June 26, 2020 - June 27, 2020

Dr. Mendoza/Dr. Amante/Dr. Hermogino

PVT SVC SURGICAL NON-SURG
ADMISSIONS 1 0 0 1 0
ER 0 0 0
HAMA
Card 0 0 0
DTR 0 0 0
REFERRAL 0 0 0 0 THOC 0
MORTALITY 0 0 0 0 ABSCOND 0
MORBIDITY 0 0 0 0 IMU 3
NICU 0 0 0 0 OUTBORN NICU 0
TOTAL ADMISSIONS 1 0 0 0
TOTAL IN PATIENTS 44 0 0 0 CCU 0

5 0 0 0 MORTALITIY 1
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: General Liguids 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, left Diet:DM, LF diet Dr. Gervasio
36/F Non obs ureterolithiasis IVF:PNSS 1L x 12hr
6/24/20 HPN, DM 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
1080 PO TID,Febuxostat 40mg PO, Omeprazole 40mg IV 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

828 NA UGIB Diet Soft Diet MGH Dr. Gervasio/Dr. R. Tayag

60/M HCC Stage IV IVF: PNSS 1L x 12hr
6/22/20 DMII Meds:Sucralfate 1gm IV q6, Omeprazole 40mg IV q12, Ceftriaxone 2gm IV OD, Vit K 10mg Q8 x 3doses, Lactulose 30cc ODHS, AMetronidaozle 500mg IV q8, Dr. Ocampo/Quitoy/Hermogino
HASCVD Fursemide 20mg IV OD
Labs:
s/p Ultrasound Guided 6/25:BUN 42.5 Crea 2.4 Na 130 K 3.63
Paracentesis 6/23: hgb 16.4 hct 44.5 wbc 11.2 N 69 L11 M7 E3 Plt 111; BUN 47.3 Crea 2.7 Na 128 K 4.25
6/24/20 6/22/20 wbc 10.8/S75/L10/hgb17.4/Hct47/Platelet101
POD 2 6/22/20: BUN 44.9/Crea 2.60/K4.68/

S/p pigtail cath insertion

829 MS CCC Diet: GL Dr. Tia

Ref S/p laparoscopic IVF: D5NR 1L x 8hr
6/25/20 72/M cholecystectomy Meds: Dr. Mendoza/Amante/Hermogino
 POD 1 Labs:

830 AP CVD infarct left MCA DietLSLF Dr. N Cruz

Card 45/M IVF: HL
8/22/20 Meds: Rivaroxaban 10mg OD, Atorvastatin 20mg ODHS, Citicholine 1g BID, Neurobion 2 caps TID Dr. Ocampo/Quitoy/hermogino
Labs:
6/22/20 P 11.5 vs 12.2/90% act/INR 0.99/PTT 26.4 vs 27.2
6/22/20 wbc 7.7/S59/31/hgb13.9/Hct40.8/Platelet 226

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 35 delayed phase. Atherosclerotic coronary arteries
5/20: G allbladder hydrops with few tiny cholecystolithiases. Negative for hepatobiliary ectasia or choledocholithiasis. Prominent lower pancreatic head and
S/p Lap Chole uncinate process, with mild parenchymal edema in the latter. These may represent mild and focal acute pancreatitis. Consider chronic renal parenchymal
5/26/20 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 29 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

834 MA Electrolyte Imbalance Diet: Soft Diet Dr. Santelices

ER-REF 57/F PAOD, Right Lower IVF: PNSS 1Lx 12 hours Dr. Leano
Extremity Meds: Pantoprazole 40 mg IV OD, Metoclopromide 10 mg IV Q8, Ondansetron5 mg BID, Paracetamol 300 mg IV Q4, Piptazo 2.5 gms IV Q8 Dr.Padilla
6/21/20 s/p Debridement 1st-2nd Labs:
Digit Right Food May 6/25/: Leg/Foot Xray: Osteodegenerative Changes, No osteomyelitis Dr. Orantia/Dr. Hizon/Dr. Santos
2020 6/24/20: BUN 24./Crea3.00/K4.07/Na136
6/21: hgb 11 hct 29.3 wbc 11.7 N 89 L4 M 5 E 2; BUN 37.7 Crea 5.6 Na 123 K 2.5

