text stringlengths 19 9.45k | label int64 0 3 |
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To Newborn Nursery | 3 |
Toprol . Lasix . Digoxin . Coumadin . Flovent . Albuterol . Lisinopril . | 3 |
Of note Na 133 K 4 WBC 8.82 hematocrit 35.1 platelets 229 . PT 13.8 with an INR of 1.3 PTT 25.5 total protein was 6.2 albumin 3.4 globulin of 2.8 calcium of 9.1 phos 2.7 mag 2.1 urea 3.7 . ALT was elevated at 240 AST 85 LDH 305 alk phos 85 total bilirubin was 1.3 direct bili was .8 . C... | 1 |
Feedings at discharge Similac 22 calories per ounce by mouth ad lib with a goal of decreasing to 20 calories per ounce for dextrose sticks of greater than 60 . Medications None .', 'A state newborn screen was sent on day of life three the results are pending . Received hepatitis B vaccine on 2012-09-30 . | 2 |
Pentamidine 300 mg IV q. 36 hours Pentamidine nasal wash 60 mg per 6 ml of sterile water q.d. voriconazole 200 mg p.o. b.i.d. acyclovir 400 mg p.o. b.i.d. cyclosporine 50 mg p.o. b.i.d. prednisone 60 mg p.o. q.d. GCSF 480 mcg IV q.d. Epogen 40 000 units subcu q. week Protonix 40 mg q.d. Simethicone 8... | 3 |
Atazanavir 300 mg q.d. Ritonavir 100 mg q.d. Tenofovir 300 mg q.d. Didanosine 250 mg q.d. | 3 |
Continue ad lib feeding . Follow up with pediatrician at SCCHC on Tuesday 2018-05-15 . Medications Not applicable . Car seat positioning screen Not applicable .', 'State newborn screens were sent on 2018-05-09 and results are pending . On his previous admission', 'Terrance received hepatitis B vaccine on 2018-05-09 ... | 2 |
HISTORY OF PRESENT ILLNESS Date of birth 10 4 88 . This patient is a 5 year old white female with a history of type I renal tubular acidosis on nephrocalcinosis who was admitted to Noughwell Entanbon Health of Washington on 9 5 93 at 2116 hours with a 2-3 day history of chills fevers cough vomiting and weak... | 0 |
Prednisone 60 mg daily for 4 days . Continue inhalers as prescribed . Disposition Follow up and Instructions to Patient Call Dr. Linketerf tomorrow and make an appointment for follow-up on the lung nodule . THIS IS VERY IMPORTANT . | 2 |
Cardiac arrest His arrest was of unknown etiology at the time of admission . No further history was ever gained about his cardiac arrest throughout his hospitalization . CT angiogram had been negative for pulmonary embolism . The patient had an echocardiogram on 2013-04-26 which showed a normal ejection fraction an... | 0 |
Severe blunt abdominal trauma with rupture of liver left renal vein pancreas and transverse mesocolon . SPECIAL PROCEDURES AND OPERATIONS 1. 7-2-93 emergency room exploratory laparotomy repair of liver laceration repair of torn transverse mesocolon repair of serosal tear of transverse colon ligation a... | 2 |
The patient is to be transferred to the Cambridge Hospital Hospital Special Care Nursery .', | 3 |
He is healthy looking . The general physical examination did not reveal any abnormality . Heart chest and abdominal examinations were normal . The right knee examination showed some effusion . The range of motion was 15 to 120 degree on the right side and on the left side it was zero to 135 . There was normal m... | 1 |
Continue breast feeding with post-feed supplemental EBM . Follow-up bilirubin in 1 day f u with PMD in 1-3 days . Medications Not applicable . Car seat position and screening', 'Not applicable . State newborn screens were sent on 2018-12-31 and the results are pending . Immunizations received Hepatitis B vaccine ... | 2 |
All systems were reviewed and were negative except as given above . MEDICATIONS Metformin Zocor and analgesics . ALLERGIES None . | 0 |
Notable for a white blood cell of 9.5 ANC 7.7 hematocrit 26 platelets of 248 BUN and creatinine 12. and 1.2 respectively magnesium 1.1 calcium 8.7 . | 1 |
