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13 0 0 0 MORTALITIY 0
DISCHARGE
SERVICE IN PATIENT 705-2.
9th Extension: 2
(Admission: 0 Card:0 Discharged:0 Referral:0 Transfered:0 Expired: 0 HAMA: 0 Abscond: 0)
927 MR CAP-HR Diet: NPO Dr. Azores
ER 58/M Covid Suspect IVF: PNSS 1L x 24 hours Dr. Gervasio
MedsL Piptazo 4.5 gms IV Q6, Azithromycin 500 mg IV OD, Immunopro 1 tab OD, Enoxaparin 0.6 cc Q12, Oseltamivir 75mg OD Dr. Topacio
6/23/20 Labs:
6/24/20: wbc 20/S80/L13/hgb13.1/Hct39.1/Platelet656 Dr. Mendoza/Dr. Amante/Dr. Santos
6/23: hgb 15 hct 42.1 wbc 13.8 N91 L6 M 3 E 0 PLt 251; BUN 12.5 Crea 0.7 Na 135 K3.82 Mg 2.21 iCa 1.10 Ferritin 3204.48 LDH 795 Procal 1.11
934 WG Acute Appendicitis Diet: Full Diet MGH Dr. Eseque
ER 46/M s/p Laparoscopic IVF: D4LR 1L x 8 hours
Appendectomy Meds: Dr. Ocampo/Dr.Quitoy/Dr.Santos
6/25/20 6/25/20 Labs:
POD 2
9th MAIN: 0
(Admission: 0 Card: 0 Discharged: 0 Referral: 0 Transferred: 0 Expired: 0 HAMA: 0 Abscond: 0)
8TH EXTENSION: 9
(Admissions: 0 Card: 0 Discharged:3 ; Referral: 0 Transferred:1 Expired: 0 HAMA: 0)
826 PH Acute pyelonephritis, Diet:DM, LF diet MGH – Endo and Cardio Dr. Gervasio
36/F left IVF:PNSS 1L x 12hr
6/24/20 Non obs ureterolithiasis Meds:Ceftriaxone 2gm IV OD< Tramadol 50mg IV Q8, Amlodipine 5mg OD, Losartan 50mg OD, Sitagliptin 50mg PO OD, Meftformin 500mg PO TID, Kcitrate Dr. Orantia/Hizon/Hermogino
HPN, DM 1080 PO TID,Febuxostat 40mg PO, Omeprazole 40mg IV OD, ASA 80 mg OD
Labs:
6/23/20: wbc 18.9/S87/L9/Hgb17.1/Hct47.6/Platelet98
6/23/20:BUN 42.9/Crea1.70/Na134/iCA1.00/Mg1.51/K7.31
833 AD Electrolyte imbalance Diet: GL MGH-sx wise Dr. Cabasa/Dr. Matias/Dr Sioco
REF 54/M probably secondary to IVF: D5NSS x 40cc/hr
5/19/20 hyponatriema Meds: Paracetamol 300mg/IV PRN, D50-50i vial EPO 400u SQ BID, Ceftraixone 2gm IV OD, Vitamin K Q8 Dr. Orantia/Hizon/Hermogino
Labs:
S/p IJ catheter insertion 5/25/20 Protime 13.8 vs 11.2/563.*% ACT/int 1.19/ptt 27.4VS 25.4/wBC 17.4/s90/l3/hGB106/hCT30.5/pLATELET123
5/19/20 5/24/20: Amylase 723, Lipase 446, AST 12, Wbc 14.9/S88/L4/Hgb10.8/Hct 30.5/PTT 30.6 vs 28.3/Protime 13.5 vs 11.7/66% act/INR 1.16
5/20: WAB CT: Gallstone. Hydrops of gallbladder with width measuring 4.8 cm. Small bilateral kidneys. Poor excretion of IV contast in bilateral kidneys on
POD 37 delayed phase. Atherosclerotic coronary arteries
5/20: G allbladder hydrops with few tiny cholecystolithiases. Negative for hepatobiliary ectasia or choledocholithiasis. Prominent lower pancreatic head
S/p Lap Chole and uncinate process, with mild parenchymal edema in the latter. These may represent mild and focal acute pancreatitis. Consider chronic renal
5/26/20 parenchymal disease. Bilateral perinephric edema. Minimal ascites. Thoracolumbar spondylosis. Bibasal pneumonitis. Trace pleural effusions
5/18/20: BUN 135/Na111/K3.08/Crea14.90/Mg1.95/iCa0.61
POD 31 5/18/20: Urine sodium 15
5/18/20: Ast 31/ALT 17
5/18/20: wbc 18.1/S89/L3/Hgb9.0/Hct22.8/ Platelet221