835 CF Sigmoid Colon Diet: Peptamen 1400 kcal Dr. Eseque

REF 91/M Adenocarcinoma Stage IV IVF: PNSS 1L x20 cc/hr Dr. Rivera-Go
with Liver Mets s/p Colon Meds: Meropenem 500 mg IV Q12, Paracetamol 500 mg PO, Tamsulosin ODHS, Bethanecol ½ tab TID
6/25/20 Surgery 2018 Dr. Ocampo/Dr. Quitoy/Dr.Santos

837 JC S/p incision biopsy of Diet: Soft Low Fat Non dairy, Ensure Gold Dr. Sioco
79/F scalp mass IVF:PNSS 1L x 40 cc/hr NO BETADINE on COD Dr. M. Fojas
REF S/p FNAB right thyoid Meds: Paracetamol 500mg q6, Tramadol 50mg Q6, PipTazo 4.5g/IV q8, Levofloxacin 500mg PO BID , Paracetamol 650 mg tab Q6, Tramadol 50 mg PO Q4
6/7/20 nodule Labs: MGH Dr. Ocampo/ Dr. Quitoy/ Dr. Santos
6/8/20 6/19: CA 19-1 3875.4 CA 125 712.4 CEA 2.3 RBS 91.8
6/15: Histopath: Scalp Mass Maligant Neoplasm favor epitheliala origin; FNAB: atypical cells suspicious for malignancy
POD 16 6/11 CXR: progression of right-sided pneumonia

s/p Ultrasound Guided

Thoracentesis
6/19/20

844-1 DC Breast Cancer, Left Diet: DAT MGH Dr. Dofitas

ER 53/F IVF: D5LR 1L x 8 hours
s/p Modified Radical Meds: Celecoxib 200 mg BID Dr. Mendoza/Dr. Amante/Dr. Santos
6/23/20 Mastectomy, Left Labs:
6/24/20 6/23: hgb 14.7 hct 43.5 wbc 7.7 N60 L32 M7 E 1 Plt 261; AST 46 ALT 66 K 4.54 Na 140 BUN 13.9 Crea 0.80 Cl 99.7
POD 3

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 .Santos
POD 226 6/12: hgb 8.2 hct 25.0 wbc 4.5 N68 L23 M 8 E 1 Plt 255: K 3,43
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 21

8TH MAIN: 6
(Admission:4 CARD: 0 Discharged: Referral: 0 Transferred: 0 Expired: 0 HAMA: 0)
807 TM Pneumothorax, right Diet:DAT Dr. Gervasio
6/24/20 79/M ACS IVF:PNSS 1L x 60cc/hr
Meds:Paracetamol 500mg TID, Tramadol 25 IV Q8 Dr. Orantia/Hizon/Hermogino
s/p CTT, RIght Labs:
6/24/20 6/25: FBS 71.2 Chol 173.9 Trigly: 50.56 LDL 111 HDL 52.76 AST 45 ALT 19
6/24/20 PT 11.6 vs 12.2/88.5%/INR 1.00/PTT 22.4 vs 29
POD 2 6/24/20 wbc 7.0/S78/L29/hgb13.5/Hct40.2/Platelet192
6/24/20 Na 141/K3.73/BUN10.6/ck-mb 2.3/Trop <0.05/Ddimer 454/BNP94/iCA1.11/Mg1.69/Crea0.60

512 AD Lumbar disc disease Diet DAT Dr. Canto

ER 31/F IVF: PNSS 1L x 8hr
REF Meds: Ketorolac 30mg IV q8, Epersione 50mg PO q8 Dr. Mendoza/Amante/Hermogin
6/26/20 Crea 0,50/wbc 7.8S45/L45/hct13.6/Hbg39/Platelet327

814 KA Bladder Mass t/c Diet; DAT Dr. Ramirez

ER 26/F Malignancy IVF: OLR 1L x 8 hours Dr. Abalajon
Meds: Tranexamic acid 500 mg Q8, Ceftriaxone 2 gms IV OD For TURBT on 6/29/20 7AM
6/23/20 Labs: Dr. Mendoza/Dr. Amante/Dr. Santos
6/25: hgb 12.2 hct 35.3 wbc 8.6 N79 L11 M 8 E 2 Plt 293; RT-PCR: Negative
6/24/20 wbc 12.6/S80/L10/hgb8.8/hct26.3/Platelet203
6/23: hgb 14 hct 39.6 wbc 33.4 N88 L6 M 6 E 0 Plt 412; BUN 17.6 Crea 1.2 LDH 229 Ferritin 233.23 K 4.46 Na 136,
6/23: CT Scan: bladder wall thickening 2.4 cm