Prilosec 20 mg p.o. q.d. Percocet 1-2 tabs p.o. q.6-8h. x5 days MVI 1 tab p.o. q.d. DISCHARGE FOLLOW-UP The patient was advised to follow-up with Dr. Edwards in clinic in one week . CONDITION ON DISCHARGE Stable condition . DISCHARGE DISPOSITION The patient was discharged to home . Dictated By SON RHALT SUBINT... | 2 |
Dyazide one p.o. q.d. Propanolol 5 mg. p.o. t.i.d. Isordil 5 mg. p.o. t.i.d. Glaucoma drops . | 3 |
Atrial fibrillation 2 s p MVR mechanical 3 CHF EF 15 4 HTN 5 multiple CVA s last 1998 6 Hypercholesterolemia 7 Type II DM 8 Multiple prior UTI Social History Lives in Danvers with wife denies Timothy or alcohol | 0 |
1 Lasix 20 mg. PO q.d. 2 Sinemet 25 100 1 t.i.d. 3 Cogentin 0.5 mg. 1 tabs PO q.a.m. and 1 q.noon as well as 1 q.h.s. 4 Eldepryl 5 mg. PO b.i.d. 5 Enteric coated aspirin 325 mg. PO q.d. 6 Potassium chloride 10 mEq. PO q.d. | 3 |
Term 37 and 1 7 weeks appropriate for gestational age male neonate . Exaggerated physiologic hyperbilirubinemia responsive to phototherapy .', 'Nicole Monica MD 48-041 Dictated By Michelle A Sweeney M.D. MEDQUIST36 D 2019-01-02 121610 T 2019-01-02 130035 Job 38170 Signed electronically by DR. Victoria Cox ... | 2 |
ON ADMISSION On presentation temperature 99.3 degrees F other vital signs were within normal limits . He was in no acute distress non-toxic . Cardiovascular Regular rate and rhythm . Pulmonary Clear to auscultation bilaterally . Abdomen soft and there was wound erythema with three areas of dehiscence draining... | 1 |
Notable for a BUN and creatinine of 78 1.7 for a sodium potassium 139 and 3.6 chloride and bicarb 108 21 . White count 7 hematocrit 24.2 platelet count was 183 . His INR was also 3.4 . PTT was 55 . His EKG was notable for right bundle branch block left axis deviation but was in sinus rhythm . His UA had ... | 1 |
Stable . DISCHARGE STATUS Leona Wheeler is to be transferred on 2015-07-17 to a rehabilitation facility . DISCHARGE DIAGNOSIS 1. Status post CABG times four . Meghan G. Bardin M.D. 43 -132 Dictated By Louise B. Robertson M.D. MEDQUIST36 D 2015-07-17 0839 T 2015-07-22 1029 JOB 72575 Signed electronically by ... | 2 |
Alcohol abuse in the past Chronic obstructive pulmonary disease . Chronic pleural effusions Chronic renal insufficiency with baseline creatinine 1.8-2 . 5 Ischemic bowel status post SMA Percutaneous Transluminal Coronary Angioplasty . 6 Serratiaurosepsis . Positive PPD . 8 Status post total hip replacement . 9 R... | 0 |
ON ADMISSION Birth weight 1455 grams 50th percentile head circumference 29.25 cm 50th percentile length 41.5 cm 50th percentile . Nondysmorphic with overall appearance consistent with gestational age . Anterior fontanel soft open flat red reflex present bilaterally palate intact . Intermittent grunting... | 1 |
PHYSICAL EXAM VITAL SIGNS He was afebrile with stable vital signs HEART Regular rate and rhythm with a 2 out of 6 systolic ejection murmur heard loudest at the apex . LUNGS Clear to auscultation . ABDOMEN Soft nontender nondistended . EXTREMITIES No cyanosis clubbing or edema . Palpable DP s bilateral... | 1 |
Significant for sodium 140 potassium 3 BUN 35 creatinine 3.6 liver function tests within normal limits calcium 6.6 albumin 2 magnesium1.4 PT 14 white count 30.1 with 77 polys 13 bands 5 lymphs and 5 monos . Urine sodium is 75 urine creatinine 143 urine osmose 392 . Pleural fluid pH is 7.29 ... | 1 |
Notable on admission were BUN and creatinine of 8.0 and 0.7 . Sodium 134 ALT 18 AST 27 LDH 221 white count 2.05 hematocrit 23 platelet count 137 000 . The differential showed 45 polys 6 bands 8 lymphs 32 monos . Urinalysis was negative . Sputum gram stain showed no polys and no bacteria . AFB stain w... | 1 |
