CARDIOLOGY CENSUS D 3609, 2617, 1505, 1413, ICU1 ICU7, ICU9

SEPTEMBER 3, 2017 T 2407, 2417,NICU1 (PROC), ICU6

ANGHAD-RAMOS/
ANICO-TONDO/SEVILLA/MALICDEM-PALMEA W 2509,, 2314, 1520,1506,CCU3
H 3511, 1502, 1511,NCU1ICU4 ,R3

MEDICAL SUITE

ROOM # AP NAME/AGE/ SEX NON CARDIAC DIAGNOSIS CARDIAC DIAGNOSIS DIAGNOSTIC RESULTS PRESENT PROBLEM/
PROCEDURE/ FOLLOW UP/
MEDS
3707 BGY EDGARDO SINDICO CAP HR HCVD, PROB CAD MODERATE 8/31 HGB 102 WBC7.1 S67 PC 233 Defer discharge
615399 94/M ARF 2 COPD IN AE CALCIFIC AS ST B, NYHA FC II NA 140 K4.2 CREA 94 HELPOCK
T2DM 8/26 HGB 106 WBC 10.5 PLT 147 CREA 99 NA 139 CXR 9/4
CXR 8/26 REGRESSION OF INFILTRATES R CEFEPIME 8/21 MEROPENEM
8/23 CXR: PROG OF INFIL 8/23
8/23 WBC 22.7 HGB 109 PLT 151 CREA 107 NA 141 K 4.0 8/22 AMIKACIN
PROBNP 234 NA 137 K 4.8 TP 69 ALB 38 SGPT 13 CREA 155 PT 13.8 INR 1.04
93% ACT APT 32.3 HGB 140 WBC 12.0 PC 225 SEG 87 PNSS 30 CCHR
TROP 0.31 CKMB 17.4 LIFEZAR – HOLD
ECG: SINUS TACH OCC PVCS ALDACTONE – HOLD
ANSIMAR
ECHO 8/23: EF41% DIL LA W/LAVI OF 31.05. AS, MODERATE WITH ESTIMATED DUAVENT
AVA OF 1.19 WITH PEAK GRADIENT OF 24 AND MEAN GRADIENT OF 15 DILTIAZEM
THICKENED AND CALCIFIED AORTIC CUSPS WITH RESTRICTION OF MOTION -
FUSED COMMISSURES WITH EXTENSIVE AAC, THICKENED MVLS WITH LOW
FLOW CONFIGURATION, EXTENSIVE MAC-THICKENED TVLS WITHOUT
RESTRICTION OF MOTION, THE PV WAS NOT ADEQUATELY VISUALIZED FOR
COMMENT, NORMAL LVD WITH AKINESIA OF THE ENTIRE IVS FROM M-A,
APICAL ANTERIOR LATERAL AND INFERIOR WALLS. THE REST OF THE LV
SEGMENTS ARE HYPOCONTRACTILE.
EF 41% -NORMAL RVD WITH AWMC -DILATED LAD WITH LAVI OF 31.05
NORMAL RAD, MPA, ARD WITH CAPAWS, NO PE, DOPPLER TR, MODERATE MR,
MILD AR, MILD PR, MILD, MODERATE PULMO HYPERTENSION WITH EST PAP
OF 71. -PSEUDO NORMAL MITRAL INFLOW PROFILE WITH ABNORMAL MITRAL
ANNULAR VEOCITIES INDICATIVE OF GRADE 2 LVDD; CWPS DONE ON 10/6/16
NEW WALL MOTION ABNORMALITY AS DESCRIBED, PASP INCREASED FROM 45
TO 71 MMHG
3510 CLU LOLITA CUA LIVER CIRRHOSIS SEC TO HCC DYSLIPIDEMIA ECG: CRBBB TRIPHASIC MRI OF LIVER
609606 S/P TACE 4/27/17 SR, NYHA FC I 9/1 HGB 114 PLT 83 WBC 3.4 CREA 95 2D ECHO
T2DM CAROTID DUPLEX

SIMVASTATIN, SILYMARIN,
PANTO, METFORMIN, SPIRO
3609 DBY CO, PACIENCIA 85/ f T/C ANXIETY DISORDER HCVD LUMBOSACRAL MRI: POST KYPHOPLASTY CHANGES INVOLVING THE T11 MEDS: PROPRANOLOL,
615870 S/P KYLOPLASTY JUNE 2017 VERTEBRAL BODY.THE REMAINDER OF THE T21 VERTEBRA STILL EXHIBITS LACIDIPINE, ATORVASTATIN,
DIFFUSE MARROW EDEMA.MILD TO MOD SPINAL CANAL AND LEFT T11-12 METHYLCOBALAMIN MOSEGOR.
FORAMINAL NARROWING. NO SIGNIFICANT CORD COMPRESSION BROMAZEPAM
2) LUMBAR SPONDYLOSIS AS DESCRIBED,WITH THE FF SPECIFIC FINDINGS 8/29 CEFTRIAXONE 9/2
UNCHANGED:A) AT L3-4 THERE IS A MILD DISC BULGE (ASYMMETRIC TO THE CEFIXIME
LEFT) WITH A POSSIBLE TINY LEFT PARACENTRAL DISC PROTRUSION,ABUTTING REHAB
THE TRAVERSING LEFT L4 NERVE ROOT. MODERATE BILATERAL FACET AND
LIGAMENTUM FLAVUM HYPERTROPHY.MILD TO MOD SPINAL CANAL
NARROWING.
9/1 HGB 124 WBC 7.8 PLT 170 NA 135 K 3.8 CREA 77 ICA 1.19
8/30: EF 78% NLVD W/ AWMC W/DERA. N RVD. DIL LA. CALCIFIC AOORTIC
CUSPS, MILD AR 2.54CM2 BY CE. MILD PULMO HTN 45MMHG.
BLOOD CS; STAPH HOMINIS
BLOOD GS: GRAM + COCCI
PROCALCITONIN 0.04
8/28: K4.3
8/26 ECG: SR, NSSTTWA
NA 140 K 3.3 CREA 69
WBC 6.8 HGB 127 PLT 215
ESR 10MMHG
3602 MCS XU,TIAN ZENG 87/M CHRONIC SUBDURAL HCVD 8/30 HGB 132 WBC 8.2 PLT 134 NA 136 K 4.5 ALB 27 CREA 72 REMOVE NGT
HEMATOMA, BILATERAL WITH S/P PPI 2010 (SICK SINUS ECG: A PACED FINAL DISPO C/O NUEROSURG
MASS EFFECT SYNDROME) HGB 150 WBC 7.2 SEG 78 PC 131 CREA 76 SGPT 30 ICA 1.14 P6 KEPPRA CITICOLINE
S/P BILAT CRANIECTOMY EF695 N LVD W/ HYPERTROPHIED WALLS W/ AWMC. DILATED LA AND RA.DIL CILOS-HOLD
EVACUATION 8/27 AORTIC RT(40MM)W/ THICKENED WALLS AND CALCIFIED ANT WALL. MILD PANTOP
S/P EXTUBATION 8/30 MR. MILD TPO MOD TR. MILD PR.MILD PULMO HTN W/ ESPAP OF 38MMHG. 8/31 AMPISUL
3507 ADC SANTIAGO, CARLOS 44/ SVI HGB 145 WBC 7.4 PC 158 CBC 9/3
616463 M ECG ST PARA
DNS1 NEG OMEPRAZOLE
NA135 K3.7 SGPT 109 CREA 83
3508 LTAN VITUG, ROMANCIO LEFT HIP FRACTURE 2 TO FALL HCVD, VHD, MOD AS NYHA FCII 8/30 HGB 118 WBC 12.4 PLT 185 FOBT (-) NO OBJECTION FOR DISCHARGE
CKD 2 TO DM NEPHROPATH ON WBC 10.6 HGB 130 PLT 129 NA 135 K 4.1 S/PHD 9/1
100 YO/ M
MAINTAINANCE HD MWF PANTOPRAZOLE
EF 64% MOD CALCIFIC AS W/ AVA 1.36CM BY CE PG 0F 43, THOICKENED AND CALCIFIIED
DOLCET AMLO DIUMIDE K
AORTIC CUSPS W/ ROM, CONC LV REMODELLING AWMC, DIL RVC, BIATRIAL DIL, MOD
PULMO HTN
PANTOPRAZOLE
ANTIEMBOLIC STOCKINGS

8/30 K 3.8 ALB 28 PT 15.6/1.14/73%

8/28 CAROTISl INS <50%
8/28: HGB 140 WBC 7.2 S48 PC 103 ESR 35
ALP 180 SGPT 38 PMGH 9/5
T/C LIVER CIRRHOSIS PROB 2 TO 8/26 ANA NEGATIVE CEFEPIME 8/25
ALCOHOLIC, MRCP: CBD NARROWING AT MID PORTION, W/ MILD PROX DILATATION R AND L
CHOLEODOCHOLITHIASIS HCVD VHD MOD CALC AS ST B HEPATIC DUCTS STRICTURE TC TB VS 1 SCLEROSING CHOLANGITIS
3511 QUANTIFERON TB
HLC ACKERMANN, JEAN 80M S/P MRI W/ MRCP 8/22 LONG STANDING AF CHADSVASC 3 CHEST CTSCAN;BILATERAL FIBROSIS, MEDIASTINAL LYMPHADENOPATHY
615409 AFB X2 SPUTUM GSCS GENE XPERT
EXTRAPULMONARY TB SUSPECT HASBLED 2 FC II HGB 148 WBC 8.2 PLT 104 NA 134 K 4.0 CREA 92 TELMISARTAN AMLODIPINE
S/P LAP CHOLE W/ ADHESIOLYSIS ECG AF MVR, CRBBB BISOPROLOL ALBUMIN
9/1 EF OF 63% NORMAL LVD WITH AWMC ASA
DILATED RV DIMENSIONS WITH NORMAL CONTR. DILATED LA AND RA
MODERATE CALCIFIC AS WITH AVA OF 1.04CM2 BY CE W/PG OF 26MMHG AND MG OF
11MMHG. MOD MR, MAC
STRUCTURALLY NORMAL TV AND PV MODERATE TR AND MILD PR
CBC CREA K IN AM
2DED W/ CFD
PLAN BKA ON MONDAY
PENDING CLEARANCE
CPC DM FOOT CREA 327 HGB 108 WBC0.829 WBC9.7 S66 PC 439
3510 PUNZALAN, GLICERIA 75/ CILOSTAZOL PANTOXYFILLUNE
LTAN S/P BKA R 92-10) HCVD S/P PTCA 2006 PHC FC II-III ECG SR, CRBBB, INF WALL OLD INFARCTION
616393 F SULODEXIDE KETOANA
T2DM ARTERIAL: DIMINISHED FLOW POPLITEAL (+) FLOW ATA, DEC ON PTA AND PERONEAL
VILDAGLIPTIN ATORVASTATIN
ENTRESTO
CLOPI- HOLD

8/31 HGB 117 WBC 13.3 PLT 275 NA 133 K 3.7 CREA 53 8/25 CIPRO CLINDA->
8/29: NO SIGN CHANGEBLD CS NEGATIVE 8/29 CEFIPIME
CAP-MR URINE CS NO GROWTH
FLUCO
BILAT HIP PROSTHESIS (2005) HCVD, HGB 107 WBC10.4 S81 PC213 CREA 71 K3.8 BLD CS ACINETOBACTER
3505 BGY ANGEL CRUZ 95/ M DIGOXIN HERACLENE
GASTRIC CA S/P CHEMO (2002) S/P PPI 2002 DDD 2 TO SSS CXR: PNM BLL
ECG AF IN MVR SALB LANSOP
DMT2
PC 10-12 HERACLENE LANOXIN

