|1|2001-01-08-22.06.16.393436|1|55866|||Admit 12/23 AMS 50 yo woman with cirrhosis likely due to ETOH , chronic pancreatitis, portal HTN, anemia of chronic disease, DM2, CRI, and gout who was admitted after fall/ AMS Pt unable to ambulate secondary to LBP now with L hip fracture, trying to get consent from daughter for ortho surgery as pt doesn't have capacity Tx 2 U PRBC 12/28 ALL: NKDA Meds = Propranalol 30 mg BID, Thiamine, Rocaltrol, Prevacid 30 qd, D51/2NS @75, Haldol 1mg Q6,Kefzol IV Q8hours (1/5) Timentin d/c'ed private = xxx (2372) IV+/+ Cx>101 Full| |2|2001-01-08-23.14.30.990614|1|55866|||Admit 12/23 AMS transferred to medicine again 18/10 50 yo woman with cirrhosis likely due to ETOH , chronic pancreatitis, portal HTN, anemia of chronic disease, DM2, CRI, and gout who was admitted after fall/ AMS. Hip fracture found in house and patient went to OR 12/28 and crashed on table (hypotensive and desats) to ICU with negative head CT. Wound reopped on 12/31 and patient sent to floor. Considerable oozing from wound secondary to coagulopathy, heme following for transfusion of cryo, prbc and plts. ALL: NKDA Meds = Propranalol 30 mg BID, Thiamine, Rocaltrol, Prevacid 30 qd, D51/2NS @75, Haldol 1mg Q6,Kefzol IV Q8hours (1/5) Timentin d/c'ed private = xxx (2372) IV+/+ Cx>101 Full| |3|2001-01-11-09.16.15.893059|1|55866|||Admit 12/23 AMS transferred to medicine again 18/10 50 yo woman with cirrhosis likely due to ETOH , chronic pancreatitis, portal HTN, anemia of chronic disease, DM2, CRI, and gout who was admitted after fall/ AMS. Hip fracture found in house and patient went to OR 12/28 and crashed on table (hypotensive and desats) to ICU with negative head CT. Wound reopped on 12/31 and patient sent to floor. Considerable oozing from wound secondary to coagulopathy, heme following for transfusion of cryo, prbc and plts. Pt has yeast in urine, foley d/c'ed ALL: NKDA Meds = Propranalol 30 mg BID, Thiamine, Rocaltrol, Prevacid 30 qd, D51/2NS @75, Haldol 1mg Q6,Kefzol IV Q8hours (1/5) Timentin d/c'ed, Zoloft 25 mg QD private = xxx (2372) IV+/+ Cx>101 Full| |4|2001-01-13-17.22.19.636064|1|55866|||Admit 12/23 AMS transferred to medicine again 18/10 50 yo woman with cirrhosis likely due to ETOH , chronic pancreatitis, portal HTN, anemia of chronic disease, DM2, CRI, and gout who was admitted after fall/ AMS. Hip fracture found in house and patient went to OR 12/28 and crashed on table (hypotensive and desats) to ICU with negative head CT. Wound reopped on 12/31 and patient sent to floor. Considerable oozing from wound secondary to coagulopathy, heme following for transfusion of cryo, prbc and plts. Pt has yeast in urine, foley d/c'ed 1/13 patient continues to have dependent edema, positional chest pain and incontinent of stool. Foley replaced. ALL: NKDA Meds = Propranalol 30 mg BID, Thiamine, Rocaltrol, Prevacid 30 qd, D51/2NS @75, Haldol 1mg Q6,Kefzol IV Q8hours (1/5-1/13) Timentin d/c'ed, Zoloft 50 mg QD, Trazodone, Lasix 160 mg PO BID. private = xxx (2372) IV+/+ Cx>101 Full| |5|2001-01-16-14.02.44.962358|1|55866|||Admit 12/23 AMS transferred to medicine again 18/10 50 yo woman with cirrhosis likely due to ETOH , chronic pancreatitis, portal HTN, anemia of chronic disease, DM2, CRI, and gout who was admitted after fall/ AMS. Hip fracture found in house and patient went to OR 12/28 and crashed on table (hypotensive and desats) to ICU with negative head CT. Wound reopped on 12/31 and patient sent to floor. Considerable oozing from wound secondary to coagulopathy, heme following for transfusion of cryo, prbc and plts. Pt has yeast in urine, foley d/c'ed 1/13 patient continues to have dependent edema, positional chest pain and incontinent of stool. Foley replaced. trying to diurese ALL: NKDA Meds = Propranalol 30 mg BID, Thiamine, Rocaltrol, Prevacid 30 qd, Haldol 1mg Q6,Kefzol IV Q8hours (1/5-1/13) Timentin d/c'ed, Zoloft 50 mg QD, Trazodone, Lasix 160 mg PO BID, Zaroxylyn 5 mg QD. private = xxx (2372) IV+/+ Cx>101 Full| |6|2001-01-20-23.53.30.176420|1|55866|||Admit 12/23 AMS transferred to medicine again 18/10 50 yo woman with cirrhosis likely due to ETOH , chronic pancreatitis, portal HTN, anemia of chronic disease, DM2, CRI, and gout who was admitted after fall/ AMS. Hip fracture found in house and patient went to OR 12/28 and crashed on table (hypotensive and desats) to ICU with negative head CT. Wound reopped on 12/31 and patient sent to floor. Considerable oozing from wound secondary to coagulopathy, heme following for transfusion of cryo, prbc and plts. Pt has yeast in urine, foley d/c'ed 1/13 patient continues to have dependent edema, positional chest pain and incontinent of stool. Sipked fever to 102 on 1/18 CXR remained unchanged, bl cx neg, urine culture pos for yeast. ALL: NKDA Meds = Propranalol 30 mg BID, Thiamine, Rocaltrol, Prevacid 30 qd, Haldol 1mg Q6,Kefzol IV Q8hours (1/5-1/13) Timentin d/c'ed, Zoloft 75 mg QD, Trazodone, Lasix 160 mg PO BID, Zaroxylyn 5 mg QD, Dilaudid 1mg IM Q8h private = xxx (2372) IV+/+ Cx>101 Full| |7|2001-01-25-16.52.55.450731|1|55866|||Admit 12/23 AMS transferred to medicine again 18/10 50 yo woman with cirrhosis likely due to ETOH , chronic pancreatitis, portal HTN, anemia of chronic disease, DM2, CRI, and gout who was admitted after fall/ AMS. Hip fracture found in house and patient went to OR 12/28 and crashed on table (hypotensive and desats) to ICU with negative head CT. Wound reopped on 12/31 and patient sent to floor. Considerable oozing from wound secondary to coagulopathy, heme following for transfusion of cryo, prbc and plts. Pt has yeast in urine, foley d/c'ed 1/13 patient continues to have dependent edema, positional chest pain and incontinent of stool. Sipked fever to 102 on 1/18 CXR remained unchanged, bl cx neg, urine culture pos for yeast. ALL: NKDA Meds = Propranalol 30 mg BID, Thiamine, Rocaltrol, Prevacid 30 qd, Haldol 1mg Q6,Kefzol IV Q8hours (1/5-1/13) Timentin d/c'ed, Zoloft 75 mg QD, Trazodone 50, Lasix 160 mg PO BID, Tylenol #3 Q8H prn, Dilaudid 1mg IM Q8h private = xxx (2372) IV+/+ Cx>101 Full| |8|2001-02-01-15.48.25.886926|1|55866|||Admit 12/23 AMS transferred to medicine again 18/10 50 yo woman with cirrhosis likely due to ETOH , chronic pancreatitis, portal HTN, anemia of chronic disease, DM2, CRI, and gout who was admitted after fall/ AMS. Hip fracture found in house and patient went to OR 12/28 and crashed on table (hypotensive and desats) to ICU with negative head CT. Wound reopped on 12/31 and patient sent to floor. Considerable oozing from wound secondary to coagulopathy, heme following for transfusion of cryo, prbc and plts. Pt has yeast in urine, foley d/c'ed 1/13 patient continues to have dependent edema, positional chest pain and incontinent of stool. Sipked fever to 102 on 1/18 CXR remained unchanged, bl cx neg, urine culture pos for yeast. All NKDA Meds sq heparin, keflex 500 qid, prevacid, propranolol 30 bid, thiamine 100 od, rocaltrol 1 od, phoslo 2 tabs od, trazadone 50 qhs, lasic 120 BID, zoloft 75 qid, haldol 1 q 6 prn, tyelenol, tyelenol #3 q8 prn, nystatin cream private = xxx (2372) GI 1542 Psych 1604| |9|2001-02-04-00.24.53.751578|1|55866|||Admit 12/23 AMS transferred to medicine again 18/10 50 yo woman with cirrhosis likely due to ETOH , chronic pancreatitis, portal HTN, anemia of chronic disease, DM2, CRI, and gout who was admitted after fall/ AMS. Hip fracture found in house and patient went to OR 12/28 and crashed on table (hypotensive and desats) to ICU with negative head CT. Wound reopped on 12/31 and patient sent to floor. Considerable oozing from wound secondary to coagulopathy, heme following for transfusion of cryo, prbc and plts. Pt has yeast in urine, foley d/c'ed 1/13 patient continues to have dependent