Dickran Nalbandian

Patient Misc. Status TO DO

Name: Kanye East Room: History: 13 y/o M w/ Problems: Labs: Meds: FU Behavioral consult.
MRN: sudden onset BL Acute: CBC (9/28/19) – Hb low at PRN: FU Urology consult
DOB: paraparesis, back Back pain 13.2, WBC not elevated Benadryl Inj: 50 mg, 1 mL, 4 FU PT – assess efficacy
Age: 13 yr Allergies: pain, urinary BL LE paraparesis otherwise WNL mL/hr, IV, Once, PRN: infusion
Wt.: 102 kg NKDA retention, and urinary Urinary retention CSF (9/29/19) – WNL reaction Monitor patient for
incontinence w/ hx Urinary CMP (9/29/19) – WNL improvement of
DOA: 9/28/19 URI and camping in incontinence Tylenol: 650 mg, Oral, q4hr, symptoms
LINES: PIV (9/28/19) north Florida. Given Cultures: None PRN: fever
Family: IVIG 100g x2 despite Chronic: Monitor PVR with US
Mom: negative CSF and Obesity Imaging: Zofran inj: 8 mg, 4 mL, 16
Dad: Last Updated: negative spine MRI. HLD MRI spine (9/29/19) – WNL mL/hr, IV, q8hr, PRN: Serial NIFs (GBS
Language: English 10/3/19 (0600) No organic process MRI brain (9/30/19) – WNL nausea/vomiting protocol)
found. Sx improving. Kidney bladder US (9/30/19) –
Resident: Current working dx distended bladder, 858 mL PVR ibuprofen: 400 mg, Oral, q6hr,
Guillan Barre vs PRN: fever
Attending: Transverse Myelitis vs Procedures: Straight cath q8hr
Factitious Disorder vs Other:
Consults: Neurology, Conversion disorder IVF:D5+NS+KCL 20 mEq/L KVO MiraLax: 17 gm, Oral, Daily
ID, Urology,
Behavioral Diet: Regular (good appetite)

Patient Misc. Status TO DO

Name: Reese Room: History: 12 m/o F w/ Problems: Labs: (9/29/19) CBC WBC 28.2, Meds: FU temperature with
Withoutaspoon febrile seizures after being Acute: CRP 13.7, and RPP positive for Abx: Tylenol and ibuprofen
MRN: given 1 year vaccines with Febrile seizures adenovirus and vancomycin inj: 125 mg, 25 mL, PRN for fever control
DOB: Allergies: concurrent URI and fever. Fever rhinoenterovirus. 25 mL/hr, IV, q6hr (59.5
Age: 12 mo NKDA Pt had 3 seizures before URI mg/kg/day) Suction PRN for
Wt.: 8.41 kg admit, was b2baseline Cultures: Blood culture (9/29) oropharyngeal
between episodes, has Chronic: at homestead hospital PRN: secretions
DOA: 9/30/19 LINES: PIV (9/30/19) had no episodes on floor, None LORazepam inj: 0.8 mg, 0.4 mL,
fever fluctuates between Imaging: CXR 10/1/19 – 4.8 mL/hr, IV, As Indicated, FU neurology consult
Family: 99-102.4 F. Dx is complex negative PRN: seizure activity (.1mg/kg)
Mom: Last Updated: febrile seizure. EEG WNL. FU repeat blood
Dad: 10/3/19 (0600) Blood cultures at Procedures: EEG 10/2/19 - Tylenol: 125 mg, Oral, q6hr, culture at NCH
Language: English Homestead Hospital WNL PRN: pain and/or fever (15 FU blood cx at
(9/29/19) grew gram + mg/kg) Homestead Hospital
Resident: clusters and pairs at 32 IVF: D5W + NS + KCl 20 mEq/L on 10/4
hours. Vancomycin was 1,000 mL: 34 mL/hr, IV ibuprofen: 80 mg, Oral, q6hr,
Attending: started and blood culture Continuous PRN: fever (9.5 mg/kg)
was redrawn.
Consults: Neurology Diet: Enfamil formula
1
Dickran Nalbandian

Patient Misc. Status TO DO

Name: Willem Room: History: Problems: Labs: Meds:
DaFriend 22 m/o M w/ hx Acute: UA (10/1/19) 2+ LE, 4+ blood, Abx: Continue Ceftriaxone
MRN: chromosomal FTT 4+ RBCs, 2+ WBCs ceftriaxone inj: 475 mg, IV pending urine
DOB: Allergies: abnormality, Acute febrile illness CBC (10/1/19) – WBC 16.5, 11.88 mL, 23.76 mL/hr, IV, culture sensitivity
Age: 22 mo Egg congenital Malnutrition otherwise WNL q24hr (50mg/kg/day) results
Wt.: 9.45 kg hydronephrosis, Elevated TSH
gastroesophageal Stridor Cultures: Urine Cx (10/1/19) PRN: FU Nephrology - May
DOA: 10/1/19 LINES: PIV (10/1/19) reflux, G-tube Systemic viral illness pending Tylenol: 140 mg, Oral, q4hr, need VCUG as
dependent. Presents Blood Cx (10/1/19) pending PRN: pain and/or fever (15 outpatient given UTI
Family: w/ NBNB emesis x6 Chronic: mg/kg) reoccurrence
Mom: Last Updated: episodes. Pt had Congenital Imaging: Bladder US (10/2/19)
Dad: 10/3/19 (0600) abnormal UA hydronephrosis – bladder distention Other f/u blood cx results
Language: Spanish suggestive of UTI Congenital hypotonia Prevacid: 15 mg, GTUBE, f/u urine cx results
(10/1/19) Congenital strabismus Procedures: q24hr (1.6 mg/kg/day)
Resident: GERD f/u PedSurg G tube
IVF: D5W + 1/2 NS 1,000 mL + eval
Attending: KCl 10 mEq: 38 mL/hr, IV
Continuous f/u GI for GERD w/ FTT
Consults: PedSurg, GI,
Nephro, Ophtho Diet: Neocate Jr. Formula f/u Optho for
strabismus