NEW BUILDING
2621 LTAN NELLY AGABAN SEPTIC SHOCK SEC TO CAP VS HOCM, VHD, MOD-SEVERE MR 9/1 HGB 103 WBC 12.8 PLT 128 UA PUS 50-60 9/4 CBC UA K SGPT
613263 UTI ST IVA, PAROXYSMAL AFSR, FC 8/28: HGB 121 WBC13.2 B8 S41 PC 97 S/P D3 CHEMO 9/1
CERVICAL CA ST 3B IIIC NA 131 K3.7 ( CISPLATIN+ TOPOTECAN)
TPAG 62/27/36/0.5 CREA 42
S/P CHEMO/RT
8/21 HGB 94 WBC 4/9 S71 PC196 8/17: HGB 100 WBC 6.5 S82 PC92 NA138 KABIVEN 2200 KCAL IN 38 HRS
K3.1 SGPT 17 CREA 48 PALLIATIVE CARE
S/P DJ STENT 7/31 8/6 WBC 8.6 HGB 128 PLT 81 K 3.8 CREA 40 PEPTAMEN
S/P PORTOCATH INSERTION 8/5 K 2.9 HGB 134 WBC 5.7 PC 881 TRANEXAMIC ACID PRN
8/9 8/2 K 3.1 7/31 MEROP-> CEFOXITIN
8/1 NA 135 K 2.6 CREA 138 MG 0.89
7/31 WBC 1.2 HGB 86 PLT 54 CREA 112 NA 134 MG 0.62
7/31 EF 69% N LVD W/ SEPTAL HYPERTROPHY W/ AWMC, SAM OF ANT MVL
W/ RETING PEAK GRADIENT OF 69 MMHG ACROSS THE LVOT, WITH MOD TO
SEVERE MR, MOD TR AN DMILD PR, MOD PULMO HTN ESPAP 61MMHG
CXR: PNEUMONIA BLL
2617 DBY CHAN KIT YEE 72/ F CPC L FEMORAL NECK PROB CAD 8/29 WBC 11.2 HGB 118 PLT 173 SEG 80 LEVOPRONT
61583 FRACTURE 8/28 NA 126 MGH ON 9/4
S/P LAMINECTOMY 2014 WBC 13.3 HGB 127 PC 223 K4,2 CREA 46 PT13.4 INR 1 ACT 100% CELECOXIB
S/P BILATERAL HIP PROSTHESIS, ECG CLBB REHAB
8/29 BLADDER TRAINING
2De 2014: ABN 2D ECHO WITH HK MID TO APICAL IVC AND ANTERO
CEFUROXIME 8/30
LAT WALL ON TRACTION L LOWER EXT
 2619 LTAN FELISA UY 76F CPC PACREATIC HEAD MASS HCVD PROB CAD, VHD MILD AR, ECG NSR
616324 S/P NJT INSERTION 9/2 MR,TR NYHA FC IIB 12/2016: EF 49% N LVD W/ HYPOKINERTIC ENTIRE IVS, INF LVFW FR B-
A
MILD AR, MR, TR, N PAP

2612 LTAN LEONORA RADOVA CAP-MR S/P CP ARREST (8MIN) 9/1 HGB 126 PLTG 199 WBC 7.5
616145 77/F T2DM ARF SEC TO ADHF 8/30 HGB 87 WBC 8.2 PLT 205 CREA 500 K 3.4 CBC CREA NA K 9/3
AKI ON TOP OF CKD HCVD VHD SEVERE AS ECG: OLD ANTEROSEPTAL WALL MI NORGESIC
3V CAD S/P CABG ( LIMA TO CXR: PULMO CONGETION BILAT, BILAT PE 8/29 TAZO LEVOX
TROP 0.07 MB 28.2 WBC 8.6 HGB 92 APC 238 NA 136 K 4.9 CREA 485 CLOP ROSU DUAVENT
S/P EXTUBATION 8/30 LAD, SVG TO DISTAL LAD=D2, 8/30 ECHO: EF 63% N LVD W/ HYPOKINETIC ENTIRE IVS AND IND LVFW FR MID- D/C ENOX BURINEX
SVG TO OM1=OM2, SVG TO APEX W/ DERA, N RVD W/ NC, DIL LA, N FXING BIOPROSTHETIC VALVE IN THE
RPDA) , ACV W/ TRIFECTA AVR AORTICPOSITION W/ EFFECTIVE ORIFICE AREA OF 1.33CM2 W/ PG OF 18, MG
2014 CGH OF 10,NO EVIDENCE OF PARAVALVULAR LEAK, THICKEMNED MVLS W/O ROM
NYHA IIIC WITH MILD MR, MILD PULMO HTN W/ ESPAP 38 TR JET AND 46 BY PAT

2603 ADC ELENA CRUZ 64F COMPLICATED UTI 9/1 HGB 117 WBC 8.7 PLT 242 K 3.9 CREA 64 NA 131 CIPRO
616342 T2DM ECG: ST METFORMIN
UA PUS >100
2505 MPEREZ AMELIA CPC EXCISION OF BILATERAL HCVD ECG: NSR, 1ST DAVB DAT
616329 PANGAANIBAN 60F BREAST MASS HGB 129 WBC6.3 PC229 CREA 73 K4.3 ATORVASTATIN AMLODIPINE
S/P EXCISION 9/2
2509 WTDG SHI, WAH ZHEN 61/ CAPMR HCVD PROB CAD FC II 9/1 DDIMER 0.75 K 4.1 BIPAP FIO2 40%
616288 M ELECTROLYTE IMBALANCE HGB 154 WBC8.9 N72 PC 159 FECALYSIS
R/O LUMBOSACRAL NA 136 K2.9 CREA 67 DVT SCREENING 9/4
FRACTURE 2 TO FALL UA PC 3-5 SPIRAL CT SCAN CHEST AND
ECG SR, PRWP UPPER ABDOMEN
DMT2 CRANIAL CTSCAN: NO ACUTE TRAUMA RELATED INJURY. CSVIC. OLD
LACUMNAR INF, L BASAL GANGLIA PIPTAZO 8/31
LUMBOSACRAL XRAY: NO FRACYURE, LUMBAR SPONDYLOSIS AZITH 8/31
CXR: CROWDING OF BASAL LUNG MARKINGS DUE TO HYPOAERATION. LINEAR LOSARTAN ISMN TRIMET
ATELECTASIS ,LLL. JARDIANCE
PELVIC XRAY: OSTEOARTBRITIS, HIPS
9/2 INIT ECHO: EF50% ECCENTRIC LVH W/ NC. HK OF INFEROLAT WALL B-A.
MILD MR. N PAP.
CTSCAN: FATTY LOVEF R ADRENAL NODULE
CHEST CT: BILATERAL SUBEGMENTAL ATELECTASIS. ELEV R
HEMIDIAPGHRAGM.
2513 ELT FILOMENO HIE 2 TO POST ARREST (8/15) POST ARREST PROB 2 TO 8/28: CREA 209 K3.7 EXTUBATED
614898 CORRALES 67/ M CARDIAC ARRHYTHMIA VTAC- ST 8/26 ETA CS: LT GROWTH OF E.COLI O2 AT 10LPM
8/25: NA 148 K4.5 ALB 40 CREA 184 HGB 94 WBC 8.7 N90 L 5 B2 PC 199 CONSUME MEDS
8/24: HGB 124 WBC16.3 B1 PC 207 DNR NO REINTUB NO DEFIB
NA 140 K3.0 TPAG 64/24 8/20 NA 144 K 3 CREA 134 GCS3
HGB 158 WBC 24.8 PC 259 PULL OUT MV-> ON T PC
NA142 K4 CREA 193 DNR NO DEFIB
MG 0.77 ICA 1.14 AC MODE FIO2 50%
ECG ST ALDACTONE
ECHO: EF 51% N LVD W/ SEVERELY HYPOKINETIC INF AND INFERLOAT LVFW FR ASA CLOPI ISMN
B-A. THE REST O FTHE LV SEGMENTSCONTGRACT ADEQ W/ DERA 8/21 LEVO
8/21 MEROP
LEVOPHED 8MG X 15CC/HR
NAHCO3 CITICHOLINE
HYPOTHERMIA PROTOCOL
KCL ALBUMIN OD

2514 LTAN CENTENO ARF 2 TO CAPHR ADHF ABG 7.4 PCO2 30.9 PO2 63.2 HCO3 18.9 COM RESPI ALK W/ HYPOXEMIA ISOKET DRIP QOMG X 10CC/ HR
616436 FRANCISCO 70/ M CVA INFARCT L MCA HCVD NSTEMI PROB ISCHEMIC TROPT 0.13 CKMB 22.3 ASA CLOPI ENOXAPRARINE
T2DM DCMP FC III ST C CXR: CM, PNM R LOSARTAN AMLO
ECG SINUS TACHYARRHYTHMIA, LBBB ATORVASTATIN DIGOXIN
HGB 132 WBC6.3 B1 S68 PC 196 SILTAGLIPTIN
NA 138 K3.3 CREA 141
PROV ECHO EF 22% SEVERE GLOBAL HK WITH THINNED OUT AKINETIC
SEPTUM

2516 ELT RICHARD UY 88/ M UGIB PROB 2 TO BPUD HCVD PROB CAD FC II 9/2: WAUTZ: GB SANDY LITHIASES. BMRD.9/1: EF 40% DILATED LVD WITH CBC 9/3
CVD INFARCT X 3, HYPOKINETIC ENTIRE IVS, ANT AND INFERIOR LVFW FRM MID TO APEX WITH REFUSED EGD
S/P CVA 2X 2004, 2008, 2016 DERA, THICKEND AROTIC CUSP WITHOUT ROM SITH MILD AR, THICKEND
AMVLS WITHOUT ROM WITH MILD MR
MILD PULMNARY HPN WITH ESPAP OF 48 MMHG BY TR JET PMGH 9/4
9/1 HGB 95 WBC 10.3 PLT 244 PANTOP CARVEDILOL
8/31: HGB 88 WBC13.3 B1 PC308 CLOPI-HOLD
NA 136 K5 CREA 128 PTPA ACT 123% INR 1
(RELATIVES CONTEMPLATING
12/16: CRANIAL MRI: SMALL ACUTE INFARCT LEFT CAUDEATE BODY;
DISCHARGE ON MONDAY)
SUBACUTE INFARCT RIGHT POSTERIOR FRONTAL LOBE; CHRONIC
TEMPOROPARIETAL INFARCTWITH DILATATION OF LEFT VENTRICL; MULTIPLE
SMALL INFARCTS
MRA: SEVERE SHORT SEGEMNT NARROWING PROX MCA
2517 CLU SAU WAH YEUING CAP-MR HCVD PROB CAD 8/31: DVT POSITIVE FOR DISTAL DVT TO LEFT SOLEIL VEIN, ACUTE TO NA CREA CBC K 9/3
614668 91/ F COPDAE S/P PPI 2 TO SSS( 1990’S PHC) SUBACUTE CPAP
AMOEBIASIS SEVERE PULMO HTN GR3 8/31: NA 161 CREA 231 O2 NC WHILE EATING
8/29 NA 165 8/30 NA 161
T2DM HF FCIII
8/27: NA 155 K3.9 CREA 213 9/2 PIPTAZO
ACUTE TO SUBACUTE DISTAL 8/22 NA 139 K3.3 PROBNP 7936 8/20 WBC 8.4 HGB 98 PLT 200 SEG 84 NA 136 NAC, LOSARTAN, CLOPID,
DVT TO SOL V K 3.1 PRO BNP 7799 CREA 182 AMIODARONE, JANUMET
8/19 DVT: NEGATIVE DOXOFYLLINE ALDACTONE
8/18 NA 149 K3.2 CREA 194 HGB 99 WBC 12.4 B2 S90/ PC 192 COMBIVENT ALBUMIN
8/15PROBNP 4256 NA132 K3.1 CREA 179 PREDNISONE
8/15HGB 100 WBC 8.7 PC133 S46 SAMSCA HOLD 8/28
8/15ECG: AF, VPACED
2DED 8/24: EF56% N LVD W/ SEPTAL HYPERTROPHY AND SEGM WM ABN.
HYPOKINETIC OF DISTAL HALF ANTEROIOR IVS W/ MILD SYSTOLIC
DYSFUNCTION. GR 2 DD. MOD MR. AI+1. SEVERE PULMO HTN C PR