edema, positional chest pain and incontinent of stool. Sipked fever to 102 on 1/18 CXR remained unchanged, bl cx neg, urine culture pos for yeast. All NKDA Meds sq heparin, keflex 500 qid, prevacid, propranolol 30 bid, thiamine 100 od, rocaltrol 1 od, phoslo 2 tabs od, trazadone 50 qhs, lasic 120 BID, zoloft 75 qid, haldol 1 q 6 prn, tyelenol, tyelenol #3 q8 prn, nystatin cream private = xxx (2372) GI 1542 Psych 1604 Admit Rehab 2/2| |10|2001-02-07-23.41.04.424871|1|55866|||Admit 12/23 AMS transferred to medicine again 18/10 50 yo F DECONDITIONED cirrhosis likely due to ETOH , chronic pancreatitis, portal HTN, anemia of chronic disease, DM2, CRI, and gout who was admitted after fall/ AMS. Hip fracture found in house and patient went to OR 12/28 and crashed on table (hypotensive and desats) to ICU with negative head CT. Wound reopped on 12/31 and patient sent to floor. Considerable oozing from wound secondary to coagulopathy, heme following for transfusion of cryo, prbc and plts. Pt has yeast in urine, foley d/c'ed 1/13 patient continues to have dependent edema, positional chest pain and incontinent of stool. Sipked fever to 102 on 1/18 CXR remained unchanged, bl cx neg, urine culture pos for yeast. All NKDA Meds sq heparin, keflex 500 qid, prevacid, propranolol 30 bid, thiamine 100 od, rocaltrol 1 od, phoslo 2 tabs od, trazadone 50 qhs, lasic 120 BID, zoloft 75 qid, haldol 1 q 6 prn, tyelenol, tyelenol #3 q8 prn, nystatin cream, synthroid 50mcg qd private = xxx (2372) GI 1542 Psych 1604 Admit Rehab 2/2| |11|2001-02-09-17.48.45.326573|1|55866|||Admit 12/23 AMS transferred to medicine again 18/10 50 yo F DECONDITIONED cirrhosis likely due to ETOH , chronic pancreatitis, portal HTN, anemia of chronic disease, DM2, CRI, and gout who was admitted after fall/ AMS. Hip fracture found in house and patient went to OR 12/28 and crashed on table (hypotensive and desats) to ICU with negative head CT. Wound reopped on 12/31 and patient sent to floor. Considerable oozing from wound secondary to coagulopathy, heme following for transfusion of cryo, prbc and plts. Pt has yeast in urine, foley d/c'ed 1/13 patient continues to have dependent edema, positional chest pain and incontinent of stool. Sipked fever to 102 on 1/18 CXR remained unchanged, bl cx neg, urine culture pos for yeast and VREF repeat cx NEG Contact isolation VREF urine (now neg) All NKDA Meds sq heparin, keflex 500 qid, prevacid, propranolol 80 bid, thiamine 100 od, rocaltrol 1 od, phoslo 2 tabs od, trazadone 50 qhs, lasic 120 BID, zoloft 75 qid, haldol 1 q 6 prn, tyelenol, tyelenol #3 q8 prn, nystatin cream, synthroid 50mcg qd private = xxx (2372) GI 1542 Psych 1604 Admit Rehab 2/2 Issues: stool CX| |12|2001-02-15-20.36.31.918546|1|55866|||Admit 12/23 AMS transferred to medicine again 18/10 50 yo F DECONDITIONED cirrhosis likely due to ETOH , chronic pancreatitis, portal HTN, anemia of chronic disease, DM2, CRI, and gout who was admitted after fall/ AMS. Hip fracture found in house and patient went to OR 12/28 and crashed on table (hypotensive and desats) to ICU with negative head CT. Wound reopped on 12/31 and patient sent to floor. Considerable oozing from wound secondary to coagulopathy, heme following for transfusion of cryo, prbc and plts. Pt has yeast in urine, foley d/c'ed 1/13 patient continues to have dependent edema, positional chest pain and incontinent of stool. Sipked fever to 102 on 1/18 CXR remained unchanged, bl cx neg, urine culture pos for yeast and VREF repeat cx NEG Contact isolation VREF urine (now neg) All KEFLEX Meds sq heparin, prevacid, propranolol 80 bid, thiamine 100 od, rocaltrol 1 od, phoslo 2 tabs od, trazadone 50 qhs, lasic 120 BID, zoloft 75 qid, haldol 1 q 6 prn, tyelenol, tyelenol #3 q8 prn, nystatin cream, synthroid 50mcg qd private = xxx (2372) GI 1542 Psych 1604 Admit Rehab 2/2 Issues:| |13|2001-02-15-20.39.01.622826|1|55866|||Admit 12/23 AMS transferred to medicine again 18/10 50 yo F DECONDITIONED cirrhosis likely due to ETOH , chronic pancreatitis, portal HTN, anemia of chronic disease, DM2, CRI, and gout who was admitted after fall/ AMS. Hip fracture found in house and patient went to OR 12/28 and crashed on table (hypotensive and desats) to ICU with negative head CT. Wound reopped on 12/31 and patient sent to floor. Considerable oozing from wound secondary to coagulopathy, heme following for transfusion of cryo, prbc and plts. Pt has yeast in urine, foley d/c'ed 1/13 patient continues to have dependent edema, positional chest pain and incontinent of stool. Sipked fever to 102 on 1/18 CXR remained unchanged, bl cx neg, urine culture pos for yeast and VREF repeat cx NEG Doppler No DVT Contact isolation VREF urine (now neg) All KEFLEX Meds sq heparin, prevacid, propranolol 80 bid, thiamine 100 od, rocaltrol 1 od, phoslo 2 tabs od, trazadone 50 qhs, lasic 120 BID, zoloft 75 qid, haldol 1 q 6 prn, tyelenol, tyelenol #3 q8 prn, nystatin cream, synthroid 50mcg qd private = xxx (2372) GI 1542 Psych 1604 Admit Rehab 2/2 Issues:| |14|2001-02-22-21.34.10.750091|1|55866|||admit 2/2 50 yo F DECONDITIONED cirrhosis likely due to ETOH , chronic pancreatitis, portal HTN, anemia of chronic disease, DM2, CRI, and gout who was admitted after fall/ AMS. Hip fracture found in house and patient went to OR 12/28 and crashed on table (hypotensive and desats) to ICU with negative head CT. Wound reopped on 12/31 and patient sent to floor. Considerable oozing from wound secondary to coagulopathy, heme following for transfusion of cryo, prbc and plts. Pt has yeast in urine, foley d/c'ed 1/13 patient continues to have dependent edema, positional chest pain and incontinent of stool. Sipked fever to 102 on 1/18 CXR remained unchanged, bl cx neg, urine culture pos for yeast and VREF repeat cx NEG Doppler No DVT Contact isolation VREF urine (now neg) All KEFLEX Meds sq heparin, prevacid, propranolol 80 bid, thiamine 100 od, rocaltrol 1 od, phoslo 2 tabs od, trazadone 50 qhs, lasic 120 BID, zoloft 75 qid, haldol 1 q 6 prn, tyelenol, tyelenol #3 q8 prn, nystatin cream, synthroid 50mcg qd, lactulose private = xxx (2372) GI 1542 Psych 1604 Issues:| |15|2001-01-02-11.00.32.217536|1|55866|||Admit 12/30 94 yo F with h/o asthma, htn, aortic stenosis, mod LVH p/w 2 day h/o SOB. Cxr: mild-mod pulm edema, questionable RLL opacity. Admitted for acute exab of asthma and pulm edema. 2nd trop-3.7 with no symptoms and no EKG changes. Will follow serial troponins and EKG's. ALL: NKDA Meds: Atrovent/Albuterol q4 , prednisone 60 mg o bid, haldol prn, azithromycin 250 mg po qd x 4 days, ecasa 325 mg po qd, prevacid 30 mg po qd, mvi po qd, cardizem 240 mg po qd, lasix 40 mg po qd PVT: Dr. Williams(bp. 4811), DNR/DNI, Cx>101, +/+| |16|2001-01-03-11.34.53.671540|1|55866|||Admit 12/30 94 yo F with h/o asthma, htn, aortic stenosis, mod LVH p/w 2 day h/o SOB. Cxr: mild-mod pulm edema, questionable RLL opacity. Admitted for acute exab of asthma and pulm edema. 2nd trop-3.7 with no symptoms and no EKG changes. Will follow serial troponins and EKG's-> troponins have decreased with no EKG chages. Imp: ischemic pulm edema ALL: NKDA Meds: Atrovent/Albuterol q4 , prednisone tapering, haldol prn, ecasa 325 mg po qd, prevacid 30 mg po qd, mvi po qd, cardizem 240 mg po qd, lasix 40 mg po qd PVT: xxx, DNR/DNI, Cx>101, +/+| |17|2001-01-05-19.19.23.259742|1|55866|||Admit 12/30 94 yo F with h/o asthma, htn, aortic stenosis, mod LVH p/w 2 day h/o SOB. Cxr: mild-mod pulm edema, questionable RLL opacity. Admitted for acute exab of asthma and pulm edema. 