ortho took to or and removed hardware, took cx from hip tissue and placed new hardware as joint unstable ++ Enterobacter [**8-10**]: increased pain in left knee, lenis negative (except could not visualize popliteal), ortho retapped knee, cx NTD. [**8-12**] LENI (repeated given LLE edema) (-). [**8-16**] to OR to replace hardware. Gross drainage of pus. ***POST-OP with SBP in 80s w/o tachycardia, bolused with 1L NS with normalization of pressure. O2 sat remained>92% on RA. Urine output was minimal but slowly picked up (to ~20-25cc/hour) with boluses and lasix (thought to be ATN) >>to OR [**8-20**] for sterile VAC DSG change >>to OR [**8-24**] for sterile VAC DSG Change >>to OR [**8-27**] for sterile VAC DSG Change >> Wound Closed with 2 JP drains placed on [**8-30**] with plans for aggressive rehab with PWB on LLE. >>JP drain #2 pulled after no output x 24 hours. >>Per ortho recs, the remaining JP drain should be pulled (one suture in place) after no output for 24 hours. Patient will follow-up with Dr. [**First Name (STitle) 1022**] in 3 weeks. 4. HEPARIN ALLERGY -consulted allergy --> NO HEPARIN PRODUCTS. 5. SVT/ A TACH -- occasional burst of SVT in 160s w/o sx, evaluated by EP on [**8-4**] and recommended metoprolol. underwent CTA (given not adequately anticoagulated -- use of coumadin and possible surgery) but NEGATIVE for PE. 6. ATN (by muddy brown cast on [**8-8**]) and oliguria s/p surgeries on [**8-6**] and [**8-16**] in the setting of transient hypotension. -- at dischargee resolved with CrCL >80. 7. ?CAD See SVT above. EF by ECHO on [**7-8**] was 75%. 8. Anticoag: Given heparin allergy, she was placed on coumadin with INR goal of 1.5-2.0. 9. Code Status/Goals of Care: Discussed with daughter [**Name (NI) **] (HCP) on [**8-13**]. [**Telephone/Fax (1) 41333**]. Changed to DNR/DNI status on [**8-19**]. She would, however, want pressors and all other aggressive measures short of defibrillation and intubation. She provided us with the health care proxy form indicating that her daughter [**Name (NI) **] will make all decisions for her should she not be able to make decisions for herself. She values her function and would want all measures that would allow a reasonable chance of retaining her physical and mental function. She found comfort in prayer. Medications on Admission: (Medications on transfer from [**Location (un) 620**] to [**Hospital1 18**]) Vanco 1.5 qd, Rifampin 300 [**Hospital1 **], Lumigan eye gtts, advair, lexapro, protonix, norvasc 2.5, fosamax qweek, coumadin 3, tylenol, oxycodone [**5-14**] prn Discharge Medications: 1. Doxycycline Hyclate 100 mg Capsule Sig: One (1) Capsule PO twice a day: START on [**2142-9-17**]. 2. Outpatient Lab Work LFTs, CBC, Chem-7 qweek 3. Pantoprazole Sodium 40 mg Tablet, Delayed Release (E.C.) Sig: One (1) Tablet, Delayed Release (E.C.) PO Q24H (every 24 hours). 4. Escitalopram Oxalate 10 mg Tablet Sig: One (1) Tablet PO QD (once a day). 5. Fluticasone Propionate 110 mcg/Actuation Aerosol Sig: Two (2) Puff Inhalation [**Hospital1 **] (2 times a day). 6. Bimatoprost 0.03 % Drops Sig: One (1) drop Ophthalmic qd (). 7. Rifampin 300 mg Capsule Sig: One (1) Capsule PO Q12H (every 12 hours) for 2 weeks: LAST DOSE ON [**2142-9-17**] Please follow LFTs qweek. 8. Alendronate Sodium 70 mg Tablet Sig: One (1) Tablet PO QWED (every Wednesday). 9. Folic Acid 1 mg Tablet Sig: One (1) Tablet PO QD (once a day). 10. Ferrous Sulfate 325 (65) mg Tablet Sig: One (1) Tablet PO TID (3 times a day). 11. Metoprolol Tartrate 50 mg Tablet Sig: Two (2) Tablet PO TID (3 times a day). 12. Oxycodone HCl 5 mg Tablet Sig: One (1) Tablet PO Q6H (every 6 hours). 13. Ipratropium Bromide 0.02 % Solution Sig: One (1) nebulizer treatment Inhalation Q6H (every 6 hours) as needed. 14. Albuterol Sulfate 0.083 % Solution Sig: One (1) nebulizer treatment Inhalation Q6H (every 6 hours) as needed. 15. Levothyroxine Sodium 175 mcg Tablet Sig: One (1) Tablet PO QD (once a day). 16. Calcium Carbonate 500 mg Tablet, Chewable Sig: One (1) Tablet, Chewable PO TID (3 times a day). 17. Hydralazine HCl 10 mg Tablet Sig: One (1) Tablet PO Q6H (every 6 hours). 18. Acetaminophen 325 mg Tablet Sig: 1-2 Tablets PO Q4-6H (every 4 to 6 hours) as needed. 19. Fluconazole 200 mg Tablet Sig: One (1) Tablet PO Q24H (every 24 hours) for 1 days: LAST DOSE on [**2142-9-2**]. 20. Furosemide 20 mg Tablet Sig: One (1) Tablet PO QD (once a day). 