March 8 – March 9, 2021

Dr. Ocampo/Dr.Hizon/Dr.Santos

PV SVC SURGICAL NON-SURG

ADMISSIONS 9 0 4 5
ER 4 0 3 1
HAMA
Card 0 0 0 0
DTR 4 0 3 1
REFERRAL 1 0 1 0 THOC 0
MORTALITY 0 0 0 0 ABSCOND 0
MORBIDITY 0 0 0 0 IMU 2
NICU 0 0 0 0 OUTBORN NICU 0
TOTAL ADMISSIONS 9 0 7 2
TOTAL IN PATIENTS 7 0 0 0 CCU 0

7 0 MORTALITIY 0
DISCHARGE
SERVICE IN PATIENT

9th Extension: (6)

(Admission: 0 Card: 0 Discharged: 0 Referral: 0 Transferred: 0 Expired: 0 HAMA: 0 Abscond: 0
925 JA Pleural Effusion Diet: DAT MGH
ER 17/M Secodary to PTB, Left IVF: HL Awaiting Funds Dr. Ramirez
s/p Modified CTT, Left Meds: HRZE, Celecoxib 200 mg PO, Paracetamol 500 mg PO Q4 PRN, Butamirate Citrate 3 tabs PO TID, Vitamin B Complex 1 tab PO OD
2/22/21 2/22/21 POD 15 Labs: Dr.Amante/Dr.Hizon/Dr.Santos
2/22 cbc wbc 7.4, rbc 5.2, hgb 11.5, hct 34.2, plt 559.0
2/22 pleural fluid analysis: protein 5.9 g/dl, glu 87 mg/dl
Hema: yellow, slightly cloudy, wbc 2304/mm3; pmn 10%, mon 90%, rbc 1872/mm3
2/23/21:GeneXpert: Mycobacterium tuberculosis not detected
2/23/21: pleural fluid GS: polymorphonuclear cells 2+, no micromorganism seen
928 ME Diet DAT
DTR 64/M Severe Degenerative IVF: PNSS x 8 hrs 10CC/ HOUR Dr Rubio
(Transferred Osteoarthritis, HASCVD, Meds: Celecoxib 200mg, tramadol 50 mg, cefuroxime 500 mg Q8,, metropolol 50 mg, pct plus tramadol 1 tab, sitagliptin plus metformin
from 714; Type 2 DM, Tongue CA; S/P 50/1000mg Dr.Ocampo/Quitoy/Santos
¾/21) Wide excision of the Labs:
Tongue, 3/3 Hba1c % cl 6.8 %> Hba1c 50 mmol/mol PGI Lopez Marin
3/2/21 S/P Hip Arthroplasty 3/2/21: wbc 8.8, N 61, L 26, M 11, E 2, B 0, Hgb 12.1, Hct 34.8, MCV 84.7, MCH 29.4, MCHC 34.8, Platelet ct 362.0
03/04/21 POD 5 3/5/21: wbc 12.3, N 81, L 10, M 8, E1, rbc 3.2, hgb 9.4, hct 27.1, plt 262; crea 1, Na 131, K 4.17, iCa 1.01, Mg 1.42, eGFR 79.19
Xray: hipjoint ap/contralateral; s/p hip replacement , left, degenerative osteoarthritis changes , right tip
3/7/21: CBC: WBC: 10.8, N 72, L 15, M 10, E 3, B 0; RBC 2.8 (L); HGB 8.1 (L), HCT 23.5 (L), PLT 243.0
930 MD PGO secondary to GITB Diet :DAT, increase OFI, increase protein intake MGH
ER 24/F s/p Exlap, Right IVF : Awaiting Funds Dr.Eseque.
2/3/21 Hemicolectomy, Protective Meds: HRZE
ileostomy Labs: Dr. Ocampo/Quitoy/Hermogino
2/10/21 POD 25 2/2/21 wbc 7.0/S71/L17/Hgb12 Hct37.2/Paltelet862 Alb 3.3/Glob3.1/TP6,.4/AG 1.1/Na137/K3.62/Crea.40/BUN 10.2
931 JB CHF sec to IHD s/p CABG Diet: NGT feeding 1400 kcal peptamen 1:1 dilution 6 equal feedings For CBC on next blood Dr. Cabasa
Card 59/M 02/26/21 IVF: PNSS IL x 10 cc/hr extraction Dr. N. Cruz
POD 11 Meds: Trimetaizidine 35 mg BID, Atorvastatin 80 mg ODHS, Fenofibrate 160 mg ODHS, Omeprazole 40 mg OD, Meropenem 1 g IV q8
Cotrimoxazold 400/80 mg tab BID, Aspirin 80 mg Od , Midazolam 2 mg IV PRN , Ivabradine 5 mg half tab BID , Citicoline 1 gm tab BID
,Paracetamol 650 mg q6, Morphine 2mg q4, Furosemide 40mg OD, Captopril 25mg BID , Digoxin 0.25 mg OD, Doxophylline 400 mg OD.
Labs:
Cxr 3/5/2021
Interval increase in homogenous opacity in LLL previously ascribed to pneumonia with consolidation. Pulmonary congestive changes
Beginning pneumonia in RLL, Aa, Thoracic spondylosis
Elecs 3/5/2021 Crea 0.6 Bun 15.6 K 4.16 Na 138
936 EA Non-healing wound Left Diet: DM Diet 1, 800kcal Follow up with Dr. AV
REF 54/F Leg IVF: Furosemide 240mg + 216 ML PNSS X 5 MG/HR duplex Bilateral lower Dr. Fojas/ Salvana/ Tiongco/ Cabasa
2/27/21 HASCVD, CAD, Meds: Ceftriaxone 2 gm IV Q24, spironolactone 25mg, enoxaparin 0.6 ml, ertapenem 1gm, sulodexide 600 csu extremities. As of
S/P CABG Labs: 2/27/21 wbc 16.2, N 78, L 15, M 7,E 0, B 0, Hgb 10.7, Hct 33.6, MCV 84.6, MCH 27,MCHC 31.8, Plt ct. 478 03/07/21).
DM Type II 3/1/21: Crea 0.60, Na 141, EGFR-CREA: 103.34, K 4, BUN 16.4
3/3/21 crea 0.60, Na 139, eGFR-crea 103.34, bun 17.6, K 3.78; cbc wbc 16.1, N 80, L 13, M 7, RBC 4.1, hgb 10.7, hct 34.2
¾/21: cbc wbc 17.7 Hgb 12.1 Hct 37.9 plt 254, N 82, L12, M6, Na 140, K 4.03
939 CS CVD Infarct, Cerebellar Diet: Ensure Gold Gtube Feeding Dr. Seng
ER 69/M S/p Tracehostomy, IVF: PNSS 1L 120 cc/hr, TPN 24 hrs. Dr. Alvez
Gastrostomy; MV Settings: Simv, Ps 12, Rr 12, TV 400 , Pf 59 peep 5
2/20/21 2/27/21 POD 10 Meds: Cerebrolysine 10 ml IV q8 Meropenem 1g IV q8 Atorvastatin 80 mg tab OD Paracetamol 500 mg tab q6 PRN Lactulose 30 mL ODHS Dr.Orantia/Dr.Hizon/Dr.Santos
Linagliptin 5 mg tab BID Ranolazine 375 mg tab BID Carvedilol 12.5 mg tab BID Metoclopramide 10 mg IV q8 PRN Rebamipide 100 mg tab TID
Labs
3/5/2021 Wbc 8.9 (11.1) Neutro 89 Lymph 6 Hgb 8.4 (9.7) Hct 25.1 Rbc 2.7
Carotid duplex scan:Carotid artery disease <50% stenosis of ICA <50% stenosis of left CCA and bilateral ECA Hypoplastic left vertebral artery
consider stenosis of most distal segment of right vertebral artery.
Abg ¾/2021: Ph 7.545 Pco2 29.4 Po2 51 mmHg Hco3 24.9 Be 2.4 O2 sat 91%
Cxr portable ¾/2021 Consider pneumonia righg Minimal PE, left AA