2nd trop-3.7 with no symptoms and no EKG changes. Will follow serial troponins and EKG's-> troponins have decreased with no EKG chages. Imp: ischemic pulm edema ALL: NKDA Meds: Atrovent/Albuterol q4 , prednisone tapering, haldol prn, ecasa 325 mg po qd, prevacid 30 mg po qd, mvi po qd, cardizem 240 mg po qd, lasix 40 mg po qd PVT: xxx, DNR/DNI, Cx>101, +/+ Saturday: 1. Check AM FSG--may need Glucose 2. Discharge to home after checking Attendg's note| |18|2001-02-24-00.29.57.507131|1|55866|||Admit 2/23 94 yo F with h/o asthma, htn, aortic stenosis, mod LVH recent admission for acute exab of asthma and pulm edema, found to have EKG changes and slight bump in troponin (Trop 3.7). Pt now p/w one day of SOB and wheezing. CXR showed PVC and mild pulm edema. Pt given nebs and lasix in ER with good response (O2 sat 84% --> 95%). Impression: exacerbation of COPD and CHF. Also question of early bronchitis /PNA. ALL: NKDA Meds: Atrovent/Albuterol q4 , solumedrol 60 q8, ecasa 325 mg po qd, mvi po qd, cardizem 180 mg po qd, lasix 40 mg iv qd, Zithromax 500 iv qd (start 2/23) PVT: xxx DNR/DNI, Cx>101, +/+| |19|2001-02-24-15.23.51.765473|1|55866|||Admit 2/23 94 yo F with h/o asthma, htn, aortic stenosis, mod LVH recent admission for acute exab of asthma and pulm edema, found to have EKG changes and slight bump in troponin (Trop 3.7). Pt now p/w one day of SOB and wheezing. CXR showed PVC and mild pulm edema. Pt given nebs and lasix in ER with good response (O2 sat 84% --> 95%). Impression: exacerbation of COPD and CHF. Also question of early bronchitis /PNA. WBC slightly elevated on 2/24, but afeb. Cont to wheeze despite therapy although slightly improved. ALL: NKDA Meds: Atrovent/Albuterol q4 , solumedrol 60 q8, ecasa 325 mg po qd, mvi po qd, cardizem 180 mg po qd, lasix 40 mg iv qd, Zithromax 500 iv qd (start 2/23) PVT: Gail Williams(bp. 4811), DNR/DNI, Cx>101, +/+ ISSUES: 1) Pt is hard of hearing --> speak into Rt ear 2) Check Dr. Williams note --> d/w Dr. Williams any problems 3) Follow Hct. Pt's Hct is trending down. Watch VS. 4) If spikes re-cx| |20|2001-02-24-15.52.52.581483|1|55866|||Admit 2/23 94 yo F with h/o asthma, htn, aortic stenosis, mod LVH recent admission for acute exab of asthma and pulm edema, found to have EKG changes and slight bump in troponin (Trop 3.7). Pt now p/w one day of SOB and wheezing. CXR showed PVC and mild pulm edema. Pt given nebs and lasix in ER with good response (O2 sat 84% --> 95%). Impression: exacerbation of COPD and CHF. Also question of early bronchitis /PNA. WBC slightly elevated on 2/24, but afeb. Cont to wheeze despite therapy although slightly improved. ALL: NKDA Meds: Atrovent/Albuterol q4 , solumedrol 60 q8, ecasa 325 mg po qd, mvi po qd, cardizem 180 mg po qd, lasix 40 mg iv qd, Zithromax 500 iv qd (start 2/23) PVT: Gail Williams(bp. 4811), DNR/DNI, Cx>101, +/+ ISSUES: 1) Pt is hard of hearing --> speak into Rt ear 2) Check Dr. Williams note --> d/w Dr. Williams any problems 3) Follow Hct. Pt's Hct is trending down. Pt is guaiac neg. Watch VS. If becomes unstable or if becomes symptomatic, consider transfusion. Check Fe studies. 4) If spikes re-cx| |21|2001-02-18-16.59.18.794512|1|55866|||ADM 2/18 83 yo f c PMH CAD, CRI, 250 pack yr hx smoking, Lung CA s/p thoracotomy lll resection (96), Breast CA s/p L mastectomy (94), colon CA s/p r hemicolectomy (88), + Lupus anti coag s/p art thrombus, R distal foot resection, fempop bypass (93), a/w cough, sob, chills low grade fever, likely comm aquired pneumonia. Romi(low suspicion). Meds: Azithro, Cefurox IV, proventil nebs, SQ heparin WARD Cx > 101 +/+ FULL CODE NKDA| |22|2001-02-20-19.19.03.210166|1|55866|||ADM 2/18 83 yo f c PMH CAD, CRI, 250 pack yr hx smoking, Lung CA s/p thoracotomy lll resection (96), Breast CA s/p L mastectomy (94), colon CA s/p r hemicolectomy (88), + Lupus anti coag s/p art thrombus, R distal foot resection, fempop bypass (93), a/w cough, sob, chills low grade fever, likely comm aquired pneumonia. Romi(low suspicion). 2/20 V/Q scan low prob-indeterminate Meds: Azithro, Cefurox IV, proventil nebs, SQ heparin, prednisone 20 qd, robitussin prn WARD Cx > 101 +/+ FULL CODE NKDA| |23|2001-02-21-13.09.39.798181|1|55866|||ADM 2/18 83 yo f c PMH CAD, CRI, 250 pack yr hx smoking, Lung CA s/p thoracotomy lll resection (96), Breast CA s/p L mastectomy (94), colon CA s/p r hemicolectomy (88), + Lupus anti coag s/p art thrombus, R distal foot resection, fempop bypass (93), a/w cough, sob, chills low grade fever, likely comm aquired pneumonia. Romi(low suspicion). 2/20 V/Q scan low prob-indeterminate Meds: Azithro PO proventil nebs, SQ heparin, prednisone 20 qd, robitussin prn, kayexalate WARD Cx > 101 +/+ FULL CODE NKDA| |24|2001-02-24-16.28.22.843149|1|55866|||ADM 2/18 83 yo f c PMH CAD, CRI, 250 pack yr hx smoking, Lung CA s/p thoracotomy lll resection (96), Breast CA s/p L mastectomy (94), colon CA s/p r hemicolectomy (88), + Lupus anti coag s/p art thrombus, R distal foot resection, fempop bypass (93), a/w cough, sob, chills low grade fever, likely comm aquired pneumonia. Romi(low suspicion). TTE: Dilated LA and LV 2. Sev depressed LVEF with anterior, anteroseptal and apical akinesis, rest of ventricle severely hypokinetic. 3. Moderate MR 2/20 V/Q scan low prob-indeterminate Meds: aztreonam + zosyn PO proventil nebs, SQ heparin, prednisone 20 qd, robitussin prn, kayexalate WARD Cx > 101 +/+ FULL CODE NKDA| |25|2001-02-17-08.08.36.559167|1|55866|||GI/ Liz 6 3/4 yo boy with lifelong h/o chronic constipation and fragmented medical care, admitted for NG Golytely Golytely until stool runs clear SW consult needs medical home ? GI w/u R/o Hirshbrung's ds| |26|2001-02-18-18.07.54.773817|1|55866|||GI/ Liz 6 3/4 yo boy with lifelong h/o chronic constipation and fragmented medical care, admitted for NG Golytely Golytely until stool runs clear SW consult needs medical home ? GI w/u R/o Hirshprung's ds| |27|2001-02-20-06.25.08.656078|1|55866|||GI/ Liz 6 3/4 yo boy with lifelong h/o chronic constipation and fragmented medical care, admitted for NG Golytely 2/19 PM stool watery, clearing consider d/c Golytely heplock IV when off golytely SW consult needs medical home ? GI w/u R/o Hirshprung's ds| |28|2001-02-21-13.45.33.482502|1|55866|||GI/ Liz 6 3/4 yo boy with lifelong h/o chronic constipation and fragmented medical care, admitted for NG Golytely 2/19 PM stool watery, clearing for d/c on lactulose, mineral oil SW/needs PMD GI f/u with Mike Damico, surg f/u for bx| |29|2001-02-10-20.30.44.743779|1|55866|||SUMMARY admit 2/8/01 discharge 78 yo BM pmh htn, mi 93, cva 98 found on floor for unclear reasons. Pt ambulates short distances with walker-motivational-will ambulate for junk food. Daughter requests a HHA vs short-term Rehab| |30|2001-02-13-19.43.04.136796|1|55866|||SUMMARY admit 2/8/01 discharge 2/14/01 78 yo BM pmh htn, mi 93, cva 98 found on floor for unclear reasons. He was awake, perhaps a little more lethargic than usual. No witnessed LOC. Pt had run out of BP meds X at least 2 weeks BP on admission was 190/100. Pt initially had no c/o except for some right hip pain-X-ray was -.He requires assistance with ADL's. Lives with wife, sleeps in separate rooms. Pt ambulates short distances with walker-motivational-will ambulate for junk food. Pt was able to ambulate with PT He was able to ambulate X 100 feet with a rolling walker. He did require some assistance for transfers and ambulation and verbal cueing for hand placement. The patient was noted to be crying at various times during the hospitalization. Daughter notes he does this often because he is aware of his increasing reliance on others and activities he can no longer do. He was started on zoloft 50 mg po qd for probable depression CT head shows multiple bilateral laucnar infarcts, bilateral frontal, left greater than right. Pt was observed closely. No evidence to suggest CVA new. LABS: Na 141, K4.1, Cl 105, hc03 222, bun/creat 25/1.6 albumin3.4, TB 0.9 ast/alt 32/36 alk phos 97 wbc 14K hct 