21. Multivitamin Capsule Sig: One (1) Cap PO QD (once a day). 22. Miconazole Nitrate 2 % Powder Sig: One (1) Appl Topical TID (3 times a day) as needed. 23. Potassium & Sodium Phosphates [**Telephone/Fax (3) 4228**] mg Packet Sig: One (1) Packet PO BID (2 times a day). 24. Camphor-Menthol 0.5-0.5 % Lotion Sig: One (1) Appl Topical QID (4 times a day) as needed. 25. Magnesium Oxide 400 mg Tablet Sig: One (1) Tablet PO QD (once a day). 26. Warfarin Sodium 2 mg Tablet Sig: Two (2) Tablet PO HS (at bedtime): Titrate to INR 1.5-2.0 for DVT Prophylaxis given heparin allergy. 27. Morphine Sulfate 1-3 mg IV Q4H:PRN hold for sedation, or RR <12 28. Meropenem 1 g Recon Soln Sig: One (1) gram Intravenous three times a day for 2 weeks: Last dose on [**2142-9-17**]. 29. Vancomycin HCl 1,000 mg Recon Soln Sig: One (1) gram Intravenous once a day for 2 weeks: LAST DOSE ON [**2142-9-17**] . Discharge Disposition: Extended Care Facility: [**Hospital3 1107**] [**Hospital **] [**Hospital 1108**] Rehab Unit at [**Hospital6 1109**] - [**Location (un) 1110**] Discharge Diagnosis: Congestive Heart Failure Right Hip Fracture s/p ORIF Left Hip Fracture s/p ORIF and hardware exchanges Hypertension Hypothyroidism Discharge Condition: stable Discharge Instructions: Please notify your [**Location (un) 2449**] or doctors of chest [**Name5 (PTitle) **], shortness of breath, palpitations, swelling, weakness, numbness, fevers, chills, dysuria, constipation, diarrhea, rashes or any other symptoms of concern. You will take meropenem until [**2142-9-17**] and then begin taking doxycycline. Please follow-up (see below) with Dr. [**First Name (STitle) **] [**Name (STitle) 9404**]. Notify your doctors [**First Name (Titles) **] [**Last Name (Titles) 2449**] of weight gain (>3 pounds). Limit fluid intake to less than 1.5 L per day and salt intake to less than 2g/day. Followup Instructions: Provider: [**Name10 (NameIs) **] [**Name8 (MD) 9406**], MD Where: LM [**Hospital Unit Name 4337**] DISEASE Phone:[**Telephone/Fax (1) 457**] Date/Time:[**2142-10-8**] 11:30 Please call [**First Name8 (NamePattern2) **] [**Name8 (MD) 1022**], MD (orthopedics) to be seen in 2 weeks Phone: [**Telephone/Fax (1) 5499**] [**Name6 (MD) 251**] [**Name8 (MD) **] MD [**MD Number(1) 910**] ICD9 Codes: 7907, 5845, 2851, 2761, 4280
{ "dataset_link": "https://huggingface.co/datasets/ricardosantoss/ehrcomplete_icdfiltered", "dataset_name": "ehrcomplete-icdfiltered", "id": 8197 }
Medical Text: Admission Date: [**2188-1-24**] Discharge Date: [**2188-2-12**] Date of Birth: [**2156-12-9**] Sex: M Service: CARDIOTHORACIC Allergies: Bactrim Attending:[**First Name3 (LF) 165**] Chief Complaint: malaise, decreased PO intake Major Surgical or Invasive Procedure: [**2-6**] MVR ([**First Name8 (NamePattern2) 7163**] [**Male First Name (un) 923**] Tissue), AVR ([**Street Address(2) 11688**]. [**Male First Name (un) 923**] Tissue) History of Present Illness: Mr. [**Known lastname **] is a 31yo male with HIV, not on HAART, with last CD4 27, HIV nephropathy on HD, HBV, HCV who presented with several weeks of malaise and diarrhea, found to have MSSE endocarditis. He initially presented to the hospital on [**1-24**] with chief complaints of 3 weeks of GI upset, watery diarrhea [**2-20**] times/day, nausea, vomiting X1 followed by shaking chills and mild non-productive cough for several days. Vitals in the ED were T 95, HR 64, BP 117/55, RR 18, 99%RA. CXR was concerning for RLL pneumonia and he was started on Vancomycin IV 1gm X1 and Levaquin 250 PO X1. Past Medical History: PAST MEDICAL HISTORY: - HIV dx [**2172**], reports from sexual contact but hx of IVDU; [**Year (4 digits) **] HAART [**2186-10-18**] with renally adjusted 3TC and ZDV, and ritonavir boosted atazanavir; Currently not on HAART due to intolerance. [**8-/2187**] CD4 34 - HCV+ but has no detectable circulating virus - HBV+ but HBc equivocal [**10/2186**] - ESRD [**1-19**] HIV Nephropathy on HD (was on PD until a few weeks ago) - Genital and anal wart s/p surgical removal - History of R thigh abscess - Chronic LBP; seen in pain clinic;told secondary to osteoarthritis/ nerve impingement - Asthma - Migraine - s/p L knee arthroscopy for lateral meniscus tear ('[**75**]) - s/p tonsillectomy (as child) Social History: - Patient is originally from the Bronx, [**State 531**]. He is single and lives with his mother. - He