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 0; Referral: 0 Transerred:0 Expired: 0 HAMA: 0)
829 CL Pleural effusion left Diet LSLF, DM diet
IVF :PNSS 1L x 40cc/hr
REF 85/F secondary to PTB vs Lung Med: Insulin Lispro 2 Units PRN, Celecoxib 100mg BID, Tramadol + Paracetamol 37.5/325mg PRN, Tramadol 50mg PRN, Nicardipine 1mg PRN, Losartan 50mg OD, Losartan + Amlodipine 50/5mg Dr. Gervasio
mass t/c malignancy OD, Metoprolol 50mg BID, N-Acetylcysteine 600mg OD, Vitamis + Mineral 1 tab OD, Vitamin B complex 1 cap OD, Lactulose 30cc OD, Sodium Chloride 1g/tab TID, Tranexamic Acid 500mg/tab TID,
2/8/21 Calcium Polysterene 5mg BID, Insuline Glargine 16 units OD, Albumin 20% 50 OD Dr. Ocampo/Hizon/Santos
s/p 1ST VATS, CTT, Left Labs:
2/10/21 POD 19; S/P 2ND 3/2/21: Utz Chest: Complicated pleural effusion, right with reaccumulation; minimal loculated pleural effusion with thickening, left.
3/2/21: Chest X-RAY AP Supine: No significant change in pneumonia and/or pulmonary congestion. Bilateral pleural effusion (slight increase in right, decrease in left), stable midline mediastinal
VATS, 3/1/21 POD 6, calcified mass. No significant change in homogenous opacity in the left upper lung.
s/p Thoracentesis, Right 3/2/21: Pleural fluid GS: Gram positive cocci in singly: 3+ ; Gram positive cocci in pairs: 1+
2/21/21 POD 15 ¾/21: AFP 0.82, CA125 181.9, CA 19-9 1346.7, CEA 39.7
3/5/21: ALT 17, Total protein 4.4, A/G ratio 1, Globulin 2.2, Albumin 2.2, AST 24, eGFR-Crea 37.75, Crea 1.90
s/p Port Catheter insertion
3/6/21 POD3