2407 TDY ZENAIDA CAP MR, COMPLICATED UTI ASCVD ECG SR, NSSTWC, LCH CBC NA K CREA CXR 9/3
616290 GATBONTON 68/ F S/P CVA W/ R CREA 146 PIPTAZO 8/31
SIDEDRESIDUALS (7/2017) HGB 128 WBC24.3 S88 PC 202 AZITH 8/31
CHRONIC BEDRIDDEN STATE NA 141 K3.6 TRAJENTA CILOSTAZOL
CITICHOLINE ATORVASTATIN
(X2 YRS)
TRIMETAZIDINE
S/P INTRACRANIAL SX
VESTIBULAR SHWANNOMA
(2002)
T2DM
2408A LTAN LEONARDO SAMERO ARF SEC TO OBSTRUCTION HCVD 9/1 ECG: ST 9/1 PIPTAZO
616386 80M VS CAPHR WBC 16.3 HGB 120 PLT 302 KCL SYRUP HYDROCORT
T/C LARYNGEAL MASS PROB NA 140 K 2.8 CREA 100 DUAVENT
MALIGNANT CT SCAN: LOBULATED THICKENING, AIRWAY NARROWING PROB NEOPLASTIC
PROCESS
S/P CVA W/ R SIDED
RESDUALS
2408D MOG TAN, DANILO 60M CVA BLEED L THALAMUS (15- HCVD HGB 150 WBC 8.5 PLT 272 MGH
616037 616037 16CC) CREA 1.56 NA 139.6 K3.77 MANNITOL VERTIZINE
METOPROLOL
REHAB
2413 LTAN DANILO VALDEZ 64/ CAPMR HCVD ACUTE AF IN RVR> MVR 2DED OFF 9/2;L STUDY DONE IN AF RVR EF60% N LVD AND WALL THICKNESS TFT
M FC II W/ AWMC. N RV W/ N CONTRACTILITY. DIL LA AND RA W/ LAVI OF IRBESARTAN + HCTZ
33.8ML/M2. MILD TR. NPAP COMANAGED W/ PULMO
HGB 135 WBC 7 B2 N64 PC 225 9/2 PIPTAZO
NA 139 K3.8 CREA 84 ICA 1.19 MG 0.86
2417 TDY FEDERICO RUIZ 90/M COLONIC DIVERTICULITIS, HCVD S/P CA NONOBSTRUCTIVE 8/30 REGRESSION OF PNM INF BLL 9/3 CREA
614392 CECALCHOLELITHIASIS CAD (2009) 8/23: CXR CLEARING OF BLL S/P HD 9/2
T2DM S/P IJ CATHETER INSERTION, R 8/16 8/20 NA 139 K 3.3 CREA 221
S/P TOTAL THYROIDECTOMY DISTAL DVT PTV AND PRONEAL 8/16 CREA 367 NA 142 K4.6 HOLD ANTIBIOTICS
(2000?) RIGHT NA 152 K4 CREA 142(175) AWAITING C DIFF ASSAY
AKI PROB 2 TO INFECTION ON FT414.53 FT3 1.6 TSH 0.41
TOP OF CKD 2 TO DM NEPHRO HGB 151 WBC13.5 PC 217 NA 131 K4 REFUSED FOR AVF CREATION
OFF ECHO 8/11: EF62% N LVD W/ NC. IMPAIRTED LV DIASTOLIC DYSFXN. MILD ANTIEMBOLIC STOCKINGS
MR, MILD TR. N PAP APIXABAN 5MG TAB BID
CXR PRNUMONITIS VS CILC HOLD CLOPIDOGREL 8/24
ECG NSR, NSSTWC ALB+LASIX OD
LTHYROXIN
GLIMEPERIDE NAC ATENOLOL
SPIRINOLACTONE TRIMETZIDINE
SIMVASTATIN FINASTERIDE
2421 DTA RAZO, MARIA CAPMR HCVD, DCMP PROB ISCHEMIC 9/1 HGB 108 PLT 107 WBC 9.1 CREA 342 K 3.9 S/P SLED 9/2
615937 LOURDES 72F AKI ON TOP OF CKD 2 TO HTN ACS NSTE KILLIP III NYHA FC IIIC WBC 13.8 HGB 109 PLT 143 NA 130 K 4.2 CREA 346 SGPT 137 FOR PERM CATH INSERTION ON
NEPHROSCLEROSIS ECG:LBBB, OLD ANTEROSEPTAL WALL MI TROPI POSITVE MONDAY 2PM (GSOR)
S/P FEORAL CATH INSERTION, R ECHO INITIAL: 20% DIL LVD W/ GLOBAL HYPOK TO AKINESIA EXCEPT REFUSED CA
8/29 INFEROLATERAL LVFW AND BASAL INF WALL W/C SHOWS SOME DEG OF ISMN CLOPI
CONTRACTILITY W/ GRDE 3DD, RHEOLOGIC STATIS NOTED. N RVD W./ HK ROSU NAHCO3 FEBUSOTAT,
WALLS (TAPSE 1.06), BIATRIAL DI W/ LAVI 53.14. MILD AR, THICKENED MVLS, KETOBEST, FESO4 LOSARTAN
MOD TO SEVERE TR, MILD PR, MINIMAL PERICARDIAL EFFUSION, MOD PULMO PIPTAZO WEPOX, FURO Q8
HTN ESPAP 61. VASTAREL SIMVASTATIN
COMANAGED BY NEPHRO
ENOXAPARINE

2308D LTAN AVELINA DELA CRUZ LGIB PROB SEC TO HCVD, VHD, MOD CALC AS ST B 9/1 HGB 148 WBC 13.5 PLT 202 NA 140 K 3.1 CREA 95 GEN LIQ DIET
616188 85F DIVERTICULOSIS LONG STANDING AF NYHA FC II HGB 125 PLT 246 WBC 8.2 CREA 50 K 3.7 TELMISARTAN DIGOXIN AMLO
S/P APR 9/1 CHADSVASC 4 HASBLED 3 8/31 EF 70% N LVD W/ N WT W/ AWMC. DIL LA AND RA. MOD CALC AS W/ ATOR
AVA OF 1.15 CM2 BY CE W/ PG OF 19MMHG AND MG OF 10MMHG. MILD TR CEFOXITIN METRONIDAZOLE 9/1
AND PR. MILD PULMO HTN ESPAP OF 37MMHG.
 ECHO: 66% POOR ECHO WINDOW, CONC LVH W/ GOOD WALL MOTION AND
SYS FXN, SEVRE DIL LA, W/ NO THROMBUS, MOD TR, MOD PULMO HTN
2314 WTDG DACANAY JOSE 61M CPC CATARACT SURGERY HCVD ECG NSSTWC GEMFIBROZIL ATENOLOL
S/P CATARACT SURGERY 9/2 CREA 79 METFORMIN GLICALZIDE
T2DM HGB 139 WBC 8.6 PC 202 AMLODIPINE
2306B ADC RICARDO APOLONIO CPC INDIRECT INGUINAL CXR: SUS DEN R APEX AWAITING OR PLAN AND
64/M HERNIA, BIL HGB 114 WBC7.7 SEG66 PC 214 SCHED
NA 133 K3 CREA 114 SGPT 32 D5NR+20MEQS KCL
PTPA 14.7S INR 1.11 ACT 82% K POST CORRECTTION
OLD BUILDING
1501 D MSY ANTONIO PEREZ UGIB 2 TO GASTRIC ULCER HCVD ISCHEMIC DCMP 9/2: CREA 544 K3.7 HGB 106 WBC13.4 B6/S85 PC 138 CREA K 9/3
616043 59/M AND DUODENAL BULB ULCER 2V CAD K3.7 S/P 2 U PRBC
S/P SCLEROTHERAPHY S/P CA 7-8 YEARS AGO IN CDO 8/31:HGB 87 WBC 12 B3 PC 145 CREA 499 O2 AT 1 LPM
8/30 HGB 74 HYDROCORT ATORVASTATIN ,
8/30/17
CREA 582 K 4.7 FUROTRAJENTACALCIUM GLUC
RENAL CELL CA CBC HGB 54 WBC 10 PC 166 CREA 682 NA 135 K6 INSULIN KLYTE
T2DM EF 39% DIL LVD W/ GLOBAL HK W/ MARKED SYS DYSFXN W/LV COMPLIANCE ISMN CORALAN CARVEDILOL
S/P 3U PRBC ABNO. DOIL LA. MILD MR. AI+1 MILD TR. PANTOP
COMANAGE W/ NEPHRO

1501C LTAN ALDREDO TABANGAY R/O HIP FRACTURE 2 TO FALL HCVD, VHD MOD TO SEVERE MS, 8/31 ECG: AF IN MVR MGH
616013 75/ M LONG STANDING AF MVR 8/30 EF 44% MOD TO SEVERE MS, W/ MVA 0.94CM BY PLANI, 1.16CM BY AV NEBIVOLOL CLOPI
CHADSVASC 3 HASBLED 2 NYHA PHT W/ PG OF 19, THICKENED CALCIFIED MVLS W/ DOMING MOTION OD ANT ROSUVASTATIN
LEAFLET, CALCIFIED POSTEROMEDIAL AND FUSED ANTEROMEDIAL DIUMIDE K
FC II B
COMMISURES, MODERATE SUBVALVAR INVOLVEMNET (WS 10), SEVERE
PULMO HTN ESPAP 80
NA 130 K3.6 CKMB 22.1 TROP 0.02 CREA 129
HGB 117 WBC9.4 S83 PC 126
ECG AF IN MVR

1502 HLC CRISANTO DOMINGO CAPMR HCVD, 1VCAD S/PCA BRANCH 8/31 CXR: REGRESSION OF INFILTRATES CREA K NBE
615973 65M T2DM VESSEL DSE (6/2017) WA UTZ: FATTY INFILTRATION OF THE LIVER; CHOLELITHIASIS; B MEDICAL SPUTUM GSCS AFB X 2 GENE
CKD RENAL CYST, CYSTITIS, PROSTAMEGALY, NON DILATED DUCTS XPERT
HGB 122 WBC 10.4 PLT 161 8/27 CEFTRI-> 9/2 PIPTAZOI
K 3.9 CREA 145 8/27AZITH (TC X 7D)
CXR BIL PNM ROSU KETOBEST NAC ASA CLOPI
TELMISARTAN TMZ NEB
DIUMIDE K
1505 DBY HAN LIONG LAU EPISTAXIS SEC TO MIDDLE HCVD, BRADYARRHYTHMIA 9/1 NA 1328/31 NA 127 K 3.9 S/P BT 2 U PRBC
615637 84/M TURBINATE ABRASSION (IDIOVENTRICULAR RHYTHM) 8/29 HBSAG NEG ANTI HCV NEG MEDS: CLOPID – HOLD
S/P ENDOSCOPY, LIGATION S/P TPI 8/10 CREA 230 K 4.1 NA 115 LASIX, DILATREND
OF BLEEDERS AND BIOPSY OF S/P PPI VVI 8/12/17 2DE: CLVH W/ RELATIVELY THIN HK INF WALL FR BASE TO MID W/ ADEQ ENTRESTO
SYSTOLIC FUNCTION W/ LV COMPLIANCE ABNORMALITY ; DIL LA AND RA ,
TONGUE ULCER 8/24/17 3 V CAD S/P CABG 1998 MITRAL SCLEROSIS W/ LOW MOD MR , MILD AORTIC STENOSIS W/ AVA OF HOLD BURINEX9/2
S/P BT 1U PRBC (6GRAFTS PHC) 1.5CM2 W/ THIN REGION OF 13MMHG , MOD PR, MILD PULMO HTN
S/P STENT INSERTION IN THE DVT: NEG , INCOMPETENCY OF R GSC AND L SSV
GRAFTS (3 STENTS) 2000 PHC VENOUS DUPLEX SCAN: NO EVIDENCE OF DVT IN BOTH LOWER EXTREMITIES
RIGHT LE: DVVR OF THE COMMON FEMORAL, FEMORAL AND POPLITEAL
VEINS. SVVR OF GSV. INCOMPETENT SPJ
LEFT LE: DVVR OF THE MID FEMORAL, POPLETEAL AND POST TIBIAL VEINS,
SVVR OF THE SSV. INTERSTITIAL EDEMA BOTH LE
8/24 CREA 280
8/22 NA 118 K 4.5

1506 WTDG CECILIA ALBA ANEMIA SEC TO UGIB HCVD 8/31 2DE: EF 71% NORMAL LVD WITH AWMC AND DOPPLER EVIDENCE MGH ON 9/4
616211 T2DM 2V CAD? S/P PTCA 12YRS AGO OF RELAXATION ABN NORMAL RVD WITH NORMAL CONTRACTILITY CBC PM 9/3
S/P EGD 8/31/17: GASTRIC NEW YORK (UNRECALLED) DILATED LA NORMAL RA, MPA AND ARDS THICKENED AMVL WITHOUT DAT
S/P 1 U PRBC
AND DUODENAL ULCER ROM WITH MILD MR THICKENED RCC AND NCC WITHOUT ROM ST N
CBC POST BT
S/P COLO 8/31: INT TV AND PV WTH MILD TR NO THROMBUS AND NO PE NOTED NORMAL
LOSARTAN CARVEDILOL ISMN
HEMORRHOID PAP FELODIPINE GEMFIBROZIL
URTI 9/2: CXR PNEUMONITIS VS CILC 9/2 UNASYN