Tylenol 650 mg p.o. q. 4 -6h p.r.n. headache or pain acyclovir 400 mg p.o. t.i.d. acyclovir topical t.i.d. to be applied to lesion on corner of mouth Peridex 15 ml p.o. b.i.d. Mycelex 1 troche p.o. t.i.d. g-csf 404 mcg subcu q.d. folic acid 1 mg p.o. q.d. lorazepam 1-2 mg p.o. q. 4 -6h p.r.n. nausea and vomiting Mi... | 2 |
ON admission physical examination reveals a non dysmorphic infant well saturated and perfused with multiple bruises noted over the upper legs left arm and chest . No bony abnormalities or petechiae noted . She was moving all joints and extremities well . HEENT Within normal limits . CV Normal S1 and S2 without a... | 1 |
The patient was admitted to the Hospital and was taken to the operating room for an open Bankart procedure with biceps tenodesis', 'Please see the operative note for full details . Postoperatively the patient did very well and was neurovascularly intact.', 'His wound was intact clean and dry and it was covered wit... | 2 |
Hydrochlorothiazide 50 mg p.o. q day atenolol 50 mg p.o. q day dicloxacillin started on December 29 2002 Naproxen 500 mg p.o. t.i.d. aspirin 81 mg p.o. q day Tylenol p.r.n. SOCIAL HISTORY Widowed since 1972 no tobacco no alcohol lives alone . Smoked 3 packs per day x 17 years . | 3 |
On admission . GENERAL He was well-appearing and in no apparent distress . Performance status was 0 . VITAL SIGNS Weight 70.4 kilograms temperature 96.5 respiratory rate 20 blood pressure 105 60 pulse 76 . SKIN Unremarkable without rashes or lesions . HEENT Sclerae anicteric . Pupils equal round and rea... | 1 |
As above . PAST SURGICAL HISTORY 02 90 total abdominal hysterectomy complicated by ureteral transection with right ureteral tube placed for six weeks stent tube placed in left ureter six weeks prior to admission for a hydronephrosis post in 03 91 bilateral salpingo-oophorectomy and appendectomy CURRENT ME... | 0 |
Notable for a sodium of 145 potassium 3.6 BUN 23 creatinine 1.3 glucose 104 hematocrit 42 white count 8.7 platelet count 235 and a PT of 12.9 seconds . The urinalysis was negative . The Troponin I was less than .4 and the creatine kinase was 114 . Chest x-ray revealed moderate cardiomegaly with no clear ... | 1 |
Initial white count 19.4 thousand 64 polys 3 bands hematocrit 35.8 platelets 281 000 . Chest x-ray revealed streaky lung fields of normal situs no consolidation consistent with retained fetal lung fluid . | 1 |
Acetaminophen 325 mg Tablet Sig Two 2 Tablet PO Q4-6H every 4 to 6 hours as needed for fever or pain . Albuterol-Ipratropium 103-18 mcg Actuation Aerosol Sig 06 -17 Puffs Inhalation Q2-4H every 2 to 4 hours as needed . Calcium Acetate 667 mg Capsule Sig Two 2 Capsule PO TID W MEALS 3 TIMES A DAY WITH MEA... | 2 |
ON ADMISSION General The patient was in no acute distress well developed . Vital signs Stable afebrile . HEENT Normocephalic atraumatic . PERRL anicteric EOMI . The throat was clear . Neck Supple midline without masses or lymphadenopathy . No bruit or JVD . Cardiovascular Irregularly irregular wi... | 1 |
On admission includes an electrocardiogram that shows DDD pacing . Hematocrit 39 percent white blood cell count 4500 PT and PTT normal . Sodium 140 potassium 4.2 chloride 105 carbon dioxide 30 BUN 24 creatinine 1.0 . HOSPITAL COURSE AND TREATMENT The patient was admitted to the Cardiac Catheterization... | 1 |
DISPOSITION MEDICATIONS at the time of discharge are G-CSF 300 micrograms subcu q. day Acyclovir 200 mg p.o. b.i.d. Erythromycin 500 mg p.o. b.i.d. Dapsone 50 mg p.o. Monday Wednesday and Friday Imodium 1-2 tablets p.o. q. 6 hours p.r.n. Nystatin 5 cc swish and swallow q.i.d Serax 50 mg p.o. q. 6 hours p.r... | 3 |