817 LC Breast Cancer, Left Diet:DAT Dr. Dofitas

ER 41/F S/p MRM, Left IVF:d%NR 1L x 8hr
6/26/20 Meds: Dr. Ocampo/Dr.Quitoy/Dr.Santos
6/25/20 POD 1 Labs:

818 JB UGIB Diet NPO For Transfusion 4 units prbc Dr. Gervasio
6/24/20 56/F IVF D5LR 1L x 80cc/hr
Meds: Omeprazole 40mg IV q12, Tram + Para PRN Q8
Labs: Dr. Orantia/Hizon/Hermogino
6/24/20 wbc 27.1/S74/L16/hgb6/Hct19.2/Platelte775
6/24/20 PT 12 vs 12.2/82.9% act/INR 1.03/PTT 17.5 vs 29
6/24/20 ALT 14/AST43/BUN17.9/Na132/K3.56/Crea1.30

820 MR Ovarian New Growth, Diet: Clear liqudis Dr. Lopez

REF 49/F Left, Cholelithiasis IVF: D5NR 1Lx 10 hours Dr. Bravo (OB)
For TAHBSO, Meds:
6/25/20 Cholecstectomy Labs: Dr. Ocampo/Dr.Quitoy/Dr.Santos
6/26/20
POD 1

825 MA Acute Appendicitis Diet: LSLF MGH Dr. Alvez

ER 47/M s/p Appendectom IVF: None
6/25/20 Meds: Tramadol 50 mg IV Q8, Paracetamol 300 mg IV Q6 Dr. Ocampo/Dr. Quitoy/Dr. Santos
6/25/20 Labs:
POD 2 6/25 hgb 14.3 hct 41.5 wbc 14.7 N76 L15 M8 E 1 Plt 229 BUN 9.8 Crea 0.9 Na 139 K 4.11 CT 5 BT 2 PT 12.4 vw 11.9 %act 77.7 INR 1.07 PTT 25.5 vs 26.5

7th Extension: 8
( Admission:0 Discharge: 0, Referral: 0,Transferred: 0, Expired: 0, Absconded:0)
734 MC APAS;CVD Bleed Vs AVM
s/p Repeat LTCS Diet: NGT 1800 kcal Nutren MGH
Dr. Bravo
REF 33/F Secondary to
Deteriorating Maternal
IVF: PNSS 1L x 40 cc/hr Dr. Salonga
 Status; Eclampsia 6/6/20
Meds: Dr. Ramiro
6/20 Labs:
6/17: CT Head Increase of bleed from 17 to 29 cc Dr. Ocampo/Dr.
Quitoy/Dr. Santos
737 MC Chronic calculous Diet GL Dr. Ramirez
6/24/20 63/F cholecystitis IVF: D5LR 1L x 8hr Dr. Filarca
Meds: Omeprazole 4mg IV OD, Ceuroxime 1.5gm IV LD
S/p Lap Chole converted 6/17/20 wbc 5.9/S65/L27/Hgb13.1/hct38.6/Platelet198 Dr. Orantia/Dr.Hizon/Dr.Hermogino
to Open 6/17/20 ALT 44/Na140/K4.27/AST41/BUN9.2/Chole240/Crea0.70/UA7./DHDL55.91/LDL162/TG115/FBS91
6/25/20 6/17/20 PT 10.7 vs 11.8/103.5%/INR0.92

POD 2

738 RJ CAD Severe Diet:Progressive Diet Dr. Ramos/Dr.

6/22/20 62 3Vessel IVF: D5LR 1Lx 40 cc/hr Cacas
Disease Meds:
Labs: Dr.
s/p CABG 2/27/20 AST 46/BUN9.7/Chole121.20/Crea090/UA6.2/Dhdl Ocampo/Quitoy/He
6/23/20 35.30/DL39/Triglycerides 234.70/FBS 114.7/Na142/Mg2.10/iCA1.15/K4.64 rmogino
2/27/20 Protime 11.9 vs 12.2 84.2 %act/1.03 INR/PTT 24.8 vs 24.1
POD 2 2/27/20 wbc 5.4/S48/L44/hgb14.9/Hct42.3/Platelet159
740 AS BPH Diet: LF Rpeat PSA after 28d Dr. Gana
Ref 72/M IVF: HL MGH Urowise
6/22/20 Meds: Tamsolusion 400mcg ODHS, Levofloxacin 500mg OD x 28days MGH Dr. Ocampo/Quitoy/Hermogino
Labs:
6/22/20 PSA 773.56
6/21/20 BUN 31/Crea 2.40/K4.02/Na130
6/20/20 wbc 7.6/S78/L10/Hgb11.7/Hct 33.6/Platelet 282
6/20/20 AST 60/ALT 80