HGB 83 WBC 8.7 PLT 298 NA 136 K 4.1 CREA 84

ECG NSR

ANEMIA 2 TO UGIB PROB 2

TO BPUD
HEPATITIS B INF (1970) 9/2 HGB 110 WBC10.6 B14 S69 PC 105
PTB ON TX FOR 2 MONTHS ECG ST, 1D AVB
NPO
ON HOLD 2 TO DRUG ECHO EF57% N LVD AND WT W/ AWMC. DIL LA OF 23.12MS. MILD MR.
S/P 2U PC
1509 ARMANDO NUNEZ INDUCED HEPATITIS N PAP
LTAN S/P 9UPRBC
615584 71/ M S/P UGIE EROSIVE GASTRITIS, HGB 73 WBC 7.4 B1 S64 PC 161
OMEPRAZPOLE
SUPERFICIAL ULCERS NA 141 K4.1
METRONIDAZOLE
PYLORUS ACT 85% INR 1.09
S/P EXPLOR LAP W/ GI SCINT: BLEEDING PROB PROX-MID JEJUNUM
SEGMENTAL RESECTION W/
INTRAOP ENTEROSCOPY 9/1
1511 HLC JORASALLE CAPMR NA 131 K3.8 HGB134 WBC7.5 S68 PC302 9/4 CXR
OLLAGANGI 34/ F UTI, RESOLVING CXR SUSP DENS LUL, PNEUMONITIS BLL 9/1 CEFTRI AZITH
UA 0-1
1513 CLU/ TDY REUBEN SIA 63/M POST-GLIOTIC SEIZURE HCVD LONGSTANDING AF MVR 8/28 HGB 124 WBC 13.4 PLT 318 CREA 55 NA 136 K 4.3 CBC K 9/3
615243 S/P CVD INFARCT R MCA NIF FC III SFA: ILUES VS COLONIC OBSTRXN AC FIO2 50%
TERRITORY LARGE PERICARDIAL EFFUSION PERICARDIAL FLUID: NEGATIVE FOR MALIGNANT CELLS
W/ IMPENDING SIGNS OF RPT ECHO 8/24 DIL LVD W/ NORMALLY CONTRACTING BASAL INF AND 8/28 PIPTAZO
INFEROLATERAL LV SEG; REST OF THE LV SEGMENTS ARE HYPOKINETIC W/ CITICHOLINE
TAMPONADE MARKED SYSTOLIC DYSFXN; N LA , MITRAL SCLEORIS, AORTIC SCLEROSIS; NOOTROPIL/ DIAZEPAM/
DIOLATED ARDS,; MIN PE(0.55CM POST) SILYMARIN/ SIMVASTTIN/
S/P PERICARDIOCENTESIS – NEGATIVE AFB KEPPRA
430CC SEROSANGUINOUS 8/23 HGB 150 PLT 220 WBC 10.5 K 4.3 NA 140 CREA 74 ALB 32 SGOT 55 SAMSCA 15MG 1/2 OD
PROBNP 5646 AMIODARONE OD
S/P REMOVAL OF PERICARDIAL CXR 8/20> PROGRESSION OF INFIL DOPA 20 CCHR
CATHETER 8/25 CREA 122 SGPT 53 WBC 15.5 HGB 144 SEG 68 PLT 258 NA 141 K 4.4 ALDACTONE
ECG AF MVR RIVOTRIL
CRANIAT CT SCAN PLAIN: NEGATIVE FOR HGGE
INITIAL EF 40% DIL LVEDD W/ MOD HK INF IVS INF LVFW
LARGE PE IMPEDINING TAMPONADE MILD MR TR MILD N PAP GR II DD
ECG: SR, PROB OLD ANTEROSEPTAL WALL INFARCT PROB PRWP
1514 HLC ANN COSORIO 63/ F CAPMR CHEST CTSCAN: PROGRESSION OF ILD PMGH 9/4
RHEUMATOID ARTHRITIS HCVD PROB CAD FC II ECG SR NSSTWC O2 AT 2 LPM
HGB 116 WBC 7.3 S73 PC 133 NA 138 K3.5 CREA 56 FONDAPARINUX
TPAG 72/ 34/38/0.86 SULODEXIDE
DDIMER>4 TMZ IVABRADINE AMLODIPINE
8/26 2DE: EF OF 56% NORMAL LVD WITH HYPOKINETIC INF AND PIPTAZO 8/25
INFEROLATERAL LVFW FROM BASE WITH DOPPLER EVIDENCE OF PREDNISONE DOXOFYLLINE
RELAXATION ABN. DILATED LA NORMAL RA. MILD AR ST NORMAL TV S/P TOZOLIMUMAB INJ 9/2
AND PV WTH MILD TR NORMAL PAP
DVT: NEGATIVE FOR ACUTE DVT IN BOTH LOWER EXTREMITIES

1519 ADC RICARDO INFANTE CAPHR ASCVD PROB CAD CT SCAN: N SIMV 30%
615691 51M SEIZURE PROB 2 TO HIE VS S/P CP ARREST PROB SEC TO WA UTZ: GB SLUDGE W/ SANDY LITHIASIS AWAITS EEG
SEIZURE D/O CARDIAC ARRHYTHMIA 4/2017: EF 70% CONC LV REMODELLING W/ ADEQ CONTRACTILITY AND LEVOPHED 2CC/HR
GLOBAL SYS FXN CLOPI PANTOP
T2DM
ECG: ST PIPTAZO
WBC 13.7 HGB 147 PLT 256 SEG 89 ICA 1.23 NA 148 K 3.9 CREA 1.08 MG 2.0 KEPPRA CITICHOLINE
TROP <50(N) PT 11.8/1.07 FOR WEANING
2DED 8/28: EF 55% N LVD AND WT W/ HK ENTIRE IVS B-A. N PAP OF 22MMHG.

1520 WTDG LORETA QUIZON 83F CAPMR HCVD PROB CAD, HF, LONG 8/31: HEST UTZ <300CC R RESOLUTION OF PE ON L CBC 9/3
615962 DMT2 STANDING AF NYHA FC IIC 8/31 PT 13.9 INR 1.05 ACT 91% PMGH 9/4
S/P CVA 2014 8/30 WBC 11.6 HGB 115 PLT 518 8/27 PIPTAZO
CHADSVASC 8 HASBLED 3 K 3.9 CREA 100 FURO DILTIAZEM SIMVAST TMZ
S/P ARTHROCENTESIS R 8CC, SUBACUTE TO CHRONIC DVT 8/29 PT 17.1 INR 1.32 ACT 62% CITICOLINE APPROVEL ISMN
L 6CC 9/1
R SSV DVVR, R FEM DISTAL CHEST UTZ R 528CC L 117CC JANUVIA NOVOMIX
POST AND POPLITEAL V DVT: NEG FOR ACUTE DVT ALDACTONE FURO
POSITIVE FOR SUBACUTE TO CHRONIC SVT PART OCCLUD R SSV, DVVR R FEM DOLCET
S/P CA 2014 (BORDERLINE DISTAL POST AND POP VEINS.
CAD) HGB 117 PLT 584 WBC 10 NA 123 K 4.8 CKMB 20.4 CREA 84 TROP 0.04 HOLD XARELTO AND PLETAAL
ECG: AF RVR
8/282DED EF41% N LVD AND WT W/ HK ENTIRE IVS, ANTERIOR AND INFERIOR
LVFW FROM B-A AND DISTAL HALF OF LAT LVFW. BILAT DILATATION. MLD
PULMO HTN W/ SPAP OF 38MMHG
8/29 EF 41% STUDY DONE IN AF WITH RVR NORMAL LVD AND WALL
THICKNESS WITH HYPOKINETIC ENTIRE IVS, ANT AND INF LVFW FROM
MID TO APEX AND DISTAL HALF OF LATERAL LVFW BIATRIAL
DILATATION NORMAL RVD WITH NORMAL CONTRACTILITY NORMAL
MPA AND ARDS WITH CALCIFIED ANT AND POST AORTIC WALLS
THICKENED MVLS WTHOUT ROM WITH MILD MR, MAC THICKENED
RCC AND NCC WITHOUT ROM ST N TV AND PV WTH MILD TR NO
THROMBUS AND NO PE NOTED MILD PULMO HTN (ESPAP OF
38MMHG) INCIDENTAL FINDING OF LEFT SIDED PLEURAL EFFUSION
COMPARED WITH PREV ECHO DONE 9/6/14: NO SIGNIFICANT
CHANGECORRAL

1522 LTAN GREGORIO AJON PROSTATE HCVD PRO CAD FC II 9/2: POSITIVE FOR ACUTE TO SA DISTAL DVT T.O. R PERONEAL V. S/P 1 U PRBC- BT
616057 63/M ADENOCARCINOMA ACUTE TO SUBACUTE DISTAL ROSUVASTATIN, GLICLAZIDE,
POSITIVE CHRONIC SVT OF R GSC AND SSV. BIFID R GFEMORAL V.
T2DM JANUMET
DVT PERONEAL V, CHRONIC RHEOLOGIC STASIS BIL FEMORAL AND POPLITEAL V 8/31: ECG SR, ST ENOXAPARINE IVABNRADINE
S/P PROSTATECTOMY W/ SVT R GSV AND SSV DEP ON V4-V6 (SAME AS PREV) ISMN DIUMIDE K
BILAT PELVIC LYMPH NODE ATORVASTATIN DIAMICRON
DISSECTION 8/30/17 8/31 CXR PULMO CONGESTION BLF
 8/31 NA 139 K 3.4 CREA 120 MG 0.64 ICA 1.11 O2 AT 6 LPM
WBC 16.8 HGB 96 PLT 138 SEG 80
8/30 PT 13.1 INR 1.0 ACT 104% APTT 31.2
ECG: SR, NSSTWC
8/30 2DE:EF 48% DILATED LVD CAVITY WITH NORMAL WALL
THICKNESS WITH SEVERELY HYPOKINETIC INFERIOR IVS, INFERIOR AND
INFEROLATERAL LVFW FROM BASE TO APEX. THE REST OF THE LV
SEGMENTS CONTRACTS ADEQUATELY WITH DERA. NORMAL RVD WITH
NORMAL CONTRACTILITY DILATED LA NORMAL RA, MPA AND ARDS
THICKENED AMVL WTHOUT ROM WITH MOD MR THICKENED RCC AND
NCC WITHOUT ROM WITH MILD AR ST NORMAL TV AND PV WTH MILD
TR AND PR NO THROMBUS AND NO PE NOTED NORMAL PAP
1524 LTAN SAMSON TOCINO ANEMIA SEC TO BLOOD LOSS S/P ARREST JULY 2017 9/2: UA PC >100 URINE CS
615914 79/M UROTHELIAL CA PROB SEC TO 8/29 UB UTZ: CYSTITSI W/ BLOOD CLOTS, NORMAL PROSTATE GELATIN W/ SAP
1 S/P NEPHRECTOMY, CARDIAC ARRYTHMIA 8/28 HGB 146 WBC 5.3 B2 S71 PC 147 PMGH 9/5
URETERECTOMY VF> TDP> SR> VT>SR>PULSELESS 8/26 ECG: SR, PROB OLD INF WALL INFARCT S/P BT 2 UNITS PRBC
WBC 5.8 HGB 94 PLT 189 SEG 57
PARTIAL CYSTECTOMY 7/5 VTACH >
NA 130 K 4.3 SGPT 17 CREA 67 MEDS: PANTOPRAZOLE,
T2DM PT 12.1 INR 1.06 ACT 87% APTT 32.4 LINAGLIPTIN, IVABRADINE,
CXR: COMPARED FR PREVIOUS (8/3/17) SHOWS REGRESSION OF BILATERAL CITICOLINE, VIT B, PIRACETAM,
PULMONARY CONGESTION AND PNEUMONIC INFILTRATE, BLL; CACO3, ATORVASTATIN,
SUBSEGMENTAL ATELECTASIS IN LEFT INFERIOR REGION; ATHEROMATOUS TRANEX, INSULIN
AORTA 8/26 CIPROFLOXACIN-> 8/31 CO
8/7: ECHO EF50% N LVD W/ SEPTAL HYPERTROPHY W/ MODERATELY AMOX
HYPOKINETIC LVFW. ONLY THE TV SEPTIM CONTRACTS ADEQUATELY W/ DERA.
DIL LA. NO THROMUS OR PE. N SPAP 21MMHG