Discharge medications Baclofen 10 p.o. t.i.d. MVI one tablet p.o. q.d. Mycostatin powder TP q.d. to be applied to the rash in her left groin area also dilaudid 8 mg p.o. q2h Colace 100 mg p.o. b.i.d.', 'coumadin 2.5 mg p.o. q.h.s. fentanyl patch 75 micrograms per hour topical q72 hours atenolol 100 mg p.o. q... | 3 |
Good . DISCHARGE DIAGNOSES Community-acquired pneumonia . Acute respiratory distress syndrome . Iron-deficiency anemia . Hypothyroidism . | 2 |
PHYSICAL EXAMINATION ON PRESENTATION The patient had a temperature of 100.9 . He had a blood pressure of 148 to 162 45 to 54 . He had a heart rate of 85 to 87 breathing at 17 to 23 satting 100 on room air . In general he was alert and in no acute distress . His neck was supple without any jugular venous distent... | 1 |
Coumadin 5 mg po q d Tagamet 400 mg po q d Amoxicillin which was started on Labor Day for a sore throat and Ativan 1 mg po prn nausea anxiety . | 3 |
On admission the Baby Lucas is well appearing no jaundice . He has bilateral breath sounds that are clear and equal . The heart rate is regular without murmur . Pulses are 2 and symmetrical . The abdomen is soft and nontender with no hepatosplenomegaly . His weight is 3.160 kilograms 7 pounds 3 ounces at birth .... | 1 |
Neurontin Keppra Lamictal decadron multivitamin Murray Calcium Discharge Medications 1. Heparin Sodium Porcine 5 000 unit mL Solution Sig One 1 Injection TID 3 times a day . 2. Diphenhydramine HCl 25 mg Capsule Sig One 1 Capsule PO Q6H every 6 hours as needed . 3. Albuterol Ipratropium 103... | 3 |
Included a white blood count of 140 000 7 polys 1 bands 3 lymphs 1 monos 2 basos 4 blasts 76 pearl monocytes 6 meta &aposs 3 nucleated red blood cells . There were some oval tear drop cells and target cells with a few schistocytes . The platelet count was 9 000 hematocrit was 26.5 with an mean co... | 1 |
ON ADMISSION On admission Thomas was well-appearing though slightly sleepy with jaundice . He had bilateral breath sounds that were clear and equal . The heart rate was regular without murmur and pulses were 2 and symmetrical . The abdomen was soft and nontender with no hepatosplenomegaly . His weight was 3.505 ... | 1 |
He had mild elevation of the WBC intermittently grossly bloody urine . No cultures were positive but the chest x-ray showed bilateral densities more on the left than the right compatible with aspiration pneumonia . There were no radiographic indications of congestive heart failure . HOSPITAL COURSE AND TREATMENT The ... | 1 |
He was a chronically ill appearing elderly man with a respiratory rate of 30 temperature 99.6 pulse 100 and irregularly irregular blood pressure 148 71 . He had some petechiae on his extremities as well as in his mucosal membranes with some hemorrhagic bullae . There were bibasilar rales with some wheezin... | 1 |
PHYSICAL EXAMINATION Emaciated white female in mild respiratory distress . Temperature was 98.1 heart rate 116 blood pressure 120 68 and room air O2 saturation was 93 HEENT Dry mucous membranes and myotic pupils NECK No lymphadenopathy CHEST Few inspiratory wheezes and no rhonchi HEART Regular rat... | 1 |
Lopressor 25 mg p.o. b.i.d. Lasix 20 mg p.o. q. 12 hours times seven days . 3. Potassium chloride 20 mEq p.o. q. 12 hours times seven days . Colace 100 mg p.o. b.i.d. Metformin 500 mg p.o. b.i.d. Percocet 5 325 one to two tablets p.o. q. four to six hours p.r.n. Celexa 20 mg p.o. q.d. Lipitor 20 mg p.o. q.d. Warfarin... | 2 |
Coronary artery disease . DISCHARGE DIAGNOSES Coronary artery disease . Status post off pump coronary artery bypass graft times three . | 2 |
Metoprolol 50 mg PO b.i.d. Isordil 20 mg PO t.i.d. Ecotrin aspirin q.day . | 3 |
1.Respiratory . Without issues on this admission . Breath sounds are clear and equal . 2. Cardiovascular . Without issues on this admission . He had a regular heart rate and rhythm no murmur', 'pulses were 2 and symmetric . 3. Fluids electrolytes and nutrition . The baby s weight was 3.160 kilograms 7 pounds 3 oun... | 0 |