currently works as an HIV case manager although has been noted to have history of poor HAART compliance himself. Currently not on HARRT - Tobacco: 1/2-2/3ppd x 20yrs, denies EtoH; IVDU as teenager, denies recent use. - Not currently sexually active Family History: - Father: Hypertension/Diabetes [**State **] - No family hx of liver problems Physical Exam: PE: 95.7 102/50 101 16 100%RA O2 Sats Gen: thin, emaciated, fatigued HEENT: Clear OP, MM dry, no thrush, oral lesions NECK: Supple, No LAD, No JVD CHEST: RIJ tunneled HD line, site slightly erythematous and tender with large area of skin discoloration CV: RR, NL rate. No murmurs, rubs or [**Last Name (un) 549**] LUNGS: end expiratory wheezes heard throughout, no crackles ABD: Soft, mildly tender to palpation throughout especially at site of old PD catheter EXT: No edema. 2+ DP pulses BL, hypersensitive to light tough in calves Bilterally and over tibial bone SKIN: No lesions, rashes, sores NEURO: A&Ox3. Appropriate. CN 2-12 grossly intact. Preserved sensation throughout. 4+/5 strength throughout. [**12-19**]+ reflexes, equal BL. Pertinent Results: CHEST (PA & LAT) [**2188-2-12**] 10:09 AM CHEST (PA & LAT) Reason: f/o pneumomediastinum [**Hospital 93**] MEDICAL CONDITION: 31 year old man with s/p avr mvr REASON FOR THIS EXAMINATION: f/o pneumomediastinum PROCEDURE: Chest PA and lateral on [**2188-2-12**]. COMPARISON: [**2188-2-10**]. HISTORY: Followup pneumomediastinum. FINDINGS: The air-fluid level seen in the right upper quadrant has decreased on today's examination. There is persistent pneumoperitoneum persistent in both right and left upper quadrants of the abdomen. Pulmonary and mediastinal vascular engorgement has improved, although the heart remains enlarged. There is small bilateral right more than left pleural effusion. Pneumopericardium and pneumomediastinum are no longer visualized on today's examination. The moderately severe bibasilar atelectasis are unchanged. No pneumothorax. IMPRESSION: 1. Pneumopericardium and pneumomediastinum are no longer visualized. 2. Persistent pneumoperitoneum with a decrease in the air-fluid level seen in the right upper quadrant of the abdomen underneath the right hemidiaphragm. 3. Small bilateral right more than left pleural effusion. 4. Small pulmonary and mediastinal vascular engorgement. 5. Persistent severe bibasilar atelectasis. Cardiology Report ECG Study Date of [**2188-2-7**] 7:00:04 PM Sinus rhythm. Borderline left ventricular hypertrophy. Prolonged Q-T interval. Intraventricular conduction delay. Compared to the previous tracing diffuse ST-T wave changes are slightly more prominent. Read by: [**Last Name (LF) **],[**First Name3 (LF) **] Intervals Axes Rate PR QRS QT/QTc P QRS T 77 154 100 456/485 55 53 15 [**2188-2-12**] 06:55AM BLOOD WBC-8.7 RBC-2.31* Hgb-6.9* Hct-23.2* MCV-101* MCH-30.0 MCHC-29.8* RDW-24.9* Plt Ct-203 [**2188-1-24**] 12:02AM BLOOD WBC-4.2 RBC-2.68*# Hgb-7.7*# Hct-24.2*# MCV-91# MCH-28.9 MCHC-31.9 RDW-17.4* Plt Ct-72* [**2188-2-12**] 06:55AM BLOOD Neuts-80.4* Lymphs-13.5* Monos-4.7 Eos-1.1 Baso-0.3 [**2188-2-12**] 06:55AM BLOOD Plt Ct-203 [**2188-2-11**] 03:15PM BLOOD PT-15.7* PTT-28.8 INR(PT)-1.4* [**2188-1-24**] 12:02AM BLOOD Plt Ct-72* [**2188-2-7**] 05:02PM BLOOD Fibrino-208 [**2188-1-26**] 05:45AM BLOOD ESR-68* [**2188-1-24**] 10:05PM BLOOD WBC-5.3 Lymph-17* Abs [**Last Name (un) **]-901 CD3%-56 Abs CD3-501* CD4%-3 Abs CD4-27* CD8%-47 Abs CD8-427 CD4/CD8-0.06* [**2188-1-24**] 10:05PM BLOOD Ret Aut-1.6 [**2188-2-12**] 06:55AM BLOOD Glucose-87 UreaN-47* Creat-7.6* Na-133 K-4.6 Cl-96 HCO3-25 AnGap-17 [**2188-2-10**] 10:30AM BLOOD ALT-9 AST-31 LD(LDH)-351* AlkPhos-452* Amylase-44 TotBili-0.6 [**2188-2-10**] 10:30AM BLOOD Lipase-22 [**2188-1-24**] 01:45AM BLOOD GGT-293* [**2188-2-11**] 06:20AM BLOOD Calcium-7.9* Phos-5.9*# Mg-2.8* [**2188-1-24**] 01:45AM BLOOD calTIBC-176 Hapto-351* Ferritn-[**2104**]* TRF-135* [**2188-1-24**] 10:05PM BLOOD PTH-168* [**2188-1-26**] 05:45AM BLOOD CRP-107.0* [**2188-2-12**] 06:55AM BLOOD Vanco-16.4 Brief Hospital Course: Once admitted to the medical floor he underwent an echocardiogram which showed mitral and aortic valve vegetations, suggestive of endocarditis. He was started Vancomycin with plan for TEE and cardiac surgery evaluation. found to have MSSE bacteremia (cxs on [**1-24**]), believed source is HD cath. TEE which again showed MV involvement w/ severe MR, and AV involvement w/ severe AI. HD line was resited. He also underwent a CT scan of abdomen, which showed splenic infarction vs. septic emboli, also pulmonary nodules suggesting possible septic emboli. He became hypoxic as well as had episode of hemoptysis and tachycardia and was transferred to the MICU. EKG showed sinus tach with inverted t waves in lateral leads. CXR at the time demonstrated primarily R sided consolidation vs volume overload. Emergent repeat TTE at time of event showed no change in MR. The likely explanation for the hemmoptysis was felt to be acute pulmonary HTN combined with pulmonary edema and bacteremia leading alveolar hemorrhage. Pt was stabilized on NRB face mask, nitorprusside drip, hydralazine, and metoprolol following transfer to the MICU. Pt had no subsequent respiratory distress and was transferred to the medical floor while awaiting MVR/AVR, hydralazine and metoprolol were continued on the medical floor. Pt received HD while in-house with continued EPO as dosed by the HD protocol for chronic anemia in the setting of ESRD/HIV. Pt's HD frequency was adjusted/increased given acute volume overload in the setting of valvular insufficiency-related heart failure. He continued on methadone. He continued with preoperative workup including dental clearance, CT head and TEE. He was electively intubated and then extubated after TEE. His blood cultures remained negative and he was taken to the operating room on [**2-7**] where he underwent an AVR/MVR. He was transferred to the ICU in critical but stable condition. He was extubated the morning of POD #1. He was transferred to the floor later on POD #1. He did well postoperatively. His AV fistula failed, and he was taken for a fistulogram which showed Severe stenosis of the draining vein of the brachiocephalic AV fistula within 2 cm of the arterial anastomosis. It was angioplastied and he underwent dialysis on [**2-12**] with PRBC transfusion. He was ready for discharge to rehab that same day. He will require 4 total weeks of vanco from the day of surgery (until [**3-7**]). Medications on Admission: MEDs per last d/c summary; however, Pt unable to confirm . Methadone 40 mg TID Lisinopril 40 mg daily Cinacalcet 60 mg daily Calcium Acetate 667 mg [**Hospital1 **] Albuterol Clonidine 0.1 mg [**Hospital1 **] Nifedipine 90 mg Tablet Sustained Release daily Trimethoprim-Sulfamethoxazole 160-800 mg 3X/WEEK (TU,TH,SA) after HD Discharge Medications: 1. Docusate Sodium 100 mg Capsule Sig: One (1) Capsule PO BID (2 times a day). 2. Pantoprazole 40 mg Tablet, Delayed Release (E.C.) Sig: One (1) Tablet, Delayed Release (E.C.) PO Q24H (every 24 hours). 3. Oxycodone-Acetaminophen 5-325 mg Tablet Sig: 1-2 Tablets PO Q4H (every 4 hours) as needed for pain. 4. Aspirin 81 mg Tablet, Delayed Release (E.C.) Sig: One (1) Tablet, Delayed Release (E.C.) PO DAILY (Daily). 5. B Complex-Vitamin C-Folic Acid 1 mg Capsule Sig: One (1) Cap PO DAILY (Daily). 6. Vancomycin in Dextrose 1 gram/200 mL Piggyback Sig: One (1) g Intravenous HD PROTOCOL (HD Protochol) for 4 weeks: with HD; 4 weeks from surgery ([**3-7**]). Dose for level < 20. 7. Metoprolol Tartrate 25 mg Tablet Sig: One (1) Tablet PO BID (2 times a day). 8. Dapsone 100 mg Tablet Sig: One (1) Tablet PO DAILY (Daily). 9. Sevelamer HCl 800 mg Tablet Sig: One (1) Tablet PO TID W/MEALS (3 TIMES A DAY WITH MEALS). 10. Methadone 10 mg Tablet Sig: Four (4) Tablet PO TID (3 times a day). 11. Cinacalcet 30 mg Tablet Sig: Two (2) Tablet PO DAILY (Daily). 12. Calcium Acetate 667 mg Capsule Sig: One (1) Capsule PO BID (2 times a day). 13. Lisinopril 5 mg Tablet Sig: One (1) Tablet PO DAILY (Daily). Epogen with HD Discharge Disposition: Extended Care Facility: [**Hospital3 672**] Hospital Discharge Diagnosis: MV and AV endocarditis now s/p AVR/MVR HIV, HCV+, HBV+, ESRD [**1-19**] HIV Nephropathy on HD, Genital and anal wart s/p surgical removal, R thigh abscess, Chronic LBP, Asthma, Migraine Discharge Condition: good Discharge Instructions: Call with fever, redness or drainage from incision or weight gain more than 2 pounds in one day or five in one week, Shower, no baths, no lotions,creams or powders to incisions. No lifting more than 10 pounds or driving until follow up with surgeon. Followup Instructions: Dr. [**Last Name (STitle) **] 1-2 weeks. Dr. [**First Name (STitle) **] 4 weeks [**Name6 (MD) **] [**Name8 (MD) **] MD [**MD Number(2) 173**] Completed by:[**2188-2-12**] ICD9 Codes: 5856, 486, 4240, 4241, 4280