1528 LTAN KHO ENG PUE 86/M UPJ OBSTRUCTION LEFT HCVD 9/2: CTSCAN CHEST: BIL CONSOLID PNM BIL PE, BIL ATELECTASIS8/25: HGB 117
613244 LGIB WBC 7.6 PC 245 S748/24 CXR: NO SIGNIFICANT CHANGE SOFT DIET
8/16 CXR: PROGRESSION OF PNEUMONIC INFIL RLL
SEPTIC SHOCK SEC TO 1) 8/14 ALT 6 K 5.4 WBC 10.5 SEG 78 HGB 99 APC 246 S/P HD 9/2
8/12; WBC 9.2 HGB 80 PLT 208 K 2.8 (2.5L)
COMPLICATED UTI 2) CAP-HR 8/10 HGB 99 WBC 10.9 PLT 304
3) PERM CATH INFECTION 8/9 HGB 94 WBC 8.8 PLT 328 CORTISOL 217 N LEVITERACRETAM
ESRD ON HD 8/8 CXR PROG OF INFIL BLL ATOR
MENINGIOMA 8/6 WBC 8 HGB 101 (105) PLT 291 K 4 PERINDOPRIL+AMLO
RENAL PELVIC MASS, LEFT 8/6 UROGRAM: POSS UPJ LEFT GR4 HYDRONEPHROSIS ALBUMIN OD
S/P COLONOSCOPY 8/3: CXR: INTERVLA PROGESSION OF PNEUMONIC INF RLLF. CONFLUENT CORALAN DOXOFYLLINE
MULTIPLE RECTAL ULCER S/P DENSITIES W/ SURROUNDING INF STILL SEEN IN THE LEFT SUPRAHILAR REGION
CLIPPING 8/2 WBC 12.6 HGB 70 PLT 292 ALB 21 K 4.2 SGPT 11 8/8 PIPTAZO>IMIPENEM
S/P ECG: WNL
CXR: PNA
PROCTOSIGMOIDOSCOPY CRANIAL CT: STABLE MENINGIOMA
8/15 – (S/P EPI INJECTION, CHEST CT: NO THROMBUS
CLIP IN PLACED) URINE CS (-) PERM CATH CS(-)
S/P LIGATION OF ANAL
BLEEDERS 8/16 EF 60% NORMAL LVD WITH AWMC WITH DERA NORMAL RVD WITH NORMAL
CONTRACTILITY NORMAL LA AND RA NORMAL MPA AND ARDS THICKENED
S/P CYSTO RPG W/ PCN LEFT AORTIC CUSPS WITH NO ROM WITH MILD AR, AAC THICKENED MVLS WTHOUT
8/29 ROM WITH MILD MR, MAC ST N TV AND PV WTH MILD TR NO THROMBUS AND
NO PE NOTED NORMAL PAP CWPS DONE 9/16/2016: NO SIGNIFICANT CHANGE
4A
DNR
CARDIOGENIC SHOCK ACS 8/31 HGB 104 WBC 13 PLT 207 NA 141 K 4 CREA 82 AC MODE 30%
CAP-MR NSTEMI 8/30 CXR: REGR OF BPC POSSIBLE TPIECE TOM
1405 MILAGROS VIOLETA
ADC T2DM HCVD 3V CAD CREA 99 NA 133 K 3.9 WBC 16.7 HGB 116 APC 243 ENALAPRIL IVABRADINE
615936 64/F ECG: CLBBB AMLO
SEIZURE EPISODE SEC TO HIE HFPEF NYHA IIIC
CXR: BILAT PULMO CONGESTION PNA CLOP ATOR ENOX
S/P ARREST (2 EPIS) 8/27 8/27 TAZO KEPPRA DIAZEPAM CITI
WAUTZ: GB CHOOLESTEROLOSIS W/ BILE SLUDGE
GALLBLADDER CIPRO 9/2
NA 131 K3.2 CREA 187’
1403 ABRAHAM SALAB PARACETAMOL
LTAN CHOLESTEROLOSIS HGB 160 WBC21.7 PC 145
KCL X 6DOSES
616429 54/ M UA PC >30
UTI
ECG SR
1406 LTAN RAMOS, LETICIA 72/F CAP-MR HCVD 9/2NA 127 K4.8 HGB 134 WBC9.5 S71 PC 345 PLAIN LUMBOSACRAL SPINE MRI
615948 CHRONIC B FOOT DROP 8/30 2DE:EF 60%, NLVD W/ AWMC, N RVD, N LA AND RA; MILD MR, AMLO, LOSARTAN CARVEDILOL
MILD TR, MILD PULMO HTN W/ ESPAP OF 46MMHG
ECG: SR, PROB OLD INF WALL INFARCT; T WAVE INVERSION I,AVL, V3-
V6
1408 BANGAYAN TAN, ZENAIDA 84/F T/C CVD INFARCT 9/2: NA 139 K3.6 CREA 38 PMGH
616136 S/P CVD 2010 HCVD LONGSTANDING AF HGB 138 WBC6.4 S65 PPC 155 CILOSTAZOL
S/P BKA R 2010 CHADSVASC 4 HASBLED 2 NYHA CXR REG OF PNM INF 8/30 CEFTRI AZITH-> CEFIXIME
FC II 8/30 NA 135 K 4.0 SGPT 12 CREA 55 9/1FLUCONAZOLE
CTSCAN; NEG FOR INF/ HE. CSVIC.EX VUOCO DILATATION R LAT VENTR CITICOLINE PRADAXA
CTSCAN OFF: HYPERACUTE INFARCT NOT RULE OUT. MALACIC CHANGESR, KEPPRA OMEP CHOLENERV
OCC-PAR L PIRACETAM
1412 RLIM PIK KUNG CHAN 88/F INTERTROCHANTERIC HCVD 2DED: EF 76% N LVD AWMC. N PAP. KLYTE, PANTO
615925 (ASY TTO) FEMORAL FRACTURE ECG 1DAVB NAC AMLO
ORIF LEFT HIP 8/29/17 CXR CILC, BLF CEFUROXIME
HGB 103 WBC6.2 B1 S78 PC 143 CREA 62 K3.4
1413 DBY EFREN GO 63/ M T/C BILIARY COLIC 2 TO DYSLIPIDEMIA 8/31 SGPT 88 SGOT 38 PTPA INR1 ACT 144% LSLF DIET
CHOLEDOCHOLITHIASIS BLD CS E COLI 8/30 ALP 46 MEROPENEM 8/28
S/P ERCP 9/1 8/30 MRCP PRELIM: >MODERATELY DISTENDED GALLBLADDER WITH PARACETAMOL
S/P LAP CHOLE (IOF MULTIPLE SMALL CALCULI MEASURING UP TO 0.6CM >NO EVIDENCE DICLOFENAC
DILATED/ DISTENDED GB, OF GB WALL THICKENING
MULTIPLE SUBCENT STONES) AND PERICHOLECYSTIC EDEMA >NO EVIDENCE OF INTRAHEPATIC OR
9/2 EXTRAHEPATIC BILIARY DUCTAL DILATATION OR CALCULI >MILD
HEPATOMEGALY. WEDGE SHAPED AREA OF ARTERIAL
HYPERENHANCEMENT INVOLVING THE RIGHT LIVER LOBE, WHICH
FADES IN THE PORTAL VENOUS AND DELAYED IMAGES, WITH
ASSOCIATED MILD RESTRICTED MILD RESTRICTED DIFFUSION, WHICH
MAY BE SEC TO ARTERIO PORTAL VENOUS IMBALANCE OR
INFLAMMATION/HEPATITIS >MINIMAL PERIHEPATIC AND PERISPLENIC
ASCITES > SMALL BILATERAL RENAL CYSTS >SMALL NONSPECIFIC
RETROPERITONEAL LYMPH NODES >MINIMAL BILATERAL PLEURAL
EFFUSION
8/29 UTZ CHOLELITH, NON DILATED DUCTS
NA135 K3.7 TBIL69.8 B1 36.3 B2 33.5 SGPT 233 AMYLASE 41 SGOT 480
CREA100 LIPASE 40
HGB 143 WBC10.9 B5 S87 L7 PC193 ALP 34
ECG ST, NSTWC
1416 LTAN GREGORIO ZENAIDA SEEPTIC ENCEPH SEC TO HCVD WBC 14.0 HGB 106 PLT 378 K 3.3 CREA 133 FF UP URINE CS
616205 61F COMPLICATD UTI PROVI: EF 58% N LVD W/ AWMC, MILD TR MILD MR PIPTAZO AMLO NICARD
T2DM TAPERING
1417 LTAN CAROLINA CKD HCVD LONG STADING AF MVR CTSCAN: ACUTE INTRAPARENCHYMA; HGB (13.2CC) L CBC NA K CREA 9/3
616269 MARISCOSTES 84/ F S/P CVA (2016) W/ L CHADSVASC 6 HASBLED 3 THALAMOCAPSULOGANGLIONIC APIXABAN-HOLD
RESIDUAL FC II ECG AF IN MVR CITICHOLINE DILTIAZEM
HGB 127 WBC5.6 B1 S63 PC 171 NA 135 K3.8 CREA 121 CANDESARTAN ROSU KETOANA
CHRONIC BEDRIDDEN STATE
PTPA 18.6 INR 1.44 ACT 104% EPO PANTOP
(X2 YRS)
9/2: HGB 91 WBC 12.3 S80 PC 170
8/31 MRI OF LS: NMINIMAL T12-L1 TO L4-5 DISC BULGES; MILD L5-S1 DISC BULGE; MILD
B FACET HYPERTHROPHY AT L4-5 AND L5-S1, NO STENOSIS
8/26: HGB 103 WBC7 PC172
NA 140 K3.8
8/25: HGB 103 WBC 5.6 S71 PC 140
1419C
8/23 ECG: SINUS TACH; LVH 8/24 PEN G
LTAN DEL ROSARIO, OLIVER COMPLICATED UTI INFECTIVE ENDOCARDITIS, SEVERE AR FC WBC 5.4 HGB 83 PLT 128 SEG 82 8/24 GENTAMICIN
615587 34/M NEUROGENIC BLADDER II CTREA 104 MEOLAMANINE
FBS 110 NA 131
2DE: EF 63%; IRREGULAR SHAPED ECHOGENIC DENSITY ATTACHED TO THE VENTRICULAR
SIDE OF NON CORONARY CUSP 1X1CM (VEGETATION)
DIL LV W/ AWMC; N RV ; N LA AND RA; IE OF THE AORTIC VALVE W/ SEVERE ar, MOD
MR, MILD TR

T/C POST GLIOTIC SEIZURE 2 TO CTSCAN; S/P CRANIOSTOMY R PAR-OCC. MALACC CHANGES P-O W/ EXVACUO DILATION. MIDAZOLAM DRIP X 10CC/ HR
1419D
HEAD TRAUMA (2000) S/P BRAIN NA 135 K4 CREA 30 ICA 1.21 MG 0.83 PARACETAMOL
LTAN RICARDO LORENZANA 66/ SURGERY (2000) HGB 159 HCT 0.471 WBC11 N76 L13 MPC167 8/28 CEFTRIAXONE
616027 M /P TRACHE AND PEG INSERTION ECG SR NORTHRIX X 19CC/ HR
(2000) CHRONIC BEDRIDDEN STATE EEG: MOD SLOPING IN R CEREBRAL AREA, FOCAL EPILEPTIFORM CHANGES
COMANAGED BY NEURO

1423
ECG T WAVE INVERSION V40V6 2ND LAYER PRES DRESSING REMOVAL
ADC HCVD ACS-NSTE ANTEROLATERAL WALL
NA 136 K4.5 CREA 45 TOM PM
ERLINDA PEREZ 79/ F CAPMR NYHA FC II
616274 HGB 120 WBC7.11 S52 PC 301 IRBESARTAN ATORVASTATIN
S/P CA NORMAL CORONARIES 9/2
TROPT0.02 CKMB 37.1 CARVEDILOL

