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Classify the following medical document.
TITLE: CCU Progress Note Chief Complaint: 24 Hour Events: - No overnight events - Comfortable on room air. - Requesting to go home Allergies: No Known Drug Allergies Last dose of Antibiotics: Infusions: Other ICU medications: Other medications: Changes to medical and family history: Review of systems is unchanged from admission except as noted below Review of systems: Flowsheet Data as of [**2124-3-9**] 07:11 AM Vital signs Hemodynamic monitoring Fluid balance 24 hours Since 12 AM Tmax: 36.9 C (98.4 Tcurrent: 36.8 C (98.2 HR: 75 (75 - 93) bpm BP: 96/46(58) {84/44(55) - 103/58(69)} mmHg RR: 22 (17 - 34) insp/min SpO2: 98% Heart rhythm: SR (Sinus Rhythm) Total In: PO: TF: IVF: Blood products: Total out: 530 mL 295 mL Urine: 530 mL 295 mL NG: Stool: Drains: Balance: -530 mL -295 mL Respiratory support O2 Delivery Device: Nasal cannula SpO2: 98% ABG: ///31/ Physical Examination Gen: WDWN elderly male in NAD, appears younger than stated age. HEENT: NCAT. Sclera anicteric. PERRL, EOMI. Conjunctiva were pink, no pallor or cyanosis of the oral mucosa. No xanthalesma. Neck: Supple with JVP elevated to earlobe CV: RR, 3/6 systolic murmur LUSB raditaing to carotids. No thrills, lifts. No S3 or S4. Chest: No chest wall deformities, scoliosis or kyphosis. Resp were unlabored, no accessory muscle use. Crackles to halfway B/L. Speaking in full sentences. Abd: Soft, NTND. No HSM or tenderness. Ext: 2 pitting edema B/L. Skin: No stasis dermatitis, ulcers, scars, or xanthomas. . Pulses: Right: Carotid 2+ Femoral 2+ DP 2+ PT 2+ Left: Carotid 2+ Femoral 2+ DP 2+ PT 2+ Labs / Radiology 1.3 mg/dL 31 mEq/L 3.9 mEq/L 34 mg/dL 100 mEq/L 139 mEq/L [image002.jpg] [**2124-3-8**] 10:33 PM Cr 1.3 TropT 0.02 Other labs: CK / CKMB / Troponin-T:31//0.02, Mg++:2.0 mg/dL Assessment and Plan The patient is a [**Age over 90 **] year-old male with a PMH of CAD, moderate AS, and COPD admitted with acute onset dyspnea. . #. Acute on Chronic Systolic and Diastolic CHF - The patient presents with acute onset dyspnea, similar to prior admissions, differential diagnosis includes acute diastolic CHF vs COPD exacerbation. Patients symptoms most likely secondary to CHF exacerbation given evidence of volume overload on exam and CXR. BNP elevated though decreased from prior. The patient has no evidence of CE elevation or new ischemic ECG changes. He likley has episodes of transient ischemia leading to acute-on-chronic diastolic dysfunction and pulmonary edema as described prior. The patient also reports brief feeling of "chest spasm" relieved with neb in ED, suggests possible component of reactive airway disease. No wheezing on exam currently. - Trend CE, negative x2 so far - Continue lasix IV, goal 1L negative today - Continue lisinopril and metoprolol - Continue nebs PRN - Hold on further abx/steroids for now. There appears to be a possible RLL infiltrate that we will followup with PA and lateral chest xray. . #. Coronary Artery Disease - s/p BMS to OM2, D1, Left circumflex in [**2122-11-16**] for unstable angina - pt has declined further attempts at revascularization. No current acute ischemic changes on ECG - Trend CE, negative x2 so far - Continue ASA, metoprolol and lisinopril - Goal HCT ~30 given history of ischemia . #. Moderate Aortic Stenosis - careful diuresis given increased preload dependence - BB and ACE-I as above . # Gout: On allopurinol. Started cholchicine at home dose as needed #. COPD Will start tiotropium for likely COPD. Outpatient PFTs . #. Chronic GI Bleeds - Pt has had GIB in past on plavix, monitor HCT . #. FEN - cardiac diet, replete lytes PRN . #. Access: PIV . #. PPx: heparin SC . #. Code: FULL . #. Dispo: Floor today ICU Care Nutrition: Glycemic Control: Lines: 18 Gauge - [**2124-3-8**] 06:50 PM Prophylaxis: DVT: Heparin SQ Stress ulcer: VAP: Comments: Communication: Comments: Code status: Full code Disposition: ------ Protected Section ------ Cardiology Teaching Physician Note On this day I saw, examined and was physically present with the resident / fellow for the key portions of the services provided. I agree with the above note and plans. I would add the following remarks: History Nothing to add, agree with above Physical Examination Nothing to add, agree with above Medical Decision Making Nothing to add, agree with above Total time spent on patient care: 30 minutes. ------ Protected Section Addendum Entered By:[**Name (NI) 4646**] [**Name (NI) **] on:[**2124-3-11**] 08:28 ------
Physician
Classify the following medical document.
Admission Date: [**2178-10-24**] Discharge Date: [**2178-10-30**] Date of Birth: [**2135-7-24**] Sex: M Service: MEDICINE Allergies: Patient recorded as having No Known Allergies to Drugs Attending:[**First Name3 (LF) 106**] Chief Complaint: chest pain Major Surgical or Invasive Procedure: Cardiac catheterization with drug-eluting stent placement in LAD x 2 History of Present Illness: Patient is a 43 year-old male with HTN, Family Hx of CAD, and Tobacco use who had episode of persistent chest pain after work 2 days PTA. States sharp substernal chest pressure going from throat to the esophagus. no radiation, no associated sob, denies n/v/d. Pain constant never relieved and pt came to the ED ~ 36 hours after the onset of pain. . In the [**Name (NI) **] pt noted to have ST elevations anterolaterally and tachycardic, given IV lopressor and sent to cath lab. . On cath found to have proximal occlusion of LAD ->[**Name Prefix (Prefixes) **] [**Last Name (Prefixes) **] 2, CI 1.86 -> IABP placed and pt transferred to CCU. Pain free post cath. On admission to CCU pt had no complaints. ROS: +some doe for months, denies pnd/orthopnea/syncope. +Palpitations. Past Medical History: 1. HTN 2. Anxiety 3. Psoriasis Social History: Smoker 15 pack year history. Lives in [**Location **], social etOH, programmer at [**Hospital1 112**]. Family History: Mother died of MI at 69, Father - CVA, 2 sisters with MI, DM, 2 brother with DM. Physical Exam: GEN: Middle aged man in NAD HEENT: PERRL, MMM, JVP ~9cm at 30degrees. CHEST: CTAB anteriorly and laterally. CVR: RRR, nl s1, s2, no r/m/g ABD: Soft, nt, nd EXT: no edema, 2+ dp/pt pulses bilaterally. Groin site with soft hematoma, arterial line in place. Neuro: CNI-XII intact, A&O X 3. Skin: bilateral white plaques on forarms consistent with psoriasis. Pertinent Results: CBC: 15.3/44.2/331 Diff, N:79.6 L:15.0 M:4.5 E:0.5 Bas:0.5 Chemistry: 137/3.8/97/25/14/1.0/174 CK: 287 MB: 7 Trop-*T*: 2.43 PT: 13.2 PTT: 25.1 INR: 1.2 . DATA: ECG presentation: ST at 142, [**Apartment Address(1) 25947**],L, V1-V5. (V2-V4 >5mm). ECG post cath: ST at 100, ST normalized in 1,l,v1. STE V2 2mm, v3-V4 3mm. Cath - CO 3.24, CI 1.83, PCW 21, RA 10, PA 32/17, RV 32/8. LMCA - nl, LAD occluded at its origin, diag with thrombus and stenosis at its origin. dilation and [**Name Prefix (Prefixes) **] [**Last Name (Prefixes) 5303**]. residual 80% with normal flow. LCX - normal. RCA - normal . ECHO The left ventricular cavity size is top normal/borderline dilated. There is moderate regional left ventricular systolic dysfunction. Overall left ventricular systolic function is moderately depressed. Resting regional wall motion abnormalities include anteroseptal, anterior hypokinesis/akinesis and apical akinesis/dyskinesis. Right ventricular chamber size and free wall motion are normal. The aortic valve leaflets (3) appear structurally normal with good leaflet excursion and no aortic regurgitation. The mitral valve leaflets are mildly thickened. Mild (1+) mitral regurgitation is seen. There is no pericardial effusion. No apical thrombus seen (cannot exclude). . CATH Initial angiography showed a proximally occluded LAD. We planned to recanalize the vessel. Eptifibatide was continued. A 6 French XBLAD3.5 guide provided good support. The lesion was crossed with great difficulties using a Choice PT wire, which was then exchanged for a Prowater wire. Thrombectomy was performed using an Export catheter. The lesion was then pre-dilated with a 2.0 mm balloon at 8 atm. Next, two overlapping 3.0x3 mm and 3.0x28 mm Cypher DES were deployed in the mid and proximal LAD at 14 atm. Post-dilation was performed with a 3.25x23 mm Highsail balloon at 16 atm. Angiography showed slow flow in D1, which was rescued with a 2.0 mm ACE balloon at 8 atm. Final angiography showed no residual stenosis in the LAD, some thrombus in D1 with an 80% resdual stenosis, no dissection and TIMI 3 flow in both vessels. The patient left the lab in stable condition. * COMMENTS: 1. Selective coronary angiography in this right dominant patient revealed severe single vessel CAD. The RCA was angiographically normal. The Left Main and LCX were also both angiographically normal. The LAD was completely occluded at its origin. The D1 also had thrombus and stenosis at its origin 2. Resting hemodynamics revealed mild RA pressure elevation of 10mmHG. The pulmonary pressures were slightly elevated at 32/17 and the PCWP was moderately elevated to 21mmHG consistent with abnormal diastolic function. The cardiac index was depressed at 1.83 l/min/m2. 3. Successful stenting of the LAD with two 3.0 mm Cypher drug-eluting stents, which were post-dilated to 3.25 mm. 4. Successful insertion of a 40 cc IABP with good diastolic augmentation. Brief Hospital Course: Patient is a 43 year-old male with HTN, smoking history, Family Hx of CAD who presented with anterolateral ST elevations and found to have proximal occlusion of LAD in the cath lab. The following issues were addressed during his hospital stay: 1. Cardiovascular A. Coronary Artery Disease: Given complete proximal LAD occlusion in cath lab, 2 DES were placed in the artery with significant improvement in blood flow. Patient tolerated procedure well. An intra-aortic balloon pump was also placed in the cath lab with good diastolic augmentation. Patient received integrillin drip for 18 hours post-cath. Also started on ASA/Plavix/Statin/ACEI. BB was started prior to discharge, and medications were titrated up as tolerated. Patient was evaluated by Physical Therapy and cleared for discharge home with recommendations for cardiac rehabilitation. B. Pump: At cath, CO 3.24, CI 1.86. An IABP was placed at cath for afterload reduction and better coronary perfusion. This was discontinued the following day. LVEDP was 21 on cath, however post-cath patient voided 450cc without any lasix. ECHO showed EF 35%, anterospetal, anterior hypokinesis/akinesis, apical akinesis/dyskinesis, with no overt apical thrombus visualized. Given apical akinesis, patient was started on Coumadin and bridged with heparin until therapeutic INR was achieved. C. Rhythm: Patient in sinus rhythm, with initial tachycardia of multifactorial etiology: fever, acute coronary syndrome, dehydration, and poor EF with compensatory tachycardia to maintain cardiac output. Patient's HR began to decrease gradually post-MI, with fever resolution and improved cardiac function. No significant events were noted on telemetry. Patient to follow-up with Electrophysiology in 1 month for ICD placement evaluation. 2. FEVER Patient developed fever of unclear etiology post-MI; UA, CXR negative. 1 set blood cultures with gram positive cocci clusters/pairs, coagulase negative, likley contaminant given clinical picture. Other work-up was negative, and fever curve trended down without antibiotic therapy. Impression was fever secondary to acute myocardial infarction and cytokine release. Patient was without evidence of leukocytosis, and was afebrile x 48h prior to discharge without Tylenol administration. . 3. HTN Patient initially with asymptomatic relative hypotension initially, which resolved with cardiac revascularization and gentle fluid boluses. Patient discharged on Toprol XL 50 and Lisinopril 5, to follow-up in [**Hospital 191**] clinic for further control. . 4. PSORIASIS Patient with bilateral psoriatic plaques over arms, back, legs. No acute issues as inpatient, to be followed as outpatient. . 5. HEME Blood bank contact[**Name (NI) **] team as patient with [**Name (NI) 25948**] antibody on Type and Screen, usually seen in patients with history of transfusion. Patient denies any history of blood product transfusion. Labs not consistent with hemolysis; haptoglobin 350s, adjusted retic count WNL (LDH cannot be used as marker given recent infarction) Patient reportedly with sickle cell trait, nothing to work-up further as inpatient. . 6. Prophylaxis Patient on heparin gtt while being bridged to Coumadin. Patient ambulating, had BM while inpatient. Medications on Admission: Paxil 10mg qd. Discharge Medications: 1. Aspirin 325 mg Tablet, Delayed Release (E.C.) Sig: One (1) Tablet, Delayed Release (E.C.) PO DAILY (Daily). Disp:*60 Tablet, Delayed Release (E.C.)(s)* Refills:*6* 2. Clopidogrel 75 mg Tablet Sig: One (1) Tablet PO DAILY (Daily). Disp:*60 Tablet(s)* Refills:*3* 3. Atorvastatin 40 mg Tablet Sig: One (1) Tablet PO once a day. Disp:*30 Tablet(s)* Refills:*4* 4. Paroxetine HCl 20 mg Tablet Sig: 0.5 Tablet PO DAILY (Daily). 5. Warfarin 5 mg Tablet Sig: One (1) Tablet PO DAILY (Daily): Please have your INR checked; dose may be adjusted accordingly. Disp:*30 Tablet(s)* Refills:*0* 6. Lisinopril 5 mg Tablet Sig: One (1) Tablet PO at bedtime. Disp:*30 Tablet(s)* Refills:*6* 7. Metoprolol Succinate 50 mg Tablet Sustained Release 24HR Sig: One (1) Tablet Sustained Release 24HR PO DAILY (Daily). Disp:*30 Tablet Sustained Release 24HR(s)* Refills:*6* 8. Warfarin 2 mg Tablet Sig: One (1) Tablet PO As directed by a physician: [**Name10 (NameIs) **] is an extra prescription to be used pending any changes in your Coumadin dosage. . Disp:*60 Tablet(s)* Refills:*0* 9. Outpatient Lab Work Please have your INR drawn by VNA on Saturday and have results called to Dr. [**First Name8 (NamePattern2) **] [**Name (STitle) **] at [**Hospital3 **] on [**11-2**] - Monday A.M. -- [**Telephone/Fax (1) 250**] (INR does not need require f/u over weekend) Discharge Disposition: Home With Service Facility: [**Location (un) 86**] VNA Discharge Diagnosis: Primary 1. Acute ST Elevation MI s/p 2 DES to LAD Secondary 1. HTN 2. Hyperlipidemia 3. Tobacco use Discharge Condition: chest-pain free, hemodynamically stable, afebrile Discharge Instructions: 1. Please take all medications as prescribed -- Aspirin and Plavix MUST be taken daily. 2. Among your new medications, you have been started on Coumadin. This requires frequent visits for lab draws. Please make sure the results are sent to your PCP so that necessary dose adjustments can be made. 3. Please make all follow-up appointments. 4. Please refrain from any strenuous activity including heavy lifting for the next few weeks and until cleared by a cardiologist. 5. Please stop smoking 6. You will need to begin cardiac rehabilitation in 1 month - please arrange this with your PCP [**Name Initial (PRE) **]/or cardiologist. Followup Instructions: The following appointments have been schedule for you: 1. Provider: [**First Name8 (NamePattern2) **] [**Name11 (NameIs) **], MD Phone:[**Telephone/Fax (1) 250**] Date/Time:[**2178-11-2**] 11:30 (To have your INR checked) -- [**Hospital Ward Name 23**] Clinical Center, [**Location (un) 895**], North Suite 2. Provider: [**Name10 (NameIs) 640**] [**Name8 (MD) **], MD Phone:[**Telephone/Fax (1) 250**] Date/Time:[**2178-11-11**] 2:30 (To establish new PCP) - [**Hospital Ward Name 23**] Clinical Center, [**Location (un) 895**] 3. Cardiology: Provider: [**First Name8 (NamePattern2) **] [**Last Name (NamePattern1) **], [**Name Initial (NameIs) **].D. Phone:[**Telephone/Fax (1) 5003**] Date/Time:[**2178-11-17**] 1:00, [**Hospital Ward Name 23**] Clinical Center, [**Location (un) **] 4. Electrophysiology (evaluation for ICD placement). Dr. [**Last Name (STitle) **], Friday, [**2184-12-3**]:00 AM. [**Hospital Ward Name 23**] Clinical Center, [**Location (un) 3971**] Completed by:[**2178-11-2**]
Discharge summary
Classify the following medical document.
micu npn 1900-0700 patient received at 1900 from am shift. micu team had finished putting in r subclavian quad lumen. cxr showing that it was not in the correct position. dr [**Last Name (STitle) **] coming down to assist in rewiring line. cxr done and line ok per resident samone [**Doctor Last Name **]. r ij line pulled and i sent the tip for culture and switched over his lines to the new subclavian. within a half an hour dr [**Last Name (STitle) **] informed me that his line needed to be rewired again d/t incorrect positioning. i accessed his groin dialysis line fro propofol and the ambisone that he had begun to receive. dr. [**Last Name (STitle) **] and dr. [**Last Name (STitle) **] placed a new quad lumen in the r ij that has been confirmed by cxr to be in the correcr position. his line have been switched back over to this new line. systenms review- neuro- patient remains sedated on 30 mcg/kg/[**Last Name (STitle) 217**] of propofol. he opens eyes and awakens to voivem inconsistantly follows some simple commands, not able to get him to nod his head to yes/no q's though. cv- vasopressin off ~12am with last line change, bp had been in the 120 sys map 70's range. within a half hour, the intern, dr [**Last Name (STitle) **], pulled the subclavian line and pt's bp began to fall to the mid 80 sys range maps 50-60. vasopressin restarted at previous dose of 0.04 u/[**Last Name (STitle) 217**]. also within this time. pt had previously not had any ectopy, he began to have 4-7 beat runs of vtach, which all spontaneously resoved. after the line was placed a chem 10 was sent off revealing a K of 2.9 and mg of 1.6. the pt received 40 meq kcl and 3 amps mg. am labs to be drawn shortlky will reflect this. hr 60-70's o/n, sbp remains 95-100 on vasopressin. resp- remains on a/c .4 fio2 peep 10 750x14, occ breathing 1-2 breaths above, sats 98-100%, no abg's ordered this shift. suctioning tan thick sputum via ett q4-5 hrs. gi/gu- tube feeds (deliver 2.0( continue at 30 cc/hr, to up rate to 40 at 6am, [**Last Name (STitle) **] to advance SLOWLY -- q12 hrs to goal of 50cc/hr. viokase begun to assist in absorbtion of tube feeds d/t pt's hx of pancreatic insufficiency. pt conts w/large amts of stool (1300cc) o/n to mushroom catheter, slightly ob+ this am. sm amts brown urine to foley. endo- insulin gtt off xseveral hrs while access was an issue. [**Last Name (STitle) **] titrating blood sugars q1-2 hrs, currently at 0.5 u/hr bs in the 80;'s. id- a febrile o/n. vasopressin back on ?volume depletion w/lg stool losses and dialysis x2 days in a row w/good fluid removal both days. vs. new sepsis s/p pulling line out.. conts on ambisone q24 hrs for yeast n blood cultures from [**2163-8-31**]. heme- conts to have [**Last Name (un) 374**] low platelets, hit+, now pt w/new lij, subclavian clots, pt written to begin on lipirudin for anticoagulation, held o/n d/t r dialysis line needing to be pulled tonight or more likely in the am.. skin- multiple issues,, see flowsheet for details. much improved rash from uremia of last week. now pt w/yeast to groin, back, arm pits.. treating w/miconizole powder. [**Last Name (un) **] to support on vent until ms [**First Name (Titles) 7959**] [**Last Name (Titles) **] ready to begin weaning.. vasopressin for maps >60, attempt to turn off a
Nursing/other
Classify the following medical document.