{ "dataset_link": "https://huggingface.co/datasets/ricardosantoss/ehrcomplete_icdfiltered", "dataset_name": "ehrcomplete-icdfiltered", "id": 8198 }
Medical Text: Admission Date: [**2193-2-2**] Discharge Date: [**2193-2-7**] Date of Birth: [**2143-5-24**] Sex: M Service: Medicine, [**Hospital1 139**] Firm HISTORY OF PRESENT ILLNESS: Mr. [**Known lastname **] is a 49-year-old male with a history of Crohn's disease, status post multiple surgeries and ileostomy at 19 years of age, on chronic total parenteral nutrition, with steroid-induced osteomyelitis with a history of frequent peripherally inserted central catheter line infections. The patient has also had a recent diagnosis of C4-C5 epidural abscess and osteomyelitis with coagulase-negative Staphylococcus aureus, status post 10 weeks of intravenous oxacillin treatment. He was recently switched to doxycycline two weeks ago by mouth. The patient was in his usual state of health until the morning of [**2-1**] when he had a temperature of 100.6 which was a high temperature for the patient. His home care nurse was concerned given his history of multiple line infections, but Mr. [**Known lastname **] was asymptomatic at that time with no complaints. Later on the same day, the patient developed rigors and another temperature spike during total parenteral nutrition infusion. He was subsequently brought to the [**Hospital1 1444**] Emergency Department for evaluation. REVIEW OF SYSTEMS: On review of systems, the patient denied nausea, vomiting, hematemesis or any change in his ostomy output. He had no headache, no cough, no shortness of breath, and no chest pain. He had fevers and chills, but no dysuria. On arrival in the Emergency Department, the patient was found to have a systolic blood pressure in the 60s. He was also noted to be anemic with a hematocrit of 22 (down from his usual of 25), and an increase in his serum creatinine to 2.9 (up from a baseline of 1.4 to 2.1 in [**2192-11-20**]). The patient was started on intravenous fluid resuscitation and dopamine for hypotension. He was given a dose of ceftazidime and vancomycin. The patient also received 100 mg of hydrocortisone given his chronic steroid use for his Crohn's disease. He was transferred the Medical Intensive Care Unit. PAST MEDICAL HISTORY: 1. Crohn's disease, status post multiple abdominal surgeries with ileostomy since the age of 19. The patient is followed by Dr. [**Last Name (STitle) 79**] at the [**Hospital6 1708**]. He is currently on prednisone. 2. Short bowel syndrome, on chronic total parenteral nutrition. 3. Osteoporosis, steroid-induced. 4. A recent history of C4-C5 epidural abscess and osteomyelitis secondary to line infection. The patient is status post surgical decompression by Dr. [**Last Name (STitle) 1327**], treated with 10 weeks of intravenous oxacillin and recently changed to p.o. doxycycline two weeks prior to admission. Cultures from this infection grew coagulase-negative Staphylococcus aureus. 5. The patient has history of multiple polymicrobial line sepsis from his indwelling peripherally inserted central catheter lines. 6. The patient has a history of chronic renal insufficiency with a baseline creatinine of 1.9. MEDICATIONS ON ADMISSION: Medications on admission included prednisone 3 mg p.o. q.d. PHYSICAL EXAMINATION ON PRESENTATION: Physical examination on arrival to the Medical Intensive Care Unit revealed a blood pressure of 95/60, heart rate of 80, respiratory rate of 18, and a temperature of 100.1. General examination revealed a cachectic male who was diaphoretic. Cardiovascular examination revealed a regular rate and rhythm with normal first heart sound and second heart sound. A [**1-23**] holosystolic murmur at the left sternal border with no third heart sound or fourth heart sound. No rubs. The patient's jugular venous pulsation was measured to be 6 cm. Lung examination revealed bibasilar crackles; otherwise, clear to auscultation. The abdominal examination revealed a healed old multiple surgical scars. The patient had an ileostomy bag. He had normal bowel sounds, and his abdomen was nontender and nondistended. Extremity examination revealed warm extremities with no edema and palpable pedal pulses. PERTINENT LABORATORY DATA ON PRESENTATION: Laboratory studies on