845-1 JV Anemia of Malignancy Diet: Low Ca, Low Protein Diet Dr. Gervasio/Dr.Canto
ER 51/M Multiple Myeloma IVF: PNSS 1L x 80 cc/hr Dr. Dominguez
S/p IJ catheter Meds: Apoietin Alfa 4000 u SQ, Sevemar 800 mg OD, Tranadol + Para PO TID, Omeprazole 20 mg BID
5/24/20 5/25/20 Labs: Dr/ Mendoza/ Dr. Amante/ Dr
POD 226 6/12: hgb 8.2 hct 25.0 wbc 4.5 N68 L23 M 8 E 1 Plt 255: K 3,43 .Santos
5/31: MRI compression fractures, T2, T9, T11, T12, with marrow enhancement and edema possibly metastatic
S/p AVF Creation, Left 5/25: hgb 4.2 hct 13.6 wbc 6.6 N31 L 62 M5 E1 Plt 218; BUA 10,1 LDH 288 Iron 127 Hepa Profile Non-Reactive Procal 0.33 Ferritin 854.68; Total Protein 13
Arm Albumin 3.4 Globulin 9.6 a/G 13
6/3/20 5:25: U/A: wbc 1.53 rbc 0.22 epith cells 0.94 hyaline 0.28 bacteria 2.68
POD 23
8TH MAIN: 9
(Admission:4 CARD: 0 Discharged: Referral: 0 Transferred: 0 Expired: 0 HAMA: 0)
802 CA Ruptured Appendicitis Diet: NPO Dr. Azores
ER 5/M s/p Exlap, IVF:
Appendectomy Meds: Cefoxitin 1 gm IV Q8, Metronidazole 500 mg IV Q8, Ondansetron PRN, Paracetamol 300 mg IV Dr. Orantia/Dr. Hizon/Dr. Santos
6/27/20 6/28/20 Labs:
6/27: hgb 15.6 hct 43.4 wbc 18.4 N88 L7 M 5 Plt 329 UA: normal
POD 2
820 MR Ovarian New Growth, Diet: Soft Diet MGH Dr. Lopez
REF 49/F Left, Cholelithiasis IVF: Dr. Bravo (OB)
For TAHBSO, Meds:
6/25/20 Cholecstectomy Labs: Dr. Ocampo/Dr.Quitoy/Dr.Santos
6/26/20
POD 2
7th Extension: 9
( Admission:0 Discharge: 0, Referral: 0,Transferred: 0, Expired: 0, Absconded:0)
734 MC APAS;CVD Bleed Vs Diet: NGT 1800 kcal Nutren MGH Dr. Bravo
REF 33/F AVM s/p Repeat LTCS IVF: PNSS 1L x 40 cc/hr Dr. Salonga
Secondary to Meds: Dr. Ramiro
6/20 Deteriorating Maternal Labs:
Status; Eclampsia 6/17: CT Head Increase of bleed from 17 to 29 cc Dr. Ocampo/Dr. Quitoy/Dr. Santos
6/6/20
POD 3
738 RJ CAD Severe 3Vessel Diet:Progressive Diet Dr. Ramos/Dr. Cacas
6/22/20 62 Disease IVF: D5LR 1Lx 40 cc/hr
Meds: Dr. Ocampo/Quitoy/Hermogino
s/p CABG Labs:
6/23/20 2/27/20 AST 46/BUN9.7/Chole121.20/Crea090/UA6.2/Dhdl 35.30/DL39/Triglycerides 234.70/FBS 114.7/Na142/Mg2.10/iCA1.15/K4.64
2/27/20 Protime 11.9 vs 12.2 84.2 %act/1.03 INR/PTT 24.8 vs 24.1
POD 5 2/27/20 wbc 5.4/S48/L44/hgb14.9/Hct42.3/Platelet159
739 JD Electrolyte Imbalance Diet: LSLFDM Diet For CBC, Na, K Dr. Gensolin
ER 62/F AGE with mod signs of IVF: PNSS 1L x 80 cc/hr 6/28/20 12NN
dehydration Meds; Omeprazole 40 mg IV OD, Ciprofloxacin 500 mg BID, Metronidazole 500 mg TID, Erceflora BID Dr. Orantia/Dr. Hizon/Dr. Santos
6/27/20
742 MR CAD Severe 3V Disease Diet: DAT For CABG Dr. Cabasa
REF-ER 41/M HASCVD IVF: 6/29/20 7AM DR. Lukban
DMII Meds: Trimetazidine 35 mg BID, Atorvastatin 40 mg OD, ISDN 5 mg SL, Metoprolol-Ivabradine 15/5 mg Tab OD, Cafuroxime 1.5 gms IV LD Dr.Prieto
6/27/20 Labs:
6/27: hgb 13.9 hct 40.9 wbc 6.2 N44 L42 M8 E2 Plt 247; PT 11.7 vs 12.2 %act 87 INR 1.01 PTT 25.2 vs 25.9 Dr. Orantia/Dr. Hizon/DR. Santos
743 AD Pelvic fracture Diet: DAT PMGH Dr. Castillo/Dr. Salonga/Dr. Gumasing
15/M secondary to trauma IVF: D5LR 1L x 8hr Dr. Orantia/Dr. Hizon/Dr.