741 EP Massive pleural effusion Diet: FD Dr. Gervasio

32/M secondary to IVF:
parapneumonic process Meds: Meropenem 1g/IV q8, Azithromycin 500mg/tab PO OD, NAC 600mg/tab PO OD, Paracetamol 500mg/IV q4 PRN for fever, Fluconazole 200mg/cap OD Dr. Hizon
vs malignancy Labs:
6/1/20 wbc 7.0 Hgb 7.5 hct 24.1 seg 77 lym 16
S/p CTT, Right 5/25/20: wbc 7.5/S77/L11/Hgb9.2/Hct30.6/Platelet311
5/14/20 5/14/20: Interval Regression of Right-Sided Pleural Effusion; Underlying Lung Pathology Still Not Ruled Out
Minimal Interval Progression of Pneumonia, Left
POD 43 Consider Mild Pulmonary Congestion
Left-Sided Tracheal Deviation, May Be Positional or Due To Clinically Diagnosed Anterior Neck Mass
5/14: Pleural Fluid Anaylysis: Protein 2.3, Glucose 86.3 LDH 191 Wbc 12 PMN’s 45 Mononuclear 55 Rbc 28
5/13/20 CKMB 1.2, Trop I <0.05, BNP 109.0, DDimer 1650
5/13/20 AST 28, ALT 17, TPAG 4.9/27/2.2, LDH 286, PT 12.2, 74.2%, INR 1.09, PTT 34 secs
5/13/20 WBC 14.3/N 85 /L 9/Hgb 8.0/Hct 26.0/Plt 35
5/13/20 BUN 25.7, Na 136, K 4.43, Crea 1.7, Procal 0.79, CRP 11.5, Ferritin 2296
5/13/20 Chest UTZ - Approximately 2600 ml amount of fluid collection within the right pleural cavity. No septations or internal echoes seen. Atelectasis of
the lower lungs is seen. Marking is done at the right posterolateral chest wall. Approximate needle depth should be, at least, 5 cm but not more than 6 cm
from the skin. No fluid is seen in the left hemithorax.
5/13/20 CXR No significant change in the pleural effusion in the right, underlying lung pathology not ruled out. No significant change in the pneumonia in
the left. Consider mild pulmonary congestion.

742 ET CKD 5 sec to HTN and DM Diet: LSLF DM Dr. Cabasa

Ref 6/20/20 42/F neprhopathy IVF:HL
Meds: Amlodpine 5mg/tab OD, Carvedilol 6.25mg tan BID, Furosemide 40mg IV q12, Nahco3 650mg ab 2 tabs TID, Ektoanalogue 1tab TID, Rosuvastatin Dr. Mendooza/Amante/Hermogino
 s/p IJ Catheter Insertion, 10mg/tab ODHS, Linagliptin 5mg.tab OD, Ibeset forte 1 tab PO OD, EPO 4000u sc 1/week
Right Las:
6/21/20 6/12/20 TropI 0.19/Hba1c 6.13/UA 8.14/TSH 3.981/FT40.84/Ca6.74/Alb2.4/Phosphorus 4.87/UAa8.31/

POD 5

743 AD Pelvic fracture secondary Diet: DAT PMGH Dr. Castillo/Dr. Salonga/Dr. Gumasing
15/M 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 Hermogino
and pinning symphysis Labs:
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 3

744 JB Sacullar aneusyrm Diet: LF Dr. Gana(card), Dr. Seng, Dr.

6/21/20 67/M anterior communicating IVF: PNSS 1L x 12hr Villavicencio, Dr Gensolin, Dr.
artery; Meds: Mannitol 75cc q4, Nicardipie 30mg/tab 1 tabs q6, Losartan 40mg/tab OD, Citicholine 1gm IV 12, Metoclopromide 10mg/tab q8, Omeprazole 40mgIV Gervasio. Dr. Cabasa
Aortic Arch Aneurysm OD, Atorvastatin 20mg/tab BID, Norgesic tab TID, Paracetamol 500mg Q6rtc,Lactulose 30cc ODHs
Labs: Dr. Mendoza/Amante/Hermogino
For Coil Embilization 6/20/20 wbc 9.9/S74/L16/Hgb14.4/Hct41.5/Platelet195
6/24/20 6/20/20 Crea 0.70/Na136/ica1.10/Mg2.22/K3.71
POD1