admission revealed a hematocrit of 22, white blood cell count of 7, and a platelet count of 109. Serum chemistry revealed a sodium of 140, potassium of 3.1, chloride of 108, bicarbonate of 20, blood urea nitrogen of 56, and creatinine of 2.4, and a serum glucose of 53. RADIOLOGY/IMAGING: Chest x-ray on admission revealed bibasilar atelectasis with no focal consolidation. HOSPITAL COURSE: The patient was transferred to the Medical Intensive Care Unit after stabilization in the Emergency Department. In the Medical Intensive Care Unit, his peripherally inserted central catheter line was removed for a suspicion of line sepsis. A right internal jugular central line was placed. After removal of his peripherally inserted central catheter line, the patient was able to be weaned off dopamine in one to two hours after his arrival to the Medical Intensive Care Unit. The patient was continued on ceftazidime and vancomycin intravenously as well as stress-dose steroids. During his stay in the Medical Intensive Care Unit, the patient continued to spike temperatures of up to 102.2. However, he remained hemodynamically stable throughout his entire course. He was transferred out to the Medicine Service on [**2193-2-3**] after stabilization. At the time of transfer, the patient was only on vancomycin intravenously. The patient remained afebrile during his entire course on the Medicine Service with his temperature maximum being 100.4 on [**2193-2-5**]. All of his blood cultures obtained since his admission remained negative. The tip of his peripherally inserted central catheter line that was removed was cultured and was found to grow methicillin-resistant Staphylococcus aureus, for which the patient was kept on intravenous vancomycin. The patient continued to defervesce, and his stress-dose steroids were discontinued. His blood pressure remained stable after discontinuation of his steroids. The patient was maintained on 3 mg of prednisone q.d. which was his baseline. A transthoracic echocardiogram was obtained for evaluation of possible endocarditis. On echocardiogram, on [**2193-2-4**], the patient was found to have no echocardiographic evidence of endocarditis. His left ventricular ejection fraction was normal at greater than 55%. The patient was found to have moderate-to-severe 3+ mitral regurgitation, and 2+ tricuspid regurgitation was also seen. His left atrium was mildly dilated. There was mild pulmonary systolic hypertension. There was no pericardial effusion. The patient's acute renal failure resolved during his stay on the Medicine Service. He was thought to have acute tubular necrosis secondary to transient hypotension when he presented to the Emergency Department. After hydration and blood pressure resuscitation, the patient's acute renal failure resolved. After being afebrile for over 48 hours, the patient received a peripherally inserted central catheter line placement on [**2193-2-7**] and was discharged to home on intravenous vancomycin. The patient has a follow-up appointment with Dr. [**First Name8 (NamePattern2) **] [**Last Name (NamePattern1) 22874**] in the Infectious Disease Clinic on [**2193-2-25**]. The patient was to be discharged on intravenous vancomycin (finishing a 2-week course) and then restarted on dicloxacillin by mouth until he sees Dr. [**Last Name (STitle) 22874**]. DISCHARGE DIAGNOSES: Peripherally inserted central catheter line sepsis. MEDICATIONS ON DISCHARGE: 1. Wellbutrin 150 mg p.o. q.12h. 2. Niferex 150 mg p.o. b.i.d. 3. Prednisone 3 mg p.o. q.d. 4. Tums 1250 mg p.o. q.d. 5. Fentanyl patch 50 mcg transdermally every three days. 6. Vancomycin 1 g intravenous q.24h. (times nine more days). 7. Ativan 0.5 mg to 1 mg p.o. q.6h. p.r.n. 8. Imodium 4 mg p.o. q.4-6h. p.r.n. 9. Tylenol p.o. q.4-6h. p.r.n. 10. Dicloxacillin 500 mg p.o. q.i.d. (to start after finishing nine days of intravenous vancomycin). [**Name6 (MD) **] [**Name8 (MD) **], M.D. [**MD Number(1) 14609**] Dictated By:[**Name8 (MD) 9921**] MEDQUIST36 D: [**2193-3-11**] 19:01 T: [**2193-3-12**] 10:28 JOB#: [**Job Number **] ICD9 Codes: 0389, 5849, 2859, 2765
{ "dataset_link": "https://huggingface.co/datasets/ricardosantoss/ehrcomplete_icdfiltered", "dataset_name": "ehrcomplete-icdfiltered", "id": 8199 }