44, plt 294 MEDS D/C zoloft 50 mg po qd lopressor 50 mg po bid ec asa 325 mg po qd| |31|2001-02-26-17.07.10.129895|1|55866|||2/26/01 71 yo M w/ h/o emphysema, diverticulitis,admitted with 1.5 weeks of worsening SOB on exertion, and several days cough w/ scant clear sputum. Stable, afebrile. IMP: COPD Exacerbation ALL: Bactrim? MEDS:Solumedrol 60 iv q6, atrovent/proventil nebs, proventil prn, azithromycin 500 iv qd, theophylline 150 mg bid, tylenol prn, colace, alphagan drops Pvt = Schluger / FULL CODE IV +/+ Cx>101| |32|2001-01-03-16.02.23.946799|1|55866|||59 y old otherwise healthy pat recently decr ex tollerance and pos stress test s/p cabg x2 on pumpb/l IMAs w/o complicat pmhx : recent dx htn, gout , occ smoker EF 55% . Parameters very stable| |33|2001-01-09-14.44.46.107529|1|55866|||xxx 59 y o HTN, DM 15 cc L P-O ICH on 9/23/99 c negative angio and transcortical aphasia/rightHH on d/c. Had ?acute worsening of aphasia after sz during past 12 mo (low dilantin). Now, again similar history with witnessed sz (pt. not sure, of course) - low dilantin level again. Likely postictal (improving rapidly), cannot r/o resolving infarct. MRI| |34|2001-01-11-16.26.28.994206|1|55866|||90 yo f adm 1/10 with copd flare. Hx chf tia htn dvt pleural effusions w r pleridesis. meds-atrovent albut nebs solumedrol, levofloxacin. cardizem lasix pepcid pvt xxx yyy ++ full code| |35|2001-01-11-16.54.49.399215|1|55866|||90 yo f adm 1/10 with copd flare. Hx chf tia htn dvt pleural effusions w r pleridesis. meds-atrovent albut nebs solumedrol, levofloxacin. cardizem lasix pepcid pvt xxx yyy ++ full code| |36|2001-01-22-06.51.04.340155|1|55866|||90 yo f adm 1/10 with copd flare. Hx chf tia htn dvt pleural effusions w/ r pleurodesis. Meds:atrovent/albut nebs, solumedrol, levoflox, cardizem, lasix, pepcid pvt xxx yyy ++ full code| |37|2001-01-03-22.12.42.701844|1|55866|||Admit 1/3 86F bipolar disorder c paranoia, HTN, CAD s/p ?NQWMI 12/97, CRI, CVA c resolved dysphasia, inc chol, s/p meningioma resection presents with CP/palpitations. EKG with no change vs previous, r/o'ed MI with Trop neg x 2. Requesting social service, HHA. Allergies: NKDA Meds: Norvasc 5qd, risperidone 0.5qhs, Ensure pudding tid, ECASA 325qd Pvt-xxx Full +/- Cx>101| |38|2001-01-04-13.09.40.194119|1|55866|||Admit 1/3 86F bipolar disorder c paranoia, HTN, CAD s/p ?NQWMI 12/97, CRI, CVA c resolved dysphasia, inc chol, s/p meningioma resection presents with CP/palpitations. EKG with no change vs previous, r/o'ed MI with Trop neg x 2. Requesting social service, HHA. Current issues: 1. Medical problems: nothing active. 2. Psych probelms: active. Consult to see. She should go to their service (has been cleared medically several times) 3. Disposition: will be challenging; not good interactions with HHA's Allergies: NKDA Meds: Norvasc 5qd, risperidone 0.5qhs, Ensure pudding tid, ECASA 325qd Pvt-Bejarano Full +/- Cx>101| |39|2001-02-17-12.00.02.502014|1|55866|||xxx, yyy HEPARIN 82 L converted to R Handed B Man, HTN, CAD, Prostate Ca, 2 TIAs of post circ on 2/17 while on ASA. PTT MRI MRA Echo DD TCD| |40|2001-02-17-12.07.09.615745|1|55866|||xxx, yyy HEPARIN 82 L converted to R Handed B Man, HTN, CAD, Prostate Ca, 2 TIAs of post circ on 2/17 while on ASA. PTT MRI MRA Echo DD TCD| |41|2001-02-20-13.12.35.067185|1|55866|||xxx, yyy HEPARIN 82 L converted to R Handed B Man, HTN, CAD, Prostate Ca, 2 TIAs of post circ on 2/17 while on ASA. MRI - acute L med pons infarct Echo - LVH, otherwise no SOE MRA - horrendous intracranial athero. PTT INR DD TCD| |42|2001-02-20-13.12.48.462160|1|55866|||xxx, yyy HEPARIN 82 L converted to R Handed B Man, HTN, CAD, Prostate Ca, 2 TIAs of post circ on 2/17 while on ASA --> anticoag. MRI - acute L med pons infarct Echo - LVH, otherwise no SOE MRA - horrendous intracranial athero. PTT INR DD TCD| |43|2001-02-22-17.08.57.743659|1|55866|||xxx, yyy HEPARIN 82 L converted to R Handed B Man, HTN, CAD, Prostate Ca, 2 TIAs of post circ on 2/17 while on ASA --> anticoag. MRI - acute L med pons infarct Echo - LVH, otherwise no SOE MRA - horrendous intracranial athero. PTT INR DD| |44|2001-02-22-18.46.06.039229|1|55866|||xxx, yyy HEPARIN 82 L converted to R Handed B Man, HTN, CAD, Prostate Ca, 2 TIAs of post circ on 2/17 while on ASA --> anticoag. MRI - acute L med pons infarct Echo - LVH, otherwise no SOE MRA - horrendous intracranial athero. Gloria Thomas 368-5029 Major Greer (PMD) 595-8390/800-945-2564 PTT DD| |45|2001-02-23-14.39.23.045571|1|55866|||xxx, yyy HEPARIN 82 L converted to R Handed B Man, HTN, CAD, Prostate Ca, 2 TIAs of post circ on 2/17 while on ASA --> anticoag. TIA on 8HN 2/22 with L HP, cured with Trandelenberg (PTT was also low then). MRI - acute L med pons infarct Echo - LVH, otherwise no SOE MRA - horrendous intracranial athero. zzz zzzz PTT INR DD Monday| |46|2001-02-26-13.38.08.298433|1|55866|||xxx, yyy HEPARIN. Admitted 2/17 82 L converted to R Handed B Man, HTN, CAD, Prostate Ca, 2 TIAs of post circ on 2/17 while on ASA --> anticoag. TIA on 8HN 2/22 with L HP, cured with Trandelenberg (PTT was also low then). MRI - acute L med pons infarct Echo - LVH, otherwise no SOE MRA - horrendous intracranial athero. xxx zzz PTT INR DD Monday| |47|2001-02-27-12.02.10.463877|1|55866|||xxx, yyy HEPARIN. Admitted 2/17 82 L converted to R Handed B Man, HTN, CAD, Prostate Ca, 2 TIAs of post circ on 2/17 while on ASA --> anticoag. TIA on 8HN 2/22 with L HP, cured with Trandelenberg (PTT was also low then). MRI - acute L med pons infarct Echo - LVH, otherwise no SOE MRA - horrendous intracranial athero. carotid dopp - <40% sten bilat xxx zzz PTT INR SPECT| |48|2001-02-13-23.58.08.211645|1|55866|||Admit 2/14/01 83 yo F with HTN, DM II, hypothyroid s/p thyroidectomy, PVD s/p R fem-pop, AS, OA, osteoporosis, h/o proctitis/diverticulosis/cecal AVM/internal hemorrhoids, chronic anemia (baseline Hct 25-30)s/p 2 recents falls with R radial fracture and T7 compression fracture. Pt. admitted c 2 days wandering in hallway of her bldg. naked. In ER AVSS found to have UTI. admitted for dementia workup and abx. Meds: Synthroid 0.05 qd; Norvasc 10 qd, FS, Bactrim Pvt MD = xxx AIM clinic| |49|2001-02-16-20.35.46.514987|1|55866|||Admit 2/14/01 83 yo F with HTN, DM II, hypothyroid s/p thyroidectomy, PVD s/p R fem-pop, AS, OA, osteoporosis, h/o proctitis/diverticulosis/cecal AVM/internal hemorrhoids, chronic anemia (baseline Hct 25-30)s/p 2 recents falls with R radial fracture and T7 compression fracture. Pt. admitted c 2 days wandering in hallway of her bldg. naked. In ER AVSS found to have UTI. admitted for dementia workup and abx. Meds: Synthroid 0.05 qd; Norvasc 10 qd, FS, Bactrim Pvt MD = xxx AIM clinic VNS on 2/17 will say if can provide services on 2/18-if so can go home, otherwise stays till tuesday 2/20| |50|2001-02-19-14.30.48.096560|1|55866|||Admit 2/14/01 83 yo F with HTN, DM II, hypothyroid s/p thyroidectomy, PVD s/p R fem-pop, AS, OA, osteoporosis, h/o proctitis/diverticulosis/cecal AVM/internal hemorrhoids, chronic anemia (baseline Hct 25-30)s/p 2 recents falls with R radial fracture and T7 compression fracture. Pt. admitted c 2 days wandering in hallway of her bldg. naked. In ER AVSS found to have UTI. admitted for dementia workup and abx. Meds: Synthroid 0.05 qd; Norvasc 10 qd, FS, Bactrim Pvt MD = xxx AIM clinic VNS on 2/17 will say if can provide services on 2/18-unable to provide 2/19 ALC| |51|2001-01-22-22.32.19.834247|1|55866|||Admit 1/22 92 yo with HTN, CHF sec diastolic dysfxn, vestibular dysfxn c chronic dizziness, h/o distant dvt/pe, h/o anxiety and depression. now p/w SOB, severe depression, exhaustion x 2 weeks in context of her partner falling at home & breaking shoulder -- she is overwhelmed. became tachypneic while telling me about