Admission Date: [**2159-9-18**] Discharge Date: [**2159-9-20**] Date of Birth: [**2084-12-10**] Sex: M Service: MEDICINE Allergies: Enalapril Attending:[**First Name3 (LF) 106**] Chief Complaint: s/p right carotid angiography and stenting Major Surgical or Invasive Procedure: Right carotid angiography and stenting History of Present Illness: 74M hx of L ICA stenosis (s/p CEA [**2159-6-26**]), 80% R ICA stenosis, CAD s/p CABG ([**2154**], anatomy unavailable), EF 60%, prior CVA (no residual deficits), PAF (On Coumadin), HTN, HL, DMII, Moderate to Severe PVD, that presents to CCU following right carotid angiography and stenting. . The pt was referred to Dr. [**Last Name (STitle) **] on [**2159-4-28**] for evaluation of PVD. The pt subsequently underwent stress nuclear perfusion (no anginal symptoms or ischemic EKG changes). Non-Invasive vascular studies revealed non-compressible vessels and moderate to moderately severe peripheral vascular disease at rest based on Doppler waveforms and PVR??????s. ABI??????s invalid due to non compressibility of vessels. Given the pts known carotid bruits, the pt underwent Carotid U/S that showed significant bilateral carotid stenosis, L>R. Angiography ([**2159-6-25**]) revealed an 80% stenosis of the [**Country **] (which supplies the left ACA) and a 99% [**Doctor First Name 3098**] stenosis. Cerebral angiography further revealed patent right ACA and MCA and patent left ACA and left MCA. He did have a recent event when he was unable to move his left leg for a couple of days, but slowly regained function. . Thus the pt underwent L CEA on [**2159-6-26**]. Of note during the admission for ([**2159-6-25**] thru [**2159-6-28**]) the pt tolerated the procedure well. On POD 1 he experienced a severe headache that did resolve and was consistent with symptoms of reperfusion postop. The pt was kept in the VICU overnight for observation. The pt also experienced increased neck stiffness at that time. The pt also had LE swelling US without DVT. Subsequent Carotid U/S ([**2159-7-19**]) revealed stable R ICA stensosis 70-79% (unchanged). Left side without residual stenosis at CEA site. . Upon further review of symptoms the pt reports + Occasional dizziness, no prior syncope, occasional HA, Denies CP/SOB. No sensory or motor defects. The pt also noted a history of "ill defined feeling" in both legs with exercise that occasionaly occurs with rest. The pt previously attributed this to prior SVG harvest. He recalls that he might have had a stroke 10-15 years ago (unclear) without any residual deficit. Prior to CABG, he only had diaphoresis. . Further review of systems is notable for absence of chest pain, dyspnea on exertion, paroxysmal nocturnal dyspnea, orthopnea, palpitations, syncope or presyncope. . In general, the patient tolerated the procedure well. He had a vagal reaction during the procedure which required atropine. His SBP then went up to the 200s requiring a nitro drip. Access was first attempted in the right arm, but was unsuccessful. Therefore a right femoral approach as used. He was transferred to the CCU with an SBP of 100 off of the nitro drip for close monitoring of his blood pressures with a goal SBP between 90 and 120. He had a headache after the procedure which resolved by the time he was transferred to the CCU. Past Medical History: Paroxysmal atrial fibrillation CAD s/p CABG in [**2154**] ([**Hospital1 112**]) Prior CVA Bilateral carotid artery disease Anemia PVD Hypertension Diabetes c/b retinopathy and peripheral neuropathy Cataracts s/p surgery Thyroid nodule Colon polyps s/p resection Intermittent Lower back pain Proteinuria s/p right elbow fracture as a child Arthritis Social History: Patient is married with two children Lives with: Wife Occupation: previously worked as a printer ETOH: none Family History: No family history of premature CAD Physical Exam: VS: T=36.4 BP=91/44 HR=51 RR=14 O2 sat=100% RA GENERAL: pleasant male in NAD. Alert and oriented x3. Mood, affect appropriate. HEENT: NCAT. Sclera anicteric. PERRL, EOMI. Conjunctiva were pink, no pallor or cyanosis of the oral mucosa. No xanthalesma. NECK: Supple with JVP of 8 cm. CARDIAC: PMI located in 5th intercostal space, midclavicular line. RR, normal S1, S2. No m/r/g. No thrills, lifts. No S3 or S4. LUNGS: No chest wall deformities, scoliosis or kyphosis. Resp were unlabored, no accessory muscle use. Left> right crackles at the bases. No wheezes or rhonchi. ABDOMEN: Soft, NTND. No HSM or tenderness. Abd aorta not enlarged by palpation. No abdominial bruits. EXTREMITIES: No c/c/e. No femoral bruits. RUE bandage is c/d/i. RLE has some oozing at the cath site, no hematoma. SKIN: No stasis dermatitis, ulcers, scars, or xanthomas. Warm and well perfused with normal capillary refill time. 1+ Left and trace right lower leg edema. PULSES: Right: Carotid 2+ Femoral 2+ Popliteal 1+ DP, PT [**Name (NI) **] [**Name (NI) 2325**]: Carotid 2+ Femoral 2+ Popliteal 1+ DP, PT [**Name (NI) **] Pertinent Results: Cardiac Cath ([**9-18**])- 1. Access was initially obtained at the right brachial artery. Due to anatomic tortuosity, we changed our approach and obtained access from the right femoral artery. 2. Selective angiography of the right carotid artery showed an 80% stenosis at the bifurcation of the ICA and ECA extending distally into the proximal segment of the ICA. 3. Successful PTA and placement of an 8.0x29mm self-expanding Carotid Wallstent were performed. The stent was post-dilated using a 5.0mm balloon. (See PTA comments.) 4. The right common femoral arteriotomy was successfully closed using a Perclose Proglide device. . FINAL DIAGNOSIS: 1. Right carotid artery disease. 2. Successful placement of a stent in the CCA-ICA. 3. The primary operator for this procedure was Dr. [**First Name8 (NamePattern2) **] [**Last Name (NamePattern1) **]. The primary assistant was Dr. [**First Name8 (NamePattern2) **] [**Last Name (NamePattern1) **]. . [**2159-9-19**] 06:40AM BLOOD WBC-8.1 RBC-2.95* Hgb-8.2* Hct-25.5* MCV-87 MCH-27.7 MCHC-32.0 RDW-15.0 Plt Ct-220 [**2159-9-19**] 02:05PM BLOOD WBC-8.0 RBC-2.81* Hgb-8.0* Hct-24.5* MCV-87 MCH-28.4 MCHC-32.5 RDW-14.3 Plt Ct-185 [**2159-9-18**] 09:00AM BLOOD PT-14.1* PTT-33.6 INR(PT)-1.2* [**2159-9-19**] 06:40AM BLOOD PT-13.4 PTT-31.1 INR(PT)-1.1 [**2159-9-19**] 06:40AM BLOOD Glucose-58* UreaN-32* Creat-2.0* Na-134 K-4.3 Cl-100 HCO3-24 AnGap-14 [**2159-9-19**] 02:05PM BLOOD Glucose-215* UreaN-32* Creat-2.1* Na-130* K-4.5 Cl-98 HCO3-23 AnGap-14 [**2159-9-19**] 02:05PM BLOOD Calcium-8.7 Phos-3.8 Mg-1.9 Brief Hospital Course: 74 y/o male with severe PVD, CABG in [**2154**], CVA with no residual effect, and bilateral carotid artery disease s/p left CEA [**7-3**] presenting for right carotid stenting. . # s/p RCA Stenting: Pt enrolled in [**Last Name (un) 81078**] study, underwent RCA stenting. Patient had a vagal reaction during the procedure which required atropine. His SBP then went up to the 200s requiring a nitro drip. Otherwise he tolerated the procedure well and was transferred to the CCU with an SBP of 100 off the nitro drip. While in the CCU, our goal remained SBP 90-120. Patient stayed in the 100s-120s. Neuro exam performed q1h for 2 hours, q2h for 2 checks, and then q6h after the procedure - all were within normal limits. Post-cath check at 2:30PM showed some R femoral oozing, but no hematoma or bruit. Patient's heart rate was 40s-50s s/p procedure, asymptomatic. His beta blocker was held in this setting; resumption will be addressed by his PCP. [**Name10 (NameIs) **] will go home on [**Doctor Last Name **] of Hearts monitor to continually monitor heart rate for 2 weeks. Patient's home dose of ASA 325mg and Plavix 75mg continued after procedure. Coumadin 5mg resumed after the procedure and lovenox administered twice daily dosing until INR became therapeutic. Patient will go home with 5 days of lovenox as bridge. INR will be checked on [**9-24**]. . # CORONARIES: previous CABG. Last stress-MIBI without concerning ECG changes. Continued home ASA, Plavix, Statin, Beta-Blocker, [**Last Name (un) **]. Patient denied any chest pain while in hospital. No EKG changes noted. . # PUMP: Last EF 60%. Initially had elevated BP's post-procedure. Trended down to SBP 100s-120s. Switched home atenolol 150mg daily to metoprolol 75mg [**Hospital1 **] for rate control given slightly increased creatinine. Upon discharge, BP was 110s-120s and HR was 50s, 60s with ambulation. Patient stable. . # RHYTHM: Pt with hx of PAF, currently bradycardic sinus rhythm. Continued to stay in bradycardic rhythm at HR 45-50s. Discharged on [**Doctor Last Name **] of Hearts monitor for 2 weeks, as noted above. Will transmit 2-3 times daily. . # DMII: Patient not on insulin as outpatient. HbA1C 7.3 ([**4-2**]). Gave home dose of glipizide and then covered to Humalog SS while in house. Held home metformin while in-hospital. Restarted upon discharge. . # Anemia: Unclear etiology. There is a longstanding history from prior records. Previous ferritin was normal. No microcytosis. Mildly elevated creatinine. Hemoglobin Electropheresis WNL (+FM hx for anemia). Hct baseline ranges from 25-30. Ranged between 24.5-31.5 while in hospital. Consider outpatient work-up. . Medications on Admission: Aspirin 325mg daily Plavix 75mg daily Simvastatin 40mg Daily Atenolol 150mg PO Daily Irbesartan 300mg daily Coumadin 2mg daily, 2 tablets as directed, last dose [**2159-9-13**] Lovenox b.i.d. on [**2159-9-16**] and [**2159-9-17**] Furosemide 40mg daily Glipizide 10mg twice a day Metformin 850mg three times a day Iron-Docusate Sodium 150mg-100mg one tablet twice a day Milk of Magnesia PRN Foltx one tablet daily Discharge Medications: 1. Furosemide 40 mg Tablet Sig: One (1) Tablet PO DAILY (Daily). 2. Aspirin 325 mg Tablet Sig: One (1) Tablet PO DAILY (Daily). 3. Clopidogrel 75 mg Tablet Sig: One (1) Tablet PO DAILY (Daily). 4. Glipizide 10 mg Tablet Sig: One (1) Tablet PO BID (2 times a day). 5. Simvastatin 40 mg Tablet Sig: One (1) Tablet PO DAILY (Daily). 6. Irbesartan 300 mg Tablet Sig: One (1) Tablet PO once a day. Tablet(s) 7. Magnesium Hydroxide 400 mg/5 mL Suspension Sig: Thirty (30) ML PO Q6H (every 6 hours) as needed for constipation. 8. Metformin 850 mg Tablet Sig: One (1) Tablet PO three times a day. 9. Iron with Stool Softener 150 (50)-100 mg Tablet Sustained Release Sig: One (1) Tablet Sustained Release PO twice a day. 10. Foltx 2.5-25-2 mg Tablet Sig: One (1) Tablet PO once a day. 11. Enoxaparin 100 mg/mL Syringe Sig: One (1) injection Subcutaneous Q24H (every 24 hours) for 5 doses. Disp:*5 syringes* Refills:*0* 12. Warfarin 5 mg Tablet Sig: One (1) Tablet PO Once Daily at 4 PM for 5 doses. Disp:*5 Tablet(s)* Refills:*0* 13. Warfarin 2 mg Tablet Sig: One (1) Tablet PO once a day: start once your INR is between [**2-27**]. Tablet(s) Discharge Disposition: Home Discharge Diagnosis: right sided carotid stenosis s/p stent placement . Secondary diagnoses: - s/p CABG - HTN - dyslipidemia - PAF (On Coumadin) - Prior CVA [**60**]-15 years ago (No residual defects) - Bilateral carotid artery disease s/p left CEA [**2159-6-26**] - Anemia (Unknown Etiology) - PVD - DMII c/b retinopathy and peripheral neuropathy - Cataracts s/p surgery - Thyroid nodule - Colon polyps s/p resection - Intermittent Lower Back Pain - Proteinuria - s/p right elbow fracture as a child - Arthritis Discharge Condition: Good, vital signs stable, ambulatory Discharge Instructions: You were admitted to the hospital to undergo a carotid stent placement to relieve a blockage in your carotid vessel. The procedure went well however you developed a low heart rate afterwards. Because of this you were admitted to the CCU for close monitoring. While you were in the CCU, your heart rate remained stable and you were asymptomatic. You will go home with [**Initials (NamePattern4) **] [**Last Name (NamePattern4) **] of Hearts monitor to continually monitor your heart rate at home. . The following medication changes were made: 1. Stop your beta-blocker (atenolol 150mg). 2. Take lovenox 100mg daily for 5 days (day 1- [**9-20**]) or at least until your Coumadin level (INR) is between [**2-27**]. 3. Take Coumadin 5mg daily for 5 doses or until your INR is between [**2-27**] and then you can go back to your home dose of Coumadin 2mg daily. 4. You need to get your INR levels checked on [**9-22**] to monitor your blood thinning levels. . Please follow-up with all of your outpatient medical appointments listed below. . Please seek medical care if you experience any concerning symptoms such as headache, dizziness, lightheadedness, decreased muscle strength, chest pain, or increased shortness of breath. Followup Instructions: Please follow-up with all of your outpatient medical appointments listed below. 1. Follow-up with your [**Hospital 263**] clinic ([**Hospital1 **]-[**Location (un) **]) for INR check on Saturday, [**9-22**] (If your INR is between [**2-27**] then you can stop Lovenox, if it is below 2, continue with Lovenox). 2. Provider: [**First Name4 (NamePattern1) 1575**] [**Last Name (NamePattern1) 1576**], MD Phone:[**Telephone/Fax (1) 1579**] Date/Time:[**2159-10-2**] 10:10 3. Provider: [**First Name8 (NamePattern2) **] [**First Name8 (NamePattern2) **] [**Last Name (NamePattern1) **], MD Phone:[**Telephone/Fax (1) 62**] Date/Time:[**2159-10-19**] 2:20 4. Provider: [**Last Name (NamePattern4) **]. [**First Name (STitle) **] [**Doctor Last Name **] Phone:[**Telephone/Fax (1) 1142**] Date/Time:[**2159-11-7**] 11:15 Completed by:[**2159-9-20**]
Discharge summary
Classify the following medical document.
TITLE: [**Hospital Unit Name 10**] Resident Progress Note Chief Complaint: 24 Hour Events: - off neosynephrine, only on levophed - checking daily LFTs and amylase/lipase as is s/p ERCP - Echo results [**8-22**] showed hyperdynamic LV, EF >75%, mild LVH, no focal wall motion abnormality - CVP was 22 based on femoral line - [**Hospital1 966**] accepted her for transfer - Got CVVH in preparation for transfer and for afternoon K of 6.1, decreased to 4.9 after CVVH - [**Hospital1 966**] decided they don't have space for her until [**1-10**], but they did tell us that she has antiphospholipid sydrome and she was started on heparin gtt Allergies: Ace Inhibitors Unknown; Levaquin (Oral) (Levofloxacin) Unknown; Cephalosporins Unknown; Oxycodone Unknown; Percocet (Oral) (Oxycodone Hcl/Acetaminophen) Unknown; Last dose of Antibiotics: Piperacillin/Tazobactam (Zosyn) - [**2194-1-8**] 06:00 AM Meropenem - [**2194-1-9**] 03:43 PM Linezolid - [**2194-1-9**] 10:03 PM Gentamicin - [**2194-1-10**] 06:31 AM Infusions: Fentanyl - 25 mcg/hour Norepinephrine - 0.03 mcg/Kg/min Midazolam (Versed) - 1 mg/hour Heparin Sodium - 1,050 units/hour Other ICU medications: Heparin Sodium (Prophylaxis) - [**2194-1-9**] 03:42 PM Pantoprazole (Protonix) - [**2194-1-9**] 04:24 PM Other medications: Changes to medical and family history: Review of systems is unchanged from admission except as noted below Review of systems: Flowsheet Data as of [**2194-1-10**] 07:26 AM Vital signs Hemodynamic monitoring Fluid balance 24 hours Since 12 AM Tmax: 36.7 C (98 Tcurrent: 36.5 C (97.7 HR: 75 (62 - 85) bpm BP: 107/65(79) {91/54(66) - 117/78(89)} mmHg RR: 19 (15 - 33) insp/min SpO2: 98% Heart rhythm: SR (Sinus Rhythm) Wgt (current): 84.4 kg (admission): 74 kg Height: 67 Inch CVP: 24 (20 - 34)mmHg Total In: 3,877 mL 312 mL PO: TF: IVF: 3,737 mL 312 mL Blood products: Total out: 1,026 mL 104 mL Urine: NG: 500 mL Stool: Drains: Balance: 2,851 mL 208 mL Respiratory support O2 Delivery Device: Endotracheal tube Ventilator mode: CMV/ASSIST/AutoFlow Vt (Set): 360 (360 - 360) mL Vt (Spontaneous): 153 (153 - 153) mL RR (Set): 16 RR (Spontaneous): 0 PEEP: 5 cmH2O FiO2: 40% RSBI: 74 PIP: 22 cmH2O Plateau: 22 cmH2O Compliance: 21.2 cmH2O/mL SpO2: 98% ABG: 7.32/43/164/24/-3 Ve: 5.7 L/min PaO2 / FiO2: 410 Physical Examination GENERAL: cushingoid AAF, intubated and sedated HEENT: b/l injected conjunctiva, b/l chemosis. No scleral icterus. MM lubricated. Neck: unable to assess JVP 2/2 habitus. tunneled line in place CARDIAC: Regular tachycardia, 2/6 systolic murmur across precordium LUNGS: coarse breath sounds, no crackles or wheezes ABDOMEN: obese and surgically scarred abdomen. Minimal BS. NABS. EXTREMITIES: cool, no edema, dopplerable dorsalis pedis/ posterior tibial pulses. RUE old AV fistula without thrill/bruit SKIN: No rashes/lesions, ecchymoses. Labs / Radiology 105 K/uL 12.7 g/dL 126 mg/dL 5.0 mg/dL 24 mEq/L 4.9 mEq/L 37 mg/dL 109 mEq/L 147 mEq/L 41.7 % 8.4 K/uL [image002.jpg] [**2194-1-9**] 02:29 AM [**2194-1-9**] 05:53 AM [**2194-1-9**] 12:29 PM [**2194-1-9**] 12:42 PM [**2194-1-9**] 03:19 PM [**2194-1-9**] 05:44 PM [**2194-1-9**] 06:22 PM [**2194-1-10**] 12:00 AM [**2194-1-10**] 12:07 AM [**2194-1-10**] 02:29 AM WBC 8.3 8.4 Hct 41.5 41.7 Plt 110 105 Cr 6.5 6.7 5.0 5.0 TCO2 22 21 19 23 23 Glucose 198 144 119 126 Other labs: PT / PTT / INR:14.7/150.0/1.3, CK / CKMB / Troponin-T:/8/0.45, ALT / AST:227/51, Alk Phos / T Bili:162/0.4, Amylase / Lipase:53/32, Differential-Neuts:94.2 %, Lymph:3.6 %, Mono:2.1 %, Eos:0.1 %, Lactic Acid:2.0 mmol/L, Albumin:3.3 g/dL, LDH:212 IU/L, Ca++:8.3 mg/dL, Mg++:1.9 mg/dL, PO4:5.9 mg/dL Blood cultures 11/25 and [**1-9**] NGTD Sputum [**1-8**] GRAM STAIN (Final [**2194-1-8**]): >25 PMNs and <10 epithelial cells/100X field. NO MICROORGANISMS SEEN. RESPIRATORY CULTURE (Preliminary): RARE GROWTH Commensal Respiratory Flora. YEAST. SPARSE GROWTH. Assessment and Plan 49F with SLE on chronic steroids, ESRD on HD, ERCP earlier today for choledocholithiasis, who presented with sepsis and pancreatitis. . #. Sepsis - probable biliary source but DDX includes line infection. Has h/o multidrug resistant organisms at [**Hospital1 966**]. -- f/u blood cultures (and those from [**Hospital1 1504**] ER) -- continue meropenem/getamicin/linezolid for broad coverage -- prn fluid for CVP goal [**9-25**], will check femoral line CVP, will also check delta pulse pressure -- wean vasopressors for MAP > 65 -- continue stress dose steroids for now -- f/u ERCP c/s recs -- f/[**Initials (NamePattern4) **] [**Last Name (NamePattern4) **] c/s recs -- will get echo to assess heart function with all these fluids, check OSH records for any previous TTe . #. Resp Failure - Was intubated for airway protection, never dropped saturations or demonstrated problems with oxygenation. She has evidence of volume overload on CXR, will need aggressive IVF for sepsis and pancreatitis management, so this will be a barrier to extubation in the future. -- wean FiO2 as tolerated, keep on AC for now -- ultimately, volume management will be via HD/CVVH -- send sputum cultures -- fent/midaz for sedation . #. Pancreatitis s/p ERCP - no evidence of persistent obstruction or free air on CT scan. However, pancreatic enzymes are elevated, and HCT acutely elevated c/w pancreatitis. -- aggressive IVF -- NPO with bowel rest for now -- pain control with IV fentanyl -- trend LFTs and panc enzymes daily -- ERCP to follow . #. ESRD -- should be dialyzed today, will touch base with renal team -- can likely do hemodialysis but if BP drops, may need CVVH -- renally dose all medications . #. SLE -- currently on stress dose steroids, replacing her home dose -- continue Plaquenil 200mg daily -- continue Bactrim SS daily for prophylaxis . # h/o PE - on despite ESRD [**3-18**] "coumadin resistence" -- holding lovenox for now, will clarify coagulation needs by getting OSH records ICU Care Nutrition: NPO for now given pancreatitis, but prefer early intiation of TF's via OGT when possible, will obtain nutrition c/s Glycemic Control: Added ISS Lines: Dialysis Catheter - [**2194-1-8**] 05:42 AM Arterial Line - [**2194-1-8**] 06:33 AM Multi Lumen - [**2194-1-8**] 03:18 PM Prophylaxis: DVT: Sc heparin/pneumoboots Stress ulcer: VAP: Comments: Bowel regimen colace/senna Communication: Comments: Code status: Full code Disposition: [**Hospital Unit Name 10**]
Physician
Classify the following medical document.
TITLE: Chief Complaint: Hypoxia HPI: This is a 45 year old Armenian female transferred from the BMT service with worsening hypoxia. She was in her usual state of health until mid [**Month (only) 93**], she began to have fevers, chills, nightsweats. This was accompanied by a non-productive cough, nasal congestion, and fevers to 104. She was seen at [**Hospital3 **] ED and was found to have a WBC of 115 with 7% blasts, 45% bands, 15% neutrophils, 5% lymphs, 3% promyelocytes, 14% myelocytes with LDH 1661, uric acid 4.2, Hct 23.3, plat 28,000. She had O2 sats in the 80s on RA and was given CTX and levaquin. She had a BM biopsy at the time the results for which were inconclusive and she was transferred to the [**Hospital1 1**] for possible leukopharesis. She was started empirically on vancomycin, cefepime, levofloxacin and tamiflu. She had a CT chest that showed diffuse ground glass opacities with airspace opacification in RML and bilateral bases, as well as central lymph node enlargement and splenomegaly. She was started on hydroxyurea for her initial WBC 120,000 and her WBC has improved today to 32,000. Bone marrow bx here suggestive of acute myeloid leukemia, cytogenetics pending. Despite broad antibiotic coverage, her O2 requirement began to increase and micafungin was added empirically yesterday for fungal coverage. This afternoon MICU evaluation was requested due to worsening hypoxia with O2 sat 90% on 50% FM. She was given lasix 10 mg IV with ~1.5L urine output. ABG revealed respiratory alakalosis with concomittant metabolic alkalosis. Bicarb gtt was discontinued to improve metabolic alkalosis. She was noted to have a temperature of 104 and standing tylenol was ordered. She underwent a repeat CT thorax that revealed worsening widespread ground glass opacities in the lungs bilaterally, with airspace opacities in the lung bases, right middle lobe, and lingula. Due to lack of improvement in respiratory status, and also with plans to initiate chemotherapy for presumed component of infiltrative leukemia adding to worsening respiratory status, she was transferred to the [**Hospital Unit Name 10**]. . In the [**Hospital Unit Name 10**], she reports a productive cough with yellow sputum with blood streaks. She reports that her breathing has been gradually worse over the last few days. Allergies: No Known Drug Allergies Last dose of Antibiotics: Vancomycin - [**2153-8-11**] 07:38 PM Levofloxacin - [**2153-8-11**] 09:52 PM Cefipime - [**2153-8-11**] 11:34 PM Infusions: Other ICU medications: Other medications: Medications at time of transfer: Atrovent 1 neb Q6H Albuterol 1 neb Q6H Tylenol 650 mg Q6H Allopurinol 300 daily Micafungin 100 mg Cefepime 2 gm Q8h Vancomycin 1 gm Q12H Levofloxacin 750 mg IV daily Tamiflu 75 PO BID Past medical history: Family history: Social History: Rheumatic fever c/b arthralgias Mother with history of breast cancer, father with history of throat cancer. She moved to US from [**Country 7525**] 7 years ago. Russian is her native language. She also speaks English. Married. 2 sons, age 15 and 20, works as a health aid. 25 pack year smoking history, quit 9 days ago. Review of systems: Flowsheet Data as of [**2153-8-12**] 12:07 AM Vital Signs Hemodynamic monitoring Fluid Balance 24 hours Since 12 AM Tmax: 39.2 C (102.6 Tcurrent: 37 C (98.6 HR: 99 (99 - 137) bpm BP: 116/63(81) {116/63(81) - 122/67(84)} mmHg RR: 24 (24 - 40) insp/min SpO2: 97% Heart rhythm: SR (Sinus Rhythm) Height: 62 Inch CVP: 8 (8 - 12)mmHg Total In: 1,060 mL 27 mL PO: TF: IVF: 780 mL 15 mL Blood products: 280 mL 13 mL Total out: 1,410 mL 160 mL Urine: 1,410 mL 160 mL NG: Stool: Drains: Balance: -350 mL -133 mL Respiratory O2 Delivery Device: Aerosol-cool SpO2: 97% ABG: 7.46/43/92.[**Numeric Identifier 641**]/24/5 PaO2 / FiO2: 93 Physical Examination Vitals: T: 102.6 BP:122/60 P: 75 R: 38 O2: 92% 100% FM General: Sleeping but arousable, shallow breathing, oriented x 3 HEENT: Sclera anicteric, dry MM Neck: supple, JVP ~12 cm, no LAD Lungs: Diffuse crackles R>L CV: Tachycardic, nl s1 s2, [**2-16**] non-radiating soft systolic murmur Abdomen: soft, non-tender, non-distended, bowel sounds present, no rebound tenderness or guarding, no organomegaly Ext: Warm, well perfused, 2+ pulses, no clubbing, cyanosis or edema Labs / Radiology 32 K/uL 6.8 g/dL 123 mg/dL 0.8 mg/dL 11 mg/dL 24 mEq/L 100 mEq/L 3.9 mEq/L 137 mEq/L 20.8 % 42.7 K/uL [image002.jpg] [**2150-1-12**] 2:33 A8/1/[**2153**] 07:48 PM [**2150-1-16**] 10:20 P8/1/[**2153**] 10:21 PM [**2150-1-17**] 1:20 P8/1/[**2153**] 11:35 PM [**2150-1-18**] 11:50 P [**2150-1-19**] 1:20 A [**2150-1-20**] 7:20 P 1//11/006 1:23 P [**2150-2-12**] 1:20 P [**2150-2-12**] 11:20 P [**2150-2-12**] 4:20 P WBC 42.7 Hct 20.8 Plt 13 32 Cr 0.8 TC02 32 Glucose 123 Other labs: PT / PTT / INR:16.2/31.5/1.4, ALT / AST:34/25, Alk Phos / T Bili:263/0.8, D-dimer:4687 ng/mL, Fibrinogen:541 mg/dL, Lactic Acid:1.2 mmol/L, Albumin:3.2 g/dL, LDH:559 IU/L, Ca++:8.2 mg/dL, Mg++:2.0 mg/dL, PO4:3.5 mg/dL Assessment and Plan This is a 45 year old female presenting with new diagnosis of likely AML now with worsening hypoxia, fever and diffuse interstitial infiltrates on CT. . # Hypoxemic respiratory distress: Pt with underlying emphysema compounding current picture. With interval progression of intersitial pattern on CT scan and worsening O2 requirement. Differential includes infectious etiologies (viral/bacterial including superimposing nosocomial infection given that she is now day #4 of hospitalization). Given progression despite broad spectrum coverage, infiltrative leukemia is also on differential. - Trial of diuresis with CVP goal < 10 - Check BNP, consider repeat ECHO if elevated - Continue broad spectrum coverage including vanc, cefepime, levoflox, micafungin and tamiflu. - Will add empiric anaerobic coverage with flagyl given recent emesis and worsening respiratory status - Follow up culture data - Frequent ABGs, trial of non-invasive ventilation if persistent O2 requirement/evidence of CO2 retention [**2-12**] fatigue - Chemotherapy per oncology - Nebs prn . # Fever: Currently meets SIRS criteria with temperature, HR, RR, and WBC. Remains hemodynamically stable, cultures negative to date. Clinical picture is compounded leukemia which may be responsible for the above. - f/u culture data - Antibiotics as above - Chemotherapy per oncology - ATC tylenol for fever given tachycardia, increase in metabolic demand . # Leukemia: With likely AML, awaiting cytogentics. Plan to start idarubacin and cytarabine tonight. - Dexamethasone, idarubacin, cytarabine per heme onc - TLS, DIC labs q6 hours - Transfuse to hct >24, plt> 15K - IVF with NS . # FEN: No IVF, replete electrolytes, regular diet . # Prophylaxis: p-boots . # Access: peripherals, RIJ, a-line . # Code: full . # Communication: Patient . # Disposition: pending above . ICU Care Nutrition:NPO Glycemic Control: n/a Lines: Multi Lumen - [**2153-8-11**] 05:46 PM Arterial Line - [**2153-8-11**] 11:13 PM Prophylaxis: DVT: p-boots Stress ulcer: n/a VAP: n/a Comments: Communication: Comments: Code status: Full code Disposition: pending improvement
Physician
Classify the following medical document.