745 MM STEMI with totally Diet: DAT MGH Dr. Bernardo

ER 48/M occluded RCA IVF: PNSS 1L x 60 cc/hr Dr. Te
CAD Severe 2VD s/p PCI Meds: ASA 80 mg OD, Enoxaparin .6 cc SQ, Atorvastatin 40 mg OD, Pantoprazole 40 mg OD, Paraetamol TID, Enaapril 5 mg OD
6/21/20 with Stenting Labs: Dr. Orantia/Dr. Hizon/Dr. Santos
6/21/20 6/21: hgb 14.8 hct 43.8 wbc 12.1 N 82 L13 M4 Plt 300

7th Main: 15
(Admission 2 Discharge: 0 Card: 0 Referral: 0 Transferred: 0 Expired: 0 HAMA:0 ABSCONDED: 0
702 RP Nonhealing Diet: DMD Dr. Azores
Ref 56/F wound left IVF: PNSS 1L x 8hr
6/22/20 foot Meds: Cefuroxime 750mg IV q8 , Mefenamic Acid 500 mg PRN, Clindamycin Dr.
300 mg IV Q6, Metformin 500 mg OD Ocampo/Quitoy/He
s/p Wound Labs: rmogino
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 1
705-1 LB Rectal Diet GL Dr. Eseque/SROD
6/22/20 71/F adenocarcin IVF: D5LR 1 L x 8hr
oma Meds: Omeprazole 40mg IV, Cefoxitin 1gm IV, Dr.
s/p Exlap, Labs: Ocampo/Quitoy/M
Anterior 6/25: hgb 11.9 hct 39.5 wbc 7.9 N81 L11 M8 Plt 108 endoza
Resection, 6/19/20 wbc 4.1/S46/L40/Hgb11.5/Hct33.1
 Colorectal
Anastomosis
using
Circular
Stapler

6/23/20

POD 1
705-2 EP Osteoarthriti Diet DAT Dr. Herrera
6/24/20 50/F s, left knee IVF: PLR 1 L x 8hr
Meds: Celecoxib 200 mg tab BID, Cefuroxime 750 mg BID, Tramadol 50 mg Dr.
s/p Total IV Q8 Orantia/Hizon/Her
Knee Labs: mogino
Replacement 6/20/20 wbc 6.0/S60/L33/Hgb13.1/Hct.30/Platelet322
, Right 6/20/20 PTT 31.6 vs 31..
6/25/20 6/20/20 BUN1.7/Crea52.5Na142/K3.7/Chloride 104

POD 2
709 WB BPH; MDD Die: Full Diet MGH Dr. A. Castro
ER 58/M IVF: D5LR 1L x 12 hours
Meds: Tamsulosin 1 tab ODHS, Vesicare 1 tab BID, Ceftriaxone 1 gm IV Q8, Dolcet 1 tab Q8 PRN, Lactulose 30 cc ODHS Dr. Orantia/ Dr.Hizon/ Dr. Santos
Labs:
6/22/20 6/21: hgb13.1 hct 38.5 wbc 8.9 N 69 L21 M 8 E 2 Plt 205; U/A: wbc 33.35 rbc 337.59 epith cells 1.26 hylaine cast 3.48 Bact 2.05; BUN 15.7 Crea 1.5 Na 142;
PT 11.3 vw 13 %act 93.1 INR 0.8 PTT 21.4 vs 26.6

711 ML Rotator cuff Diet:DAT MGH Dr.L Castillo

6/24/20 42M tear, right IVF:
s/p Meds: Dr.
Arothroscop Labs: Orantia/Hizon/Her
y, 6/24/20 wbc 8.0/S66/L24/Hgb14.5/Hct43/Platelet248 mogino
Debridement
6/25/20