9/2; ANA POSITIVE C3 LOW

9/2 CREA 45 NA 139 K2.3
8/31 INR 1.48 ACT 44%
TENOFOVIR
BLD CS NEGATIVE
1425 MEDS: RIFAXIMIN ET
UGIB SEC TO GASTRIC ULCER 2DE: EF 74%; STUDY DONE IN SINUS TACH
MCS 9/2 INH
LIVER CIRRHOSIS SEC TO HEPA B S/P PERICARDIOCENTESIS 2TO TB N LVD AND WALL THICKNESS W/ AWMC
WILLIAM LIM 53/M H CIPRO
615497 S/P EGD 8/23 PERICARDITIS JUNE 2017 N RVD; N RVD; N LA AND RA
8/24PIPTAZ-> 8/27 CEFEPIME
TB GRANULOMA MILD TR
N PAP 32MMHG; NO THROMBUS; NO PE
LACTULOSEFURO ALDACTONE ALB+
8/28 CREA 138
LASIX
8/22 WBC 13.6 HGB 108 PLT 177
CREA 47 K 4.6
1449C RUALES DANILO VALERIANO CPC UROTHELIAL CA HCVD ECHO: CONC LV REMODELLING W/ NWM AND SYS FXN, GRADE 1DD, SD TO REG DIET
615428 67M S/P 2 CYCLE CHEMO NA 130 K3.6 CREA 98
 S/P RADICAL WBC 7.8 S78 L11 AMLO CARVEDILOL LOSARTAN
PROSTATECTOMY W/ ILEAL ATORVASTATIN
CONDUIT W/ CEFTRI-> 9/2 CEFIXIME
D5NMX 80CC/ HR
NEPHROURETEROCTOMY
LEFT 8/24/17
1447A ADC MAUREE CELI 19F DENGUE FEVER 9/2: HGB 127 WBC2.4 S19 PC 66 CBC 9/3
616358 HGB 136 WBC 2.5 PLT 91
TELE

ICU
ICU1 DBY LIM MUI CHI 87/F CKD SEC DM NEPHROPATHY VHD MOD CALCIFIC AS ST B 9/2 EGD/COL: SUPERFICIAL GASTRIC ULCERS, ANTRUM, T/C SMALL INT NPO INCLUDING MEDS
612278 SUPERFICIAL GASTRIC CARDIAC DYSRRHYTHMIA BLEEDING, ET TBD.
ULCERS, ANTRUM; T/C PAROXYSMAL AF IN RVR> SR 9/2 CREA 322 K 4.8 WBC 9 HGB 94 PLT 114 SEG 76 PT 14.9 INR 1.13 ACT 80% FOR HD – HOLD 9/2
APTT 32.5 FOBT POSITIVE
SMALL INTESTINAL BLEED CHRONIC DVT LEFT DEI, CF,
8/31: NA 146 K4.4 CREA 307 HGB 99 WBC7.9 S72 PC 115 8/29 CREA 300 K 4.5 SOMATOSTATIN DRIP 3MG X
S/P EGD/ COLONOSCOPY PROX TO DISTAL FEMORAL AND
NA 142 20CC/HR
9/2 POPLITEAL VEINS WBC 9.0 HGB 103 PLT 131 SEG 71 D5LR 20CC
8/28: CREA 327
GOUTY ARTHRITIS IN FLARE S/P CENTRAL LINE INSERTION R 8/27 CREA 271 K 4.1 HGB 101 S/P 1 U PRBC
S/P ARTHROCENTESIS IJ 9/2/17 8/26 WBC 7,.7 HGB 101 PLT 133 CREA 271 K 4.5
7/20/17, 7/21 8/24: NA 137 K4.6 CREA 266 URINE CS: KLEIBSIELLA SENS TO AMIKACIN METRONIDAZOLE 9/2
HGB 87 WBC 7.2 B1 PC 132 S65 CIPROFLOXACIN 9/2
COPDIAE;
COMPLICATED UTI 7/15 DVT: POSITIVE FOR DVT PARTIALLY OCCLUDING THE LEFT DEI, CF, PROX CITICOLINE, PANTOLOC,
TO DISTAL FEMORAL AND POPLITEAL VEINS LEFT PROB CHRONIC. NEGATIVE TRANEXAMIC ACID
DVT IN THE RLE
TURBULENT FLOW AT THE LEFT CFA AND LEFT CFV AND RIGHT CFA, RIGHT CRV,
FEMORAL PROX TO MID AND POPLITEAL RIGHT WITH ARTERIALIZED DOPPLER
SIGNALS CONSIDER AV CONNECTION (SUCH AS AV MAL OR FISTULA) AT THE
LEVEL OF CF AND POPLITEAL SEGMENTS BILATERAL
APRIL 2017:EC 67% NLVD W AWMC DIL LA, MOD CALCIFIC ASW/ MILD AR 1.2
CM2 AVA MEAN AORTOVENT GRADIENT 26-27MMHG MILD PULM HPN PAP 42
MMHG

ICU2 DTA AGAPITO TIANGCO ARF SEC TO COPDIAE CAP HR ASCVD 3 V CAD S/P PTCA 4/3 8/30 HGB 108 WBC 7.5 PLT 184 K 3.5 CREA 86 MG 0.83 ICA 1.12 SOFT DIET
615978 75/M BPH S/P TURP MID TO DISTAL RCA PROX TO URINE CS NO GROWTH 2LPM NC
S/P PERCUTANEOUS DISTAL LAD HFREF FC II-III 8/28 WBC 8.4 HGB 132 PLT 195 CREA 114
CYSTOSTOMY TUBE WBC 12.6 HGB 133 PC 164 SEG 90 NA 132 K 3.5 SGPT 21 MB 17.7 CREA 139 ICA PNSS 30CC
1.08 MG 0.88 TROP 0.28 INR 1.41
INSERTION 8/28
8/29: OFFICIAL EF 22% DILLVD W/ SEVERE GLOBAL HYPOKINESIA W/ ONLY THE 8/27 TAZO
S/P EXTUBATION 9/1 BASAL INFEROLATERAL ;VFW SHWOING SOME DEGREE OF CONTRACTILITY W/ DIG TRIME, ASA, CORALAN,
GRADE 2 DD, N RVD W/ HYPOCONTRACTILE WALLS, MIL DPULMO HTN ESPAP CLOPIDOGREL
47
ICU 4 9/2 WBC 10.1 HGB 102 PLT 239 CREA 115 K 3.3
WBC 16.1 HGB 85 APC 216 CREA 126 NA 131 K 3.3 TROP 0.02 MB 26.5 ABG 8AM
616308
BIPAP-> 3LPM
VHD-SEVERE AS (STAGE D),
CAP MR 3/2017 ECHO 80% NLVD WTH HYPERTROPHIED WALLS, NORMAL SYSTOLIC
CEZARIA SILVESTRE HCVD THICKENING; DIL LA , NORMAL RA AND RVD, SEVERE AORTIC STENOSIS WTH
HLC T2DM FURO Q12
65/F S/P CA-HS( SEVERE AS) AVA OF 1.0CM2 WTH OEAK GRADIENT OF 61MMHG AND MEAN GRADIENT OF
CKD 2 DM NEPHROPATHY MEROPENEM 9/1
NON OBSTRUCTIVE CAD 36.9MMHG. PAP 47MMHG CONCLUSION: CLVH WTH NORMAL GLOBAL SYS AMO ATOR, CLOPIDOGREL
FXN WTH GRADE IADUASTOLIC DYSFXN, SEVERE CALCIFIC AS WTH TRIVIAL AR

ICU 6 TDY NICOLAS CO 83/M CKD SEC TO DMN ADHF SEC TO ACS NSTEMI INITIAL 2DED: EF EF 43% HK ANT IVS AND ANT WALL ON ALL SEGEMENTS, INF CXR, CBC K MG 9/3
616383 T2DM HCVD PROB CAD IVS, INF WALL, INFEROLAT WALL ARE MILDLY HK AT THE MID TO APEX BYUT SOFT DIET
NYHA IIIC SEVERELY HK AT THE BASE, MR, TR, N PAP 6LPM NC
NICARDIPINE DRIP (20MG) 20CC
ECG: ST LAD LATWALL ISCHEMIA LVH TAPERING TO MAINTAN SBP
CXR: BILAT PULMO CON AND PLEUARAL EFF 120-140MMHG
LASIX DRIP (200G) 10 TAPER BY
WBC 12.2 HGB 135 APC 209 NA 133 K 4.2 ALB 29 CREA 478 PROO BNP 25501 1 CC/HR TO MAINTAIN UO
TROP 0.10 >200CC/HR

TAZO 9/1

LOSARTAN 50 BIID, METOP 100

OD, AMLO 10 BID, CATAPRES 75
TID, LIPIGEM, DUODART,
FOLART, ENOX 0.6 OD

ICU7 DBY MARIO TAN 72/ M SEIZURE D/O ; SEPTIC SHOCK
605043 PROB SEC TO HAP ESDR SEC
TO DMN, HNNS ON CHRONIC
HD 2008
COLON CA S/P RESECTION
1/14 S/P COLOSTOMY S/P
PERM CATH INSERTION 1/17
S/P TRACHEOSTOMY 4/13
S/P GASTROSCOPY 8/2:
HIATAL HERNIA, HGEC WITH PREVIOUS HISTORY OF
EROSIVE GASTRITIS,
GASTROPARESIS
ASCVD, PROB CAD 8/31 K 5.8 NOVASOURSE 100CC Q6
PAROXYSMAL AF IN MVR, 8/25 WBC 12.3 HGB 124 PLT 97 SEG 58 LYMP 28 BANDS 12 K 5.6 HOLD AMIO
CHADVASC 4 HASBLED 8/23 Ck mb 19.8 (9.9) trop t0.29 (0.27)
CHRONIC DISTAL DVT, R PT 8/23 ECG SR, INFEROLATERAL WALL ISCHEMIA AC MODE 35%
8/22 HGB 132 WBC 11.7 PLT 177
8/18 HGB 135 WBC 7.7 PLT 90 VOLUVEN 20CC
8/16 CXR: PROGRESSION OF BILAT PULMO CONGESTION ANF INFIL RLL
UPPER ABD UTZ HEPATOMEG GB SLUDGE PROM PORTASL VEIN NON VALPROIC ACID, CITICOLINE,
DILATED DUCTS NAC,
KEPPRA
OFFICIAL 2D ECHO 8/22/17: EF50% CLVHW/ SEGMENTAL WMA (THINNED OUT AMIO TAB OD
AND SEVERELY HK ANT IVS FROM MID TO APEX, SEVERELY HK ANT WALL, PREDNISONE
PVC IN BIGEMS, CRBBB -> MILDLY HK BASAL INF IVS, BASAL INF SEGMENT AND DISTAL HALF OF THE ERCEFLORA IMODIUM
TORSADES> VF -> NSR ENTIRE LATERAL WALL) C/W CAD W/ SYSTOLIC DYSFXN W/ GRADE I DD
DIL LA, AORTIC SCLEROSIS W/ AI 1+ W/ INSIG GRADIENT ACROSS THE AV; NO ANTIPLATELETS/ANTICOAG
MITRALS CLEROSIS W/ MILD MR; TR LOW MODERATE; ATHEROSCLEROTIC
AORTIC ROOT; N PAP
CWP STUDY DONE 8/10/17: NEW WMA NOTED

ICU9 DBY MARIA KOA ANG 88F AGE ASCVD, COR PULMONALE SEC
TO CHRONIC
ARF SEC TO THROMBOEMBOLIC CHRONIC
PLEURAL EFFUSION LEFT SEC DVT,
TO PARAPNEUMONIC VS CHF VHD, MOD CALCIFIC AS STAGE C,
PSORIASIS SEVERE TR, ACUTE AF >ATRIASL
COMPLICATED UTI SEC TO FLUTTER 2;1> SR NYHA FC IIIC
UROLITHIASIS CHADSVASC 5 HASBLED 1
ACUTE PULMO EMBOLISM
WELL SCORE 6
BILATERAL DVT BOTH LE
9/2: NA 136 K 2.8 CREA 153 ICA 1.10 CDIF: NEGATIVE CXR
8/31 NA 133 K 3.7 CREA 186 BANANA BASED DIET
8/29 HGB 113 WBC 6.1 PLT 99 SEG 81 SUPPLENEX 20CC/HR TO
8/28 ALB 33 CRREA 249 K 4.3 NA 132 CONSUME UNTIL 11 AM
8/26 HGB 109 PLT 133 WBC 6.2 K 3.3 CREA 257 NA 127 MG 1.45 D5NM 10CC
8/25 CREA 198 NA 127 K 3.4 PT 13/1.114/74%
8/24 HGB 94 WBC 7.1 PLT 171 ICA 1.21 MG 0.66 ALB 26 BIPAP30% I8 E 12
6/27/17 VENOUS DUPLEX: RIGHT LOWER: SUBACUTE TO CHRONIC DVT,
PARTIALLY OCCLUDING THE RIGHT SOLEAL VEIN, THICKENED WALL OF THE CEFEPIME 8/24
SAPHENOUSVEIN SUGGESTIVE OF POT PHLEBITIC CHANGE. DEEP VEIN VALVE PANOTLOC, CIALIS BID,
REFLUX OF THE CF, DF, PF AND POST TIBIAL VEIN. SUPERFICIAL VEIN VALVE ERCEFLOREA, KLYTE, LASIX 20
REFLUXOF THE SAPHENO-FEMORAL AND GREAT SAPHENOUS VEIN. Q8 PRN
LEFT LE: THICKENED WALLS O FPARTIALLY OCCLUDING THE DISTAL EXT ILIAC
VEIN SUGGESTIVE OF POST-PHLEBITIC CHANGES, THCIKENED WALL OF THE
SMALL SAPHENOUS VEIN SUGGESTIVE OF POSTPHLEBITIC CHANGE. CHRONIC
DVT OF TH EPOPLTEAL VEIN WITH PARTIAL RECANALIZATION, DEEP VEIN
VALVE REFLUX OF THE CF, DISTAL POST FEM AN DPO VEINS,SUPEFICIAL VEIN
VALAVE REFLUX OF SMALL SAPHENOUS AND GREAT SAPHENOUS VEISN AND
SAPHENO-FEMORA;L JUNCTIONS