833 LM CPA tumor Diet: Soft Diet MGH Dr. Seng

ER 54/F Pneumonia IVF: HL Awaiting Funds
REF s/p VP shunt 2/11/21 Meds: Paracetamol tab 500 Q4, Omeprazole 40 mg ID, Amlodipine 5 mg/tab OD, Ivrabadine 7.5mg/tab BID, Levofloxacin 750mg OD Dr. Orantia/Hizon/Hermogino
s/p Craniotomy, Excision of Labs
1/26/21 Tumor 2/18/21 POD 19 2/18/21: K 3.29 Crea 0.70 cGFR-Crea 98.23 K 3.50 Na 141 hb 12.9 hct 37 rbc 4.4 wbc 12.8 (neu 91) plt ct 424
2/21/21: Procalcitonin <0.5 ug/L/ Wbc 14.6/ Neutro 93/ Hgb 12.3/ Hct 35.1/ Plt 394/ Crea 0.50/ eGfr-Crea 109.72/
2/23/21: Blood CS: no growth after 48 hrs of incubation
2/26/21: Blood CS: no growth after 5 days

835 MN Lung Abscess Diet: For thoracotomy left Dr. Lukban

REF 25/M S/P CTT, left IVF: HL lower lobectomy 3/10/21
3/1/21 POD 9 Meds: Omeprazole 20mg/tab OD, Domiperidone10mg/tab TID, Azithromycin 500mg OD, Celecoxib 200mg BID, Dexlansoprazole 60mg OD, at 7:00 am. Dr.Lukban/ Hizon/Santos
02/27/21 Nalbuphine 10mg PRn
Labs: PRBC 0/2
02/27/21: WBC 12.7, Neutro 84, Hgb 14.1, Hct 42.6, Plt 527, ALT 20, RBS 80.5
Diagnostics:
Ffup PFT and VQ Scan
02/27/21: Chest CT: Large Pneumothorax with rightward mediastinal shift. Atelectasis Left lung. Chest PA: Pneumothorax, Left
Result
03/01/21: Decrease in pneumothorax, left; No change in PTB with bullae formation, left; development of subsegmental atelectasis, bilateral;
minimal subcutaneous emphysema, left sided chest tube in situ.
3/6/21: WBC 7.2, Neutro 57, Hgb 12.4, Hct 36.9, Plt 469, Rbc 4.5

836 JS Nephrolithiasis, Bilateral Diet: DAT For Na, K

DTR 51/M s/p pelvionephrolithotomy, IVF: PNSS 1L x 8 hours 3/9/21 Dr. Matias
right; Percutaneous tube Meds: Cetriaxone 1g OD, Paracetamol 500mg q6, Oxycodone + Naloxone 10mg/5mg TID, Tranexamic Acid TID
¾/21 nephrostomy, left Labs: Dr. Orantia/Quitoy/Santos
3/6/21 POD 3 2/13/21: TPSA 1.132
 3/5/21: Crea 1.20, FBS 102.1, eGFR-Crea 69.6, Na 141, K 4.04, Cholesterol 293.70, LDL 203, Direct HDL 49.36, Triglycerides 206.77, Protime 10.9, PT PGI Kadir
INR 0.94, Wbc 8.5, Neutro 54, Hgb 16.7, Hct 48.7, Plt 210, PTT 28.8
3/6/21 wbc 22 hb 14.3 hct 42.2 plt 197, Neutro 86, Crea 1.60, BUN 14, eGFR-Crea 49.15, K 3.69, Na 141
Diagnostics:
CT Stonogram 02/13/21: Right Mild obstructive uropathy, left severe obstructive uropathy, Bilateral nephrolithiasis
Chest PA ¾/21: Atheroslcerotic Aorta