POD 2
714 NV Pathologic Fracture Diet: Low Salt Low Fat DIet MGH Dr. Meriales
6/16/20 62 Femoral Shaft, Left Meds:Tramadol 50mg Q8, Celecoxib 200mg q12
Secondary to Metastatic IVF: heplock Dr Ocampo/Quitoy/Hermogino
Breast CA Labs:
 s/p interlocking nailing 6/24: Crea 1.8 K4.04
and open biopsy 6/23: Crea 2.8, K 4.9
6//20/19 6/17: Femoral Xray: complete oblique fracture left proximal femoral shaft
6/16/20 wbc 9.7/S72/l14/Hgb10.3/Hct32.3/Platelet248
POD 5 6/16/20: PTT 29.6 vs 15.2/PT 13 vs 11.2/70.9% act/INR 1.12

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

POD2

717 RW Transverse colon CA with Diet:Full Diet PMGH in 2 days Dr. Cabasa/Lopez/Pasco
ER-Ref 51/F liver and lung mets IVF: Dr. Mendoza/Amante/Hermogino
6/20/20 s/p Exlap, Extended Right Meds: Etoricoxib 120 mg OD, Pantoplus OD
Hemicolectomy, End Labs:
Ilesotomy 6/26/20 CL 106.4/Crea0.70/Na136/K3.91
6/20/20 BUN 13.8/Crea0.70/Na138/K4.30/
6/23/20 6/20/20: wbc 6.7/S56/L34/Hgb7.4/Hct25.3/Platelet544
6/20/20 TB 0.70/Db0.30/Ibil0.0/AST19/ALT8.0
POD 3

719 AL Duodenal atresia Diet:1cc q2 per OGT MGH Dr, Saguil

NB IVF: Dr. Eseque
6/4/20 S/pDuodenojejunostomy, Meds: Vitamin K
Ladd’s procedure Labs Dr. Ocampo/Quitoy/Hermogino
6/6/20: Protime 14.7 vs 12.2 56.1% act PTT 45.4 vs 26
6/8/20 6/5/20: Tbil 13.9/Dbil 00/Ibil 13.9/na137/K5.30/Chloride 94.5
POD 16 Outsite: wbc 39.1/S46/L45/Hgb22.Hct0.64/Platelet413

720 NA UGIB Secondary to Diet: GL MGH Dr. Sarmiento

REF 58/M Ruptured Esopahgeal IVF: D5LR 1L x 8 hours Dr. Topacio
Varix Meds: Omeprazole drip, Somatostatin Drip, Tranexamic acid 1amp IV Q8
6/23/20 s/p EGD with RBL Labs: Dr. Mendoza/Dr. Amante/Dr. Santos
6/23/20 6/23: hgb 9,8 hct 23.2 wbc 9.8 N 72 L22 M 3 E 0 Plt 156; PT 13.3 vs 12.2 %act 67.9 INR 1.15 PTT 21.8 vs 27.2

POD 2

723-2 EE s/p Debridement Diet: DAT MGH-Awaiting funds Dr. P. Gervasio

ER 44/M IVF: none
Meds: Ampisulbactam, Celecoxib RIC: Dr. Hermogino

725-1 CA Beginning Fournier’s Diet; DMD Dr. Abalajon

ER 47/M Gangrene IVF: PNSS 1Lx 8 hours
Meds: Co-Amociclav 625 mg IV BID, Tramadol 50 mg IV Q8 Dr. Mendoza/Amante/Santos
6/24/20

CCU ()

IMU (3)
IMU3 RC ACS NSTEMI Diet: LSLF Dr. Tayag
6/21/20 65/M CAP MR IVF: PNSS 1L x 16hr
Meds:Ticalgelor 90mg tab BID, Cilostazol 50mg TAB BID, Trimatezidine 35mg/tab BID, Enoxaparin 0.6cc/SQ OD, Atorvastatin 80mg/tab ODHS, Ivabradine Dr. Mendoza/Amante/Hermogino
2.5mg/tab BID, Lactulose 30cc/ODHS, Omeprazole 40mg/IV OD, Cefttriazone 2gm/IV O, Azithromycin 500mgtab OD
Labs:
6/21/20 UN 37.3/Na135/K3.78/Phos4.09/ica1.08/Mg2.06/Crea 1.90
 6/21/20 wbc 17.2/S85/L8/Hgb13/Hct39.3/Platelet218