1. cerebrovascular accident . The patient suffered some mild weakness which was attributed to stenosis of the distal right internal carotid artery . This was determined by head CT head MRI head MRA carotid noninvasive studies transcranial Dopplers . The possibility of a cardiac origin was evaluated by echocard... | 0 |
Pulmonary On admission the infant required CPAP 6 cm of water 30 oxygen . Initial capillary blood gas was pH 7.29 CO2 47 . Infant was intubated on day of life two for increased respiratory distress', 'and received one dose of surfactant . Infant was extubated on day of life four to CPAP and transitioned to room ai... | 0 |
BY SYSTEM Respiratory The baby was intubated in the Delivery Room received two doses of surfactant . Radiograph revealed bilateral diffuse granular pattern consistent with surfactant deficiency . Maximum mechanical ventilation PIP 26 PEEP 6 rate of 25 maximum FIO2 35 percent . Mychelia was extubated to a CPA... | 0 |
On admission the patient s birth weight was 1.705 kilograms which is 50th percentile . Length was 40 cm 50th percentile . Head circumference was 30 cm 50th percentile . The patient was born at 32 and 4 7 weeks gestation and brought directly to the CMED CSRU . | 0 |
She is a half to one pack per day smoker for 10 years who quit approximately one week prior to her admission . She denies alcohol use . | 0 |
Her temperature is 97.9 blood pressure 160 80 heart rate 92 her HEENT examination reveals anicteric sclerae and her left eye has slightly relaxed inferoorbital wall . Her chest is clear to auscultation . Her heart has regular rate and rhythm with I VI systolic ejection murmur at the base . Abdomen is obese ... | 1 |
discharge disposition 'Home . | 3 |
Coumadin 2.5 mg. five times a week Ativan and Lomotil prn . ADVERSE DRUG REACTIONS no known drug allergies but has shellfish allergy and question of an Iodine allergy . | 3 |
On admission chest x-ray with no acute cardiopulmonary process . Electrocardiogram notable for sinus tachycardia with a rate of 104 beats per minute normal axis normal intervals new T wave inversion in III and old T wave inversions in aVL and V1 . This was not significantly changed from comparison with 2016-03... | 1 |
celexa premarin trazodone 6-MP Prednisone Discharge Medications 1. Phenytoin Sodium Extended 100 mg Capsule Sig One 1 Capsule PO TID 3 times a day for 1 months . Disp 90 Capsule s Refills 0 2. Acetaminophen Caff Butalbital 504-61-78 mg Capsule Sig 01-28 Tablets PO Q4-6H every 4 to 6 hours as needed for ... | 3 |
Morphine prn . Ativan prn . Tylenol prn . Albuterol and Atrovent nebs prn . Rice S.F. Thrash M.D. 15-419 Dictated By Brett E.X. Im M.D. MEDQUIST36 D 2012-06-29 0115 T 2012-06-29 0547 JOB 44693 Signed electronically by DR. Vicki Baker on TUE 2012-07-03 823 AM | 2 |
As described above the patient was transfused an additional 2 units in the Intensive Care Unit and the patient also received an upper endoscopy study and her varices were banded .', 'On transfer to the Lemgarson Hospital service her hematocrit was 31.2 white count 11.1 and a platelet count 80 . Her PT was 13.1 PT... | 2 |
Assessment was continued with laboratory studies which showed the patient to have a white blood cell count of 9 hematocrit 39 and platelets 470 . The patient had a normal amylase and lipase and a normal basic metabolic panel . The patient had KUB that showed multiple dilated loops of small bowel and was admitted ... | 0 |
Spironolactone 50 mg p.o. b.i.d. 2 Advil p.r.n. 3 Topical steroids for eczema p.r.n. ALLERGIES The patient had no known drug allergies . | 3 |