his injury. also c dry mouth, dry eyes imp: severe depression/anxiety causing psychosomatic sx, possible new dx sicca syndrome pt for psych consult, pulm consult 1/23 am. possible pft's. nkda (but intolerant to multiple meds) meds: ecasa 81 qd, atenolol 50 po qd, tylenol prn, ambien prn, ativan 1 mg po q4 prn pvt: xxx; full; +/-; cx>101| |52|2001-01-25-17.29.05.671495|1|55866|||Admit 1/22 92 yo with HTN, CHF sec diastolic dysfxn, vestibular dysfxn c chronic dizziness, h/o distant dvt/pe, h/o anxiety and depression. now p/w SOB, severe depression, exhaustion x 2 weeks in context of her partner falling at home & breaking shoulder -- she is overwhelmed. became tachypneic while telling me about his injury. also c dry mouth, dry eyes imp: severe depression/anxiety causing psychosomatic sx, possible new dx sicca syndrome TTE 1/24: mild LVH, low-nl EF, tr AR, mild MR, mild LA dil nkda (but intolerant to multiple meds) meds: ecasa 81 qd, atenolol 50 po qd, tylenol prn, wellbutrin pvt: xxx; full; +/-; cx>101| |53|2001-01-18-23.03.58.315924|1|55866|||adm 1/18 90 yo female hx htn, chol, systolic dysfunct but great extol admitted with atyp cp. has ruled out. To go home in am. meds: lopressor 25 q12, ecasa, zestril 10 qd, prevacid 30 po, lipitor 10, mvi, tyl and maal prn Priv = evertaz, full, cx>101, +/-| |54|2001-01-02-15.32.45.993356|1|55866|||Adm 12/14 82 yo F with h/o HTN, MI, PAF with embolic CVA, seizure disorder, R THR revision, R TKR now admitted for bacteremia secondary to VSEF. Found to have AV endocarditis. Echo: nl LV fn. AV, MV thickened by no veg. tr AI, mild MR, TR + pulm HTN. RVPSP = 60. TEE: + vegetations involving AV. Abd CT: non specific. 12/18: s/w + Blood Cx for VSEF. 12/19 BCx neg x 6d. 12/26 Fluid overload with mild resp distress. Improving s/p diuresis. 1/2 LE Dopplers no DVT. MEDS: Aldactone 100mg qd, Cardizem 30 q6, neurontin 800mg tid, prevacid, phenobarb 60 tid, Colace, senokot, ampicillin, Tylenol, SQ Heparin, Amiodarone 200 qD, percocet Allergies: Librium, Valium, Dilantin PVT: xxx FULL Cx>101 +/+| |55|2001-01-05-19.15.07.972648|1|55866|||Adm 12/14 82yof with h/o HTN, MI, PAF w/ embolic CVA, sz d/o, R THR s/p revision, R TKR now adm for VSEF bacteremia/AV endocarditis. TTE: nl LV fn. pulm HTN. RVPSP = 60. TEE: + vegetations involving AV. LEDopplers (-) for DVT. Now s/p 2 falls w/ ? fem neck fx on xray. Awaiting ortho input. MEDS: Aldactone 100mg qd, Cardizem 30 q6, neurontin 800mg tid, prevacid, phenobarb 60 tid, Colace, senokot, ampicillin, Tylenol, SQ Heparin, Amiodarone 200 qD, percocet Allergies: Librium, Valium, Dilantin PVT: xxx FULL Cx>101 +/+| |56|2001-01-10-16.04.37.586334|1|55866|||Adm 12/14 82yof w/ HTN, MI, PAF w/ embolic CVA, sz d/o, R THR s/p revision, R TKR now adm for VSEF bacteremia/AV endocarditis. TTE: nl LV fn. pulm HTN. RVPSP = 60. TEE: + vegetations involving AV. LEDopplers (-) for DVT. Now w/ LLL pneumonia, recurrent fevers, depressed MS from baseline. MEDS: Aldactone 100mg qd, CardizemCD, neurontin 800mg tid, prevacid, phenobarb 45 tid, Colace, senokot, Zosyn, streptomycin, Tylenol, SQ Heparin, Amiodarone 400 qD, percocet, lasix 20qd Allergies: Librium, Valium, Dilantin PVT: xxx FULL Cx>101 +/+| |57|2001-01-12-18.24.50.521747|1|55866|||Adm 12/14 82yof w/ HTN, MI, PAF w/ embolic CVA, sz d/o, R THR s/p revision, R TKR now adm for VSEF bacteremia/AV endocarditis. TTE: nl LV fn. pulm HTN. RVPSP = 60. TEE: + vegetations involving AV. LEDopplers (-) for DVT. Now w/ pneumonia, recurrent fevers, depressed MS from baseline, ?drug rash, renal dysfxn. MEDS: Aldactone 100mg qd, CardizemCD, neurontin 800mg tid, prevacid, phenobarb 45 tid, Colace, senokot, streptomycin, vanc 750mgivqd, aztreonam, Tylenol, SQ Heparin, Amiodarone 400 qD, percocet, lasix 20qd Allergies: Librium, Valium, Dilantin PVT: xxx FULL Cx>101 +/+ Weekend: check labs, cx if spikes, check attending notes (PMD, ID, Cards)| |58|2001-01-17-13.56.20.622734|1|55866|||Adm 12/14 82yof w/ HTN, MI, PAF w/ embolic CVA, sz d/o, R THR s/p revision, R TKR now adm for VSEF bacteremia/AV endocarditis. TTE: nl LV fn. pulm HTN. RVPSP = 60. TEE: + vegetations involving AV. LEDopplers (-) for DVT. Now w/ recurrent aspiration, recurrent fevers, MS at baseline, drug rash. VRE+ stool. MEDS: Aldactone 100mg qd, CardizemCD, neurontin 800mg tid, prevacid, phenobarb 45 tid, Colace, senokot, streptomycin, vanc 750mgivqd, aztreonam, Tylenol, SQ Heparin, Amiodarone 400 qD, percocet, lasix 20qd, digoxin Allergies: Librium, Valium, Dilantin PVT: xxx FULL Cx>101 +/+| |59|2001-01-20-16.11.54.632377|1|55866|||Adm 12/14 82yof w/ HTN, MI, PAF w/ embolic CVA, sz d/o, R THR s/p revision, R TKR now adm for VSEF bacteremia/AV endocarditis. TTE: nl LV fn. pulm HTN. RVPSP = 60. TEE: + vegetations involving AV. LEDopplers (-) for DVT. Now w/ recurrent aspiration, recurrent fevers, MS at baseline, drug rash. VRE+ stool. MEDS: Aldactone 100mg qd, CardizemCD, neurontin 800mg tid, prevacid, phenobarb 45 tid, Colace, senokot, streptomycin, vanc 750mgivqd, aztreonam, Tylenol, SQ Heparin, Amiodarone 400 qD, percocet, lasix 20qd, digoxin Allergies: Librium, Valium, Dilantin PVT: xxx FULL Cx>101 +/+ sunday: check abc, chem 7; check attg note| |60|2001-01-22-16.07.19.996924|1|55866|||Adm 12/14 82yof w/ HTN, MI, PAF w/ embolic CVA, sz d/o, R THR s/p revision, R TKR now adm for VSEF bacteremia/AV endocarditis. TTE: nl LV fn. pulm HTN. RVPSP = 60. TEE: + vegetations involving AV. LEDopplers (-) for DVT. Now w/ recurrent aspiration, recurrent fevers, MS at baseline, drug rash. VRE+ stool. MEDS: Aldactone 100mg qd, CardizemCD, neurontin 800mg tid, prevacid, phenobarb 45 tid, Colace, senokot, streptomycin, vanc 750mgivqd, aztreonam, Tylenol, SQ Heparin, Amiodarone 400 qD, percocet, lasix 20qd, digoxin Allergies: Librium, Valium, Dilantin PVT: xxx FULL Cx>101 +/+| |61|2001-01-30-17.17.23.362656|1|55866|||Adm 12/14 82yof w/ HTN, MI, PAF w/ embolic CVA, sz d/o, R THR s/p revision, R TKR adm w/ VSEF AV endocarditis. VRE+ stool. Awaiting Rehab placement. MEDS: Aldactone 100mg qd, CardizemCD, neurontin 800mg tid, prevacid, phenobarb 45 tid, Colace, senokot, streptomycin, vanc 750mgivqd, aztreonam, Tylenol, SQ Heparin, Amiodarone 400 qD, percocet, lasix 20qd, digoxin Allergies: Librium, Valium, Dilantin Full, PVT=xxx, cx>101, +/+| |62|2001-02-01-17.48.30.666084|1|55866|||Adm 12/14 Rehab 2/1/00 82yof w/ HTN, MI, PAF w/ embolic CVA, sz d/o, R THR s/p revision, R TKR adm w/ VSEF AV endocarditis. VRE+ stool. Awaiting Rehab placement. MEDS: Aldactone 80 mg qd, CardizemCD 120mg qd, neurontin 800mg tid, prevacid, phenobarb 30mg q 8hr, Colace, senokot, Tylenol, SQ Heparin, Amiodarone 200 bid, lasix 40qd, digoxin o.125 qd, captopril 12.5 qd, ecotrin 325 qd, Allergies: Librium, Valium, Dilantin, ampicillin f/u blood cultures EKG admit labs Full, PVT=xxx X 73804, cx>101, +/+ Dr. xxx-cardio X70781 Dr. yyy-ID| |63|2001-02-05-10.22.50.076294|1|55866|||82yo/f sp aportic valve enterococcal endocarditis PMH: HTN, MI, PAF w/ embolic CVA, sz, R THR s/p revision, R TKR, VRE+ stool. MEDS: Aldactone 80 mg qd, CardizemCD 120mg qd, neurontin 800mg tid, prevacid, phenobarb 30mg q 8hr, Colace, senokot, Tylenol, SQ Heparin, Amiodarone 200 bid, lasix 40qd, digoxin o.125 qd, captopril 12.5 qd, ecotrin 325 qd, Allergies: Librium, Valium, Dilantin, ampicillin f/u blood cultures EKG admit labs Full, PVT=xxx X 73804, Dr. xxx-cardio X70781 Dr. yyy-ID admit 12/14 rehab 2/1/01 d/c Mai| |64|2001-02-05-10.59.10.334068|1|55866|||82yo/f sp aportic valve enterococcal endocarditis PMH: HTN, MI, PAF w/ embolic CVA, sz, R THR s/p revision, R TKR, VRE+ stool. MEDS: Aldactone 80 mg qd, CardizemCD 120mg qd, neurontin 800mg tid, prevacid, phenobarb 30mg q 8hr, Colace, senokot, Tylenol, SQ Heparin, Amiodarone 200 