JA Obstructive Jaundice Diet: DM Low Salt Low Fat, ensure+alitraq Dr. Gervasio
IMU5 40/M Secondary to `Pancreatic IVF: non Dr. Alvez
ER Head Mass t/c 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 tazobactam Dr. Salvana
Malignancy 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 Procedure 6/25/20BUN 14.5/Crea0.90/iCa096/K2.98/Na141/AST78/ALT39
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
IMU 6 ET CVD bleed right Diet: NPO Awaiting Official Resultof CT Scan Dr. Azores/Dr. Seng
72/F s/p Craniectomy IVF: PNSS 1L x 40cc/hr
6/23/20 evacuation of hematoma Meds: Tranexamic acid 10mg V q8, Ampicillin-sulbactam 750mg IV q8, Paracetamol 600mg IV q8, Mannitol 20% 100cc IV q4, Leveteracitam 5ml BID Dr. Ocampo/Quitoy/Hermogino
6/22/20 Labs:
6/22/20 PT 11.4 vs 12.5/91.5%act/INR 0.98/PTT 25.4 vs 26.8
POD 2 6/22/20BUN 14.2/Na141/K3.31/Chloride 103.5/Crea0.90
6/22/20 wbc9.0/S90/L5/Hgb10.2/Hct30.5/Plalelet 196

Discharged (5)

703-2 CG S/p DietL Soft Diet MGH Dr. Bravo/SROD

Intraop 38/F TAHBSO IVF:
ref s/p Meds: Ciprofloxacin 500 mg tab, Tramdaol25mg SIVP, Ketorolac 30mg IV Dr Mendoza/
6/20/20 cystorrhapy q8 Clecoxib 200mg Q12 Amante/Hermogin
6/20/20 o

POD 4
701 ST Acute Diet: Glucerna via NGT For Na, K, Crea Dr. Diwa
REF 82/F infarct, L IVF: 6/26/20
6/1/20 corona Meds: MEropenem .5 gms IV Q12 Dr,.Mendoza/ Dr.
radiata, L Labs: Hizon/ Dr. Santos
basal 6/23: hgb 14.7 hct 23.2 wbc 10.1 N83 L 11 M 6 E 0 Plt 232; Crea 1.8 Na 133
ganglia; K 3.56
Neurogenic 6/15 CBC WBC 12.6 Hgb 9.5 Hct 27.1 Plt 200 Seg 81 Lym 10
Bladder 6/12: WACT: rectal wall thickening, 8cm from anal verge, can be proctitis vs
neoplasm
6/11 CBC WBC 17.9 Hgb 9.5 Hct 27.8 Plt 331 Seg 80 Lym 12
 6/11 Crea 2.1 K 4.5
744 JC Nephrolithia Diet:DM Diet MGH Dr. Bravo
6/25/20 78/F sis right IVF: PNSS 1L x8hr
Ref DM T2 Meds: Cefuroxime 500mg BID, Algesia Q8, Kcitrate 1080 TID, Tamsolusin Dr.
400mcg ITD, Sambong 500mg TID Orantia/Hizon/Her
Labs: mogino
6/24/20 Na144/K5.24
6/24/20 PT 10.90 vs 14/>100%act/0l96INR/PTT24
812 CL Appendicitis Diet: Soft DIet MGH Dr. Alvez/SROD
6/22/20 15/M s/p IVF: PNSS 1Lx 16 hours
appendecto Meds: Cefoxitin1 gm IV q8, Paracetamol 600mg VI q6, Ketorolac 25mg IV q8 Dr.
my Labs: Ocampo/Quitoy/He
6/22/20 6/24/20: rt-PCR negative rmogino
6/23: hgb 13.4 hct 40.1 wbc 19 N79 L12 M 8 E 1 Plt 440 UA: rbc 5.11 rbc
POD 2 1.57 epith cells 258.66 hyaline 9.57 bacteria 2.31
6/22/20 wbc 16.3/S78/L11/hgb14.7/Hct43.9/Platelet391/Na
138/Chl102.1/K4.75
6/22/20 PT 13.3 vs 12.5/67.9% act/PTT32.3 vs 26.8
6/22/20 wbc 16.1/S78/L10/Hgb14.7/Hct44.3/Platelet406

844-2 Acute Diet: Soft Diet Dr. Alvez

6/24/20 cholecystitis IVF: heplock Dr.
poss Meds: Celecoxb 200 BID, Tram+Para Q8 Orantia/Hizon/Her
choledocholi Labs: mogino
thiasis

S/p Open
chole
POD 1