Levoxine 0.125 mg PO q.day Vasotec 10 mg PO b.i.d. Maxzide 75 50 30 mg PO q.day . | 3 |
Thromboembolus to the right profunda femoris and right superficial femoral artery . MA JAMTLANDBRANTESSLIGH M.D. DICTATING FOR COR TLAND M.D. TR qa bmot DD 07 02 92 TD | 2 |
On admission the patient s birth weight was 1.705 kilograms which is 50th percentile . Length was 40 cm 50th percentile . Head circumference was 30 cm 50th percentile . The patient was born at 32 and 4 7 weeks gestation and brought directly to the CMED CSRU . | 1 |
Cigarette smoking Insulin dependent diabetes mellitus . Proteinuria Aortic stenosis . Cellulitis Gangrene of his left second toe in 2010-06-06 followed by an amputation . Left common femoral dorsalis pedis bypass graft Right leg bypass graft in 1999 . Right below the knee amputation in 2008 | 0 |
Coronary artery disease status post coronary artery bypass graft four vessels . Congestive heart failure . Klebsiella pneumonia . Failed swallow study status post percutaneous endoscopic gastrostomy tube placement . Central line culture positive for coagulase negative Staphylococcus aureus status post a 14 day ... | 2 |
ON ADMISSION This is a gentleman who is intubated comfortable with minimal sedation . He was afebrile with a temperature of 99.1 . His pulse was in the 70s blood pressure 119 58 . He was breathing 12 per minute and saturating 98 . His CVP is ranging from 07-27 . He was intubated and has a nasogastric tube . His... | 1 |
On admission the sodium was 136 potassium 3.0 chloride 98 CO2 20 BUN 8 creatinine 0.8 and glucose 94 ALT 5 AST 10 LDH 166 alkaline phosphatase 81 total bili 0.6 direct bili .3 albumin 3.3 calcium 8.8 and uric acid 3.1 . She had CA-125 which was pending at the time of discharge . Her hematoc... | 1 |
Brothers with William cancer and a MI . Father with emphysema . Mother with lung cancer . | 0 |
ON ADMISSION Physical examination at the time of admission revealed she was in no acute distress . Blood pressure was 150 79 a pulse of 81 . She is legally blind . She was without any adenopathy . Her chest was clear to auscultation . Heart had a normal S1 and S2 with no murmurs gallops or rubs . Her abdomen w... | 1 |
Stable DISCHARGE DIAGNOSES Coronary artery disease Mitral valve regurgitation status post coronary artery bypass graft x2 and mitral valve annuloplasty SECONDARY DIAGNOSES 1. Coronary artery disease Myocardial infarction x3 Coronary artery bypass graft DISCHARGE MEDICATIONS 1. Lopressor 25 mg po bid 2. Amiodarone... | 2 |
Oxycontin Percocet Paxil Gabapentin Atenolol Discharge Disposition Extended Care Discharge Diagnosis benzodiazipine overdose Discharge Condition stable Discharge Instructions please take your medications and call your doctor if you experience chest pain abdominal pain or shortness of breath or any thoughts of hur... | 3 |
Satisfactory TO DO PLAN 1 Follow-up esophageal biopsy results 2 Schedule GI follow-up if biopsy results abnormal or if continued bleeding . 3 Consider oncology follow-up if biopsies suggestive of malignancy 4 Omeprazole 40 mg po bid x6 wks . No dictated summary ENTERED BY ZISKFUSCJALK ACRI M.D. | 2 |
82 119 60 22 and 99 on room air . Well appearing in no apparent distress . Pupils are equal round and reactive to light . Moist mucous membranes . No JVD . Regular rate and rhythm .', 'Positive tenderness to sternum . Chest was clear to auscultation bilaterally . Abdomen Obese soft . Extremities show no e... | 1 |
DISCHARGE DISPOSITION To home . | 3 |
Physical examination revealed that the vital signs were stable . Lungs were clear to auscultation bilaterally . Heart was irregular with no murmurs palpated . Abdomen was benign . Pulses were 2 throughout . | 1 |