Mr. [**Known firstname 20**] [**Known lastname **] is a 86 yo man with h/o CAD s/p MI and CABG in [**2136**], chronic AFib with V-pacing, chronic systolic CHF with EF 20%, multiple recent admission to the CCU for ICD firing, readmitted from [**Hospital **] rehab for left sided chest pain. He reports that he had severe left sided chest pain, worse with inspiration and palpation. He denies any dyspnea, nausea, vomiting, abdominal pain, diaphoresis, left arm or jaw pain or any other complaints. He does not know if his ICD fired. Of note he has been admitted numerous times recently for VT and ICD firing due to sustained VT. During his recent admission from [**9-19**] -[**9-21**] he was bolused with IV amiodarone twice for episodes of VT during the admission. During that admission he continued to refuse VT ablation and turning off ICD. This admission pt again had VT and this time agreed to go for VT ablation, dtr was on vacation and not reachable. Pt tolerated procedure well, sheaths pulled last night at 8 PM, area of right groin is slightly eccyhmotic in the inguinal area, and he also has bruises on the ABD area. Distal pulses palpable. Ventricular tachycardia, sustained Assessment: s/p ablation [**9-22**] remains, AV-paced w occasional to rare PVC s noted. Hr 50-60earlier then MD [**First Name (Titles) 9311**] [**Last Name (Titles) 4129**] rate to 70 for improved cardiac output. NO further runs of VT Post ablation. Lido off yesterday. Cont on PO amiodarone. SBP 100-110 w map s > 60 . PT does complain of off and on Chest pain or burning and stomach upset. Team aware and they believe pain to be R/T procedure and pt was given one percocet with good effect. Pt, per family somewhat confused after percocet, because he forgot that his niece was here earlier. However He can be difficult to assess as he speaks mostly Russian and translating by family. Later seemed more oriented, pt requested that I talk to the doctors at the rehab, because he was not sleeping well there and maybe I could get a sleeping pill ordered. Action: Monitored groin, site stable . Response: Remains hemodynamically stable post ablation Plan: Continue to follow. Heart failure (CHF), Systolic, Chronic Assessment: Received lasix in lab yesterday and again this AM 120 mg IV. Action: Received lasix in lab and again this AM 120 mg IV. Response: Good diuresis after lasix putting out one liter so far today Plan: Cont per order, of note Mag was 6 this AM spoke to team we will redraw, likely that Level is due to labs being drawn from IV where Mag was running. We will recheck at one thirty with next lab draw Impaired Skin Integrity Assessment: Pt bruises easily, eccymotic areas on belly from Sub Cut heparin shots and the area around procedure site ( right inguinal area, ) also bruise on left wrist, ? old inflate on last admission , area 2x2 and pink. Marked. Also left wrist bruise ? from A line attempt Action: All areas cleaned with soap and water, LOTA, marked Response: No advancement of bruises and areas skin remains intact Plan: Turn frequently lotion to all areas . RISK for fall Assessment: Pt at times confused, language barrier, BKA , has not tried to get out of bed today. Action: Exit alarm on, interpreter family members have reiterated that pt will stay in bed and not get OOB without assistance, check on pt frequently, offer water and toileting. Response: Pt did not try to get OOB today. Plan: Exit alarm on, interpreter family members have reiterated that pt will stay in bed and not get OOB without assistance, check on pt frequently, offer water and toileting. Demographics Attending MD: [**Doctor Last Name **] [**Doctor Last Name 2562**] I. Admit diagnosis: VTACH Code status: DNR / DNI Height: Admission weight: 78 kg Daily weight: 78.7 kg Allergies/Reactions: Morphine Nausea/Vomiting Mirtazapine Unknown; Ambien (Oral) (Zolpidem Tartrate) nightmares; Precautions: PMH: CV-PMH: Angina, Arrhythmias, CAD, MI, Pacemaker Additional history: MI X2 (inferior and anteroseptal) - CABG: LIMA to LAD, SVG to OM/PDA ([**Hospital1 609**] [**2136**]) - Afib w/o anticoag (fall risk) - Sustained VTach in [**2146**] s/p admission - PACING/ICD: BiV ICD ([**2122**]?). ICD generator changed to [**Company 1994**] Concerto in [**2145**]. - legally blind secondary to glaucoma - Hiatal hernia - Hepatic cysts/hemangioma and lipoma in hepatic flexure - s/p Lt BKA (WWII trauma [**2078**]) - BPH s/p suprapubic prostatectomy ([**2131**]) - s/p cholecystectomy ([**2110**]) - Chronic low back pain - Osteoarthritis - Positive PPD in past - Depression and anxiety **former oncology md-[**Country **]. Surgery / Procedure and date: s/p cabg Latest Vital Signs and I/O Non-invasive BP: S:109 D:59 Temperature: 98.6 Arterial BP: S:132 D:56 Respiratory rate: 21 insp/min Heart Rate: 72 bpm Heart rhythm: AV Paced O2 delivery device: Nasal cannula O2 saturation: 97% % O2 flow: 2 L/min FiO2 set: 24h total in: 956 mL 24h total out: 2,760 mL Pertinent Lab Results: Sodium: 133 mEq/L [**2147-9-23**] 06:07 AM Potassium: 4.5 mEq/L [**2147-9-23**] 02:03 PM Chloride: 100 mEq/L [**2147-9-23**] 06:07 AM CO2: 25 mEq/L [**2147-9-23**] 06:07 AM BUN: 18 mg/dL [**2147-9-23**] 06:07 AM Creatinine: 1.0 mg/dL [**2147-9-23**] 06:07 AM Glucose: 90 mg/dL [**2147-9-23**] 06:07 AM Hematocrit: 38.9 % [**2147-9-23**] 06:07 AM Finger Stick Glucose: 177 [**2147-9-23**] 04:30 PM Valuables / Signature Patient valuables: teeth in moth dentures- eye drops Other valuables: Clothes: Sent home with: Wallet / Money: No money / wallet Cash / Credit cards sent home with: Jewelry: Transferred from: ccu Transferred to: [**Hospital Ward Name **] 3 Date & time of Transfer:
Nursing
Classify the following medical document.
Admission Date: [**2137-9-11**] Discharge Date: [**2137-9-14**] Date of Birth: [**2062-9-1**] Sex: M Service: MED Allergies: Patient recorded as having No Known Allergies to Drugs Attending:[**First Name3 (LF) 689**] Chief Complaint: Melena Major Surgical or Invasive Procedure: Esophagoduodenoscopy with cauterization of duodenal ulcer History of Present Illness: 75 year old man on ASA and Plavix for history of CVA, hx of tobacco and EtOH abuse presented to his PCP with one week of melena and increased stool output. He has had small dark stools, epigastric discomfort, and decreased appetite for ~1 week. His stool output had increased from 1 BD /day to [**1-22**] then several days PTA had constipation. He also endorsed LH, denied N/V, CP/SOB. Later that night, lab called PCP that pt had hct 20. Pt was sent to [**Hospital1 18**] ED where he had negative NG lavage. EGD showed an actively oozing duodenal ulcera in posterior bulb. It was injected with epinephrine and cauterized. Upon arrival at ED, his hematocrit was 19.3. He received 2 liters of NS and total 6 units of PRBC with increased in hct to 33. He was initially admitted to the MICU for observation overnight then transferred to the floor with stable HCT. Past Medical History: CVA x 3 with blindness in right eye Hypercholesterolemia Heavy alcohol use Social History: Drinks 3-4 glasses of wine or beer per day and quit smoking 4 days ago. 60 pack year history. Lives with wife and is a retired shoemaker who once worked in [**Country 651**]. Originally from Stuttgard. Has one daughter. Physical Exam: T98.1 BP 123/76 (107-150/70-81) HR 80 (80-90) 16 98%RA GEN WDWN elderly man, lying flat in bed, comfortable HEENT [**Last Name (LF) 12476**], [**First Name3 (LF) 13775**], EOMI, 2+carotid, R bruit, JVP ~[**10-1**] @45' o/p clear, MM dry CV faint heart sounds, nl S1 + S2, no M/R/G noted Pulm bibasilar crackles L>R, ~[**Date range (1) 23119**] from base Abd +BS, mild distension, mild tenderness in hypogastrum, no rebound tenderness EXT No edema, 2+DP Neuro CN2-12 grossly intact Pertinent Results: [**2137-9-11**] 05:00AM WBC-17.3* HCT-19.3* MCV-97 MCH-32.8* MCHC-33.9 RDW-17.2* PLT COUNT-246 NEUTS-81.2* LYMPHS-13.6* MONOS-4.1 EOS-0.6 BASOS-0.5 [**2137-9-11**] 05:00AM CK(CPK)-77 CK-MB-3 cTropnT-<0.01 [**2137-9-11**] 07:18PM CK(CPK)-71 CK-MB-NotDone cTropnT-<0.01 [**2137-9-11**] 01:50PM HCT-21.7* [**2137-9-11**] 07:18PM HCT-22.5* [**2137-9-11**] 09:28PM HCT-23.4* Brief Hospital Course: 1. Duodenal ulcer After cauterization by EGD and transfusion of 6u PRBC, his hct remained stable at 33 and he had no further episodes of melena or frequent BM. Serology for H. pylori was positive and he was started on clarithromycin and amoxicillin x 14 days in addition to protonix [**Hospital1 **]. His ASA and plavix were discontinued and the patient was asked to address with his primary care doctor when he should begin taking these. 2. Anemia Iron studies were consistent with iron deficiency anemia. He was started on iron daily. In addition he was given B12, folate, and MVI though these levels were normal, given his alcoholism. 3. EtOH use He was placed on CIWA scale with Diazepam, which he did not require. He was given MVI, thiamine, and folate as mentioned. 4. h/o CVA He has had 3 strokes in the past, but per patient he had a negative work up. He continued statin. While the ASA and plavix were held, it is likely he needs to be placed back on these medications for this significant CVA history; this will be determined by his PCP as an outpatient. Medications on Admission: ASA 325 mg po qd Plavix 75 mg po qd Atorvastatin 10 mg po qd Discharge Medications: 1. Thiamine HCl 100 mg Tablet Sig: One (1) Tablet PO QD (once a day). Disp:*30 Tablet(s)* Refills:*2* 2. Multivitamin Capsule Sig: One (1) Cap PO QD (once a day). Disp:*30 Cap(s)* Refills:*2* 3. Bisacodyl 5 mg Tablet, Delayed Release (E.C.) Sig: Two (2) Tablet, Delayed Release (E.C.) PO QD (once a day) as needed for constipation. Disp:*30 Tablet, Delayed Release (E.C.)(s)* Refills:*0* 4. Ferrous Sulfate 325 (65) mg Tablet Sig: One (1) Tablet PO QD (once a day). Disp:*30 Tablet(s)* Refills:*2* 5. Atorvastatin Calcium 10 mg Tablet Sig: One (1) Tablet PO once a day. 6. Clarithromycin 500 mg Tablet Sig: One (1) Tablet PO Q12H (every 12 hours) for 14 days. Disp:*28 Tablet(s)* Refills:*0* 7. Amoxicillin 500 mg Capsule Sig: Two (2) Capsule PO Q12H (every 12 hours) for 14 days. Disp:*56 Capsule(s)* Refills:*0* 8. Pantoprazole Sodium 40 mg Tablet, Delayed Release (E.C.) Sig: One (1) Tablet, Delayed Release (E.C.) PO once a day. Disp:*60 Tablet, Delayed Release (E.C.)(s)* Refills:*2* Discharge Disposition: Home Discharge Diagnosis: Duodenal ulcer Upper gastrointestinal bleed Blood loss anemia Helicobacter Pylori infection History of stroke x 3 Discharge Condition: Stable Discharge Instructions: You have a duodenal ulcer. You are being given medicine to help reduce your gastric secretions to allow this to heal. You have also tested positive for H. Pylori, a bacteria that can contribute to ulcers, and will need to take a course of antibiotics to treat this. Call your doctor for any new blood in your stool, diarrhea, dark black stools, lightheadedness, or fatigue. Followup Instructions: Please call your primary care doctor, Dr. [**First Name8 (NamePattern2) **] [**Last Name (NamePattern1) 2903**] [**Telephone/Fax (1) 2936**], to make a follow up appointment within the next 1-2 weeks. He should discuss with you the risks and benefits of restarting aspirin and plavix to prevent further strokes given your ulcer and gastrointestinal bleeding.
Discharge summary
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TSICU HPI: 66F with hx of [**Hospital 1571**] transferred from [**Location (un) 78**] after having worst HA of life at 4p while at church. She denied N/V, CP, SOB, LOC. Was found to have SAH at OSH, Dilantin loaded and started on Nimodipine. She was then transferred here for further evaluation. Chief complaint: SAH W/ ANEURYSM PMHx: HTN, GERD Current medications: 1. 2. 3. 1000 mL NS 4. Acetaminophen 5. Acetaminophen-Caff-Butalbital 6. Bisacodyl 7. Calcium Gluconate 8. Docusate Sodium 9. HYDROmorphone (Dilaudid) 10. Heparin 11. HydrALAzine 12. Insulin 13. Magnesium Sulfate 14. Metoprolol Tartrate 15. Neutra-Phos 16. Nimodipine 17. Omeprazole 18. Ondansetron 19. OxycoDONE (Immediate Release) 20. Oxycodone-Acetaminophen 21. Phenytoin 22. Pneumococcal Vac Polyvalent 23. Potassium Chloride 24. Senna 25. Sodium Chloride 0.9% Flush 26. Sodium Chloride 0.9% Flush 27. Valsartan 24 Hour Events: [**5-10**]: complaints of headache, dilaudid dose increased, recieved dose of lopressor x1 Post operative day: POD#4 - IR- Coiling x 3 Allergies: No Known Drug Allergies Last dose of Antibiotics: Infusions: Other ICU medications: Hydralazine - [**2175-5-10**] 05:09 PM Hydromorphone (Dilaudid) - [**2175-5-10**] 05:30 PM Metoprolol - [**2175-5-10**] 05:40 PM Heparin Sodium (Prophylaxis) - [**2175-5-10**] 08:17 PM Other medications: Flowsheet Data as of [**2175-5-11**] 05:56 AM Vital signs Hemodynamic monitoring Fluid balance 24 hours Since [**77**] a.m. Tmax: 37.9 C (100.3 T current: 37.5 C (99.5 HR: 81 (65 - 92) bpm BP: 171/67(94) {141/40(60) - 209/90(116)} mmHg RR: 17 (11 - 21) insp/min SPO2: 95% Heart rhythm: SR (Sinus Rhythm) Wgt (current): 126 kg (admission): 125.9 kg Height: 67 Inch Total In: 1,400 mL PO: 1,400 mL Tube feeding: IV Fluid: Blood products: Total out: 5,420 mL 450 mL Urine: 5,420 mL 450 mL NG: Stool: Drains: Balance: -4,020 mL -450 mL Respiratory support O2 Delivery Device: None SPO2: 95% ABG: ///25/ Physical Examination General Appearance: No acute distress HEENT: PERRL Cardiovascular: (Rhythm: Regular) Respiratory / Chest: (Breath Sounds: CTA bilateral : ) Abdominal: Soft, Non-distended, Non-tender, Obese Left Extremities: (Edema: Absent), (Temperature: Warm) Right Extremities: (Edema: Absent), (Temperature: Warm) Neurologic: (Awake / Alert / Oriented: x 3), Follows simple commands, Moves all extremities Labs / Radiology 336 K/uL 11.8 g/dL 133 mg/dL 0.5 mg/dL 25 mEq/L 3.2 mEq/L 9 mg/dL 100 mEq/L 135 mEq/L 34.0 % 13.7 K/uL [image002.jpg] [**2175-5-6**] 11:57 PM [**2175-5-7**] 02:00 AM [**2175-5-8**] 01:37 AM [**2175-5-9**] 02:13 AM [**2175-5-9**] 02:07 PM [**2175-5-10**] 01:49 AM [**2175-5-11**] 03:40 AM WBC 7.8 9.9 10.9 18.8 12.4 13.6 13.7 Hct 36.9 33.0 32.9 33.7 33.8 32.3 34.0 Plt [**Telephone/Fax (3) 6029**]35 293 287 336 Creatinine 0.7 0.7 0.7 0.5 0.6 0.5 0.5 Troponin T <0.01 Glucose 172 160 146 131 179 146 133 Other labs: PT / PTT / INR:12.6/23.2/1.1, CK / CK-MB / Troponin T:32/2/<0.01, Differential-Neuts:82.8 %, Lymph:13.5 %, Mono:3.5 %, Eos:0.0 %, Albumin:4.0 g/dL, Ca:8.3 mg/dL, Mg:2.2 mg/dL, PO4:2.1 mg/dL Assessment and Plan AEROBIC CAPACITY / ENDURANCE, IMPAIRED, BALANCE, IMPAIRED, HYPERTENSION, BENIGN, PAIN CONTROL (ACUTE PAIN, CHRONIC PAIN), ANEURYSM, OTHER Assessment and Plan: 66F with SAH s/p coiling of AComm aneurysm Neurologic: Neuro checks Q: 2 hr, SAH, POD 2 s/p coiling. On dilantin 100 mg po tid. Low level, received additional bolus last pm, currently 8.9. Vasospasm prophylaxis with nimodipine. Repeat head CT unchanged. Monitor for total 7 days in ICU Pain:controlled with dilaudid prn, Fiorocet, oxycodone. Cardiovascular: hx of HTN, goal SBP 100-200 per neurosurg. BP control w/ hydralazine, metoprolol and nimodipine, otherwise allow to autoregulate Pulmonary: stable on 2L NC, encourage IS, PT consult to get pt OOB. Gastrointestinal / Abdomen: regular diet. on bowel regimen colace, dulcolax, senna prn. Nutrition: Regular diet Renal: Monitor UOP and Daily Cr Hematology:HCT stable, check daily Endocrine: RISS, BG<150 Infectious Disease: low grade Temp, wbc stable 13.7, we will monitor fever curve no antibiotics for now Lines / Tubes / Drains: PIV Wounds: none Imaging: none Fluids: KVO Consults: Neuro surgery Billing Diagnosis: (Hemorrhage, NOS: Sub-arachnoid) ICU Care Nutrition: regular diet Glycemic Control: Regular insulin sliding scale Lines: 20 Gauge - [**2175-5-8**] 12:39 PM Prophylaxis: DVT: Boots, SQ Heparin Stress ulcer: H2 blocker VAP bundle: Comments: Communication: Patient discussed on interdisciplinary rounds , ICU Code status: Full code Disposition: ICU Total time spent: 21 minutes Patient is critically ill
Physician
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Chief Complaint: I saw and examined the patient, and was physically present with the ICU Resident for key portions of the services provided. I agree with his / her note above, including assessment and plan. HPI: 58 yo man with with h/o ETOH abuse. Quit drinking on [**5-27**]. Had some gait difficulty, slurred speech, confusion after that which continued. Was to get MRI but it wasn't done. Went to [**Hospital3 **] for vacation. Yesterday morning had very poor mental status - [**Hospital 3296**] Hospital. Negative head CT. in ED BP 170/100, tach. labs sign for plts in 90s, NH4 141. Intubated to protect airway. Got treated for ?meningitis, but no tap. 24 Hour Events: INVASIVE VENTILATION - START [**2137-7-12**] 07:17 PM actual start of veentilation in MICU6 was ~ 1830 Allergies: Last dose of Antibiotics: Vancomycin - [**2137-7-12**] 08:00 PM Infusions: Propofol - 30 mcg/Kg/min Other ICU medications: Other medications: Changes to medical and family history: PMH, SH, FH and ROS are unchanged from Admission except where noted above and below Review of systems is unchanged from admission except as noted below Review of systems: Flowsheet Data as of [**2137-7-13**] 09:37 AM Vital signs Hemodynamic monitoring Fluid balance 24 hours Since 12 AM Tmax: 36.8 C (98.3 Tcurrent: 36.8 C (98.3 HR: 92 (69 - 95) bpm BP: 153/80(98) {113/59(75) - 161/97(111)} mmHg RR: 24 (10 - 24) insp/min SpO2: 100% Heart rhythm: SR (Sinus Rhythm) Height: 74 Inch Total In: 1,039 mL 1,249 mL PO: TF: IVF: 979 mL 1,219 mL Blood products: Total out: 1,240 mL 625 mL Urine: 1,240 mL 625 mL NG: Stool: Drains: Balance: -201 mL 624 mL Respiratory support Ventilator mode: CMV/ASSIST Vt (Set): 600 (600 - 600) mL RR (Set): 12 PEEP: 5 cmH2O FiO2: 40% RSBI: 25 PIP: 16 cmH2O Plateau: 11 cmH2O SpO2: 100% ABG: 7.44/37/160/25/ Ve: 12.2 L/min PaO2 / FiO2: 400 Physical Examination General Appearance: Well nourished, No acute distress Eyes / Conjunctiva: PERRL Head, Ears, Nose, Throat: Normocephalic Cardiovascular: (S1: Normal), (S2: Normal) Peripheral Vascular: (Right radial pulse: Present), (Left radial pulse: Present), (Right DP pulse: Present), (Left DP pulse: Present) Respiratory / Chest: (Breath Sounds: Clear : ) Abdominal: Soft, Non-tender Skin: Not assessed Neurologic: Responds to: Not assessed, Movement: Not assessed, Tone: Not assessed Labs / Radiology 11.4 g/dL 53 K/uL 131 mg/dL 1.0 mg/dL 25 mEq/L 3.3 mEq/L 14 mg/dL 113 mEq/L 142 mEq/L 31.7 % 5.9 K/uL [image002.jpg] [**2137-7-12**] 09:15 PM [**2137-7-13**] 04:15 AM WBC 5.6 5.9 Hct 33.1 31.7 Plt 57 53 Cr 1.0 1.0 TropT 0.02 Glucose 154 131 Other labs: PT / PTT / INR:16.7/37.6/1.5, CK / CKMB / Troponin-T:449/7/0.02, ALT / AST:35/56, Alk Phos / T Bili:92/2.7, Amylase / Lipase:45/61, Differential-Neuts:58.3 %, Lymph:31.6 %, Mono:6.2 %, Eos:3.4 %, Lactic Acid:1.2 mmol/L, Albumin:2.7 g/dL, LDH:180 IU/L, Ca++:9.4 mg/dL, Mg++:1.7 mg/dL, PO4:3.6 mg/dL Assessment and Plan Delirium/poor MS: Most likely hepatic encephalopathy. Reported has not drank since [**5-27**], so ETOH withdrawl unlikely. Continue with lactulose. doubt meningitis with two weeks of altered MS and no fever. Also consider Wernicke's - tx with thiamine. alchoholic hepatitis: discriminate score about 29. will ask hepatology if they feel treatment is warranted. respiratory failure: will try to extubate once stooling and MS better. ICU Care Nutrition: Glycemic Control: Lines: 20 Gauge - [**2137-7-13**] 12:00 AM 16 Gauge - [**2137-7-13**] 12:00 AM Prophylaxis: DVT: SQ UF Heparin Stress ulcer: PPI VAP: Comments: Communication: Comments: Code status: Full code Disposition :ICU Total time spent: 40 minutes Patient is critically ill
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TITLE: Chief Complaint: 24 Hour Events: Echo - Left ventricular cavity enlargement with extensive regional systolic dysfunction c/w CAD (mid-LAD distribution, LVEF = 25-30). Mild aortic regurgitation. Pulmonary artery systolic hypertension. Mild mitral regurgitation. CT surgery, will likely get CABG Wed/[**Doctor First Name **], started heparin gtt w/o bolus. Lipids at goal, A1C 5.4. Guiac pos stool. CXR - ? R hilar mass, ordered CT chest. U/S -L ICA mod/severe stenosis 60-69% w/ interval progression; R no sign stenosis. Wound cons. Pend, CK trending down, [**2116**]. Febrile o/n. BCx and UCx sent. Had episode of hypxia/SOB, mild CP in HD, CXR unchanged, ECT STe in same leads as STEMI. Given IV morphine, nebs, Nitro and back to HD. Allergies: No Known Drug Allergies Last dose of Antibiotics: Infusions: Heparin Sodium - 1,200 units/hour Other ICU medications: Morphine Sulfate - [**2110-11-10**] 07:35 PM Other medications: Changes to medical and family history: Review of systems is unchanged from admission except as noted below Review of systems: Flowsheet Data as of [**2110-11-11**] 06:09 AM Vital signs Hemodynamic monitoring Fluid balance 24 hours Since 12 AM Tmax: 38.4 C (101.1 Tcurrent: 37.8 C (100.1 HR: 76 (63 - 104) bpm BP: 97/47(58) {56/33(40) - 143/125(128)} mmHg RR: 22 (13 - 35) insp/min SpO2: 92% Heart rhythm: SR (Sinus Rhythm) Wgt (current): 98.5 kg (admission): 100 kg Height: 27 Inch Total In: 927 mL 74 mL PO: 660 mL TF: IVF: 267 mL 74 mL Blood products: Total out: 0 mL 0 mL Urine: NG: Stool: Drains: Balance: 927 mL 74 mL Respiratory support O2 Delivery Device: Nasal cannula SpO2: 92% ABG: ///31/ Physical Examination GENERAL: Somnlent but otherwise well-appering man in NAD. Oriented to person, month and year. HEENT: Sclera anicteric. PERRL, EOMI. Conjunctiva were pink, no pallor or cyanosis of the oral mucosa. NECK: Supple with no appreciable JVP. CARDIAC: PMI located in 5th intercostal space, midclavicular line. Distant heart sounds RR, normal S1, S2. No m/r/g. No thrills, lifts. No S3 or S4. LUNGS: Resp were unlabored, no accessory muscle use. CTAB, no crackles, wheezes or rhonchi. ABDOMEN: Soft, NTND. No HSM or tenderness. Lower left-midline scar s/p appendectomy per pt. EXTREMITIES: No femoral bruits. L arm AV fistula, + palpable thrill and audible bruit. R femoral area soft without ecchymosis or hematoma, no bruits, 2+ femoral pulses bilaterally. 1+ DP and PT pulses SKIN: Ulceration on L anterior skin with eschar and granulation tissue. Chronic skin changes of bilateral lower extremities c/w statis dermatitis. Labs / Radiology 170 K/uL 10.2 g/dL 99 mg/dL 8.0 mg/dL 31 mEq/L 4.1 mEq/L 36 mg/dL 92 mEq/L 138 mEq/L 30.4 % 9.6 K/uL [image002.jpg] [**2110-11-9**] 05:42 PM [**2110-11-10**] 02:30 AM [**2110-11-10**] 01:53 PM [**2110-11-11**] 03:53 AM WBC 8.3 7.6 9.6 Hct 30.1 30.3 30.4 Plt 160 205 170 Cr 9.4 9.8 8.0 TropT 12.68 16.03 17.03 19.10 Glucose 102 181 99 Other labs: PT / PTT / INR:15.7/61.9/1.4, CK / CKMB / Troponin-T:1216/50/19.10, ALT / AST:30/151, Alk Phos / T Bili:348/0.4, Albumin:3.9 g/dL, LDH:849 IU/L, Ca++:8.1 mg/dL, Mg++:1.8 mg/dL, PO4:5.5 mg/dL Assessment and Plan 64yo M with hx of ESRD on HD, CAD, hypercholesterolemia, CVA p/w chest pain and STEMI, v. fib X 3 at OSH, resolved with shock, transferred from OSH for cardiac cath, now s/p LAD BMS stent with 3v disease. . # CORONARIES: Pt with hx of CAD, p/w STEMI and cath showing 3v disease, s/p BMS stent to LAD. Now chest pain free. ECG showed anterior ischemic changes. Pt received [**Last Name (LF) **], [**First Name3 (LF) 119**], aggrastat at OSH. - discuss with CT surgery regarding plans for CABG; if going to be done this week, will start heparin for anticoagulation in the setting of a BMS and will hold on [**First Name3 (LF) **]. If not done this week, will restart [**First Name3 (LF) **]. - continue aspirin - bblocker, statin - check lipid panel, HBA1C, fasting glucose in AM . # PUMP: No prior echos to compare. Does not appear in heart failure clinically. - TTE . # RHYTHM: S/P v. fib X 3 at OSH with shock X 3. Has been in NSR since with some non-sustained VT 6-9 beats on tele overnight. V fib secondary to ischemia and now reperfusion. - stop amiodarone today. - continue to monitor on tele . # ESRD on HD: unclear origin of disease. Pt dialyzed M, W, F and last dialysis was friday per patient. Pt received aggrastat which is renally cleared and is likely having lasting effects on clotting time. Sheath pulled and no evidence of bleeding or hematoma. - pt to have dialysis today - continue Sevelamer, Nephrocaps, Sensipar - check platelet agglutination study today . # COPD: not contributing factor at this time and pt on no medications - continue to monitor . # Weight Loss: Due to poor PO intake per daughter. [**Name (NI) **] etiologies may be malignancy (lung, colon cancer), metabolic (hyperthyroidism). TSH normal. CXR done this morning. - guiac stool, pt will need outpatient colonscopy - f/u CXR for lung cancer screening . # Left leg ulcer: appears chronic - wound care consult . # Hx of CVA: - continue [**Last Name (LF) 119**], [**First Name3 (LF) 124**] give [**First Name3 (LF) 120**] or heparin as per above . # FEN: cardiac, renal diet, replete lytes as needed . # Prophylaxis: no SC heparin for now given bleeding risk, PPI as per home tx, bowel regimen . # Access: 2 PIV on right arm, fistula left arm . # Code Status: FULL, confirmed with patient and daughter . # Contact: Daughter [**First Name4 (NamePattern1) 532**] [**Last Name (NamePattern1) **] [**Telephone/Fax (1) 2967**] . # Dispo: call out to floor today ICU Care Nutrition: Glycemic Control: Lines: 20 Gauge - [**2110-11-10**] 08:30 AM Prophylaxis: DVT: Stress ulcer: VAP: Comments: Communication: Comments: Code status: Full code Disposition:
Physician
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Chief Complaint: 24 Hour Events: EKG - At [**2148-12-2**] 08:50 AM History obtained from Medical records Patient unable to provide history: Sedated Allergies: Ace Inhibitors Cough; Last dose of Antibiotics: Piperacillin/Tazobactam (Zosyn) - [**2148-12-2**] 02:00 PM Vancomycin - [**2148-12-2**] 04:28 PM Piperacillin - [**2148-12-3**] 06:00 AM Infusions: Fentanyl - 50 mcg/hour Midazolam (Versed) - 1 mg/hour Other ICU medications: Heparin Sodium (Prophylaxis) - [**2148-12-2**] 02:00 PM Other medications: Changes to medical and family history: Review of systems is unchanged from admission except as noted below Review of systems: Flowsheet Data as of [**2148-12-3**] 08:09 AM Vital signs Hemodynamic monitoring Fluid balance 24 hours Since 12 AM Tmax: 37.6 C (99.6 Tcurrent: 37.5 C (99.5 HR: 93 (64 - 97) bpm BP: 128/48(73) {86/37(54) - 171/57(90)} mmHg RR: 20 (17 - 22) insp/min SpO2: 100% Heart rhythm: SR (Sinus Rhythm) Wgt (current): 56.6 kg (admission): 56 kg Total In: 4,082 mL 1,645 mL PO: TF: IVF: 3,912 mL 1,645 mL Blood products: Total out: 1,307 mL 275 mL Urine: 638 mL 275 mL NG: Stool: Drains: Balance: 2,775 mL 1,370 mL Respiratory support O2 Delivery Device: Endotracheal tube Ventilator mode: CMV/ASSIST Vt (Set): 400 (400 - 400) mL Vt (Spontaneous): 165 (165 - 165) mL PS : 0 cmH2O RR (Set): 20 RR (Spontaneous): 9 PEEP: 5 cmH2O FiO2: 40% RSBI: 13 PIP: 20 cmH2O Plateau: 15 cmH2O Compliance: 40 cmH2O/mL SpO2: 100% ABG: 7.34/52/127/25/1 Ve: 6.9 L/min PaO2 / FiO2: 318 Physical Examination General Appearance: No acute distress Eyes / Conjunctiva: PERRL Head, Ears, Nose, Throat: Normocephalic, Endotracheal tube Cardiovascular: (S1: Normal), (S2: Normal), No(t) S3, No(t) S4, No(t) Rub Peripheral Vascular: (Right radial pulse: Not assessed), (Left radial pulse: Not assessed), (Right DP pulse: Present), (Left DP pulse: Present) Respiratory / Chest: (Expansion: Symmetric), (Breath Sounds: Clear : , No(t) Crackles : , No(t) Bronchial: , No(t) Wheezes : ) Abdominal: Soft, Non-tender, Bowel sounds present, No(t) Distended Extremities: Right: Absent, Left: Absent, No(t) Cyanosis, No(t) Clubbing Skin: Not assessed Neurologic: Responds to: Not assessed, Movement: Not assessed, Sedated, Tone: Not assessed Labs / Radiology 155 K/uL 7.9 g/dL 67 mg/dL 2.9 mg/dL 25 mEq/L 4.6 mEq/L 46 mg/dL 110 mEq/L 144 mEq/L 23.0 % 10.4 K/uL [image002.jpg] [**2148-12-2**] 08:49 AM [**2148-12-2**] 12:06 PM [**2148-12-2**] 12:09 PM [**2148-12-2**] 03:44 PM [**2148-12-2**] 07:02 PM [**2148-12-2**] 07:27 PM [**2148-12-2**] 10:28 PM [**2148-12-2**] 10:50 PM [**2148-12-3**] 04:40 AM [**2148-12-3**] 04:51 AM WBC 10.4 Hct 29 25.0 27 23.0 Plt 155 Cr 3.2 3.0 2.8 2.8 2.9 TCO2 24 26 28 27 29 Glucose 146 73 159 137 67 Other labs: PT / PTT / INR:14.7/49.9/1.3, ALT / AST:164/102, Alk Phos / T Bili:32/0.5, Amylase / Lipase:1485/68, Differential-Neuts:82.4 %, Lymph:10.7 %, Mono:5.3 %, Eos:0.9 %, Lactic Acid:2.1 mmol/L, Albumin:4.1 g/dL, LDH:254 IU/L, Ca++:9.2 mg/dL, Mg++:1.6 mg/dL, PO4:5.2 mg/dL Assessment and Plan PAIN CONTROL (ACUTE PAIN, CHRONIC PAIN) PANCREATITIS, ACUTE RENAL FAILURE, CHRONIC (CHRONIC RENAL FAILURE, CRF, CHRONIC KIDNEY DISEASE) HYPOTENSION (NOT SHOCK) ICU Care Nutrition: Glycemic Control: Lines: Multi Lumen - [**2148-12-2**] 03:20 AM Arterial Line - [**2148-12-2**] 03:20 AM Dialysis Catheter - [**2148-12-2**] 05:32 AM Prophylaxis: DVT: SQ UF Heparin Stress ulcer: VAP: HOB elevation, Mouth care, Daily wake up, RSBI Comments: Communication: Patient discussed on interdisciplinary rounds Comments: Code status: Disposition:
Physician
Classify the following medical document.
TITLE: Chief Complaint: 56 year old woman with metastatic breast cancer to bone, lung and brain, presenting with worsening lower extremity edema, found to be hypoxic and with new large right pleural effusion. 24 Hour Events: THORACENTESIS - At [**2162-5-2**] 02:11 PM Allergies: Taxol (Intraven.) (Paclitaxel Semi-Synthetic) Anaphylaxis; Last dose of Antibiotics: Levofloxacin - [**2162-5-2**] 08:53 PM Infusions: Other ICU medications: Pantoprazole (Protonix) - [**2162-5-2**] 08:28 AM Morphine Sulfate - [**2162-5-2**] 05:52 PM Heparin Sodium (Prophylaxis) - [**2162-5-2**] 10:28 PM Other medications: Changes to medical and family history: Review of systems is unchanged from admission except as noted below Review of systems: Flowsheet Data as of [**2162-5-3**] 07:39 AM Vital signs Hemodynamic monitoring Fluid balance 24 hours Since 12 AM Tmax: 36.6 C (97.9 Tcurrent: 35.7 C (96.2 HR: 95 (95 - 119) bpm BP: 115/74(84) {115/54(84) - 154/94(104)} mmHg RR: 15 (15 - 27) insp/min SpO2: 98% Heart rhythm: SR (Sinus Rhythm) Total In: 2,605 mL 76 mL PO: 690 mL TF: IVF: 855 mL 76 mL Blood products: 560 mL Total out: 697 mL 245 mL Urine: 697 mL 245 mL NG: Stool: Drains: Balance: 1,908 mL -169 mL Respiratory support O2 Delivery Device: Nasal cannula SpO2: 98% ABG: ///24/ Physical Examination Peripheral Vascular: (Right radial pulse: Not assessed), (Left radial pulse: Not assessed), (Right DP pulse: Not assessed), (Left DP pulse: Not assessed) Skin: Not assessed Neurologic: Responds to: Not assessed, Movement: Not assessed, Tone: Not assessed Labs / Radiology 120 K/uL 8.7 g/dL 115 mg/dL 0.5 mg/dL 24 mEq/L 4.1 mEq/L 17 mg/dL 106 mEq/L 139 mEq/L 26.3 % 10.3 K/uL [image002.jpg] [**2162-5-2**] 09:41 AM [**2162-5-3**] 05:02 AM WBC 9.7 10.3 Hct 31.2 26.3 Plt 118 120 Cr 0.5 0.5 Glucose 88 115 Other labs: PT / PTT / INR:16.7/70.0/1.5, Differential-Neuts:86.0 %, Band:6.0 %, Lymph:2.0 %, Mono:4.0 %, Eos:0.0 %, Lactic Acid:2.6 mmol/L, Albumin:2.4 g/dL, LDH:830 IU/L, Ca++:8.3 mg/dL, Mg++:2.7 mg/dL, PO4:2.3 mg/dL Fluid analysis / Other labs: Pleural Fluid Chemistry Protein 2.4 Glucose 105 Creat: 0.4 LD(LDH): 428 Albumin: 1.7 Pleural Fluid WBC 225 RBC 315 Poly 7 Lymph 37 Mono 7 EOs Meso: 2 Macro: 43 Other: 4 Imaging: CTA 1. No definite evidence of pulmonary emboli. 2. Extensive lung masses and nodules involving both lungs, which appears to have increased when compared to prior exam. Some of these masses appear to encase the distal segmental pulmonary arteries. 3. Extensive ground-glass opacity and septal thickening. This could represent lymphangitic spread or edema. 4. Hypodense lesions in the liver concerning for metastasis and fluid within the perihepatic space. 5. Sclerotic lesions in the lower thoracic vertebral bodies with compression deformities. 6. Large left pleural effusion and small right pleural effusion. LENI IMPRESSION: No evidence of DVT. The study and the report were reviewed by the staff radiologist. Assessment and Plan RASH RESPIRATORY FAILURE, ACUTE (NOT ARDS/[**Doctor Last Name 76**]) RESPIRATORY FAILURE, ACUTE (NOT ARDS/[**Doctor Last Name 76**]) 56 year old woman with metastatic breast cancer to bone, lung and brain, presenting with worsening lower extremity edema, found to be hypoxic and with new large right pleural effusion. #. RESPIRATORY DISTRESS: Currently on 4L O2, at baseline is 100%RA. As the pt has mets in lung and unclear history of sarciod it is difficult to discern whether the pt has pneumonia as well. No fever, minimal cough and nl WBC (although pt does have bands, and normal WBC may be elevated in the setting of recent Avastin and possible myelosuppression). Suspect effusion is most likely secondary to malignancy. -- Levaquin for CAP -- S/[**Initials (NamePattern4) **] [**Last Name (NamePattern4) **] -- Supplemental oxygen. #. LOWER EXTREMITY EDEMA: Concerning for venous obstruction. -- Final LENI s negative for DVT -- Consider imaging of abd/pelvis (CT v MRI) -- Elevation of LE -- F/u final echo #. BREAST CANCER: No plans for inpatient therapy #. BRAIN METASTASIS: CT stable, no significant change in cerebellar lesions #. URINARY TRACT INFECTION: Levaquin for now. X3d -- F/U Culture FEN: Regular diet PPX: -DVT ppx with SQ Heparin and Pneumoboots -Bowel regimen -Pain management with Tylenol ACCESS: PIV's CODE STATUS: full -- Plan for family meeting today DISPOSITION: transfer to OMED ICU Care Nutrition: Glycemic Control: Lines: 20 Gauge - [**2162-5-2**] 02:48 AM Prophylaxis: DVT: Stress ulcer: VAP: Comments: Communication: Comments: Code status: Full code Disposition:
Physician
Classify the following medical document.