Medical Text: Admission Date: [**2180-8-14**] Discharge Date: [**2180-8-18**] Date of Birth: [**2150-5-11**] Sex: M Service: MEDICINE Allergies: Aspirin Attending:[**First Name3 (LF) 13541**] Chief Complaint: EtOH withdrawal Major Surgical or Invasive Procedure: None. History of Present Illness: 30 M with long history of EtOH abuse with history of withdrawal seizures, schizophrenia, admit to MICU with EtOH withdrawal. Patient was admitted to [**Hospital1 **] for detox on [**8-11**]. Etoh level on admission was >400. On [**8-13**] noted to have tachycardia and increased BP (baseline 90s-100s now into 140s+). Today patient sent from [**Hospital1 **] for agitation and confusion/disorientation. In ED, vitals were: AF, BP 142/100, HR 101, 98% on RA. Remained hypertensive and tachy during course. Given 4 mg IV ativan and 40 mg IV valium; also banana bag. Placed in 4 points and 1:1 sitter. Serum and urine tox negative. Currently denies auditory hallucinations, reports seeing brother walk by him (+VH). Denies chest pain, abdominal pain, shortness of breath. Denies recent cold symptoms or cough. Does not answer other ROS questions. Denies recent drug use. Thinks last EtOH use was vodka yesterday at 3pm after a 2pm appointment that he cannot further specify about. Past Medical History: 1) EtOH abuse including seizures from withdrawal (reports 3 hospitalizations in last year in [**State 531**]). Detox most recently in [**2180-3-4**] in [**State 531**]. 2) Reported h/o MI due to cocaine abuse per OMR 3) Cocaine abuse 4) Schizophrenia 5) Depression (h/o suicide attempt at age 15) 6) ADHD Social History: Pt. born in [**Country 13622**] Republic and moved to United States at the age of 1. Raised in Bronx, NY and moved 2 months ago to [**Location (un) 86**] where he mother currently lives. Denies tobacco use. +EtOH abuse [began 7 years ago, reports drinking 1 pint vodka/day, last drink [**2180-8-11**]] Polysubstance abuse/recreational drug use (including cocaine and remote use of marijuana, heroin, LSD, crystal meth) Pt. worked as a bar manager from [**2176**]-[**2177**], but has been unemployed for the past year and a half. Patient has seen numerous therapists since the age of twelve. He reports being abused and raped when he was younger. Currently, he has a therapist in [**Location (un) 86**] who has referred him to a psychiatrist. He has not started treatment yet. Family History: He has noticed no history of MI, cancer, or depression in his first degree relatives. There is a history of high cholesterol, hypertension, and alcohol use in his father's side of his family. Physical Exam: Vitals: T: 98.1, BP 147/94, HR 100, R24, 100% RA General/mental status: Thin male, alert and conversant. Speech quiet but understandable. Thought process often very tangential but at times showing awareness of current situation ("I'm at detox, I've seen so many doctors [**First Name (Titles) **] [**Last Name (Titles) 2449**]..."). + VH + paranoia. Neck: supple, no adenopathy. Chest: CTA bilat. Heart: RRR, tachy, no m/r/g appreciated. Abdomen: soft, NT, ND, relaxes abdomen poorly but liver edge palpable. Extrem: warm, no edema Neuro: alert, refuses to answer orientation questions. MAE, grossly intact. Pertinent Results: [**2180-8-14**] 08:45AM BLOOD WBC-5.5# RBC-4.44* Hgb-14.0 Hct-38.2* MCV-86 MCH-31.5 MCHC-36.7* RDW-15.8* Plt Ct-150 [**2180-8-14**] 08:45AM BLOOD Glucose-149* UreaN-7 Creat-0.8 Na-135 K-3.3 Cl-95* HCO3-26 AnGap-17 [**2180-8-14**] 08:45AM BLOOD ALT-218* AST-280* CK(CPK)-375* AlkPhos-107 Amylase-62 TotBili-0.6 CK 375 -> 2549 -> 4031 -> 4280 -> 6277 -> 6220 [**2180-8-14**] 08:45AM BLOOD CK-MB-4 cTropnT-<0.01 [**2180-8-14**] 08:45AM BLOOD HBsAg-NEGATIVE HBsAb-POSITIVE [**2180-8-14**] 08:45AM BLOOD ASA-NEG Ethanol-NEG Acetmnp-NEG Bnzodzp-NEG Barbitr-NEG Tricycl-NEG [**2180-8-14**] 12:00PM URINE bnzodzp-NEG barbitr-NEG opiates-NEG cocaine-NEG amphetm-NEG mthdone-NEG CXR ([**8-14**]): IMPRESSIONS: No consolidation, but increased opacity at the lung apices may reflect aspiration. Correlation with dedicated PA and lateral CXR is recommended. Brief Hospital Course: # EtOH withdrawal: Last known drink [**8-11**]. Presented with agitation, visual hallucinations, tachycardia, hypertension, consistent with delirium tremens. Also had mild transaminitis that trended down, negative hepatitis serologies. Pt was initially admitted to the MICU [**8-14**] and started on a CIWA protocol with diazepam 15 mg IV Q15-30 min for CIWA >10. He was also started on MVI, thiamine, and