bid, lasix 40qd, digoxin o.125 qd, captopril 12.5 qd, ecotrin 325 qd 1)pt hypotensive 2/5-lasix, adactone, cardizem held but cardio fellow restart meds 2)follow stool for VREF, continue isolation 3)f/u TFT Allergies: Librium, Valium, Dilantin, ampicillin f/u blood cultures EKG admit labs Full, PVT=xxx X 73804, Dr. xxx-cardio X70781 Dr. yyy-ID admit 12/14 rehab 2/1/01 d/c Mai| |65|2001-02-05-10.59.28.095857|1|55866|||82yo/f sp aportic valve enterococcal endocarditis, VREF stool PMH: HTN, MI, PAF w/ embolic CVA, sz, R THR s/p revision, R TKR, VRE+ stool. MEDS: Aldactone 80 mg qd, CardizemCD 120mg qd, neurontin 800mg tid, prevacid, phenobarb 30mg q 8hr, Colace, senokot, Tylenol, SQ Heparin, Amiodarone 200 bid, lasix 40qd, digoxin o.125 qd, captopril 12.5 qd, ecotrin 325 qd 1)pt hypotensive 2/5-lasix, adactone, cardizem held but cardio fellow restart meds 2)follow stool for VREF, continue isolation 3)f/u TFT Allergies: Librium, Valium, Dilantin, ampicillin f/u blood cultures EKG admit labs Full, PVT=xxx X 73804, Dr. xxx-cardio X70781 Dr. yyy-ID admit 12/14 rehab 2/1/01 d/c Mai| |66|2001-02-05-11.43.47.944033|1|55866|||82yo/f sp aportic valve enterococcal endocarditis, VREF stool PMH: HTN, MI, PAF w/ embolic CVA, sz, R THR s/p revision, R TKR, VRE+ stool. MEDS: Aldactone 80 mg qd, CardizemCD 120mg qd, neurontin 800mg tid, prevacid, phenobarb 30mg q 8hr, Colace, senokot, Tylenol, SQ Heparin, Amiodarone 200 bid, lasix 40qd, digoxin o.125 qd, captopril 12.5 qd, ecotrin 325 qd 1)pt hypotensive 2/5-lasix, adactone, cardizem held but cardio fellow restart meds 2)follow stool for VREF, continue isolation 3)f/u TFT Allergies: Librium, Valium, Dilantin, ampicillin f/u blood cultures EKG admit labs Full, PVT=xxx X 73804, Dr. xxx-cardio X70781 Dr. yyy-ID admit 12/14 rehab 2/1/01 d/c 2/21 Mai| |67|2001-02-05-11.44.28.975167|1|55866|||82yo/f sp aportic valve enterococcal endocarditis, VREF stool PMH: HTN, MI, PAF w/ embolic CVA, sz, R THR s/p revision, R TKR, VRE+ stool. MEDS: Aldactone 80 mg qd, CardizemCD 120mg qd, neurontin 800mg tid, prevacid, phenobarb 30mg q 8hr, Colace, senokot, Tylenol, SQ Heparin, Amiodarone 200 bid, lasix 40qd, digoxin o.125 qd, captopril 12.5 qd, ecotrin 325 qd 1)pt hypotensive 2/5-lasix, adactone, cardizem held but cardio fellow restart meds 2)follow stool for VREF, continue isolation 3)f/u TFT Allergies: Librium, Valium, Dilantin, ampicillin f/u blood cultures EKG admit labs Full, PVT=xxx X 73804, Dr. xxx-cardio X70781 Dr. yyy-ID Donavon-endo 70504, 7938 admit 12/14 rehab 2/1/01 d/c 2/21 Mai| |68|2001-02-05-17.52.43.676863|1|55866|||82yo/f sp aportic valve enterococcal endocarditis, VREF stool PMH: HTN, MI, PAF w/ embolic CVA, sz, R THR s/p revision, R TKR, VRE+ stool. MEDS: Aldactone 80 mg qd, CardizemCD 120mg qd, neurontin 800mg tid, prevacid, phenobarb 30mg q 8hr, Colace, senokot, Tylenol, SQ Heparin, Amiodarone 200 bid, lasix 40qd, digoxin o.125 qd, captopril 12.5 qd, ecotrin 325 qd 1)pt hypotensive 2/5-lasix, adactone, cardizem held but cardio fellow restart meds 2)follow stool for VREF, continue isolation 3)f/u TFT Allergies: Librium, Valium, Dilantin, ampicillin f/u blood cultures-negative3 days EKG admit labs Full, PVT=xxx X 73804, Dr. xxx-cardio X70781 Dr. yyy-ID Donavon-endo 70504, 7938 admit 12/14 rehab 2/1/01 d/c 2/21 Mai| |69|2001-02-05-17.53.21.165275|1|55866|||82yo/f sp aportic valve enterococcal endocarditis, VREF stool PMH: HTN, MI, PAF w/ embolic CVA, sz, R THR s/p revision, R TKR, VRE+ stool. MEDS: Aldactone 80 mg qd, CardizemCD 120mg qd, neurontin 800mg tid, prevacid, phenobarb 30mg q 8hr, Colace, senokot, Tylenol, SQ Heparin, Amiodarone 200 bid, lasix 40qd, digoxin o.125 qd, captopril 12.5 qd, ecotrin 325 qd 1)pt hypotensive 2/5-lasix, adactone, cardizem held but cardio fellow restart meds 2)follow stool for VREF, continue isolation 3)f/u TFT Allergies: Librium, Valium, Dilantin, ampicillin f/u blood cultures-negative3 days EKG-sinus brady 58 admit labs Full, PVT=xxx X 73804, Dr. xxx-cardio X70781 Dr. yyy-ID Donavon-endo 70504, 7938 admit 12/14 rehab 2/1/01 d/c 2/21 Mai| |70|2001-02-06-15.27.47.177583|1|55866|||82yo/f sp aportic valve enterococcal endocarditis, VREF stool PMH: HTN, MI, PAF w/ embolic CVA, sz, R THR s/p revision, R TKR, VRE+ stool. MEDS: Aldactone 80 mg qd, CardizemCD 120mg qd, neurontin 800mg tid, prevacid, phenobarb 30mg q 8hr, Colace, senokot, Tylenol, SQ Heparin, Amiodarone 200 bid, lasix 40qd, digoxin o.125 qd, captopril 12.5 qd, ecotrin 325 qd 1)pt hypotensive 2/5-lasix, adactone, cardizem held but cardio fellow restart meds 2)follow stool for VREF, continue isolation 3)TFT-low but PMD still clinicall not hypothyroid 4)Echo 2/6 Allergies: Librium, Valium, Dilantin, ampicillin f/u blood cultures-negative3 days EKG-sinus brady 58, repeat EKG pending admit labs Full, PVT=xxx X 73804, Dr. xxx-cardio X70781 Dr. yyy-ID xxx-endo 70504, 7938 admit 12/14 rehab 2/1/01 d/c 2/21 Mai| |71|2001-02-07-08.27.44.095246|1|55866|||82yo/f sp aportic valve enterococcal endocarditis, VREF stool PMH: HTN, MI, PAF w/ embolic CVA, sz, R THR s/p revision, R TKR, VRE+ stool. MEDS: Aldactone 80 mg qd, CardizemCD 120mg qd, neurontin 800mg tid, prevacid, phenobarb 30mg q 8hr, Colace, senokot, Tylenol, SQ Heparin, Amiodarone 200 bid, lasix 40qd, digoxin o.125 qd, captopril 12.5 qd, ecotrin 325 qd, synthroid .05mg qd 1)pt hypotensive 2/5-lasix, adactone, cardizem held but cardio fellow restart meds 2)follow stool for VREF, continue isolation 3)TFT-low , endo consult suggested synthroid .05mg qd clinicall not hypothyroid 4)Echo 2/6 Allergies: Librium, Valium, Dilantin, ampicillin f/u blood cultures-negative3 days EKG-sinus brady 58, repeat EKG pending admit labs Full, PVT=xxx X 73804, Dr. xxx-cardio X70781 Dr. yyy-ID zzz-endo 70504, 7938 admit 12/14 rehab 2/1/01 d/c 2/21 Mai| |72|2001-02-09-22.22.49.575732|1|55866|||transfer from CCU 2/9 (adm 12/14-->rehab 2/1) 82yo F originally admitted for aortic valve enterococcal endocarditis; has VREF stool, HTN, PAF with embolic CVA, seizure ds, CAD; went to rehab 2/1; had bradycardic arrest 2/7 after K=6.9 and was kept on dig, amiodarone, and diltiazem. All: Librium, valium, Dilantin, ampicillin MEDS: neurontin 800mg tid, prevacid 30 qd, phenobarb 30mg q 8hr, Neurontin 800 PO q8, Alb/Atr MDI 2 puffs qid PRN, Colace 100 tid, senokot qhs, Tylenol PRN, Robitussin PRN, SQ Heparin, ecotrin 325 qd, synthroid .05mg qd PVT=xxx X 73804 (cards xxx 70781) FULL +/+ cx=101 admit 12/14 rehab 2/1/01 d/c 2/21 Mai| |73|2001-02-09-22.23.03.329049|1|55866|||transfer from CCU 2/9 (adm 12/14-->rehab 2/1) 82yo F originally admitted for aortic valve enterococcal endocarditis; has VREF stool, HTN, PAF with embolic CVA, seizure ds, CAD; went to rehab 2/1; had bradycardic arrest 2/7 after K=6.9 and was kept on dig, amiodarone, and diltiazem. All: Librium, valium, Dilantin, ampicillin MEDS: neurontin 800mg tid, prevacid 30 qd, phenobarb 30mg q 8hr, Neurontin 800 PO q8, Alb/Atr MDI 2 puffs qid PRN, Colace 100 tid, senokot qhs, Tylenol PRN, Robitussin PRN, SQ Heparin, ecotrin 325 qd, synthroid .05mg qd PVT=xxx X 73804 (cards xxx 70781) FULL +/+ cx=101| |74|2001-02-10-00.11.32.316945|1|55866|||transfer from CCU 2/9 (adm 12/14-->rehab 2/1) 82yo F originally admitted for aortic valve enterococcal endocarditis; has VREF stool, HTN, PAF with embolic CVA, seizure ds, CAD; went to rehab 2/1; had bradycardic arrest 2/7 after K=6.9 and was kept on dig, amiodarone, and diltiazem. Now K is normal; pt received IV fluids, and HCT dropped slightly; following. All: Librium, valium, Dilantin, ampicillin MEDS: neurontin 800mg tid, prevacid 30 qd, phenobarb 30mg q 8hr, Neurontin 800 PO q8, Alb/Atr MDI 2 puffs qid PRN, Colace 100 tid, senokot qhs, Tylenol PRN, Robitussin PRN, SQ Heparin, ecotrin 325 qd, synthroid .05mg qd PVT=xxx X 73804 (cards xxx 70781) FULL +/+ cx=101| |75|2001-02-10-12.32.13.967313|1|55866|||transfer from CCU 2/9 (adm 12/14-->rehab 2/1-->CCU 2/7) 82yo F originally admitted for aortic valve enterococcal endocarditis; has VREF stool, HTN, PAF with embolic CVA, seizure ds, CAD; went to rehab 2/1; had bradycardic arrest 2/7 after K=6.9 and was kept on dig, amiodarone, and diltiazem. Now K is normal; pt received IV fluids, and HCT dropped slightly; following. Lungs somewhat wet still from CCU; Lasix PRN. All: Librium, valium, Dilantin, ampicillin MEDS: neurontin 800mg tid, prevacid 30 qd, phenobarb 30mg q 8hr, Neurontin 800 PO q8, Alb/Atr MDI 2 puffs qid PRN, Colace 100 tid, senokot qhs, Tylenol PRN, Robitussin PRN, SQ Heparin, ecotrin 325 qd, synthroid 0.05mg qd PVT=xxx X 73804 (cards xxx 70781) FULL +/+ cx=101| |76|2001-02-11-15.23.28.067089|1|55866|||transfer from CCU 2/9 (adm 12/14-->rehab 2/1-->CCU 2/7) 82yo F originally admitted for aortic valve enterococcal endocarditis; has VREF stool, HTN, PAF with embolic CVA, seizure ds, CAD; went to rehab 2/1; had bradycardic arrest 2/7 after K=6.9 and was kept on dig, amiodarone, and diltiazem. Now K is normal; pt received IV fluids, and HCT dropped slightly; following. Lungs somewhat wet still from CCU; Lasix PRN. 2/11 started low dose Ca channel blocker for Afib All: Librium, valium, Dilantin, ampicillin MEDS: neurontin 800mg tid, prevacid 30 qd, phenobarb 30mg q 8hr, Neurontin 800 PO q8, Alb/Atr MDI 2 puffs qid PRN, Colace 100 tid, senokot qhs, Tylenol PRN, Robitussin PRN, SQ Heparin, ecotrin 325 qd, synthroid 0.05mg qd, Cardizem 30mg BID PVT=xxx X 73804 (cards xxx 70781) FULL +/+ cx=101| |77|2001-02-12-14.27.50.395184|1|55866|||transfer from CCU 2/9 (adm 12/14-->rehab 2/1-->CCU 2/7) 82yo F originally admitted for aortic valve enterococcal endocarditis; has VREF stool, HTN, PAF with embolic CVA, seizure ds, CAD; went to rehab 2/1; had bradycardic arrest 2/7 after K=6.9 and was kept on dig, amiodarone, and diltiazem. Now K is normal; pt received IV fluids, and HCT dropped slightly; following. Lungs somewhat wet still from CCU; Lasix PRN. 2/11 started low dose Ca channel blocker for Afib. Now in sinus. All: Librium, valium, Dilantin, ampicillin MEDS: neurontin 800mg tid, prevacid 30 qd, phenobarb 30mg q 8hr, Neurontin 800 PO q8, Alb/Atr MDI 2 puffs qid PRN, Colace 100 tid, senokot qhs, Tylenol PRN, Robitussin PRN, SQ Heparin, ecotrin 325 qd, synthroid 0.05mg qd, Cardizem 30mg BID PVT=xxx X 73804 (cards xxx 70781) FULL +/+ cx=101| |78|2001-02-13-09.12.54.138705|1|55866|||transfer from CCU 2/9 (adm 12/14-->rehab 2/1-->CCU 2/7) 82yo F originally admitted for aortic valve enterococcal endocarditis; has VREF stool, HTN, PAF with embolic CVA, seizure ds, CAD; went to rehab 2/1; had bradycardic arrest 2/7 after K=6.9 and was kept on dig, amiodarone, and diltiazem. Now K is normal. 2/11 started low dose Ca channel blocker for Afib. Now in sinus. Awaiting transfer to rehab. All: Librium, valium, Dilantin, ampicillin MEDS: neurontin 800mg tid, prevacid 30 qd, phenobarb 30mg q 8hr, Neurontin 800 PO q8, Alb/Atr MDI 2 puffs qid PRN, Colace 100 tid, senokot qhs, Tylenol PRN, Robitussin PRN, SQ Heparin, ecotrin 325 qd, synthroid 0.05mg qd, Cardizem 30mg q8 PVT=xxx X 73804 (cards xxx 70781) FULL +/+ cx=101| |79|2001-02-16-15.24.40.623129|1|55866|||transfer from CCU 2/9 (adm 12/14-->rehab 2/1-->CCU 2/7) 82yo F originally admitted for aortic valve enterococcal endocarditis; has VREF stool, HTN, PAF with embolic CVA, seizure ds, CAD; went to rehab 2/1; had bradycardic arrest 2/7 after K=6.9 and was kept on dig, amiodarone, and diltiazem. Now K is normal. 2/11 started low dose Ca channel blocker for Afib. Now in sinus. Awaiting transfer to rehab. All: Librium, valium, Dilantin, ampicillin MEDS: neurontin 800mg tid, prevacid 30 qd, phenobarb 30mg q 8hr, Neurontin 800 PO q8, Alb/Atr MDI 2 puffs qid PRN, Colace 100 tid, senokot qhs, Tylenol PRN, Robitussin PRN, SQ Heparin, ecotrin 325 qd, synthroid 0.05mg qd, Cardizem CD 120 qd, amiodarone 100 qd, Lasix 40 qd PVT=xxx X 73804 (cards xxx 70781) FULL +/+ cx=101| |80|2001-02-17-14.02.42.538917|1|55866|||cc:decreased functional status s/p aortic valve enterococcal endocarditis 82 yo female with pmh of HTN,afib,sz disrorder,DJD, s/p rt orif 3/2000,sp cva,s/p mi,hiatal hernia,h/o rt knee repair who is s/p bradycardic,hyperkalemic arrest and is being readmitted to rehab for decreased functional status s/p aortic valve enterococcal endocarditis all:librium,valium,dilantin,tegretol,ampicillin meds:mom,colace,tylenol,maalox plus,senekot,dulcolax,fleets enema,prevacid,ecasa,synthroid,cardizem,heparin,neurontin,phenobarbital,atrovent?albuterol,robitussin,K-dur Dr. xxx(PMD) Dr. Rudnick#1753| |81|2001-02-24-13.42.41.910586|1|55866|||cc:decreased functional status s/p aortic valve enterococcal endocarditis 82 yo female with pmh of HTN,afib,sz disrorder,DJD, s/p rt orif 3/2000,sp cva,s/p mi,hiatal hernia,h/o rt knee repair who is s/p bradycardic,hyperkalemic arrest and is being readmitted to rehab for decreased functional status s/p aortic valve enterococcal endocarditis all:librium,valium,dilantin,tegretol,ampicillin meds:mom,colace,tylenol,maalox plus,senekot,dulcolax,fleets enema,prevacid,ecasa,synthroid,cardizem,heparin,neurontin,phenobarbital,atrovent?albuterol,robitussin,K-dur Dr. xxx(PMD) Dr. Rudnick#1753 admited 12/14 rehab 2/1 arrest 2/7 rehab 2/17| |82|2001-02-27-08.46.00.917312|1|55866|||cc:decreased functional status s/p aortic valve enterococcal endocarditis 82 yo female with pmh of HTN,afib,sz disrorder,DJD, s/p rt orif 3/2000,sp cva,s/p mi,hiatal hernia,h/o rt knee repair who is s/p bradycardic,hyperkalemic arrest and is being readmitted to rehab for decreased functional status s/p aortic valve enterococcal endocarditis all:librium,valium,dilantin,tegretol,ampicillin meds:mom,colace,tylenol,maalox plus,senekot,dulcolax,fleets enema,prevacid,ecasa,synthroid,cardizem,heparin,neurontin,phenobarbital,atrovent?albuterol,robitussin,K-dur Dr. xxx(PMD) Dr. Rudnick#1753 admited 12/14 rehab 2/1 arrest 2/7 rehab 2/17 ALC 2/23| |83|2001-01-12-07.00.03.509154|1|55866|||Admission 1/11/001 91 yo female with PMHx sig for HTN, sciatica, asthma, syncope in 1996 comes in with worse back pain for one week since falling and hitting her back, down both legs, able to walk but painful. Xrays all pending. Plan: PT consult, pain management, may get MR. Doesn't look too bad.| |84|2001-01-12-14.28.16.518649|1|55866|||Admission 1/11/001 91 yo female with PMHx sig for HTN, sciatica, asthma, syncope in 1996 comes in with worse back pain for one week since falling and hitting her back, down both legs, able to walk but painful. Plan: PT consult-if OK, d/c pt to home| |85|2001-01-16-14.53.40.105293|1|55866|||Admission 1/11/001 91 yo female with PMHx sig for HTN, sciatica, asthma, syncope in 1996 comes in with worse back pain for one week since falling and hitting her back, down both legs, able to walk but painful. Plan: PT consult 1/16 deemed unsafe for d/c by PT-possible Subacute vs Home| |86|2001-01-17-13.06.39.933288|1|55866|||Admission 1/11/001 91 yo female with PMHx sig for HTN, sciatica, asthma, syncope in 1996 comes in with worse back pain for one week since falling and hitting her back, down both legs, able to walk but painful. Plan: 1/16 deemed unsafe for d/c by PT-Ambulated with Rolling Walker instead of usual quad cane. Needs assistance for transfers and ambulation with Rolling Walker Pain improved with tylenol/prn dilaudid 1/17/01- Pt agreeable to short-term Rehab with goal of returning to home Labs: wbc 5.9, hgb 13.9, Na 144, K4.1, cl 102, hc03 30, bun/creat 14/1.0, ca 10.1. X-ray of pelvis and hips - D/C meds