Admission Date: [**2120-8-28**] Discharge Date: [**2120-9-6**] Date of Birth: [**2043-6-19**] Sex: M Service: ORTHOPAEDICS Allergies: Penicillins / Sulfa (Sulfonamides) / Iodine Attending:[**First Name3 (LF) 3190**] Chief Complaint: Pt presented s/p fall w/bilaterall lower ext weakness w/parasthesias and difficulty handeling secretions. Major Surgical or Invasive Procedure: Cervical stabilization anterior partial vertebrectomies c4-5,c6-7 [**2120-8-30**] Past Medical History: Past Medical History: diabetes type II mild asthma [**Doctor Last Name 3271**]-[**Doctor Last Name **] virus lower extremity edema newly diagnosed T3N1 poorly differentiated esophageal cancer PAST SURGICAL HISTORY: Significant for inguinal hernia repair in [**2082**] and status post exploratory laparotomy in [**2098**] for abdominal pain at which they performed an incidental cholecystectomy and appendectomy. Social History: He lives in [**Location (un) 3844**] where he has lived for the past 40 years with his partner. [**Name (NI) **] works as a cashier at a bookstore. He smoked 50-pack year quitting 15 years ago. He does not drink any alcohol. He has no children. Family History: His mother died at age of 87 from gastric cancer and his father died at age of 70 from cirrhosis. He has a sister who is 81 years old and has no cancer. His brother is 66 and healthy. Physical Exam: NAD, A&Ox3 Echymosis bilateral orbits PERRLA RRR Course BS bilat Abdomen soft, NT/ND Neuro: +[**12-23**] left bicep, +[**1-20**] left tricep, [**2-20**] bilateral hand grips, [**1-20**] right bicep and tricep, [**12-22**] DTR LUE, [**11-21**] LUE, 0/4 Bilat LE, bilat downgoing toes, sensation intact but describes as "pins and needles sensation" on bilateral UE. Pertinent Results: [**2120-8-28**] 12:20AM GLUCOSE-95 UREA N-9 CREAT-0.7 SODIUM-138 POTASSIUM-4.0 CHLORIDE-102 TOTAL CO2-30 ANION GAP-10 [**2120-8-28**] 12:20AM WBC-3.7*# RBC-3.68* HGB-11.5* HCT-35.2* MCV-96# MCH-31.4 MCHC-32.8 RDW-21.2* [**2120-8-28**] 12:20AM NEUTS-64.2 LYMPHS-29.5 MONOS-5.9 EOS-0.3 BASOS-0.1 [**2120-8-28**] 12:20AM HYPOCHROM-1+ ANISOCYT-2+ MACROCYT-3+ [**2120-8-28**] 12:20AM PLT COUNT-148* [**2120-8-28**] 12:20AM PT-13.5* PTT-26.5 INR(PT)-1.2 [**2120-8-28**] 12:20AM BLOOD WBC-3.7*# RBC-3.68* Hgb-11.5* Hct-35.2* MCV-96# MCH-31.4 MCHC-32.8 RDW-21.2* Plt Ct-148* [**2120-8-28**] 12:20AM BLOOD Neuts-64.2 Lymphs-29.5 Monos-5.9 Eos-0.3 Baso-0.1 [**2120-8-28**] 12:20AM BLOOD PT-13.5* PTT-26.5 INR(PT)-1.2 [**2120-8-28**] 12:20AM BLOOD Glucose-95 UreaN-9 Creat-0.7 Na-138 K-4.0 Cl-102 HCO3-30 AnGap-10 Brief Hospital Course: [**2120-8-28**]: Admited to TSICU after transfer from NEH on steroid gtt. Made NPO for spinal intervention. Admited TSICU for increased secretions. [**2120-8-29**]: OR delayed secondary to increased secretions [**2120-8-30**]: OR for Anterior fusion from C4-C7. Anterior partial vertebrectomy of C5, C6, C7. Anterior discectomies C4-5, C5-6, C6-7 Anterior instrumentation C4-C7. Structural allograft. Stable postoperatively. Right groin line placed after failed attempt on right subclavian w/small right apical pneumothorax. Episode of hypotension w/position change requiring neosynephrine and fluid boluses. [**2120-8-31**]: Hematocrit drop from 33 to 26. Transfused. [**2120-9-1**]: OR for: Total laminectomy of C3, C4, C5, C6. Fusion C4-C7. Autograft. Excision of soft tissue mass in the posterior cervical region. On CPAP/PS post op w/occasional desats and increased secretions. [**2120-9-2**]: Sputum returns w/gram neg rods w/levofloxacin started. Attempted placement of dobhoff tube unsuccesfully. [**2120-9-3**]: Patient extubated sucessfully. [**2120-9-4**]: Patient failed swallow study w/frank aspiration. Feeding tube by IR. [**2120-9-5**]: Tube feeds started after placement of feeding tube by IR. A-Line removed, femoral line removed w/mild hemorrhage (approx 200cc blood loss) stopped w/direct pressure. Hct and coags normal. Droping urine output responsive to fluid boluses. RADIOLOGY Final Report CT RECONSTRUCTION [**2120-8-28**] 4:02 AM CT C-SPINE W/O CONTRAST; CT RECONSTRUCTION Reason: eval for [**Hospital **] [**Hospital 93**] MEDICAL CONDITION: 77 year old man with fall and head trauma, ? C-spine injury REASON FOR THIS EXAMINATION: eval for fx CONTRAINDICATIONS for IV CONTRAST: None. INDICATION: Fall and head trauma and C-spine injury on outside CT and MRI, evaluate fracture. COMPARISON: None available at the time of dictation. TECHNIQUE: Axial MDCT images were obtained through the cervical spine without intravenous contrast. Additional coronal and sagittal reformations are provided. CT OF THE CERVICAL SPINE WITHOUT INTRAVENOUS CONTRAST: The cervical spine is imaged from C1 through T3. There is a minimally displaced fracture through the spinous process of C4 extending to the posterior arch of C4. Minimally displaced fractures of the tips of the spinous processes of C5. Mildly displaced fracture of the spinous process of C7. There is malalignment of the component vertebrae at C4-5, with grade 1 retrolisthesis of C4 on C5 and with marked widening of the intervertebral disc space anteriorly. There is additional widening of the intervertebral disc space anteriorly at C6-7. There is marked narrowing of the spinal canal at C4-5 due to retrolisthesis of C4 on C5 and angulation of the spine at this level. The prevertebral soft tissues are widened diffusely. In addition, there is a suggestion of hyperdensity within the widened intervertebral disc spaces at C4-5 and C6-7 as well as within the prevertebral soft tissues, possibly representing hematoma. There is an additional questionable linear lucency within the anterior inferior aspect of the C2 vertebra on the sagittal views only without clear correlate on the axial views, finding that could represent artifact Vs. a nondisplaced fracture. The visualized portions of the lung apices appear unremarkable. IMPRESSION: 1. Fractures of the spinous processes at C4, C5, and C7. 2. Cervical spine malalignment of C4-5 and C6-7, with retrolisthesis and intervertebral disc space widening at C4-5 and disc space widening at C6-7, and spinal stenosis. The findings are highly suggestive of ligamentous injury at these locations. MRI should be considered for assessment of the spinal cord as well as soft tissues. 3. Marked expansion of the prevertebral soft tissues consistent with hematoma and edema. 4. Questionable artifact Vs. nondisplaced fracture of the anterior inferior corner of C2 vertebra, seen on the sagittal reconstructions only. Results were discussed with the orthopedic resident at the time of interpretation (4:45 a.m.). The study and the report were reviewed by the staff radiologist. DR. [**First Name (STitle) 8913**] R.M. SUN DR. [**First Name11 (Name Pattern1) **] [**Initial (NamePattern1) **] [**Last Name (NamePattern4) 21104**] Approved: WED [**2120-8-28**] 8:58 AM Medications on Admission: Actose 30 QD, Glucophage 250 QD, Methadone Discharge Medications: 1. Heparin (Porcine) 5,000 unit/mL Solution Sig: One (1) Injection TID (3 times a day). 2. Albuterol Sulfate 0.083 % Solution Sig: [**11-19**] Inhalation Q4H (every 4 hours). 3. Oxycodone-Acetaminophen 5-325 mg/5 mL Solution Sig: 5-10 MLs PO Q4-6H (every 4 to 6 hours) as needed. 4. Magnesium Oxide 400 mg Tablet Sig: One (1) Tablet PO PRN (as needed) as needed for Mg<2. 5. Lorazepam 0.5 mg Tablet Sig: One (1) Tablet PO Q4-6H (every 4 to 6 hours) as needed. 6. Potassium Chloride 20 mEq Packet Sig: Two (2) Packet PO PRN (as needed) as needed for K<4. 7. Levofloxacin 500 mg Tablet Sig: One (1) Tablet PO Q24H (every 24 hours). 8. Lansoprazole 30 mg Susp,Delayed Release for Recon Sig: One (1) PO DAILY (Daily). 9. Olanzapine 5 mg Tablet, Rapid Dissolve Sig: One (1) Tablet, Rapid Dissolve PO ONCE (once) for 1 doses. 10. Metoprolol Tartrate 25 mg Tablet Sig: One (1) Tablet PO BID (2 times a day). 11. Insulin Regular Human 100 unit/mL Solution Sig: Sliding Scale Injection ASDIR (AS DIRECTED). 12. Heparin Lock Flush (Porcine) 100 unit/mL Syringe Sig: One (1) ML Intravenous DAILY (Daily) as needed. 13. Magnesium Sulfate 50 % Solution Sig: One (1) Injection ONCE (once) for 1 doses. Discharge Disposition: Extended Care Facility: [**Hospital3 7665**] Discharge Diagnosis: Cervical subluxation C4-5 Central cord syndrome Discharge Condition: good Discharge Instructions: keep collar on when out of bed. Keep incision clean and dry. Daily dressing changes to surgical incisions. Physical Therapy: Activity: Bedrest with bed position Pneumatic boots Cervical collar: At all times may elevate HOB No heavy lifting (no lifting>10lbs) Treatments Frequency: Site: ant/post cervical Type: Surgical Dressing: Gauze - dry Change dressing: qd Site: Healing incision to ant, neck Description: Incision Care: dry sterile dressing Followup Instructions: 10 days from date of discharge with Dr [**Last Name (STitle) 363**] [**Telephone/Fax (1) 3573**] Completed by:[**2120-9-6**]
Discharge summary
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Chief Complaint: Acute respiratory failure, pneumonia I saw and examined the patient, and was physically present with the ICU Resident for key portions of the services provided. I agree with his / her note above, including assessment and plan. HPI: 24 Hour Events: PICC LINE - START [**2105-12-10**] 10:15 AM MULTI LUMEN - STOP [**2105-12-10**] 04:05 PM Trial of diuresis yesterday Hypotensive SBP - 60's overnight, given 250 cc IV NS and increased neo with BP increase to 90's. Upper airway secretions reduced with scopolamine patch Patient unable to provide history: Sedated, intubated Allergies: No Known Drug Allergies Last dose of Antibiotics: Piperacillin/Tazobactam (Zosyn) - [**2105-12-11**] 07:55 AM Vancomycin - [**2105-12-11**] 07:55 AM Infusions: Phenylephrine - 1.2 mcg/Kg/min Midazolam (Versed) - 2 mg/hour Fentanyl - 50 mcg/hour Other ICU medications: Furosemide (Lasix) - [**2105-12-10**] 12:12 PM Famotidine (Pepcid) - [**2105-12-10**] 08:45 PM Heparin Sodium (Prophylaxis) - [**2105-12-11**] 07:55 AM Other medications: Changes to medical and family history: PMH, SH, FH and ROS are unchanged from Admission except where noted above and below Review of systems is unchanged from admission except as noted below Review of systems: Pain: No pain / appears comfortable Flowsheet Data as of [**2105-12-11**] 10:13 AM Vital signs Hemodynamic monitoring Fluid balance 24 hours Since 12 AM Tmax: 37.4 C (99.3 Tcurrent: 36.8 C (98.2 HR: 69 (63 - 80) bpm BP: 104/46(66) {76/37(51) - 160/64(96)} mmHg RR: 18 (13 - 22) insp/min SpO2: 98% Heart rhythm: SR (Sinus Rhythm) Height: 62 Inch Total In: 3,082 mL 1,484 mL PO: TF: 1,148 mL 352 mL IVF: 1,534 mL 982 mL Blood products: Total out: 1,420 mL 490 mL Urine: 1,420 mL 490 mL NG: Stool: Drains: Balance: 1,662 mL 994 mL Respiratory support O2 Delivery Device: Endotracheal tube Ventilator mode: CPAP/PSV Vt (Set): 450 (450 - 450) mL Vt (Spontaneous): 365 (365 - 450) mL PS : 10 cmH2O RR (Set): 8 RR (Spontaneous): 31 PEEP: 5 cmH2O FiO2: 40% RSBI: 81 PIP: 15 cmH2O Plateau: 17 cmH2O SpO2: 98% ABG: 7.37/44/96.[**Numeric Identifier 7**]/23/0 Ve: 12.1 L/min PaO2 / FiO2: 242 Physical Examination Eyes / Conjunctiva: PERRL Head, Ears, Nose, Throat: Normocephalic, Endotracheal tube Lymphatic: Cervical WNL, Supraclavicular WNL Cardiovascular: (S1: Normal), (S2: Normal) Peripheral Vascular: (Right radial pulse: Present), (Left radial pulse: Present), (Right DP pulse: Present), (Left DP pulse: Present) Respiratory / Chest: (Breath Sounds: Rhonchorous: bilaterally ) Abdominal: Soft, Bowel sounds present Extremities: Right: 1+, Left: 1+ Skin: Warm Neurologic: Responds to: Not assessed, Movement: Not assessed, Tone: Not assessed Labs / Radiology 9.7 g/dL 421 K/uL 125 mg/dL 0.6 mg/dL 23 mEq/L 3.8 mEq/L 16 mg/dL 104 mEq/L 137 mEq/L 28.0 % 25.0 K/uL [image002.jpg] [**2105-12-8**] 04:50 AM [**2105-12-8**] 12:46 PM [**2105-12-8**] 08:33 PM [**2105-12-9**] 03:29 AM [**2105-12-9**] 03:48 AM [**2105-12-9**] 02:28 PM [**2105-12-9**] 08:34 PM [**2105-12-10**] 01:56 AM [**2105-12-11**] 03:56 AM [**2105-12-11**] 06:15 AM WBC 27.6 23.3 25.0 Hct 30.3 30.0 27.6 28.0 Plt [**Telephone/Fax (3) 2259**] Cr 0.6 0.6 0.5 0.5 0.6 TCO2 21 23 22 26 Glucose [**Telephone/Fax (3) 2260**]38 125 Other labs: PT / PTT / INR:16.9/41.3/1.5, CK / CKMB / Troponin-T:228/7/0.06, D-dimer:1665 ng/mL, Lactic Acid:1.7 mmol/L, Ca++:7.3 mg/dL, Mg++:1.7 mg/dL, PO4:2.9 mg/dL Microbiology: C. Diff negative x 1 Assessment and Plan ACUTE HYPOXIC RESPIRATORY FAILURE secondary to pneumonia. Secretions are unchanged, thick tan. Concerning that WBC going back up. Having diarrhea, sending stool for C. Diff. CXR suggests possible pleural effusion, concerned for complicated parapneumonic effusion vs. empyema. Will obtain CT chest today. Repeat sputum gram stain, C+S, blood and urine cultures. Continue vanco/zosyn. ATRIAL FIBRILLATION (AFIB): Remains in SR on amiodarone. HYPOTENSION secondary to hypovolemia in setting of diuresis. Improved with fluids albeit also required increased neo, now being weaned back down. ICU Care Nutrition: Comments: Tube feeds at goal. Glycemic Control: Lines: Arterial Line - [**2105-12-8**] 07:00 AM 20 Gauge - [**2105-12-8**] 07:00 AM PICC Line - [**2105-12-10**] 10:15 AM Prophylaxis: DVT: Boots Stress ulcer: PPI VAP: Need for restraints reviewed Comments: Communication: Comments: Code status: Full code Disposition :ICU Total time spent: 55 minutes Patient is critically ill ------ Protected Section ------ CT chest shows dense consolidation on the left, mulitlobar involvement, areas of external compression with obstruction of bronchus vs. endobronchial obstruction. Bronched through ETT with the pulmonary fellow, moderate amounts of purulent secretions, suctioned for mucus plugs. Edematous ariways thorughout with external compression. Washings sent for gram stain, C+S. Chest CT also shows pleural efffusion. If elevated WBC persists, will need to tap. ------ Protected Section Addendum Entered By:[**Name (NI) 2140**] [**Last Name (NamePattern1) 2141**], MD on:[**2105-12-11**] 18:29 ------
Physician
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TITLE: Chief Complaint: 24 Hour Events: Extubated yesterday, required racemic epi for upper airway sounds, briefly without gag reflex following extubation. T max of 100.1. Amio 400 TID started. Tele: 3 short runs of NSVT. Allergies: No Known Drug Allergies Last dose of Antibiotics: Bactrim (SMX/TMP) - [**2121-11-18**] 09:30 PM Infusions: Heparin Sodium - 1,350 units/hour Amiodarone - 0.5 mg/min Other ICU medications: Other medications: Changes to medical and family history: Review of systems is unchanged from admission except as noted below Review of systems: Flowsheet Data as of [**2121-11-20**] 07:44 AM Vital signs Hemodynamic monitoring Fluid balance 24 hours Since 12 AM Tmax: 37.8 C (100.1 Tcurrent: 37.3 C (99.2 HR: 64 (59 - 83) bpm BP: 98/45(65) {93/45(65) - 146/98(328)} mmHg RR: 18 (14 - 31) insp/min SpO2: 96% Heart rhythm: SR (Sinus Rhythm) Wgt (current): 107 kg (admission): 104.5 kg Height: 65 Inch Total In: 1,308 mL 401 mL PO: 270 mL 200 mL TF: IVF: 978 mL 201 mL Blood products: Total out: 3,270 mL 920 mL Urine: 3,270 mL 920 mL NG: Stool: Drains: Balance: -1,962 mL -519 mL Respiratory support O2 Delivery Device: Nasal cannula Ventilator mode: CPAP/PSV Vt (Set): 550 (550 - 550) mL Vt (Spontaneous): 473 (325 - 552) mL PS : 5 cmH2O RR (Set): 14 RR (Spontaneous): 23 PEEP: 5 cmH2O FiO2: 50% PIP: 11 cmH2O SpO2: 96% ABG: 7.41/32/89.[**Numeric Identifier 433**]/28/-2 Ve: 10.8 L/min PaO2 / FiO2: 178 Physical Examination Peripheral Vascular: (Right radial pulse: Not assessed), (Left radial pulse: Not assessed), (Right DP pulse: Not assessed), (Left DP pulse: Not assessed) Skin: Not assessed Neurologic: Responds to: Not assessed, Movement: Not assessed, Tone: Not assessed Labs / Radiology 202 K/uL 12.5 g/dL 120 mg/dL 0.6 mg/dL 28 mEq/L 4.2 mEq/L 7 mg/dL 102 mEq/L 139 mEq/L 35.0 % 8.1 K/uL [image002.jpg] [**2121-11-17**] 05:08 PM [**2121-11-17**] 06:54 PM [**2121-11-18**] 05:15 AM [**2121-11-18**] 05:26 AM [**2121-11-18**] 09:37 PM [**2121-11-19**] 02:28 AM [**2121-11-19**] 04:55 AM [**2121-11-19**] 11:00 AM [**2121-11-19**] 02:48 PM [**2121-11-20**] 05:40 AM WBC 11.4 9.8 8.1 Hct 37.7 38.0 35.0 Plt 249 223 202 Cr 0.7 0.7 0.6 TCO2 30 30 31 26 30 31 21 Glucose 126 111 120 Other labs: PT / PTT / INR:13.1/60.2/1.1, Lactic Acid:0.8 mmol/L, Ca++:8.6 mg/dL, Mg++:1.8 mg/dL, PO4:3.1 mg/dL Assessment and Plan URINARY TRACT INFECTION (UTI) VENTRICULAR TACHYCARDIA, NON-SUSTAINED (NSVT) CHRONIC OBSTRUCTIVE PULMONARY DISEASE (COPD, BRONCHITIS, EMPHYSEMA) WITH ACUTE EXACERBATION ICU Care Nutrition: Glycemic Control: Lines: Arterial Line - [**2121-11-17**] 05:00 PM 20 Gauge - [**2121-11-19**] 07:00 AM Prophylaxis: DVT: Stress ulcer: VAP: Comments: Communication: Comments: Code status: Full code Disposition:
Physician
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Admission Date: [**2135-7-30**] Discharge Date: [**2135-8-6**] Date of Birth: [**2082-12-21**] Sex: M Service: [**Hospital1 212**] HISTORY OF PRESENT ILLNESS: Patient is a 52-year-old man with a history of HIV, now viral counts are undetectable, and 350 CD4 count who presents with bloody diarrhea three times over a 24 hour period. Patient has felt dizzy on the day prior to admission and collapsed on the way to the bathroom. Patient lost consciousness for an unknown period of time. Patient stated that after this and after walking to his apartment, he collapsed again. Patient visited [**Hospital1 778**] office where he regularly gets his medical care. He was seen in the afternoon and told he was dehydrated and sent home. That same night, when the patient was at home and was on the way to the bathroom, he had collapsed again. Patient has had black tarry diarrhea and some episodes of bright red blood per rectum in medium to large amounts. Patient denied having fevers or chills. There was no change in his urine color. There was no nausea, vomiting or abdominal pain. Patient did not ingest any unusual food and has no recent history of travel. Patient denied taking over the counter medications including aspirin, Motrin and others. Patient's colonoscopy nine months ago was negative. Patient had colonoscopy as a screening test due to his family history of colon cancer. PAST MEDICAL HISTORY: CMV retinitis, PCP, [**Name10 (NameIs) 10619**] sarcoma, all HIV related, neuropathy, depression and hypertension. SOCIAL HISTORY: No tobacco, alcohol or drug use. MEDICATIONS ON ADMISSION: Zestril, Lipitor, Wellbutrin, amitriptyline and HIV medications were: Zerit 20 mg po b.i.d., lamivudine 150 mg po b.i.d. and Sustiva 600 mg po q.h.s. ALLERGIES: To sulfa. Patient becomes anaphylactic. PHYSICAL EXAMINATION: Revealed a 52-year-old man in no acute distress, appearing comfortable, sitting in a hospital bed. Vital signs on admission were 97. Heart rate 82. Respiratory rate 19. Blood pressure 104/54 and 100% on room air. Head, eyes, ears, nose and throat exam revealed no lymphadenopathy, no jugular venous distention. Oropharynx was clear with no blood in the oral cavity. Dentition was normal. Lungs were clear to auscultation bilaterally. No crackles. Heart: Regular rate and rhythm, no murmurs, rubs or gallops, S1, S2 normal. Abdomen: Soft, nontender, nondistended, positive bowel sounds, it was grossly guaiac positive. There was blood evident on the rectal exam. Extremities were within normal limits. There was no cyanosis, clubbing or edema. There was no costovertebral angle tenderness. Skin revealed no rashes and neurological exam was nonfocal. Strength was [**5-7**] in upper and lower extremities and sensation was grossly intact. LABS ON ADMISSION: White blood cells were 12.4, hematocrit 22.6, platelets 212,000. Sodium 138, potassium 4.8, chloride 102, bicarbonate 22, BUN 40, creatinine 1.0, glucose 126. His urinalysis was negative. His electrocardiogram showed diffuse T wave flattening in I, III and aVF leads, as well as biphasic T waves in V4 through V6. There was no findings suggestive of acute ischemia. HOSPITAL COURSE: During the course of his hospitalization, Mr. [**Known lastname 10620**] has had some active bleeding and has required a transfusion of a total of 11 units of packed red blood cells over the course of his hospitalization. He has undergone extensive work-up which has been unrevealing. His tests included: Esophagogastroduodenoscopy, colonoscopy, enteroscopy, small bowel follow through and tagged red blood cells scan. All of these tests, again, were negative. The patient was maintained on intravenous Protonix and was aggressively resuscitated with fluids in addition to packed red blood cells as mentioned. The patient was also transferred to the Medical Intensive Care Unit for a period of two days during his hospitalization. Over the course of the last 72 hours, patient's hematocrit has remained stable. Therefore, patient will be discharged home today. He will live with his friend for two weeks. Therefore, patient will be monitored if he has any recurrent episodes of collapse. No follow-up with Gastroenterologist has been recommended by the Gastrointestinal Service. The patient, however, will follow-up with his primary care physician, [**Last Name (NamePattern4) **]. [**Last Name (STitle) 9625**]. Per Gastrointestinal Service, if the patient rebleeds, immediate CT angiogram would be recommended. HIV. During the hospital course patient was continued on his regular outpatient HIV management. Depression: Patient also continued on his outpatient management consisting of Wellbutrin and amitriptyline. [**First Name11 (Name Pattern1) **] [**Last Name (NamePattern4) 10621**], M.D. [**MD Number(1) 10622**] Dictated By:[**Last Name (NamePattern4) 10623**] MEDQUIST36 D: [**2135-8-9**] 20:02 T: [**2135-8-9**] 20:02 JOB#: [**Job Number 10624**]
Discharge summary
Classify the following medical document.