ECHO: 8/24: EF 77% NLVD W/ NWT AND SF; N RVD; DIL LA AND RA; MITRAL
SCLEROSIS WITH MILD MR; MOD CALCIFIC AS WITH ACVA OF 1.10CM BY CE W/
PG OF 30MMHG AND MG OF 17MMHG; MOD TR; ATHEROSCLEROTIC AORTIC
ROOT; SEVERE PULMO HTN (73MMHG)
NICU
NICU1 HLC ANUNCIACION CVA INFARCT W/ R SIDED ASCVD PROB ISCHEMIC DCMP 9/2: NA 135 K 4.4 CREA 68 ICA 1.18 MG 0.9 DNI, CONT MEDS
616099 CORNEJO 82/ F RESIDUALS LONG STANDING AF MVR ARTERIAL DUP SCAN: INS <50% GCS 6
NYHA FCII 8/31 CRANIAL CT SCAN: NON HGIC INFARCT L MCA CREA 67 K 4.3
EF 38% DIL LVD W/ SEVERE GLOBAL HK EXCEPT FOR BASAL INFLAT LVFW . O2 AT 2 LPM
BIATRIAL DILATATION. MILD TO MOD AR. SEVERE TR. MOD PYULMO HTN CLOPI DIGOXIN FURO ISMN
56MMHG LYRICA CLEXANE 0.4CC Q12
DVTl R DVVR OF CF,DF,FEMORAL AND POPLITEAL V. SVVR OF GSV. LEFT DVVR DILTIAZEM DIUMIDE K
OF FEM V, SVVR OF SSV.
ECG ST CREA 68 HGB 130 WBC 6.1 PC190 NA 141 K4.2 ICA 1.25 MG 0.81
NICU 3 DTA LYDIA MARTIN 78/F HAP HCVD SEVERE TR ? ADHF HFPEF 8/29 HGB 109 WBC 7.9 PLT 140 CREA 96 NA 139 BLOOD CS
614235 CVA R MCA FC II-III 8/28 CHEST CT: BILAT PNEUMONIA MINIMAL PE, MOD PNEUMOPERITONEUM POSS DIRECT DISCAHRGE
CAPMR PLEURAL EFFUSION PROB SEC TO MISPLACED PEG
LEFT 8/26 CREA 169 NA 151 8/25 MEROPENEM
8/25 CREA196 K 3.7 NA 153 8/29 FLUCONAZOLE IV
BREAST CA ST 3 S/P MRM L
8/24: WBC 22.2 SEG 78 HGB 111 NA 154 TP 70 ALB 26 GLOB 44
S/P CHEMO MRI: MAASIVE INFARCT R WITH HGEC CONVERSION ATORVASTATIN
DUAVENT NEB
S/P EXTUBATIONN 8/15 S/P NA 128 K 3,7 SGPT 41 CREA 189 TROP 0.03 WBC 9 HGB 86 PLT 183 SEG 87 CORALAN
TRACHEOSTOMY 8/19/17 EF 62 –NORMAL LEFT VENTRICULAR DIMENSION WITH SLIGHT FLATTENING OF CLOPI ZYNAPSE
SEPTUM DURING DIASTOLE SUGGESTIVE OF RV VOLUME OVERLOAD –DILATED PARACET
S/P PEG INSERTION 8/23 RVD WITH NORMAL CONTRACTILITY –DILATED LA WITH LAVI OF 25.6 – AMLO 5 OD
NORMAL RA, MPA, ARDS WITH CALCIFIED ANTERIOR AND POSTERIOR WALLS – PLAVIX
MILD TO MOD MR –MILD AR –SEVERE TR AND PR –MOD. PULMO PANTOVEX
HYPERTENSION WITH EST PAP OF 45 –NO THROMBUS NO PERICARDIAL
EFFUSION –INCIDENTAL FINDING OF LEFT SIDED PLEURAL EFFUSION
SR LVH NSSTWC
CAROTID DUPLEX LYDIA MARTIN <50% STENOSIS OF BILATERAL INTERNAL
CAROTID ARTERY OF TYPE 4 PLAQUE MORPHOLOGY INSIGNIFICANT STENOSIS
OF THE BILATERAL COMMON CAROTID ARTERY HSS OF THE RIGHT ECA
TORTOUS LEFT ICA HIGH RESISTANCE WAVEFORM PATTERN RIGHT VERTEBRAL
ARTERY SUGGESTIVE OF A MORE DISTAL STENOSIS/OCCLUSION ANTEGRADE
FLOW LEFT VERTEBRAL ARTERY

CCU
CCU2 LTAN KING LIAN SY 92/M ARF 2 TO CAP-HR> ADHF 8/31 HGB 136 WBC 10.6 PLT 89 NA 136 K 4.1 SGPT 31 CREA 107 ICA 1.21 12L ECG CBC CREA K CXR 9/3
616249 RESOLVING HCVD 3V CAD S/P CABG 2004 12LECG: SR, LVH, 1ST DAVB, NSSTWC 2LPM
, COPDIAE (PGH) S/P PTCA (2015) S/P ICD CXR: PNA BILATERAL, BPC
8/2017 ECHO AS OPD EF50% ECC LVH W/ GLOBAL HK PIPERACILLIN TAZOBACTAM
GR I DD DIL LA MIL TO MOD AR MOD MR MILD TR PR N SPAP.
 S/P EXTUBATION 9/1 INSERTION (JAN 2016), SR, NYHA CARVEDILOL, IMDUR.
FCIII CLOPIDOGREL, LANOXIN,
TELMISARTAN, ATORVASTATIN,
ULTIBRO VASALAT ATOR,
DIUMIDE K OD
CCU3 WTDG RENATO KALALANG CAP MR HCVD 3V CAD S/P CABG 2002 9/3 CXR: BPC, PNA BLL R>L 2DED
82/M T2DM T/C PROGRESSIVE NATIVE ECG: SINUS BRADYCARDIA , LVH, PROB OLD INF WALL NPO INCLUDING MEDS
CKD VESSEL DSE VS GRAFT STENOSIS WBC 12.5 HGB 115 PLT 218 CKMB 10.8 TROP 0.05 CREA 186 K 4.7
BIPAP 50% I10 E7
7/27 DVT SCREENING: NEGATIVE D5NM 5CC
ISOKET 10MG 5CC
LASIX 120 – 10CC

PIPTAZ 9/3
CARVED, ATOR, ISMN,
TRIMETAZIDINE, KETOSTERIL,
AMLO, PANTO, ESSENTIALE,
TELMI CLOPI EPLERENONE
CCU4 LTAN WILSON CHUA 67M SEPSIS PROB 2 TO CAP-MR PROB CAD HGB 119 WBC 2.5 PKLT 154 NA 130 K 3.6 CREA 154 ICA 1.26 MG 1.58 SPUTUM GSCS
616348 CXR: PNA RML NPO EXCEPT MEDS
2DED OFF: EF 51% N LVD & WT W/ HK DISTALHALF OF ANT IVS & ANT LVFW, N, BIPAP 60% I10 E7
N PAP DOPA 15CC

TAZOVEX 9/1
ISMN, PLATEXAN, CORALAN,
NAC. ENOX BID,
CCU7 JSY ROSITA ONG 79/F CAP-HR CHRONIC DVT 2015, LEFT S/P 8/30 NA 146 K 2.8 MG 0.93 CREA 230 HGB 100 PLT 115 WBC 13 DNR
HYPERKALEMIA IVC FILTER INSERTION 2015 8/27 WBC 13.7 HGB 108 PLT 85 CEFTRI 8/24
AKI 8/26 NA 164 K 2.6 CREA 232 WBC 15.1 PLT 94 HGB 135 NA K CREA AWAITING CONSENT
BREAST CA S/P CHEMO 8/25 CREA 275 WBC 24.3 HGB 128 PLT 119 NA 161 K 3.7 SIMV 30%
CREA 279 BUN 60.8 NA 1770 K 6.5 SGOT 139 WBC 16.9 HGB 171 PC 147 HGB D5NM 10CC
(JUNE 2017)
171 SEG 66 D5W + 20MEQS KCL X 10CC/HR
S/P CVA INFARCT W/LEFT 8/24: ECG; SINUS TACH ALBUMIN
SIDED RESIDUALS (2011) 2DECHO: EF 72% N LVD W/ AWMC W/ DERA. MILD MR. N PAP 25MMHG NAC
R/O CVA REINFARCT CITICOLINE
AKI 2
CCU9 LTAN PHILIP GO LAO 45/ SEPSIS PROB SEC TO PTB PNA HCVD 9/2: CREA 184 QUANTIFERON POSTIVE DAT
616190 M CVA INFARCT LEFT CRANIAL MRI LARGE CHRONIC INFARCT LMCA BLOOD CS
MCA(APRIL 2017) PULMO EMBO WELLS OF 3 2D ECHO: EF 48% HK ANT IVS AND ANTEROLAT LVFW
DVT: NEGATIVE 1LPM
MENINGIOMA EN PLAQUE
ECG: ST CEFEPIME 9/1
(2010)
D DIMER. 3.8 ENOX 0.6 OD
AKI ON TOP OF CKD 2 TO ZYNAPSE, CLOP, CORALAN, NAC,
HTN NEPHRO 9/1 WBC 3.5 HGB 106 APC 380 PROBNP 3702 MYRIN I
S/P CTSCAN GUIDED FNAB
OF RUL MOASS 8/31 NA 130 K5.7 CREA 207 ALT 109 AST 50 BUN 32.5 WBC 15.1 HGB 114 PC 380
S59
CHEST CTSCAN: BIL PULMO NODULE 2 TO INFLAMMATORY
WA UTZ FATTY LIVER
ECG SR, NSSTW
PAV
J2 LTAN JEREMIAH LOPEZ LEFT ELBOW DISLOCATION ASCVD PROB CAD, HFREF 7/28 HGB 83 PLT 233 WBC 7.3 CREA 134 K 3.4 MGH
612733 36/M EPILEPSY ECG: NSR
MDD EF: 45% N LVD W/ HYPOKINESIA IVS, ANT WALL AT APEX
7/20 WBC 6.6 HGB 90 PLT 366