folate. Initially, he required a 1:1 sitter, restraints, and haldol for agitation, but this was stopped after 1 day. He received over 200 mg IV diazepam during the first day. He was transferred to the floor on [**8-16**] after a substantial decrease in his benzo requirement. He was continued on PO diazepam prn, but his CIWA was 6 or less on the floor for 2 days. Social work was consulted and recommended inpatient detoxification. # Schizophrenia/Depression/ADHD: He was continued on his outpatient risperidone. By the time of transfer to the wards, he denied hallucinations, suicidal or homicidal ideations. At discharge, he was interacting appropriately and felt optimistic. He will follow up with outpatient psychiatry. - Note to PCP/Psychiatry re: medications. He was previously on Strattera 60mg daily for ADHD, but hasn't taken this in a couple of months. He was discharged with trazodone for insomnia, which he tolerated well during admission. He was not given any ativan on discharge due to low CIWA and risk for abuse. Please assess the need for these medications at his follow-up appointment. # Elevated CK No muscular symptoms or recent trauma. Thought to be in the setting of delirium tremens. He was given aggressive fluids to prevent renal damage, and his BUN and Cr remained normal throughout. His CK had peaked and come down slightly on the day of discharge. Medications on Admission: Risperdal 2 mg HS Ativan 1 mg Q4-6H prn Thiamine 100 mg daily Folate 1 mg daily MVI 1 mg daily Discharge Medications: 1. Risperidone 2 mg Tablet Sig: One (1) Tablet PO HS (at bedtime). 2. Multivitamin Tablet Sig: One (1) Tablet PO DAILY (Daily). 3. Thiamine HCl 100 mg Tablet Sig: One (1) Tablet PO DAILY (Daily). 4. Folic Acid 1 mg Tablet Sig: One (1) Tablet PO DAILY (Daily). 5. Trazodone 100 mg Tablet Sig: 1-2 Tablets PO at bedtime as needed for insomnia. Disp:*20 Tablet(s)* Refills:*0* Discharge Disposition: Home Discharge Diagnosis: Delirium tremens Alcohol abuse/dependence Schizophrenia Polysubstance abuse Discharge Condition: Hemodynamically stable. Discharge Instructions: You were admitted to [**Hospital1 18**] due to signs of alcohol withdrawal. You had hallucinations, tremors, elevated heart rate and blood pressure, which is part of a syndrome called delirium tremens. We gave you diazepam and observed you in the ICU. Now that your vitals signs are normal and your mental status has improved, we will discharge you with close follow-up for your alcohol abuse. As we discussed in length during your admission, continuing to drink alcohol will cause progressive damage to many parts of your body, including your liver. We strongly recommend that you seek treatment, either as an inpatient, or through intensive outpatient therapy. We have provided you with information about BEST, a program that can provide you with these resources. Please contact [**Name (NI) **] at BEST as soon as possible to set up a treatment plan: ([**Telephone/Fax (1) 79589**]. Also, please contact your therapist, [**Name (NI) 803**] [**Name (NI) 79590**], at [**Hospital **] [**Hospital **] Health Center on Monday morning to set up an appointment. Phone: ([**Telephone/Fax (1) 79591**]. Please take all of your medications as prescribed and go to all follow-up appointments. We will continue your trazodone that you received here to use if needed at nighttime for insomnia. If you experience any tremors, palpitations, chest pain, agitation, dizziness, headache, hear or see things others do not, experience any thoughts of harm to yourself or others, or have any other concerning symptoms, please seek medical attention or come to the emergency room immediately. Followup Instructions: Provider: [**First Name8 (NamePattern2) **] [**Name8 (MD) **], MD Phone:[**Telephone/Fax (1) 250**] Date/Time:[**2180-8-24**] 2:00 Psychiatry: [**Hospital1 **] St. Health Center, [**2180-8-30**], 2:30pm, Dr. [**First Name (STitle) **] Provider: [**Name10 (NameIs) **] FERN, RNC Date/Time:[**2180-9-21**] 9:20 Please call your therapist [**First Name5 (NamePattern1) 803**] [**Last Name (NamePattern1) 79590**] at [**Hospital1 **], ([**Telephone/Fax (1) 79591**], and [**Doctor First Name **] at BEST, ([**Telephone/Fax (1) 79589**], as instructed above. [**First Name8 (NamePattern2) **] [**Last Name (NamePattern1) **] MD [**MD Number(2) 13546**] Completed by:[**2180-8-18**] ICD9 Codes: 412, 311, 4019