6/18/20 s/p For Open reduction Meds:Cefuroxime 750mg/IV q8, Tramadol 50mg/IV q8 For Suture Removal Hermogino
and pinning symphysis Labs: 6/29/20
pubis and left pubic 6/25/20 wbc 11.3/S82/L9/Hgb103./hct31/Platelet308
ramus, wound 6/24/20: wbc 10/S81/L13/Hgb8.7/hct26.7/Platelet287
dedridement 6/18/20: PT 11.3 vs 13/93.1% act/PTT 23.9 vs 26
6/18/20 wbc 15.4/S55/L36/Hgb15.3/Hct44.5/Platelet410
6/23/20
POD 5
7th Main: 7
(Admission 2 Discharge: 0 Card: 0 Referral: 0 Transferred: 0 Expired: 0 HAMA:0 ABSCONDED: 0
702 RP Nonhealing wound left Diet: DMD Dr. Azores
Ref 56/F foot IVF: PNSS 1L x 8hr
6/22/20 Meds: Cefuroxime 750mg IV q8 , Mefenamic Acid 500 mg PRN, Clindamycin 300 mg IV Q6, Metformin 500 mg OD Dr. Ocampo/Quitoy/Hermogino
s/p Wound Labs:
Debridement 6/19/20 wbc 10.7/S77/L16/Hgb12.6/Hct36.8/Platelet311
6/23/20 6/19/20: BUN 13.3/Na133/Crea 0.40/K 4.29
POD 5
POD 5
716 DF Rectosigmoid mass t/c Diet NPO, Combiflex 1400 kcal x 24 hours Dr. A. Perez
69/M malignancy IVF:0.9NSS 1L x 40cc/hr
Ref Meds:Metronidazole 500mg Q6, Omeprazole 40mg OD, Ceftrriazone 1gm Q24, Tramadol 50 mg IV Q8 Dr. Ocampo/Quitoy/Hermogino
6/22/20 s/p Exlap, Diverting Labs:
Colostomy 6/22/20 TP 6.0/AG ratio 1.1/Albumin 3.1/Globulin 2.9
6/21/20: wbc 8.1/S63/L19/Hgb11.1/hct32.1/Platelet369
6/25/20 6/21/20: BUN 17.6/Crea1.00/Na127/K3.05
POD3
POD 5
IMU (2)
JA Obstructive Jaundice Diet: DM Low Salt Low Fat, ensure+alitraq Dr. Gervasio
IMU5 40/M Secondary to IVF: non Dr. Alvez
ER `Pancreatic Head Mass Meds: Oemprazole 40 mg IV Q4, Tramadol 50 mg IV Q8, Diphenhydramine 50 mg ODHS, Cetirizine 10 mg OD,Vitamin K 10 mg IV Q8, Piperacillin Dr. Salvana
t/c Malignancy tazobactam 2.25IV q8
6/7/20 S/p CT Guided Biopsy Labs: Dr. Ocampo/Dr. Quitoy/ Dr. Santos
6/11/20 6/26/20 wbc 20.4/S83/L6/hgb5.9/Hct17.7Platelet342
6/25/20: PT 13.2 vs 119/68.9%/1.14INR/PTT 32.2 vs 26.5
s/p Whipple’s 6/25/20BUN 14.5/Crea0.90/iCa096/K2.98/Na141/AST78/ALT39
Procedure on 6/24/20 6/23: Total Prot 6.8 Albumin 2.9 Globulin 4.0 A/G 0.7; PT 11.4 vs 12.2 %Act 91.5 INR .98 PTT 2828 vs 27.2; Na 134 K 3.58
POD 2 6/22 RTPCR Negative
NICU (0)
Mortality
Discharged (13)
828 NA Dr. Gervasio/Dr. R. Tayag
60/M
6/22/20 Dr. Ocampo/Quitoy/Hermogino