Admission Date: [**2120-8-16**] Discharge Date: [**2120-8-20**] Date of Birth: [**2067-7-3**] Sex: M Service: MEDICINE Allergies: Tetracycline / Clarithromycin Attending:[**First Name3 (LF) 2901**] Chief Complaint: Chest pain Major Surgical or Invasive Procedure: Cardiac catheterization [**2120-8-16**] with DES to LAD. History of Present Illness: The patient is a 53 yo man with h/o HTN and gout, who presented with acute onset chest pain. The patient states that he was in his normal state of health until approximately 8 PM last night, when he developed acute onset chest pain in the setting of moving a mattress. The patient states that the pain was [**9-16**], "pressure," located substernally and radiating to his left shoulder and back. He had associated diaphoresis. His wife, who was a RN in [**Country 532**], convinced him to come to the ED, where he presented at approximately 1:30 am. In the ED, the patient's VS were T 97.9, BP 126/87, P 82, R 20, O2 97% on RA. A Code STEMI was called, and the patient was taken emergently to the cath lab at 3 am. He was given ASA 325 mg, O2, NTG SL, Plavix 600 mg, Morphine, and he was started on a heparin gtt. In the cath lab, the patient was found to have a 100% occlusion of the proximal LAD. A thrombectomy was performed, and a DES was placed in the LAD. He was then admitted to the CCU for further observation. On arrival to the floor, the patient states that he is no longer experiencing chest pain. He has stomach pain which began shortly after the procedure, but he states that this is markedly different from the pain which brought him into the hospital. On review of systems, he denies any prior history of stroke, TIA, deep venous thrombosis, pulmonary embolism, bleeding at the time of surgery, myalgias, joint pains, cough, hemoptysis, black stools or red stools. He denies recent fevers, chills or rigors. He denies exertional buttock or calf pain. All of the other review of systems were negative. Cardiac review of systems is notable for absence of dyspnea on exertion, paroxysmal nocturnal dyspnea, orthopnea, ankle edema, palpitations, syncope or presyncope. Past Medical History: 1. CARDIAC RISK FACTORS: (-) Diabetes, (+) Dyslipidemia, (+) Hypertension 2. CARDIAC HISTORY: -CABG: -PERCUTANEOUS CORONARY INTERVENTIONS: -PACING/ICD: 3. OTHER PAST MEDICAL HISTORY: GERD IBS PUD with negative H.pylori h/o NASH B12 deficiency Vitamin D deficiency Nephrolithiasis Gout Seasonal allergies s/p cholecystectomy in [**2113**] Social History: The patient is married and lives with his wife. [**Name (NI) **] currently drives a taxi for a living and has one son who lives in the [**Name (NI) 86**] area. Son is alive and well, w/ active lifestyle. -Tobacco history: The patient previously smoked for 30 years and quit in [**2106**] -ETOH: Only on holidays -Illicit drugs: None. Family History: The patient's mother passed away from pancreatic cancer. His father died when the patient was 10 in [**Country 532**]. No known family history of early MI, arrhythmia, cardiomyopathies, or sudden cardiac death; otherwise non-contributory. Physical Exam: VS: T 98.8, BP 114/70, HR 91, RR 18, O2 sat 94% on 4L GENERAL: Middle aged man, pleasant, anxious and emotional, in NAD. Oriented x 3 HEENT: PERRL, EOMI, Oropharynx clear and without exudate. Conjunctiva were pink, no pallor or cyanosis of the oral mucosa. No xanthalesma. NECK: Supple with JVP of 8 cm. CARDIAC: PMI located in 5th intercostal space, midclavicular line. RR, normal S1, S2. No m/r/g. No thrills, lifts. No S3 or S4. LUNGS: No chest wall deformities, scoliosis or kyphosis. Resp were unlabored, no accessory muscle use. CTAB, no crackles, wheezes or rhonchi. ABDOMEN: Soft, NTND. No HSM or tenderness. Abd aorta not enlarged by palpation. No abdominial bruits. EXTREMITIES: No c/c/e. No femoral bruits. Femoral catheter site c/d/i. SKIN: No stasis dermatitis, ulcers, scars, or xanthomas. PULSES: Right: DP 2+ PT 2+ Left: DP 2+ PT 2+ Pertinent Results: ADMISSION LABS: [**2120-8-16**] 02:30AM WBC-14.2 Hct-45.1 Plt Ct-217 Neuts-80.9* Lymphs-15.6* Monos-2.9 Eos-0.2 Baso-0.4 COAGs: PT-14.3* PTT-99.4* INR(PT)-1.2* 144 | 105 | 18 /114 4.1 | 20 | 1.4 \ Calcium-9.3 Phos-4.5 Mg-1.8 LFT's: ALT-72* AST-91* LD(LDH)-352* CK(CPK)-755* AlkPhos-93 TotBili-0.5 Cardiac Enzymes [**2120-8-16**] 02:30AM CK 755 CKMB 32 MBindex 4.2 cTropnT-0.31* [**2120-8-16**] 10:00AM CK-MB-189* MB INDX-2.9 cTropnT-13.33* CK(CPK)-6439* [**2120-8-16**] 03:05PM CK-MB-107* MB INDX-2.2 cTropnT-8.67* CK(CPK)-4791* [**2120-8-16**] 07:00PM CK-MB-74* MB INDX-1.8 CK(CPK)-4013* [**2120-8-16**] 12:05PM BLOOD Type-ART pO2-66* pCO2-31* pH-7.50* [**2120-8-16**] 12:05PM BLOOD Lactate-1.8 PERTINENT LABS/STUDIES: EKG ([**8-16**]): NSR at 77 bpm. Q waves in V1-V5. 3mm ST elevation in V2-V4. No R wave progression in precordial leads. ETT ([**2115-5-8**]): The patient exercised for 6.5 minutes of [**Initials (NamePattern4) **] [**Last Name (NamePattern4) **] protocol and was stopped for fatigue. Fair functional capacity. The patient was asymptomatic throughout. The rhythm was sinus with no ectopy. No significant ST segment changes. Appropriate hemodynamic response to imposed demands. IMPRESSION: No objective evidence of myocardial ischemia by EKG or anginal symptoms at the achieved level of work. 1) Normal myocardial perfusion. 2) Normal left ventricular cavity size and systolic function CARDIAC CATH: - LAD: 100% occlusion with thrombus, now s/p thrombectomy and [**Name Prefix (Prefixes) **] [**Last Name (Prefixes) **] placement - LCx: 30% diffuse mid - RCA: 30% mid HEMODYNAMICS: RA 11 (mean), RV: 49/11, PCWP: 25, PA: 42/23, LABORATORY DATA: Troponin: 0.31 CK 755, MB 32, MBI 4.2 BMP: Na 144, K 4.1, Cl 105, HCO3 20, BUN 18, Cr 1.4 (baseline 1.2-1.3), Glucose 109 CBC: WBC 14.2, Hct 45.1, Plt 217 PT 14.3, PTT 99.4, INR 1.2 Cholesterol Panel ([**5-16**]): Total cholesterol 191, Triglycerides 235, HDL 37, LDL 107 ECHO [**2120-8-16**] The left atrium is mildly dilated. There is mild symmetric left ventricular hypertrophy with normal cavity size. There is moderate to severe regional left ventricular systolic dysfunction with akinesis of the anterior wall, septum and the apex. The remaining segments exhibit compensatory hypERkinesis (LVEF = 30%). There is spontaneous echo contrast at the LV apex, but no formed thrombus at this time. Moderate to severe left ventricular systolic dysfunction, c/w proximal LAD infarction. No significant valvular disease. Mild pulmonary hypertension. Findings discussed with Dr. [**Last Name (STitle) **] at 11a on the day of the study. DISCHARGE LABS: [**2120-8-20**] 05:40AM BLOOD WBC-10.0 RBC-4.12* Hgb-13.0* Hct-37.4* MCV-91 MCH-31.5 MCHC-34.6 RDW-14.4 Plt Ct-242 [**2120-8-20**] 05:40AM BLOOD PT-14.9* PTT-30.3 INR(PT)-1.3* [**2120-8-20**] 05:40AM BLOOD Glucose-94 UreaN-22* Creat-1.4* Na-142 K-4.5 Cl-106 HCO3-23 AnGap-18 Brief Hospital Course: # STEMI: The patient was found to have ST elevations in V2-V4, and elevated cardiac biomarkers on admission (Troponin: 0.31 CK 755, MB 32, MBI 4.2). Code STEMI was called and patient was taken to the cath lab. There patient was found to have a 100% occlusion and thrombus of the proximal LAD, underwent thrombectomy and [**Name Prefix (Prefixes) **] [**Last Name (Prefixes) 5175**]. EKG showed improvement of ST elevations, and chest pain resolved. The patient was started on ASA 325 mg daily, Plavix 75 mg daily. Integrilin gtt was continued for total duration of 18 hours. Metoprolol was started and uptitrated gradually to 50 mg TID as tolerated. Captopril was initially started, but was held when creatinine became elevated in the setting of IV contrast for CT (see below). It was restarted when creatinine returned to baseline on [**2120-8-18**]. Of note, patient has a history of erectile dysfunction on ACEi. Home Diovan was held. The patient had a previous history of fatty liver on Tricor. Baseline LFTs were normal and it was decided that statin would be started and LFT's monitored carefully. Home Prilosec was changed to Ranitidine [**Hospital1 **] in the setting of starting Plavix. TTE done in the morning following cath showed moderate to severe left ventricular systolic dysfunction, c/w proximal LAD infarction. No significant valvular disease. Mild pulmonary hypertension. There was spontaneous echo contrast at the LV apex, but no formed thrombus at this time. That morning ([**2120-8-16**]), patient c/o headache, epigastric pain, appeared diaphoretic. Repeat EKGs showed no significant change from post-cath EKG. Patient received Tylenol, morphine and pain improved. Given apical akinesis and pooling of blood seen on TTE, there was concern for embolization to intestinal vasculature. CTA of the abdomen showed no SMA/[**Female First Name (un) 899**] thrombus or GI bleed. Patient received Mucomyst and hydration prior to CTA. In the setting of poor LV dysfunction/apical stasis and high risk for thrombus/emboli, patient was started on heparin gtt, with goal 60-80. Coumadin was started [**2120-8-17**]. Patient had no further chest or epigastric pain during hospital course. Cardiac biomarkers trended down, and patient remained hemodynamicaly stable. He was discharged on Metoprolol, Aspirin, Plavix, Atorvastatin and Lisinopril. For his anticoagulation, he was discharged on Lovenox SC injection and Warfarin with plan to have INR checked 3 days post-discharge and discontinue Lovenox as able. # Congestive Heart Failure: Acute systolic and diastolic CHF. The patient had elevated RVEDP on cardiac catheterization (24). TTE (see above) showed LVEF 30% with apical akinesis. The patient received Lasix prn. #. Hyperlipidemia: The patient has a history of hyperlipidemia, though he reportedly developed NASH in the setting of TriCor. He was started on 80 mg atorvastatin during admission since he is now post-STEMI. Baseline LFTs were normal, and LFT's should be monitored carefully as an outpatient. # Acute Kidney Injury: Patient's creatinine bumped from baseline 1.2 to 1.7 after receiving contrast both in the cath lab and for CTA, despite pre-treatment with mucomyst and IVF. Medications were renally dosed and ACEi was held. Creatinine trended down to baseline and captopril restarted on [**2120-8-18**]. #. Gout: Patient had no evidence of acute gout flare-up, he was continued home Allopurinol, but the dose was decreased to 150 mg daily given creatinine clearance. #. GERD: The patient was taking Omeprazole for his GERD at home. This was changed to Ranitidine in the setting of Plavix use. Medications on Admission: Amlodipine 5 mg daily Hydrochlorothiazide 25 mg daily - Stopped Atenolol 50 mg daily - Stopped Diovan 160 mg daily - Stopped Allopurinol 300 mg daily Prilosec 40 mg daily Clobetasol 0.05% ointment [**Hospital1 **] Vitamin B12 1000 mcg injections monthly 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): Take every day for one year. Disp:*30 Tablet(s)* Refills:*11* 3. Ranitidine HCl 150 mg Tablet Sig: One (1) Tablet PO BID (2 times a day). 4. Allopurinol 300 mg Tablet Sig: 0.5 Tablet PO DAILY (Daily). 5. Clobetasol 0.05 % Ointment Sig: One (1) Appl Topical [**Hospital1 **] (2 times a day) as needed for rash. 6. Atorvastatin 80 mg Tablet Sig: One (1) Tablet PO DAILY (Daily). Disp:*30 Tablet(s)* Refills:*2* 7. Outpatient Lab Work Please check PT/INR on Thursday [**2120-8-20**] and call results to Dr. [**Last Name (STitle) **]. 8. Enoxaparin 80 mg/0.8 mL Syringe Sig: One (1) syringe Subcutaneous twice a day: Take until INR > 2.0. Disp:*6 syringes* Refills:*2* 9. Warfarin 2 mg Tablet Sig: 3.5 Tablets PO once a day. Disp:*105 Tablet(s)* Refills:*2* 10. Metoprolol Succinate 100 mg Tablet Sustained Release 24 hr Sig: 1.5 Tablet Sustained Release 24 hrs PO DAILY (Daily). Disp:*45 Tablet Sustained Release 24 hr(s)* Refills:*2* 11. Lisinopril 5 mg Tablet Sig: 0.5 Tablet PO DAILY (Daily). Disp:*30 Tablet(s)* Refills:*2* 12. Furosemide 20 mg Tablet Sig: 0.5 Tablet PO once a day. Disp:*30 Tablet(s)* Refills:*2* Discharge Disposition: Home Discharge Diagnosis: ST Elevation Myocardial Infarction with Apical Akinesis Hyperlipidemia Hypertension Acute Systolic Congestive Heart Failure Discharge Condition: Improved. Vital signs have been stable, patient ambulating without issues. Discharge Instructions: -You were admitted with sudden onset chest pain and diagnosed as having a heart attack. You were taken to the cardiac catheterization lab where a blood vessel supplying the heart was found to be blocked. The blockage was cleared and a stent placed in the vessel to keep it open. Since coming to the Cardiac unit, you have been started and continued on medications to maximize your heart function and recovery. -It is important that you continue to take your medications as directed. We made the following changes to your medications during this admission: --> START Warfarin 7 mg daily for prevention of blood clots. You will need regular INR checks at the coumadin clinic at [**Company 191**]. --> START Lovenox injections twice daily in place of the heparin drip to prevent blood clots. Stop taking Lovenox when your INR is greater than 2.0. --> START full-strength aspirin 325 mg daily to keep the stent open --> START Plavix 75mg daily. It is important that you continue this medication (at least for a year) as it keeps the new stent in your heart clear. Do not stop taking Plavix unless Dr. [**Last Name (STitle) **] tells you to. --> START Atorvastatin 80mg daily for your cholesterol --> START Toprol XL 150mg daily for your blood pressure. --> START Lasix (Furosemide) 10 mg daily to prevent fluid buildup -->STOP your atenolol 50mg daily. -->STOP your Amlodipine 5mg daily. --> START Ranitidine 150mg twice a day for your GERD/reflux. It is important that you do not resume your Prilosec (omeprazole); Prilosec and other proton pump inhibitors have been found to decrease the effectiveness of Plavix on keeping stents clear --> CONTINUE your Allopurinol 300mg daily, Clobetasol Propionate 0.05% Ointment twice daily, Vitamin B12 injections. -Contact your doctor or come to the Emergency Room should your symptoms return. Also seek medical attention if you develop any new fever, chills, trouble breathing, chest pain, nausea, vomiting or unusual stools. You should weigh yourself every morning and call your PCP if your weight increases by more than 3 lbs within one day on 6 pounds within 3 days. Also try to adhere to a low salt (2 gram), low fat diet. Followup Instructions: Primary Care: [**First Name11 (Name Pattern1) 1980**] [**Last Name (NamePattern4) 1981**], MD Phone:[**Telephone/Fax (1) 250**] Date/Time:[**2120-8-22**] 2:30 Cardiology: Dr. [**First Name8 (NamePattern2) **] [**Last Name (NamePattern1) **]. Phone: [**Telephone/Fax (1) 62**]. Date/time: [**10-8**] at 2:40pm. Dermatology: Provider: [**Name10 (NameIs) **] [**Name8 (MD) **], MD Phone:[**Telephone/Fax (1) 1971**] Date/Time:[**2120-9-13**] 11:15 Rheumatology: Provider: [**First Name8 (NamePattern2) 11595**] [**Last Name (NamePattern1) 11596**], MD Phone:[**Telephone/Fax (1) 2226**] Date/Time:[**2120-9-18**] 2:00 [**First Name11 (Name Pattern1) **] [**Last Name (NamePattern1) 2908**] MD, [**MD Number(3) 2909**]
Discharge summary
Classify the following medical document.
Chief Complaint: 24 Hour Events: BLOOD CULTURED - At [**2119-6-27**] 12:26 AM FEVER - 102.8 F - [**2119-6-27**] 12:24 AM - Conjugated hyperbilirubinemia - Vitamin K 5mg PO x1 - ID - Continue antibiotics, continue surveillance cultures. Persistent fevers not concerning at this point. If continues, consider CT chest to reassess for abscess. - Pulmonary - Cautious fluid resuscitation, no plan for bronchoscopy - [**Doctor First Name **], ANCA pending - 2:00PM - LFTs, hyperbilirubinemia, platelet count, coagulopathy, fibrinogen, FDP stable - Levophed stopped at 2:30pm, restarted at 6:00pm - 6pm: 7.36/34/83, Lactate 1.3 - No new culture data (as of 10:30pm) - 12am: Spiked to 102.8 (rectal); hypertensive, and Levophed was weaned; blood cultures sent; blood pressure slowly came down, MAPs remained over 55 Allergies: Morphine Unknown; Amlodipine Unknown; Last dose of Antibiotics: Piperacillin/Tazobactam (Zosyn) - [**2119-6-24**] 02:00 PM Levofloxacin - [**2119-6-26**] 04:21 PM Nafcillin - [**2119-6-27**] 04:00 AM Infusions: Fentanyl - 100 mcg/hour Midazolam (Versed) - 4 mg/hour Norepinephrine - 0.06 mcg/Kg/min Other ICU medications: Famotidine (Pepcid) - [**2119-6-26**] 08:00 AM Heparin Sodium (Prophylaxis) - [**2119-6-27**] 12:00 AM Other medications: Changes to medical and family history: None Review of systems is unchanged from admission except as noted below Review of systems: Intubated, sedated Flowsheet Data as of [**2119-6-27**] 06:34 AM Vital signs Hemodynamic monitoring Fluid balance 24 hours Since 12 AM Tmax: 39.3 C (102.8 Tcurrent: 38.2 C (100.8 HR: 86 (71 - 105) bpm BP: 109/51(70) {82/44(55) - 134/63(84)} mmHg RR: 22 (16 - 24) insp/min SpO2: 96% Heart rhythm: SR (Sinus Rhythm) Height: 72 Inch CVP: 11 (9 - 13)mmHg Total In: 4,733 mL 777 mL PO: TF: 350 mL 223 mL IVF: 3,914 mL 425 mL Blood products: Total out: 1,310 mL 260 mL Urine: 1,310 mL 260 mL NG: Stool: Drains: Balance: 3,423 mL 517 mL Respiratory support O2 Delivery Device: Endotracheal tube Ventilator mode: CMV/ASSIST Vt (Set): 500 (500 - 500) mL RR (Set): 20 RR (Spontaneous): 5 PEEP: 8 cmH2O FiO2: 50% RSBI: 58 PIP: 16 cmH2O Plateau: 17 cmH2O Compliance: 55.6 cmH2O/mL SpO2: 96% ABG: 7.36/36/116/18/-4 Ve: 10.9 L/min PaO2 / FiO2: 232 Physical Examination Labs / Radiology 294 K/uL 10.5 g/dL 119 mg/dL 2.5 mg/dL 18 mEq/L 3.6 mEq/L 40 mg/dL 110 mEq/L 139 mEq/L 32.3 % 9.8 K/uL [image002.jpg] [**2119-6-25**] 04:51 AM [**2119-6-25**] 03:52 PM [**2119-6-25**] 06:39 PM [**2119-6-25**] 08:48 PM [**2119-6-26**] 04:24 AM [**2119-6-26**] 05:32 AM [**2119-6-26**] 02:37 PM [**2119-6-26**] 06:05 PM [**2119-6-27**] 05:25 AM [**2119-6-27**] 05:39 AM WBC 10.2 9.8 Hct 33.1 35.0 32.3 Plt [**Telephone/Fax (3) 6197**] Cr 2.0 2.1 2.5 TCO2 25 19 19 20 20 21 Glucose 106 112 119 Other labs: PT / PTT / INR:24.7/36.0/2.4, CK / CKMB / Troponin-T:339/6/0.51, ALT / AST:59/106, Alk Phos / T Bili:59/4.7, Differential-Neuts:70.0 %, Band:1.0 %, Lymph:14.0 %, Mono:13.0 %, Eos:0.0 %, Fibrinogen:620 mg/dL, Lactic Acid:1.3 mmol/L, Albumin:2.6 g/dL, LDH:366 IU/L, Ca++:6.6 mg/dL, Mg++:2.1 mg/dL, PO4:3.2 mg/dL Assessment and Plan 82M with hypertension, essential tremor admitted with NSTEMI, now with MSSA pneumonia complicated by sepsis, enlarging right sided infiltrate 1. Hypoxic respiratory failure: Tolerated pressure support briefly yesterday. Now currently on assist control. Large A-a gradient by blood gas. Patient with component of respiratory alkalosis, although this may be compensatory given metabolic acidosis. - Pneumonia treatment as below - Vent parameters per ARDSnet protocol - Pulmonary recs 2. Pneumonia/sepsis: MSSA pneumonia. Patient with persistent fevers, although lower grade. ID involved. - Discuss with ID given persistent fevers, should we expand coverage for anaerobes? - Continue Nafcillin for total 3 week course through [**2119-7-11**] (start date [**6-21**], Vancomycin initiation date) and levofloxacin for total 8 day course ([**2119-6-24**] through [**2119-7-2**]) - Follow culture data - Maintain CVP 8-12, MAP>60; if falls below this, bolus IVF (LR given non-anion gap metabolic acidosis potentially secondary to NS); wean Levophed as tolerated - CIS 3. Coagulopathy: INR elevated to 2.4, confirmed on recheck. Differential includes DIC (FDP 10-40, although elevated fibrinogen and PTT normal), shock liver (LFTs improved since admission). Could also be nutritional deficiency. - Vitamin K PO x1 - Recheck coags, FDP, fibrinogen this afternoon 4. s/p NSTEMI: Cath showed clean coronaries, NSTEMI possibly caused by thrombus that had since resolved with medical therapy. Likely demand ischemia in the setting of pneumonia. - Continue ASA - Hold beta-blocker in the setting of sepsis - Hold Plavix at this time given concern for PAH (very low likelihood) - Continue statin 5. PUMP: TTE with newly depressed EF 35-40% with inferolateral and apical hypokinesis - Beta-blocker on hold as above - Would benefit from ACE inhibitor once over acute illness - Hold Plavix and heparin given mention of potential PAH, although this is unlikely; will likely restart heparin in next 1-2 days given concern for thrombus formation at site of hypokinesis 6. ACUTE RENAL FAILURE: Baseline 1.0. Creatinine slowly trending up, likely prerenal given sepsis. - Renally dose meds ICU Care Nutrition: Nutren Pulmonary (Full) - [**2119-6-27**] 12:00 AM 40 mL/hour Glycemic Control: Lines: 20 Gauge - [**2119-6-24**] 10:14 PM Arterial Line - [**2119-6-24**] 11:29 PM Multi Lumen - [**2119-6-25**] 02:49 AM Prophylaxis: DVT: Stress ulcer: VAP: Comments: Communication: Comments: Code status: Full code Disposition:
Physician
Classify the following medical document.