FT4 27.87; FT3 3.81 TSH 1.08

7/24 NA 138 K 3.3 CREA 200 ICA 1.27 MG 0.91 SGPT 34
J5 LTAN CONRADO ANEMIA OF CHRONIC HCVD 9/2RET COUNT 0.004 FOR CTSCAN OF CHEST
616424 MANABAT 80/M DISEASE 9/2PBS: NORMOCYTIC HYPOCHROMIC W/ LEUKOCYTOSIS AND UPPER ABDOMEN
JAUNDICE PROB 2 TO LIVER 9/2ECG SR NSSTWC PT,PTPA AFP, CEA, PSA
MASSES PROB 2 TO METS 9/2HGB 96 WBC 16 B4 S83 PC 159 COOMBS TEST
9/2CREA 94 K3.3 AMLO +LOSARTAN
UNKNOWN PRIMARY 9/2 WA UTZ: HEPATOMEGALY W/ MULTIPLE MASSES CONSUIDER OMEPRAZOLE
S/P KNEE IMPLANT (FEB METASTATIC LESIONS, SPLENOMEGALY,
2017)
J7 ADC REYNALDO PABALAN CPC CYSTOLITHIASIS HGB 145 WBC9.7 PC 182 MGH
616258 64/ M S/P CYSTOSCOPY-CYSTOLASER INR1 ACT 107% DAT
LITHOTRIPSY 9/1 NA 142 K4
ECG SR
J10 ADC ANICETO FRANCISCO 1V CAD MID LAD W/ 8/31 DVT SCREENING: NEGATIVE FOR ACUTE DVT IN BOTH LOWER MGH
68M BIFURCATION LESION EXTREMITIES. BIFID LEFT MID FEMORAL VEIN CLOPI ASA ISMN ENOXAPARINE
ACS NSTEMI ANTERSEPTAL CAROTID DUPLEX SCAN: CAROTID ARTERY DISEASE WITH: 1. <50% OMEP TMZ LACTULOSE
ATORVASTATIN
WALL ISCHEMIA KILLIP 1 NYHA STENOSIS OF THE BILATERAL ICAS WITH TYPE V PM AT THE PW OF THE
FC IIB BULB RIGHT AND DISCRETE TYPE III PLAQUE AT THE PW OF THE BULB,
PLAN FOR CABG, REFUSED
S/P CA 8/31/17 LEFT 2. <50% STENOSIS OF TBE BILATERAL ECAS WITH LONG SEGMENT
TYPE III PLAQUE AT THE PW OF THE PROXIMAL ECA, RIGHT AND TYPE
IV PLAQUE AR THE PW OF THE PROXIMAL ECA, LEFT 3. NORMAL
ANTEGRADE FLOW, BILATERAL VERTEBRAL ARTERIES.
ECG SR ANTEROSEPTAL WALL ISCHEMIA
HGB 119 WBC 6.1 PLT 173 NA 137 K 3.7 CREA 68 CKMB 26.4 TROP T 0.13
PTPTA 12.8/1.0/110%
L1 LTAN ALEGRE FELICIANO CPC-ACUTE APPENDICITIS 8/31 MG 0.88 K3.5 HGB 147 WBC20.4 B1 S87 PC171 CREA 127 FINAL D/C C/O SX
616070 59/M S/P APPENDECTOMY 8/30 8/30 19.1 HGB 154 PLT 174 SEG 889 SIPS OF WATER
ECG: WNL BLADDER TRAINING
NA 136 K 4.2 CREA 118 CIPRO METRO
L2 ETH JOSE GARCIA 57/M CPC-SIGMOID CA HCVD HGB 147 WBC K 3.0 PROG DIET
616093 T2DM 2D: EF 62% EWMC CEFU
S/P SIGMOID RESESCTION 8/31 ECG: WNL METRO

L7 ADC DENIS CAPUPON 41M CPC FOR ORIF – PCSO SR, NYHA FC I CREA 98 NA 138 K 3.6 HGB 134 WBC 8 PC 237 MGH
610397 GUN SHOT WOUND ECG NSR
S/P EX LAP

O1 ETH CELEDONIA SORIANO COMPLETE FRACTURE R HCVD NSTE ACS INFERIOR AND 9/2 CREA 129 8/25 ECG: INFERIOR AND ANTRO LAT WALL ISCHEMIA COMANAGED W/ NEPHRO
71/F FEMUR ANTEROLATERAL WALL TROP T 86.01 CKMB 31.07 LASIX 200MG X 10CC/ HR
CAP-MR ISCHEMIA Wbc 11.9 hgb 103 plt 334 DOBU 500MG X 10CC(5.6 UKM)
Na 130 k 3.8 crea 88 8/30 PIPTAZ, AZITH
T2DM NYHA FC IIB
8/26 2DE:LAO
EF 33% DILATED LVD WITH NORMAL WALL THICKNESS WITH SEVERE HOLD- CLOPID, ISMN
GLOBAL HYPOKINESIA EXCEPT FOR THE BASAL INFEROLATERAL LVFW. LOSARTAN CARVED, CLEXANE
AKINETIC WHOLE APICAL SEGMENTS WITH GRADE III DIASTOLIC FURO
ALDACTONE
DYSFUNCTION NORMAL RVD WITH NORMAL CONTRACTILITY DILATED
LA NORMAL RA, MOD MR, MILD AR, MOD PULMO HTN(ESPAP OF IFC REMOVED 9/2
61MMHG) INCIDENTAL FINDING OF LEFT SIDED PLEURAL EFFUSION

O2 ADC CASUMPANG, SUPRAPUBIC CATHETER ASCVD, DCMP PROB NON NA 132 K 3.1 CREA 74 HGB 113 PLT 88 WBC 10.0 CIPRO
616216 LIWANAG INFXN? ISCHEMIC NYHA FC IIB ECG NSR NSTTWC JANUMET VILDAGLIPTIN
BREAST CA L, S/P MRM 2016 ECHO: 39% LVH W/ FLATTENEDE IVS RV PRESSURE OVERLOAD, GLOBAL HK OF DIAMICRON LOSARTAN CRVED
T2DM ALL LV SEGMENTS EXCEPT BASAL INF LVFW, MOD MR TR MILD PULMO HTN DIUMIDE K KLYTE LANOXIN

Q1 ADC NORBERTO GANGRENOUS HCVD 8/23 2DE: EF 53%; NLVD W/ HK IVS FR BASE TO APEX MGH PCSO
CRISOSTOMO CHOLECYSTITIS DIL LA; N RVD; MILD TR; MILD PULMO HTN ESPAP 44MMHG
CKD PROB SEC TO DM KD VS U/A PUS 15-20 RBC MORE THAN 100
HTN KD NA 139 K3.3 CREA 184
HGB 102 WBC29.3 B1 PC 418
T2DM
EXLAP BILIARY SURGERY
8/24/17
Q3 LTAN CELEDON, ROMEO CVD INFARCT, LMCA AND EC HCVD CTSCAN 9/2 ACUTE NON HGIC INFARCT L FRONTAL AREA, L EXTERNAL CAPSULE CILOSTAZOLMANNITOL 75CC Q8
616143 50/M 8/29 ECG: SR, NSSTWC MEDS: ASA, PLETAAL, ATOR,
WBC 14.8 HGB 150 PLT 260 PANTO, AMLO, CARVED
NA 137 K 3.8 CREA 115 CITICOLINE
CTSCAN: CVA INFARCT L EXTERNAL CAPSULE
EF 68% C LVH W/ AWMC. MILD MR. N PAP.
Q6 RUALES ALLEN REBADULLA CVA INFARCT LEFT MCA VHD T/C NONISCHEMIC DCMP HGB 160 WBC 12.9 S78 L11 PC 186 NA 133 K3.3 SGPT 46 CREA 82 PNSS X 40CC/HR
33/ M VHD MOD MS STB, MILD AS STA 9/2 EF 26%MOD MS W/ MVA OF 1.48 CM2 W/ MG 9.8 AND 9PG 17MMHG. KLYTE TID X 6 DOSES
FC II MILD AS AVA OF 2.3CM AND MG 12 AND PG 35.4MMHG. CLVH W/ SEVERE MANNITOL 100CCQ6
GLOBAL HK W/ ONLY THE BSASL ANTERIOR AND IFEROLAT LVFW W/ SOME ASA ATORVASTATIN OMEP
CONTR. GR 2 DD. DIL LA AND RA W/ LAVI OF 64MMHG. MILD PR, MOD TR. CITICHOLINE KLYTE
MOD PULMO HTN SPAP76MMHG. COMANAGED W/ NEURO
P5 LTAN ERNESTRO ANDRADE CAPMR HCVD WBC 6.9 HGB 186 PLT 326 O2 1LPM
57M CVA LEFT MASSIVE INFARCT W/ ECG : ST ATOR KEPPRA AMLO CLONIDINE
EDEMA AND COMPRESSION OF NA 137 K 3.7 CREA 92 CITICOLINE
LEFT LAT VENTRICLE MANNITOL CILOSTAZOL ASA
S/P EXTUBATION 9/1 2d echo: ef 75% CONC LV REMODELLING W/ AWMC W/ DERA OMEP CANDESARTAN
IVABRADINE
8/28 PIPTAZO

R3 HLC BAYANI VERINA 63F CAPMR ADHF HCVD PROB CAD (LAD 9/1: CREA 198 K3.9 WOUND GSCS
616234 CELLULITIS, R LEG AND LCX DISTRIB) VHD MILD MS 8/31 NA 132 K 2.5 CREA 111 CKMB 14 SGPT 11 DILTIAZEM, DIAMICRON,
DMT2 ST A NYHA FC II WBC 2.4 HGB 101 PLT 219 SEG 89 KETOBEST
AKI ON TOP OF CKD 2 TO DM ECG ST NSTTWC JANUMET
8/31 EF 52% VHD MILD MS (MVA 2.06CM2 BY PLANIMETRY AND MV PHT W/ 9/1 AZITH PIPTAZO
NEPH
PG OF 14MMHG AND MG OF 8MMHG. MILD TO MOD MR. DOMING MOTION DIAMICRON LOSARTAN
OF AMVL. FIXED AND UPRIGHT PMVL. FUSED COMMISURES. MOD FUROCLOPI SULODEXIDE ISMN
SUBVALVULAR INVOLVEMENT. WILKINS 8. CONC LVH W/ HK ANT IVS, ANT DILTIAZEM JARDIANCE
AND ANTEROLAT LVFW B-A. DIL LATRIVIAL AR. MILD TR. N PAP.
R4 ADC CONCHITA SILLA 77/ SEPTIC SHOCK 2 TO HCVD ECG ST 9/2PIPTAZO
616457 F ASPIRATION PNM HGB 137 WBC 13.9 PC 216 CREA 160 K2.86 K147 9/2 CLINDA
9/2 NYSTATIN
CHARITY
MM FUENTES/R ISAYAS ALEJO 711/M T/C SEIZURE D/O HCVD, DCMP PROB ISCHEMIC 12L ECG: SR W/ OCC PVCS 24h holter
AMOS/SEVI DMT2, COPD SUSPECT, S/P AAA CXR: HYPERAERATED LUNG FIELDS ct aortogram - HOLD
LLA/BELISA CVA (UNRECALLED YEAR), BUERGERS DSE WBC 7.6 HGB 119 PLT 208 SEG 66 NA 137 K 4.1 CREA 241 IC 1.26 MG 0.81 FF UP EEG
INITIAL 2DED: EF 41% CLVH W/ GENERALIZED HK WITH ONLY THE BASAL CARVEDILOL 25MG ½ BID,
RIO/SO CKD
INFEROLAT WALL SHOWS SOME CONTRACTILITY, CAL EF OF 36% BY SM. N RVD AMLODIPINE 10 OD,
W/ N CONTRACTILITY. N LA, GR1 DD ATORVASTATIN 40 ODHS,
CRANIAL MRI FEBUXOSTAT, TAMSULOZIN,
KETOANALOGUE, FOLIC, FESO4
CILOSTAZOL 100 BID
CAPTOPRIL
P3 FUENTES/R KINNETH MURILLA SLE IN FLARE, CAP-MR PERICARDIAL EFFUSION LARGE 9/1 PROVI ECHO:THIRD: MOD PERICVARDIAL EFF (1.8CM) LOC POSTERIORLY, FOR 2DED
AMOS/SEVI 33/F S/P CVA L MCA W/ SEC TO CTD ANT MV PROLAPSE W/ MO DTO SEVERE MR DIRECTED POST, LARGE LEFT PREDNISONE 20MG TID, ASA
LLA/BELISA SUBACUTE HEMORRHAGE VHD, MOD TO SEVRE MR STAGE SIDED PLEURAL EFF CITICOLINE, PHENOBARB,
8/30 RPT PROV ECHO: EF 58% HK INF & INF IVS, DOMING MOTION OF THE COLCHICINE
RIO/SO WITH RIGHT SIDED RESIDUAL C NYHA FC IIIC
AMVL W/ SLIGHT ROM, MOD MR, DECREASE IN THE AMOUNT OF EFFUSION
2015 HEMORRHAGIC CYST W/ FIBRIN STRANDS
S/P EXLAP OOPHORECTOMY PROVISIONAL ECHO: EF 69% LARGE PERICARDIAL EFFUSION WITH NO SIGNS OF
& APPENDECTOMY 2015 TAMPONADE, MILD MS? MOD MR
2DED 2015: EF 75% NLVD, MILD TO MOD MR
PT 22.7/1.96/28.9%
APTT 51.2 VS 29.5
WBC 10 HGB 87 SEG 70 PLT 72
NA 137 K 2.8 CREA 30 SGPT 13
ECG ST NSTTWC
MORTALITY
ER
ER HLC BERNABE ESCARTIN ESRD 2 TO CGN 12L ECG: NSR PEAK T WAVES K, PHOS
32/M CREA 958 K 5.7