Coumadin Lipitor Toprol XL ASA Zoloft Glucophage Aricept Namenda Artificial Tears Discharge Medications Not applicable . Discharge Disposition Extended Care Facility Patient deceased . Discharge Diagnosis Not applicable patient deceased . Discharge Condition Not applicable . Discharge Instructions Not applicable... | 3 |
1 Enteric coated aspirin 325 mg p.o. q. day . 2 Capoten 25 mg p.o. t.i.d. 3 Lanoxin 0.25 mg p.o. q. day . 4 Cardizem 125 mg p.o. q. day . 5 Glucotrol XL 10 mg p.o. b.i.d. 6 Glucophage 500 mg p.o. q. day . 7 Amaryl 2 mg p.o. q.h.s. | 3 |
Augmentin 500 mg t.i.d. Senokot one q.h.s. Sertraline 75 mg q.day . Aspirin 81 mg q.day . Vitamin B12 100 mcg IM q.month . Urecholine 25 mg t.i.d. Colace . | 3 |
Cefuroxime 1.5 grams intravenously q8h Solu-Medrol 62.5 mg intravenously q8h Ventolin metered dose inhaler 2 puffs PO q.i.d. Pepcid 20 mg intravenously b.i.d. | 3 |
Timolol .5 Discharge Disposition Extended Care Discharge Diagnosis Right lower extremity necrosing fascitis history of prostate cancer s p TURP glaucoma Discharge Condition Fair Discharge Instructions If you have any fevers chills nausea vomiting chest pain foot pain please seek medical attention . Foll... | 3 |
His meds on transfer to FIH were Levophed Dopamine and Ceftriaxone . | 3 |
BY SYSTEM 1. NEUROLOGY Mr. Roach was transported to Intensive Care Unit from the trauma bay . Upon arrival Neurosurgery promptly placed V. Holtzen bolt . This allowed continuous monitoring of intracranial pressure . Notably intracranial pressure was 17 when the bolt was placed . During his hospitalization his ... | 0 |
Toprol 75 mg po bid Furosemide 20 mg po bid times one week potassium chloride 20 mEq po bid while on Lasix Colace 100 mg po bid while on Percocet enteric coated Aspirin 325 mg po q day Indocin 25 mg po bid Sarna cream applied to affected area prn Percocet 1-2 tabs po q 4-6 hours prn Ibuprofen 400 mg po q... | 2 |
Atenolol 25 mg p.o. q. day . Lasix 20 mg p.o. q. day times seven days . 3. Potassium chloride 20 mEq p.o. q. day times seven days . 4. Niferex 150 mg p.o. q. day times one month . 5. Vitamin C 500 mg p.o. twice a day times one month . 6. Multivitamin one p.o. q. day times one month . Ambien 5 mg p.o. q. h.s. p.r.n. Co... | 2 |
Intravenous chemotherapy for lung cancer . DOCTORS DISCHARGE ORDERS Slo-Mag one tab p.o. b.i.d. Stelazine 2 mg. p.o. q.d. Ativan 1 mg p.o. or s.l. q. 4 -6 hr. p.r.n. nausea . WORK DISABILITY AND PROBABLE DURATION COMPLETE . Followup will be with Dr. Guabenfranda Day in his office . CA SHUFF M.D. TR ds bmot DD... | 2 |
At that time it was felt that the patient was likely having a repeat GI bleed and while he was hemodynamically stable he had evidently lost a substantial amount of blood . | 2 |
Lopressor 100 mg po three times a day . Captopril 75 mg po three times a day . Prilosec 20 mg po per day . Hydralazine 12.5 mg four times per day . Reglan 10 mg po three times a day . | 3 |
Cerebrovascular accident Atrial fibrillation on Coumadin . Diabetes mellitus type 2 Hypothyroidism . Mild dementia Proteinuria . Nephropathy Anemia . Hearing impaired PAST SURGICAL HISTORY Laparoscopic cholecystectomy as above Total hip replacement in 2002 . Appendectomy Diskectomy . MEDICATIONS ON ADMI... | 0 |
Include Librax 1 PO before meals Pancrease 2 tabs before meals Synthroid 0.125 mg PO qd . Tenormin 50 mg bid Valium 5 mg bid to tid Premarin 0.625 mg qd Provera 2.5 mg qod Desyrel 50 mg qhs . | 3 |
Sandostatin 100 mcg subcu. b.i.d. Percocet 1-2 tabs q.3 -4h. p.r.n. pain Axid 150 mg p.o. b.i.d. Colace 100 mg p.o. b.i.d. DISCHARGE FOLLOW-UP The patient has been instructed to follow-up with Dr. Red in one week and in the Urology Clinic in three weeks . DISCHARGE DISPOSITION The patient is discharged to home on ... | 2 |
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