55 y.o. male with PMHx of DM, HTN, CAD s/p IMI with 3 stents to RCA and recently diagnosed RCC who was transferred from [**Hospital3 **]for ongoing work-up of acute renal failure and change in mental status. . Patient was admitted to [**Hospital3 **]Hospital on [**2165-4-16**] for chest and abdominal pain. He ruled out for an MI with cardiac biomarkers and was felt to be constipated (on CT) due to chronic narcotic use for lower back pain and right hip pain (awaiting hip replacement). His constipation was treated aggressively with medications and disimpaction with minimal effect. On day 4 of his hospitalization, he was febrile to 104 with a leukocytosis to 14 and was pan-cultured while Vancomycin and Zosyn were started empirically with specific concern for a PIV infection suggested by surrounding erythema and edema. Blood cultures later grew GPCs in [**2-23**] bottles and chronic foot ulcers were swabbed and reportedly grew staph aureus with pending sensitivities. Zosyn was thus discontinued. In the setting of infection, patient became delirious, noted to be attempting to grab things from the air and talking to people in the room. Of note, patient was continued on narcotics, reportedly at the wife's insistence given concern for narcotic withdrawal. Neurology was consulted and recommended a head CT which was unremarkable, leaving them to conclude that the mental status was toxic/metabolic in the setting of infection and narcotic use. He was started on Ceftriaxone 2 grams daily for CNS coverage though no LP was performed. On day 5, patient was noted to develop acute renal failure with a creatinine of 3, up from 1.3 and was also anuric. CKs were checked to evaluate renal failure from rhabdomyolysis and were not likely contributing at a level of 361. He was transferred [**4-21**] to [**Hospital1 1**] for concern of his renal failure progressing to the point of needing HD, since [**Hospital3 6341**] no HD facilities. . Upon arrival, patient was noted to vomit and had reportedly vomited en route to [**Hospital1 1**]. He additionally started experiencing low-amplitude, rhythmic clonus of his hands and legs, became transiently hypoxic and was not verbally responsive. There was concern for seizing and patient was urgently intubated to protect his airway. Discussion with the patient's wife, [**Name8 (MD) **] RN, revealed that the patient has never had a seizure disorder and does not drink alcohol. Additionally, he had a CT scan with contrast at [**Hospital1 49**] 3 days prior to his admission to [**Hospital 6342**]as a part of his RCC work-up and the wife expressed concern for contrast-induced nephropathy. Patient was then ordered for a stat head CT given the mental status and neurology was consulted for further assistance with management. LP [**4-23**] + for meningitis, TEE neg for vegetation. Meningitis, bacterial Assessment: Pt O X 1, following commands with encouragement. Speech normal, but saying random words. MAE, PEARL @ 3mm/brisk bilat. [**Month/Day (2) 6643**] restless. Pt had rec d Haldol 2mg IM overnight for yelling/verbal abuse with good results. VSS with HR 71-87SR with occas PVC s, BP 152/51-165/56. Low-grade temp persists, presently 99.6ax. Lung snds clear, diminished in bases with non-productive cough. O2 sat 93-96% on 4l NC with RR 21-26 and regular. Action: Soft wrist restraints remain in place bilat for pt safety. Pt freq reoriented. Pt rec d Vancomycin with HD. Response: MS [**Month/Day (2) **] to slowly improve. Plan: [**Month/Day (2) **] freq orientation, monitoring for change in MS. [**First Name (Titles) **] [**Last Name (Titles) 6636**] tx. Follow-up cx results. Renal failure, acute (Acute renal failure, ARF) Assessment: AM BUN/creat 54/5.8. Pt had rec d Lasix 120mg X 1 yesterday with 1 liter diuresis resulting. Urine yellow/clear, draining @ 20-45ml/hr. LOS fluid balance +4.8liters. Action: Pt rec d HD today, removing 3liters over 4hrs. Response: HD tolerated well, no change in BP. Plan: [**Last Name (Titles) **] to monitor fluid balance, BUN/creat. Impaired Skin Integrity Assessment: Pt has 3 dry ulcers on L foot. Two ulcers on bottom of foot (2cmX2cmX3cm deep, and 1cmX1cm), and there is a small ulcer on top of foot (3cmX1cm). Pt had amputated toes and the foot is very dry. Podiatry dresses ulcers with WTD dsgs daily. Also, coccyx is red, yeast infection around coccyx/periarea. Action: Pt repositioned Q2hrs. Miconazole powder to yeasty areas. Foot dsg changed/reinforced as it comes off with pt s restlessness. Response: No change. Plan: [**Last Name (Titles) **] present WTD dsg, podiatry to follow. Hyperglycemia Assessment: FSG 218, 255. Action: Pt [**Last Name (Titles) **] to receive TF @ goal via NGT with no residuals. Abd soft/obese with + BS. Flexiseal draining mod amts brown loose stool. Pt rec Insulin per sliding scale and fixed dose. Response: FSG @ 1600 247. Pt rec d 8units Humalog per sliding scale. Plan: Tighten sliding scale, as FSG consistently in 200 s. [**Last Name (Titles) **] Q4hr fingersticks to check glucose. Pain control (acute pain, chronic pain) Assessment: Pt denied pain in am but is poor historian at the moment. [**Name2 (NI) 6643**] groaning, trying to reposition self in bed. Pt with PMH R hip pain. At one point yelling for Dr [**First Name (STitle) 1071**] , saying he needed $50 worth of MS Contin Action: Pt with Lidocaine patch on R hip, 37.5mcg patch Fentanyl. He also rec PRN Fentnayl 50mcg IVP @ 1500. Response: Pt states pain ins @ 1600. Plan: [**First Name (STitle) **] to freq reposition pt. Pain meds per above, with PRN Fentanyl IVP.
Nursing
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[**2156-2-6**] 5:37 PM IVC GRAM/FILTER Clip # [**0-0-**] Reason: High clinical suspicion PEpersitent hypoxia of sudden onsetP Contrast: OPTIRAY Amt: 40 ********************************* CPT Codes ******************************** * [**Numeric Identifier 1623**] INTERUP IVC [**Numeric Identifier 1624**] INTRO CATH SVC/IVC * * -51 MULTI-PROCEDURE SAME DAY [**Numeric Identifier 1625**] PERC PLCMT IVC FILTER * * [**Numeric Identifier 3895**] IVC GRAM C1769 GUID WIRES INCL INF * * C1880 VENA CAVA FILTER * **************************************************************************** ______________________________________________________________________________ [**Hospital 4**] MEDICAL CONDITION: 67 year old man with REASON FOR THIS EXAMINATION: High clinical suspicion PEpersitent hypoxia of sudden onsetPt cannot be anticoagulated secondary to head bleedWOuld require filter in PE present ______________________________________________________________________________ FINAL REPORT HISTORY: 67 y/o man with intracranial injury and hypoxia. RADIOLOGISTS: The procedure was performed by Drs. [**First Name4 (NamePattern1) **] [**Last Name (NamePattern1) **] and [**First Name4 (NamePattern1) 134**] [**Last Name (NamePattern1) 135**], with the attending radiologist Dr. [**First Name (STitle) 135**] being present during the entire procedure. PROCEDURE AND FINDINGS: The risks and benefits were explained to the patient's family and consent was obtained. The patient was placed supine on the angiographic table and the right groin was prepped and draped in sterile fashion. Under local anesthesia using 1% Lidocaine, the right common femoral vein was accessed with a 19 gauge needle and 0.035 [**Last Name (un) 414**] wire was advanced into the inferior vena cava. The needle was exchanged for a 4 FR Omniflush catheter with its tip just above the IVC bifurcation. Inferior vena cavogram was performed with injection of nonionic contrast diluted to half which demonstrated patent bilateral common iliac veins and IVC with no filling defect or anomalies visualized. Both renal vein openings were identified bilaterally. The catheter was removed and the venous entry site was dilated over a .035 wire with increasing sized dilators sequentially. A 15 FR long sheath was advanced over the wire into the upper inferior vena cava. Then, [**Initials (NamePattern4) **] [**Last Name (NamePattern4) 16915**] filter was deployed with tip at the level of bilateral renal vein openings. The final X-ray demonstrated the filter is in proper position. The sheath was removed and local hemostasis was achieved by manual compression. The patient tolerated the procedure well with no complications. IMPRESSION: Successful placement of a infrarenal [**Location (un) 16915**] IVC filter. Patent inferior vena cava. Reflux into the left common iliac vein compatible with increased right atrial pressure. (Over) [**2156-2-6**] 5:37 PM IVC GRAM/FILTER Clip # [**0-0-**] Reason: High clinical suspicion PEpersitent hypoxia of sudden onsetP Contrast: OPTIRAY Amt: 40 ______________________________________________________________________________ FINAL REPORT (Cont)
Radiology
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65 yo M without medical history presenting for evaluation of shortness of breath, nausea and vomiting. 5-6 days prior to admission he developed paroxysmal cough. He obtained Tessalon Perles and an antibiotic from a local allergist. Over the weekend, he developed prominent GI symptoms w/ persistent nausea, forced dry heaves/wretching and some vomiting. He noted shortness of breath and came to the ED for evaluation on [**7-21**]. CXR demonstrated RUL PNA w/ LLL nodular density and he was dc d on Levofloxacin, Albuterol and Prednisone. He went home but his GI symptoms progressed and returned to the ED. Hospital course complicated by H1N1 diagnosis, ARDS- placed on Rotoprone bed on [**7-24**]- tolerating 3.15hrs of being prone and 45 min being supine. CRRT started [**7-24**]. Transitioned to HD. Pt had been in Afib- cardioverted on [**7-24**] back to NSR. Now aflutter/ST-NSR. + C-Diff colitis tx vanco via NGT [**8-1**] noted diffuse drug rash which does not appear any worse. Acute Respiratory Distress Syndrome (ARDS, Acute Lung Injury, [**Doctor Last Name 11**]) Influenza A+ HINI Assessment: Received pt off both fent/versed gtts. Had been dc d right before shift change at 1830. Pt had been started on methadone [**8-1**] to help transition off fent/vers. Did require bolus dose of each x 1 overnight for tachypnea up to 40 s and apparent resp distress with increased WOB. Bolus effective. At other times, pt becomes tachypneic, high minute volumes and high pressures but then settles back out on own without intervention. Vent mode PSV 7/5 60% RR 18-38 TV >400. Sats 90-96% transient episodes Desats with turning; however, does do well with max rotation on triadyne. Lungs dimished throughout, slight rhonchi to bases. None to scant tan secretion. HR 85-110 s, NSR-ST with pac s and pvc s. MAPS>60. Responsive to verbal and painful stimulation as evidenced by opening eyes. Noted to have movement in upper ext s-not purposeful at this time. Moves left arm > right. Does not follow any commands. No movement from LE s. Grimaces with pain and opens eyes. Illiciting strong cough. Opens eyes spont with vigorous stimulation not tracking surroundings pupils 2mm equal react brisk. T max 102.5. WBC 8.9 (up from 7.6) , +diffuse drug rash. S/p HD on [**8-2**] with 3.2 L off (did transiently drop bp during HD and required getting a little fluid back but still total of 3.2 off) Peep weaned from 12 to 7 yesterday. Sats 90-95%. Action: methadone dose cut in half as ordered by MD. Seraquel dose PRN if needed. Peep weaned from 12 to 8 on days and weaned from 8 to 7 this shift. VBG done as pt without aline. Tylenol given. PO abx as ordered. Response: Maintaining sats with peep wean with exception of turn/stimulation in which case placed on 100% o2 suction. Cont to spike temps. No culture growth to date. Plan: Wean Peep as tol Cont sedation with methadone. Plan fent/versed bolus PRN Cont PO vanco x 14 days. Renal failure, acute (Acute renal failure, ARF) Assessment: Anuric u/o tol 7cc this shift. Foley dc d yesterday due to persistent fevers. BUN/Creat 62/9.0 (from 66/9.8). Received HD with Fluid removal 3.2L transient hypotension. Action: Urine spec sent tor easoniphils. Response: unchanged. Plan: Straight cath q12hrs. HD for ARF and fluid removal; next HD Monday C. difficile infection (C Diff, Cdiff Colitis, Clostridium Difficile) Assessment: Flexiseal in place. Action: PO vanco x 14 day course (to end [**8-11**]) Response: cont with loose stool per flexiseal Plan: [**Month (only) 51**] decrease po dose of vanco ** Spouse [**Name (NI) **] visited at bedside and phoned for updates; with good understanding of pt s status and plan of care. Will be in today to visit.
Nursing
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Admission Date: [**2144-7-1**] Discharge Date: [**2144-7-6**] Service: NEUROSURGERY Allergies: Sulfa (Sulfonamide Antibiotics) / aspirin Attending:[**First Name3 (LF) 1835**] Chief Complaint: s/p fall Major Surgical or Invasive Procedure: None History of Present Illness: The patient is an 88 year old woman with a history of aortic valvular repair/replacement, DM2, HTN, vertigo here s/p unwitnessed fall with head injury and loss of consciousness. She has no memory of the event or antecedent symptoms and appears emotionally distressed by the event; she answered most questions regarding the event with "I don't know." She has a posterior headache with some abdominal upse, but no vomiting, visual disturbances, or lethargy/ inability to stay awake. She denies any other neurologic symptoms. She was found on imaging to have small bifrontal SAH and small subcentimeter R frontal SDH. Past Medical History: Aortic valve repair/replacement (not known, [**12/2143**]) HTN HL DM2 Vertigo ?Arrhythmia Social History: No tobacco, ETOH, or illicits endorsed. Family History: NC Physical Exam: VS HR: 82 BP: 108/73 General: Awake, NAD, lying in bed comfortably. Head: NC, superficial bleeding on posterior occiput, no scleral icterus, no oropharyngeal lesions Neck: Supple, no nuchal rigidity Extremities: Warm, well perfused Skin: No rashes or lesions Neurologic Examination: - Mental Status - Awake, alert, oriented x name, month, birth date, place. Does not recall the event. Attention easily attained and maintained. Follows two step commands, midline and appendicular. Language fluent with intact repetition and verbal comprehension. Normal prosody. No paraphasic errors. No dysarthria. No neglect. - Cranial Nerves - [II] PERRL 3->2 brisk. VF full to confrontation. Funduscopy shows crisp disc margins, no papilledema. [III, IV, VI] EOMI, no nystagmus. [V] V1-V3 without deficits to light touch bilaterally. [VII] No facial asymmetry. [VIII] Hearing intact to finger rub bilaterally. [IX, X] Palate elevation symmetric. [[**Doctor First Name 81**]] SCM/Trapezius strength 5/5 bilaterally. [XII] Tongue midline. - Motor - Normal bulk and tone. No pronation, no drift. No tremor or asterixis. =[Delt] [Bic] [Tri] [ExD] [IO] [IP] [Quad] [Ham] [TA] [Gas] [[**Last Name (un) 938**]] L 5 5 5 5 5 5 5 5 5 5 5 R 5 5 5 5 5 5 5 5 5 5 5 - Sensory - No deficits to light touch bilaterally. - Reflexes =[Bic] [Tri] [[**Last Name (un) 1035**]] [Quad] [Gastroc] L 2 2 2 2 0 R 2 2 2 2 0 Plantar response silent bilaterally. - Coordination - No dysmetria with finger/foot mirrored movements. - Gait - Not safe to assess. Pertinent Results: CT C-Spine [**7-1**] IMPRESSION: No acute fracture or dislocation of the cervical spine. CT Head [**7-1**] 1. Bilateral subarachnoid hemorrhage. 2. 4-mm right frontal subdural hematoma without midline shift. CT Abd/pelvis No acute visceral injury in the abdomen or pelvis. Mild anterolithesis of L4 over L5 of indeterinate age, but may be degenerative. Multi-level adjacent degenerative changes seen. Cholelithiasis without CT findings of acute cholecystitis. Apparent urinary bladder wall thickening, could relate to underdistention, but recommend correlation with urine analysis. CT head [**7-2**] 1. Thin right subdural hematoma, re-distributed posteriorly, though unchanged in size with no significant mass effect. 2. Unchanged bifrontal subarachnoid hemorrhage. 3. Small focus of likely hemorrhagic contusion in the right frontal region inferiorly, which appears new from one day prior. 4. Newly noted layering of blood products within the occipital horns of the lateral ventricles, likely reflecting re-distribution. No hydrocephalus. [**2144-7-3**] 08:40AM BLOOD TSH-5.7* [**2144-7-4**] 02:35PM URINE Color-Straw Appear-Clear Sp [**Last Name (un) **]-1.012 Blood-MOD Nitrite-NEG Protein-30 Glucose-300 Ketone-10 Bilirub-NEG Urobiln-NEG pH-7.0 Leuks-SM RBC-42* WBC-11* Bacteri-NONE Yeast-NONE Epi-<1 Brief Hospital Course: Patient preented to [**Hospital1 18**] ER on [**7-1**] for eval after having a witnessed syncopal episode in which she struck her head. Imaging revealed a right frontal SDH and bifrontal contsuions. She was on coumadin prior to admit so she was reversed with vitamin K, factor 9, and FFP and admitted to the ICU for further observation. She remained stable voernight in the ICU into [**7-2**] and on the morning her INR was 1.5 for which she recieved a single dose of Vitamin K PO in addition to her normal dosing, she was also started on Dilantin for antiseizure prophylaxis. She underwent a repeate head CT which showed normal evolution of her bifrontal contusions as well as a new small amount of blood in her occpital horns most likely due to redistribution of blood. She was deemed fit for transfer to the floor and a medicine consult was called to aid in a syncopal workup. A follow-up INR was done which was 1.3 and after he tranfer to the floor the medicine team saw her. They felt that she did not require a TTE as she had one recently and given her lack of symptoms pointing to a recurrent aortic stenosis as a culprit they did not feel a new echo was warranted. She remained stable on the floor on [**7-2**] and then in the evenign had a few episodes of emesis which did not initially respond to zofran so phenergan was added with good efect. On the morning of [**7-3**] medicine gave further recs including orthostatic vital signs, medication changes including adding evening lantus dosing for blood sugar management, and IV fluids. She remained stable into the evening of [**7-3**] with goals of mobilizing her and encouraging PO intake. On [**7-4**] the patient was noted to be sundowning and to be delerious. The medicine team made further recommendations in regards to medications to avoid and started her on ceftriaxone for a suspected UTI. A TSH was checked and was 5.6. On [**7-5**] the patient was neurologically stable. Orthostatic VS's were checked again and negative. The medicine team signed off suggesting cefpodox for the UTI treatment x 10 days. On [**7-6**] she was screened for rehab facilities. Her urine culture resulted in no growth therefore her antibiotics were discontinued. Now, DOD she is set for d/c to rehab and will followup accordingly. Medications on Admission: Warfarin 10 on Thursday/Sunday and 7.5 other days, Metoprolol 25 [**Hospital1 **], Pravastatin 20, Ranitidine 150 [**Hospital1 **], Glargine (unknown dose), Lispro (unknown dose), Meclizine PRN Discharge Medications: 1. pravastatin 20 mg Tablet Sig: One (1) Tablet PO DAILY (Daily). 2. phenytoin sodium extended 100 mg Capsule Sig: One (1) Capsule PO TID (3 times a day). 3. metoprolol tartrate 25 mg Tablet Sig: One (1) Tablet PO BID (2 times a day). 4. famotidine 20 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. insulin glargine 100 unit/mL Solution Subcutaneous 7. insulin lispro Subcutaneous 8. meclizine 12.5 mg Tablet Sig: One (1) Tablet PO Q8H (every 8 hours) as needed for dizzy. 9. tramadol 50 mg Tablet Sig: One (1) Tablet PO Q4H (every 4 hours) as needed for pain. 10. acetaminophen 325 mg Tablet Sig: Two (2) Tablet PO Q6H (every 6 hours). 11. senna 8.6 mg Tablet Sig: One (1) Tablet PO BID (2 times a day) as needed for Constipation. Discharge Disposition: Extended Care Facility: [**Location (un) 582**] of [**Location (un) 583**] Discharge Diagnosis: Right Subdural Hematoma Bifrontal contusions Syncope Urinary tract infection hyperglycemia Elevated TSH Discharge Condition: Mental Status: Clear and coherent. Level of Consciousness: Alert and interactive. Activity Status: Ambulatory - Independent. Discharge Instructions: ACCORDING TO YOUR CARDIOLOGIST YOU NO LONGER NEED TO TAKE COUMADIN ?????? 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. - You are on dilantin and we recommend that you continue for until your scheduled follow-up with Neurosurgery. This will need to be monitored with blood work from your PCP or rehab center. ?????? 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: ??????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. ?????? You should follow up with your PCP upon discharge. It has been recommended that you get a repeat TSH in [**3-25**] weeks. Completed by:[**2144-7-6**]
Discharge summary