Hctx 1 tab po qd zoloft 50 mg po qd vanceril inhaler 2 puffs bid accupril 20 mg po qd lipitor 10 mg po qd zyrtec 10 mg po qd tylenol 1 gm po q6 prn theodur 200 mg po bid| |87|2001-01-17-18.26.31.320156|1|55866|||Admission 1/11/001 91 yo female with PMHx sig for HTN, sciatica, asthma, syncope in 1996 comes in with worse back pain for one week since falling and hitting her back, down both legs, able to walk but painful. Plan: 1/16 deemed unsafe for d/c by PT-Ambulated with Rolling Walker instead of usual quad cane. Needs assistance for transfers and ambulation with Rolling Walker Pain improved with tylenol/prn dilaudid 1/17/01- Pt agreeable to short-term Rehab with goal of returning to home Labs: wbc 5.9, hgb 13.9, Na 144, K4.1, cl 102, hc03 30, bun/creat 14/1.0, ca 10.1. X-ray of pelvis and hips - D/C meds Hctx 1 tab po qd zoloft 50 mg po qd vanceril inhaler 2 puffs bid accupril 20 mg po qd lipitor 10 mg po qd zyrtec 10 mg po qd tylenol 1 gm po q6 prn theodur 200 mg po bid| |88|2001-01-09-15.03.39.225912|1|55866|||adm 1/9 cc: ascites 84F {endometrial ca, htn, p.a.fib, former smoker} breast CA diagnosed in 91 s/p mrm/xrt/taxol. Pleural effusion, ascites/liver lesion indicating mets. Refractory ascites. Admitted for management/paracentesis. NKDA Meds: aromasin 25 po qd, allopurinol 200 po, lasix 40 po bid, kdur 20 bid, sotalol 80/40, ecasa 325 po qd, restoril 15 qhs, tylenol, senokot 2 po qhs, fibercon 1 po qd, ensure zzzz/yyy full Watching: abdomen Pending: admission labs, paracentesis To do: nil| |89|2001-01-10-14.47.48.174668|1|55866|||adm 1/9 cc: ascites 84F {endometrial ca, htn, p.a.fib, former smoker} breast CA diagnosed in 91 s/p mrm/xrt/taxol. Pleural effusion, ascites/liver lesion indicating mets. Refractory ascites. Admitted for management/paracentesis. NKDA Meds: aromasin 25 po qd, allopurinol 200 po, lasix 40 po bid, kdur 20 bid, sotalol 80/40, ecasa 325 po qd, restoril 15 qhs, tylenol, senokot 2 po qhs, fibercon 1 po qd, ensure zzzz/yyy full Watching: abdomen Pending: sw / pt To do: nil| |90|2001-01-12-13.35.39.263006|1|55866|||adm 1/9 cc: ascites 84F {endometrial ca, htn, p.a.fib, former smoker} breast CA diagnosed in 91 s/p mrm/xrt/taxol. Pleural effusion, ascites/liver lesion indicating mets. Refractory ascites. Admitted for management/paracentesis. NKDA Meds: aromasin 25 po qd, allopurinol 200 po, lasix 40 po bid, kdur 20 bid, sotalol 80/40, ecasa 325 po qd, restoril 15 qhs, tylenol, senokot 2 po qhs, fibercon 1 po qd, ensure zzzz/yyy full Watching: abdomen Pending: To do: talk to dr zzzz re: drain out| |91|2001-01-14-11.41.21.679999|1|55866|||adm 1/9 cc: ascites 84F {endometrial ca, htn, p.a.fib, former smoker} breast CA diagnosed in 91 s/p mrm/xrt/taxol. Pleural effusion, ascites/liver lesion indicating mets. Refractory ascites. Admitted for management/paracentesis. NKDA Meds: aromasin 25 po qd, allopurinol 200 po, lasix 40 po bid, kdur 20 bid, sotalol 80/40, ecasa 325 po qd, restoril 15 qhs, tylenol, senokot 2 po qhs, fibercon 1 po qd, ensure zzzz/yyy full Watching: abdomen, potassium (has been high and low), constipation Pending: Dr. zzzz to take peritoneal drain out 1/14 pm To do: d/c on Tuesday if all goes well| |92|2001-01-16-16.31.45.917876|1|55866|||adm 1/9 cc: ascites 84F {endometrial ca, htn, p.a.fib, former smoker} breast CA diagnosed in 91 s/p mrm/xrt/taxol. Pleural effusion, ascites/liver lesion indicating mets. Refractory ascites. Admitted for management/paracentesis. NKDA Meds: aromasin 25 po qd, allopurinol 200 po, lasix 40 po bid, kdur 20 bid, sotalol 80/40, ecasa 325 po qd, restoril 15 qhs, tylenol, senokot 2 po qhs, fibercon 1 po qd, ensure zzzz/yyy full Watching: abdomen, potassium (has been high and low), constipation Pending: Dr. zzzz to take peritoneal drain out 1/16 pm To do: d/c on 1/17| |93|2001-02-03-05.20.50.172397|1|55866|||Admit 2/2 83F w/ metastatic breast CA and prior endometrial CA, PAF, HTN, now admitted for drainage of malignant ascites. Note: If pt drops her BP during paracentesis, we would like to give IVF w/ albumin. However, she refuses and IV, and this has already been addressed and documented in the chart. All: NKDA Meds: sotalol, allopurinol, lasix, KDur, MVI, Vit E, Ambien prn, senokot prn Pvt: yyy (Onc, PMD), xxx (Cards), zzzz (Gyn); full, -/+, Cx>101| |94|2001-02-03-17.16.15.248841|1|55866|||Admit 2/2 83F w/ metastatic breast CA and prior endometrial CA, PAF, HTN, now admitted for drainage of malignant ascites. Note: If pt drops her BP during paracentesis, we would like to give IVF w/ albumin. However, she refuses and IV, and this has already been addressed and documented in the chart. All: NKDA Meds: sotalol, allopurinol, lasix, KDur, MVI, Vit E, Ambien prn, senokot prn Pvt: yyy (Onc, PMD), xxx (Cards), zzzz (Gyn); full, -/+, Cx>101| |95|2001-02-06-09.08.04.876007|1|55866|||Admit 2/2 83F w/ metastatic breast CA and prior endometrial CA, PAF, HTN, now admitted for drainage of malignant ascites. Note: If pt drops her BP during paracentesis, we would like to give IVF w/ albumin. However, she refuses and IV, and this has already been addressed and documented in the chart. All: NKDA Meds: sotalol, allopurinol, lasix, KDur, MVI, vit E, bactrim (2/4-6), aromasin, ambien prn, senokot prn Pvt: yyy (Onc, PMD), xxx (Cards), zzzz (Gyn); full, -/+, Cx>101| |96|2001-02-06-20.44.33.307944|1|55866|||Admit 2/2 83F w/ metastatic breast CA and prior endometrial CA, PAF, HTN, now admitted for drainage of malignant ascites. Note: If pt drops her BP during paracentesis, we would like to give IVF w/ albumin. However, she refuses and IV, and this has already been addressed and documented in the chart. All: NKDA Meds: sotalol, allopurinol, lasix, KDur, MVI, vit E, bactrim (2/4-6), aromasin, ambien prn, senokot prn Pvt: yyy (Onc, PMD), xxx (Cards), zzzz (Gyn); full, -/+, Cx>101| |97|2001-02-07-16.34.49.570635|1|55866|||Admit 2/2 83F w/ metastatic breast CA and prior endometrial CA, PAF, HTN, now admitted for drainage of malignant ascites. Note: If pt drops her BP during paracentesis, we would like to give IVF w/ albumin. However, she refuses and IV, and this has already been addressed and documented in the chart. All: NKDA Meds: sotalol, allopurinol, lasix, KDur, MVI, vit E, aromasin, ambien prn, senokot prn Pvt: yyy (Onc, PMD), xxx (Cards), zzzz (Gyn); full, -/+, Cx>101| |98|2001-01-17-16.33.47.482109|1|55866|||admit 1/17 issue: diverticular bleed 85 yo woman with known diverticular disease who came in with BRBPR, with Hct 27 (baseline 35). Colonoscopy unrevealing except that bleeding had stopped. Hct stable, Hemodynamically stable. meds: prevacid 30mg qd, synthroid .125, steroids (for polymyalgia rheumatica) Pvt Stein (covered by Peter Green) 7-5446, full, t>101, iv +/+| |99|2001-01-18-16.03.40.224507|1|55866|||admit 1/17 issue: diverticular bleed 85 yo woman with known diverticular disease who came in with BRBPR, with Hct 27 (baseline 35). Colonoscopy unrevealing except that bleeding had stopped. Hct stable, Hemodynamically stable. meds: prevacid 30mg qd, synthroid .125, steroids (for polymyalgia rheumatica), lopressor 100mg q12 Pvt Stein (covered by Peter Green) 7-5446, full, t>101, iv +/+| |100|2001-01-22-16.12.20.652113|1|55866|||Admitted to MICU 1/19, transfered to floor 1/22 85 yo woman w/ HTN, hypothyroidism, hx of breast and endometrial ca, polymyalgia rheumatica, now readmitted afor second episode of significant LGIB; second colonoscopy showed severe diverticular disease, areas of clot. Transfused four units 25-->39. Hct stable. For probable ?left colectomy w/ Dr Whelan after transfer out of the MICU. All: PCN, Sulfa Meds: prevacid 30mg qd, synthroid 0.125, prednisone 4 mg po QD; lopressor 50 mg q6 Pvt Stein; FULL; +/+ cx t>101 Daughters: nnnn jjjjj |101|