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SICU HPI: 70yo M w/ persistent abd pain, poor po intake, w/ gallstone pancreatitis, complicated by abdominal compartment syndrome following ERCP, ARDS, septic vasodilatory shock, Cdiff, and ARF. Now with necrotizing pancreatitis s/p drain placement and multiple necrosectomies. . SURGERIES: ex lap ([**7-3**], [**7-3**]) partial abd closure ([**7-8**]) abd closure, GJ placement ([**7-13**]) vaccuum dressing ([**7-19**]) trach ([**7-24**]) vicryl closure ([**7-29**]) I&D retroperitoneal abscess ([**8-18**]) Minimally-invasive pancreatic necrosectomy ([**8-22**], [**8-28**], [**9-4**]) . MICRO: [**2113-7-3**]: Sputum: RARE YEAST [**2113-7-8**] Sputcx: yeast w/ aspergillus [**2113-7-8**] peritoneal: yeast 2+, [**Female First Name (un) **] [**2113-7-11**] BAL: yeast, aspergillus Cdiff: + [**2113-7-19**] BALx2- prelim aspergillus [**2113-7-25**] stool - guaic + [**2113-7-31**] [**2113-7-25**] sputum: E.coli+yeast [**2113-7-27**] Blood - GRAM POSITIVE COCCUS(COCCI)IN PAIRS AND CLUSTERS [**2113-7-28**] BAL- Pan-S pseudomonas, cipro-R e.coli [**2113-7-31**] sputum: pseudomonas + ecoli [**2113-8-10**] cdiff neg x 3 [**2113-8-12**] blood cx P [**2113-8-13**] pancreatic fluid culture: Pseudomanas and [**Female First Name (un) **] albicans [**2113-9-4**]:[**Female First Name (un) 1354**]. Variable rods and gram positive cocci in chains and clusters. [**2113-9-5**] cdiff neg [**2113-9-7**] BCx=coag neg staph and UCx Neg, L flank drainage - pseudomonas, cipro and pip [**Last Name (un) 270**]. [**2113-9-7**] Wound Cx pseudomonas/ cipro-sensitive [**2113-9-7**] Sputum +Pseudomonas and rare GNR [**2113-9-9**] SputumCx: 4+(>10 per 1000X FIELD): GNR; 1+ Budding Yeast [**2113-9-10**] UrineCx no growth [**2113-9-11**] SputumCx: 4+ GNR, 2+ yeast [**2113-9-12**] Picc Cath tip IMAGING: [**2113-7-1**]: RUQ US: limited study, gallbladder wall thickening, nl CBD, no stones [**2113-7-1**]: OSH CT abd/pelvis: thickened GB with stone in neck, can not assess CBD, marked pancreatitis [**2113-7-2**]: TTE and TEE ([**2113-7-2**]) showing hypovolemia, no wall motion abnormalities. [**2113-7-14**]: VUS: Non-obstructive clot in the left lower internal jugular vein. [**2113-7-14**]: Non-obstructive clot in the left lower internal jugular vein [**2113-7-17**]: Liver U/S Cholelithiasis. Gallbladder wall thickening not significantly changed. Small pericholecystic same as CT ([**2113-7-1**]). No definite evidence cholecystitis. [**2113-7-19**]: CT head/torso extensive pancreatic necrosis. No focal abscess. Mild chronic sinusitis. R lobe PNA [**2113-8-12**]: CT Torso necrotizing pancreatitis per [**Doctor First Name 213**] read [**2113-8-21**]: Thrombosis L >RIJ, neither completely occluded. Complete thrombosis R basilic vein which neither compresses nor augments. [**2113-9-6**]: KUB paucity of abdominal gas. Residual barium throughout small bowel, colon,rectum [**2113-9-7**] CT abd: Interval decrease peripancreatic collection. Ascites, unchanged. Small bilateral pleural effusions, atelectasis. [**2113-9-8**]: CXR stable bibasilar atelectasis, effusions [**2113-9-10**]: KUB = Contrast is seen in the transverse and descending colon. hazy opacity projecting above the transverse colon ?extrav. [**2113-9-10**] IJ Ultrasound = Small non-occlusive thrombosis in the distal left IJ, smaller in size from prior. No new DVT. [**2113-9-11**] CXR Moderate right pleural effusion, small left pleural effusion and mild-to-moderate bibasilar atelectasis unchanged. Mediastinal vascular congestion slightly improved. [**2113-9-11**] KUB Contrast in transverse and descending colon [**2113-9-12**] Renal US no hydronephrosis, stones or masses, arterial flow documented bilaterally, limited exam cannot r/o R renal artery stenosis, L kidney Doppler waveforms demonstrate good upstrokes however lack of diastolic flow in the intraparenchymal arteries may be due to technical limitations [**2113-9-12**] KUB p [**2113-9-12**] CXR p . EVENTS: [**2113-7-2**]: ERCP, aspiration mid-procedure so intubated. Unsuccessful ERCP, difficulty passing NG tube. Excessive air causing compartment syndrome of abdomen. Taken to OR for Abd compartment syndrome from air insufflation. [**2113-7-3**]: Ex-lap, enterotomy for abd decompression. Due to worsening [**Last Name (un) **] distension, hemodynamic instabilty the [**Last Name (un) **] wound was extended in the ICU by the surgical team and packed. . [**2113-7-8**]: to OR for washout + dressing change + partial closure, ABD still open [**2113-7-8**] Sputcx: yeast w/ aspergillus [**2113-7-12**]: cdiff+, started po vanco, flagyl, dc vanco, zosyn. [**2113-7-13**]: closed in OR [**2113-7-17**]: Upper GI bleed, S/P Upper GI scope by GI and clipping of bleeding vessel. Likely Dieulafoy's lesion. [**2113-7-19**]: Head to pelvis CT - pancreatic necrosis, no evidence of large hematoma or abscess. Developed hemoptysis w/ increased Gtube output -> GI scoped - lots of debris in stomach, no evidence acute bleeding. TEE - showing low svr state, hypovolemia, empty hyperdynamic ventricles. Bronch showing erythematous trachea, bal for clot, thick secretions, no plugs. Increasing abd distention with increased bladder pressures (28) - OR for decompressive laporatomy. Vanco and zosyn for PNA. [**2113-7-24**]: washout of abd wound and trach in OR [**2113-7-28**]: Worsening infiltrates on CXR, bronch showing purulent fluid. BAL sent. GPC to R SVC CVL. E.coli in sputum (pan-sensi). Lines replaced w/ tips cultured. Vanco, zosyn, cipro added. Flagyl also added for empiric C.diff. OR for closure w/ mesh. Trach with cuff leak, not changed in OR. [**2113-9-4**]: to OR for repeat necrosectomy, started levophed gtt, on CMV. Left flank drain O/P bloody. [**2113-9-5**]: 2 units PRBC, G/J changed in IR (tube was leaking), trach collar trial [**2113-9-6**]: Out of bed to chair, tube feeds re-started at 10 but bilious vomiting several hours later, KUB ruled out obstruction, TF re-started again [**2113-9-7**]: TM trialx7h, CT A/P with PO unchanged per surgery, methadone 10 [**Hospital1 7**], started lopressor. T spike 101.6 ON--panCx and CXR. [**2113-9-8**]: Bowel contents draining from wound around pancreatic drain. Pt made NPO, TPN started. V/C/F started empirically. [**2113-9-9**]: SputumCx 4+ GNR, 1+ yeast. Pancreatic drain dressing? [**2113-9-10**]: Zosyn for ?pseudomonas, resent ET aspirate per ID as they did not trust initial sputum/contam. KUB=+contrast still. Surgery wants wet-dry [**Hospital1 7**] dressings, res and att aware of local breakdown [**2-6**] fistula. IJ thrombi largely resolved on U/S. heparin gtt d/c'd. [**2113-9-11**]: VAC change, Cr increasing to 3.3, Renal Reconsulted. [**2113-9-12**]: New CVL, PICC pulled and sent for culture, A line placed. Abg with 7.08 PCo2 81 HCO3 26 Lactate 1.2. Methadone held and placed on rate - repeat gas 2 hrs later 7.08/81/153/23. Assessment: 70M w/ gallstone pancreatitis s/p failed ERCP and abdominal compartment syndrome([**2113-7-2**]) c/b vasodilatory SIRS shock w/subsequent decompressive exploratory laparotomy ([**2113-7-3**]) w/ persistent open abdomen, expansion of wound ([**2113-7-3**]) bleeding Dieulafoy's s/p clipping ([**2113-7-17**]) ARF, s/p episode ARDS and c.diff, s/p abd closure and repeat decompressive ex lap ([**2113-7-19**]), now trached ([**2113-7-24**]), Partial closure with mesh ([**2113-7-29**]) and wound Vac ([**2113-8-1**]). Repeatedly febrile, repeat abd CT shows air in pancreas. now s/p drainage of pancreatic collection by IR ([**2113-8-13**]) upsizing of drain ([**2113-8-18**]), laproscopic minimally invasive pancreatic necrosectomy ([**2113-8-22**], [**2113-8-28**], [**2113-9-4**]). . PLAN: Neuro: Methadone careful titration. Tylenol, Fentanyl prn pain. CVS: Lopressor 5 IV Q6h as BP tolerates Pulm: Follow CXRs. Changed to CMV for hypercabia. GI: Significant drainage around pancreatic drain w. skin breakdown, decreased since TF stopped. No drainage of perihep/gutter since not loculated/acute. Per primary team low threshold for CT abdomen. KUB [**9-12**] + barium sigmoid. Small bowel follow through on hold. [**Doctor First Name **] wound care plan is wet-dry [**Hospital1 7**] (too large for ostomy and aware of breakdown). Renal: ARF, Cr 3.0 wtih FENA suggestive of primary renal etiology. Renal Ultrasound limited Bl flow norm. FEN: TF stopped [**2113-9-8**], TPN started (1.25g/kg prot; total [**Numeric Identifier **]). TPN + LR IVF = 150. HyperP, hypoCa. No TPN phos. Corrected calcium normal. Heme: Off heparin gtt for cleared neck U/S, on SCH. *PT REQUIRES ~8HRS NOTICE FOR ANY BLOOD PRODUCTS [**2-6**] UNUSUAL ABS. Endo: 20units regular in TPN. RISS.(normal [**Last Name (un) **] stim test [**2113-8-14**]). PTH 22 ID: V/C/Z for sensitive Pseudomonas+ pancreatic drainage. [**2113-9-7**] BCx=coag neg staph and UCx Neg, L flank drainage - pseudomonas, cipro and pip [**Last Name (un) 270**]. F/u PICC tip. Consider fungal coverage. Wounds: Abdomen wound vac (changed [**9-11**]). Left flank wound around panc tube. Wet->dry [**Hospital1 7**] per [**Doctor First Name 213**] att/res. Prophylaxis: SCDs, H2B, SQH Consults: West 2, ID, PT/OT, renal. Code: Full Disposition: SICU Chief complaint: Necrotizing pancreatitis PMHx: asthma, HTN, basal cell CA Current medications: Acetaminophen prn, Albuterol prn, Bisacodyl, Colace, Epoetin, Fentanyl prn, Haloperidol prn, RISS, atrovent prn, Lorazepam prn, Protonix, Elecrolyte SS, metoprolol 37.5mg po bid, methadone holding 24 Hour Events: New CVL, PICC pulled and sent for culture, A line placed. Abg with 7.08 PCo2 81 HCO3 26 Lactate 1.2. Methadone held and placed on rate - repeat gas 2 hrs later 7.08/81/153/23. Post operative day: POD#72 - ex lap for compartment syndrome. 2 drains to wall suction. exam otherwise unchanged from previous. POD#67 - s/p abdominal partial closure and dressing change POD#61 - abdominal wound closure; insertion of g-j tube POD#56 - ex lap POD#51 - trach and abd washout POD#46 - ex-lap and mesh closure of abdomen POD#26 - Replacement of pancreatic drain for abscess including irrigation port POD#22 - laparoscopic pancreatic necrosectomy POD#9 - washout of peripancreatic space. Allergies: Aspirin Unknown; Sulfa (Sulfonamide Antibiotics) Rash; Last dose of Antibiotics: Vancomycin - [**2113-9-10**] 04:00 PM Ciprofloxacin - [**2113-9-12**] 06:12 PM Piperacillin/Tazobactam (Zosyn) - [**2113-9-12**] 11:45 PM Infusions: Other ICU medications: Methadone Hydrochloride - [**2113-9-12**] 10:08 AM Heparin Sodium (Prophylaxis) - [**2113-9-12**] 10:05 PM Metoprolol - [**2113-9-12**] 10:05 PM Fentanyl - [**2113-9-12**] 11:45 PM Other medications: Flowsheet Data as of [**2113-9-13**] 01:08 AM Vital signs Hemodynamic monitoring Fluid balance 24 hours Since [**16**] a.m. Tmax: 36.9 C (98.5 T current: 36.9 C (98.5 HR: 82 (71 - 96) bpm BP: 118/59(78) {116/55(75) - 133/66(87)} mmHg RR: 20 (12 - 25) insp/min SPO2: 100% Heart rhythm: SR (Sinus Rhythm) Wgt (current): 90.7 kg (admission): 108.3 kg Height: 64 Inch CVP: 14 (7 - 14) mmHg Total In: 6,570 mL 238 mL PO: Tube feeding: IV Fluid: 4,770 mL 166 mL Blood products: Total out: 2,974 mL 30 mL Urine: 494 mL 30 mL NG: 800 mL Stool: Drains: 1,680 mL Balance: 3,596 mL 208 mL Respiratory support O2 Delivery Device: Tracheostomy tube Ventilator mode: CMV/ASSIST/AutoFlow Vt (Set): 500 (500 - 500) mL Vt (Spontaneous): 312 (312 - 412) mL PS : 0 cmH2O RR (Set): 18 RR (Spontaneous): 0 PEEP: 5 cmH2O FiO2: 40% RSBI: 43 PIP: 31 cmH2O Plateau: 24 cmH2O SPO2: 100% ABG: 7.26/50/153/22/-4 Ve: 10.5 L/min PaO2 / FiO2: 383 Physical Examination Labs / Radiology 337 K/uL 8.1 g/dL 143 mg/dL 3.9 mg/dL 22 mEq/L 3.8 mEq/L 85 mg/dL 104 mEq/L 135 mEq/L 28.8 % 13.6 K/uL [image002.jpg] [**2113-9-7**] 03:18 AM [**2113-9-8**] 04:25 AM [**2113-9-9**] 03:00 AM [**2113-9-10**] 03:09 AM [**2113-9-11**] 03:00 AM [**2113-9-11**] 05:25 PM [**2113-9-12**] 02:25 AM [**2113-9-12**] 07:20 PM [**2113-9-12**] 08:12 PM [**2113-9-12**] 10:04 PM WBC 7.6 8.2 7.8 11.7 13.3 13.6 Hct 28.4 28.6 28.7 29.7 29.6 28.8 Plt [**Telephone/Fax (3) **]94 358 337 Creatinine 2.0 2.0 2.1 2.2 2.9 3.3 3.5 3.9 TCO2 26 23 Glucose 237 143 93 159 146 133 174 143 Other labs: PT / PTT / INR:19.7/117.8/1.8, CK / CK-MB / Troponin T:57/5/0.38, ALT / AST:[**10-20**], Alk-Phos / T bili:86/0.9, Amylase / Lipase:51/16, Differential-Neuts:72.0 %, Band:6.0 %, Lymph:11.0 %, Mono:5.0 %, Eos:1.0 %, Fibrinogen:738 mg/dL, Lactic Acid:1.2 mmol/L, Albumin:1.7 g/dL, LDH:151 IU/L, Ca:9.0 mg/dL, Mg:1.9 mg/dL, PO4:6.0 mg/dL Assessment and Plan RESPIRATORY FAILURE, ACUTE (NOT ARDS/[**Doctor Last Name 11**]), AIRWAY, INABILITY TO PROTECT (RISK FOR ASPIRATION, ALTERED GAG, AIRWAY CLEARANCE, COUGH), [**Last Name 12**] PROBLEM - ENTER DESCRIPTION IN COMMENTS, IMPAIRED SKIN INTEGRITY, RENAL FAILURE, ACUTE (ACUTE RENAL FAILURE, ARF), VASCULAR DEVICE INFECTION (NOT CENTRAL OR ARTERIAL LINE, INCLUDING GRAFT, FISTULA), SHOCK, SEPTIC, ELECTROLYTE & FLUID DISORDER, OTHER, ANXIETY, .H/O DIARRHEA, PANCREATIC PSEUDOCYST, AROUSAL, ATTENTION, AND COGNITION, IMPAIRED, GAIT, IMPAIRED, KNOWLEDGE, IMPAIRED, TRANSFERS, IMPAIRED, ALTERATION IN NUTRITION, SEPSIS, SEVERE (WITH ORGAN DYSFUNCTION), .H/O FEVER (HYPERTHERMIA, PYREXIA, NOT FEVER OF UNKNOWN ORIGIN), PAIN CONTROL (ACUTE PAIN, CHRONIC PAIN) Assessment and Plan: Neuro: Methadone careful titration. Tylenol, Fentanyl prn pain. CVS: Lopressor 5 IV Q6h as BP tolerates Pulm: Follow CXRs. Changed to CMV for hypercabia. GI: Significant drainage around pancreatic drain w. skin breakdown, decreased since TF stopped. No drainage of perihep/gutter since not loculated/acute. Per primary team low threshold for CT abdomen. KUB [**9-12**] + barium sigmoid. Small bowel follow through on hold. [**Doctor First Name **] wound care plan is wet-dry [**Hospital1 7**] (too large for ostomy and aware of breakdown). Renal: ARF, Cr 3.0 wtih FENA suggestive of primary renal etiology. Renal Ultrasound limited Bl flow norm. FEN: TF stopped [**2113-9-8**], TPN started (1.25g/kg prot; total [**Numeric Identifier **]). TPN + LR IVF = 150. HyperP, hypoCa. No TPN phos. Corrected calcium normal. Heme: Off heparin gtt for cleared neck U/S, on SCH. *PT REQUIRES ~8HRS NOTICE FOR ANY BLOOD PRODUCTS [**2-6**] UNUSUAL ABS. Endo: 20units regular in TPN. RISS.(normal [**Last Name (un) **] stim test [**2113-8-14**]). PTH 22 ID: V/C/Z for sensitive Pseudomonas+ pancreatic drainage. [**2113-9-7**] BCx=coag neg staph and UCx Neg, L flank drainage - pseudomonas, cipro and pip [**Last Name (un) 270**]. F/u PICC tip. Consider fungal coverage. Wounds: Abdomen wound vac (changed [**9-11**]). Left flank wound around panc tube. Wet->dry [**Hospital1 7**] per [**Doctor First Name 213**] att/res. Neurologic: Cardiovascular: Beta-blocker Pulmonary: (Ventilator mode: CMV), PS trial Gastrointestinal / Abdomen: Nutrition: TPN Renal: Foley, Poor UOP, RUS with normal renal artery flow bilaterally, Rising Creatinine Hematology: Endocrine: RISS Infectious Disease: Check cultures Lines / Tubes / Drains: Foley, Trach, Surgical drains (hemovac, JP) Wounds: Wound vacuum Imaging: KUB today Fluids: LR Consults: General surgery, ID dept, Nephrology Billing Diagnosis: Pancreatitis, Acute renal failure ICU Care Nutrition: TPN w/ Lipids - [**2113-9-12**] 09:51 PM 75 mL/hour Glycemic Control: Regular insulin sliding scale Lines: 18 Gauge - [**2113-9-8**] 04:19 PM Multi Lumen - [**2113-9-12**] 03:43 PM Arterial Line - [**2113-9-12**] 08:45 PM Prophylaxis: DVT: Boots, SQ UF Heparin Stress ulcer: H2 blocker VAP bundle: Comments: Communication: Comments: Code status: Full code Disposition: ICU Total time spent: Patient is critically ill
Physician
Classify the following medical document.
Chief Complaint: septic shock I saw and examined the patient, and was physically present with the ICU Resident for key portions of the services provided. I agree with his / her note above, including assessment and plan. HPI: 42 y/o F w/CVID, Hep C cirrhosis, adm with C.diff sepsis. 24 Hour Events: -head CT yest normal -abd CT with ascites, edematous bowel but no pneumatosis -tube feeds held due to worsening abd distention -lactate normal History obtained from Medical records Patient unable to provide history: Sedated Allergies: Aspirin rectal bleeding Penicillins Rash; Hives; Sulfonamides aseptic menigi Biaxin (Oral) (Clarithromycin) Diarrhea; Levaquin (Oral) (Levofloxacin) Rash; Cefzil (Oral) (Cefprozil) Rash; Motrin (Oral) (Ibuprofen) aseptic meningi Erythromycin Base Rash; Last dose of Antibiotics: Vancomycin - [**2189-3-19**] 06:33 AM Metronidazole - [**2189-3-19**] 08:25 AM Infusions: Other ICU medications: Hydromorphone (Dilaudid) - [**2189-3-18**] 03:57 PM Dextrose 50% - [**2189-3-19**] 06:33 AM Pantoprazole (Protonix) - [**2189-3-19**] 08:00 AM Other medications: vanco po, peridex, sodium chloride nasal spray, protonix, reglan, insulin sliding scale, flagyl Changes to medical and family history: PMH, SH, FH and ROS are unchanged from Admission except where noted above and below Review of systems is unchanged from admission except as noted below Review of systems: Flowsheet Data as of [**2189-3-19**] 10:22 AM Vital signs Hemodynamic monitoring Fluid balance 24 hours Since 12 AM Tmax: 36.6 C (97.8 Tcurrent: 36.2 C (97.1 HR: 94 (84 - 99) bpm BP: 94/34(48) {85/30(46) - 114/51(64)} mmHg RR: 23 (9 - 31) insp/min SpO2: 96% Heart rhythm: SR (Sinus Rhythm) Wgt (current): 59.9 kg (admission): 64 kg Height: 64 Inch CVP: 14 (8 - 16)mmHg Bladder pressure: 18 (18 - 18) mmHg Total In: 2,881 mL 839 mL PO: TF: 453 mL IVF: 806 mL 311 mL Blood products: Total out: 2,290 mL 535 mL Urine: 2,290 mL 535 mL NG: Stool: Drains: Balance: 591 mL 305 mL Respiratory support O2 Delivery Device: Tracheostomy tube Ventilator mode: CMV/ASSIST/AutoFlow Vt (Set): 350 (350 - 350) mL Vt (Spontaneous): 113 (113 - 113) mL RR (Set): 18 RR (Spontaneous): 0 PEEP: 5 cmH2O FiO2: 40% RSBI Deferred: RR >35 PIP: 11 cmH2O SpO2: 96% Ve: 10.8 L/min Physical Examination General Appearance: opens eyes to voice but doesn't follow commands Eyes / Conjunctiva: icteric Head, Ears, Nose, Throat: Normocephalic, trach in place Cardiovascular: (S1: Normal), (S2: Normal), (Murmur: No(t) Systolic) Peripheral Vascular: (Right radial pulse: Present), (Left radial pulse: Present), (Right DP pulse: Present), (Left DP pulse: Present) Respiratory / Chest: (Expansion: Symmetric), (Breath Sounds: Rhonchorous: diffusely), tachypneic Abdominal: Distended, doesn't appear tender but limited exam given mental status Extremities: Right: 3+, Left: 3+ Skin: Not assessed, Jaundice Neurologic: No(t) Follows simple commands, Responds to: Verbal stimuli, Movement: No spontaneous movement, Tone: Not assessed Labs / Radiology 9.0 g/dL 228 K/uL 42 mg/dL 2.0 mg/dL 22 mEq/L 3.8 mEq/L 125 mg/dL 103 mEq/L 137 mEq/L 25.7 % 34.2 K/uL [image002.jpg] [**2189-3-15**] 04:21 AM [**2189-3-15**] 05:01 PM [**2189-3-16**] 03:43 AM [**2189-3-16**] 03:16 PM [**2189-3-17**] 04:53 AM [**2189-3-17**] 03:37 PM [**2189-3-18**] 05:00 AM [**2189-3-18**] 07:43 AM [**2189-3-18**] 05:17 PM [**2189-3-19**] 05:40 AM WBC 15.9 14.7 17.6 15.3 19.7 22.3 34.2 Hct 23.7 20.9 24.6 22.1 24.7 25.4 25.7 Plt 257 211 234 [**Telephone/Fax (3) 5338**] 228 Cr 1.8 1.2 1.5 2.6 1.5 1.6 1.6 2.0 2.0 TCO2 23 Glucose 76 60 50 66 199 186 185 163 42 Other labs: PT / PTT / INR:31.7/76.7/3.3, Differential-Neuts:87.0 %, Band:2.0 %, Lymph:4.0 %, Mono:7.0 %, Eos:0.0 %, D-dimer:6342 ng/mL, Fibrinogen:260 mg/dL, Lactic Acid:1.2 mmol/L, Albumin:2.6 g/dL, LDH:339 IU/L, Ca++:8.7 mg/dL, Mg++:2.7 mg/dL, PO4:4.4 mg/dL Imaging: CXR: diffuse multifocal infiltrates, R hemidiaphragm more clear today than yesterday Microbiology: Sputum yest: abundant PMNs, no organisms on gram stain Blood cx pending Urine cx pending Assessment and Plan 42 y/o F with multiple medical problems, critically ill for the past month, now with worsening tachypnea, leukocytosis, abdominal distention. # Likely sepsis: Most likely source is abdomen given her physical exam findings. No clear cause elucidated on abd CT yesterday but didn't have contrast so wasn't a great study. -add back antibiotics today (vanc/[**Last Name (un) **]) -repeat cx -paracentesis -check bladder pressure pre- and post-paracentesis - concern for abd compartment syndrome; she certainly has intra abdominal hypertension and would see if her BP and renal perfusion improves with paracentesis -check LFTs, pancreatic enzymes # Resp failure: Due to ARDS, likely component of volume overload. Would hold on diuresis given what appears to be evolving sepsis. # [**Last Name (un) **]: Unclear etiology, likely combination of ATN vs AIN. Will follow. Creatinine was improving with diuresis suggesting some improvement of her stroke volume with decreased R sided filling pressures, but at this point would hold on diuresis as above. Could also have worsening creatinine from vascular effects of high abdominal pressures. # Coagulopathy: Likely due to underlying liver disease and chronic illness. No evidence of DIC. ICU Care Nutrition: TPN w/ Lipids - [**2189-3-18**] 07:35 PM 50 mL/hour Glycemic Control: Insulin in TPN, Comments: Decrease insulin in TPN Lines: PICC Line - [**2189-3-4**] 03:00 PM Multi Lumen - [**2189-3-10**] 03:35 PM Prophylaxis: DVT: Boots Stress ulcer: PPI VAP: HOB elevation, Mouth care, Daily wake up, RSBI Comments: Communication: ICU consent signed Comments: Code status: Full code Disposition :ICU Total time spent: 35 minutes Patient is critically ill ------ Protected Section ------ I saw and examined this pt, and was present with the ICU team for the key portions of services provided. I agree with Dr. [**First Name (STitle) **] s note as outlined above, and would add: Abd and Head CT negative yesterday. Pt remains less responsive with worsening renal function (despite holding of diuretics) and worsening leukocytosis. Remain concerned for sepsis with abdomen the most likely source- back on Vanco/Merepenem while we await pan-cultures. Bladder pressures somewhat high (18-19) and will proceed with paracentesis today. Pt is critically ill. Total time spent: 40 minutes. ------ Protected Section Addendum Entered By:[**Name (NI) 1174**] [**Last Name (NamePattern1) **], MD on:[**2189-3-19**] 14:30 ------
Physician
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