838 AE CKD Secondary to DM, HPN Diet: 1500 Kcal 3 meals MGH Dr. Gervasio
REF 52/M Retinopathy. IVF: Right arm precaution, HL left hand 3/9/21
S/P AVF Creation Meds: Carvedilol 25mg BID, Losartan 50mg OD, Bilastine 20mg ODHS, Pantoprazole 40mg OD, Insulin Glulisine 9 units TID, Sevelamar 800mg BID, Dr. Orantia/Hizon/Santos
2/26/21 (03/04/21) Trimetazidine 35mg OD, Calcitriol 0.25mcg BID, Atorvastatin 40mg OD, ASA + Clopidigrel 75/75mg OD, Cilostazol 50mg OD, Sodium Bicarbonate
POD 4 650mg TID, Spironolactone 25mg OD, Vit B complex 1 tab OF, Senna Concentrate 2 tabs OD PGI Ajos | Kadir
2/27/21: crea 3.30, K 3.54, Na 135
2/27/21: wbc 12.5, N 66, L 23, M 5, E 5, B 1, Hgb 10, Hct 29.5, MCV 79.1, MCH 26.8, MCHC 33.9, Plt ct. 229
Diagnostics:
3/2/21: Venous and arterial doppler: Small caliber mid to distal cephalic veins in the left forearm, not ideal for fistula creation.
3/2/21: Chest AP: Lunc parenchymal fibrosis, right upper lobe, Possible minimal pleural effusion, left, atherosclerotic aorta.
3/5/21: Chest AP Minimal left sided pleural effusion, possible pneumonia, right, Atherosclerotic aorta

839 AO, T/C Electrolyte imbalance, Diet: NGT Feeding

REF 85/M anemia probably sec. to IVF: HL For PEG insertion Dr. Azores
IDA, HASCVD, NF; DM Type Meds: Valproic acid 500mg ½ tab PO BID, KCl tab 600mg 2 tabs PO q8, Lantoprazole 30mg PO OD, Quetiapine 50mg PO ODHS, Propanolol 10mg PO 3/10/21 at
DA: 2/23/21 II, S/P 2 units pRBC BID, Empagliflozin + Linagliptin 25mg/5mg PO ADAC, Furosemide 40mg PO OD, Metholazone 5mg ½ tab PO OD. 12:00pm Dr. Amante/Quitoy/Santos
DR: 3/6/21 (2/25/21), 1 unit pRBC Labs:
(2/26/21) 3/7/21: Crea 1.80, EGFR-CREA 33.57, NA 136, K 4.71. PGI Masarap, Jimenez, Macalisang

840 JR Milliary TB, Thoracic Diet DAT (exclude apple and banana) Dr. N. Cruz/ Dr. Castillo
ER 33/M spondylosis IVF: HL Rehab
Meds: Pregabalin 75mg BID, Dexamethasone 4mg PO TID, Paracetamol 500 mg PO, Omeprazole 40 mg PO, HRZE, Levofloxacin 500mg OD, MGH
1/28/21 Lactulose 30ml ODHS, Dexamethasone 4mg BID
2/20/21: Crea 0.60/ Na 145/ K 3.98/ eGFR Crea 132.1/ AST 24.0/ Mg 2.10/ ALT 18/
2/20/21: WBC 10.3/ Neutro 82/ Hgb 10.6/ Hct 33.7/ Plt 428
2/22/21: CT of thoracic spine with contrast: Increase in size of lesion behind C7-T3 vertebrae presently measuring 4.2 cm AP x 4cm
width prior size of 2.5cm AP x 2.2 cm width involving the muscles. The lesion extends to the left of T2 vertebra and into the spinal canal
causing spinal canal narrowing at T2-T3. It also causes severe bilateral neural foraminal narrowing, and may affect the bilateral exiting
nerves. Presently, it somewhat extends into subcutaneous space. This lesion causes pathologic fracture of spinous process of T2.
2/25/21: hs-CRP 15.2
¾/21: hs-CRP 7.5
3/6/21: ANA 0.20, Procalcitonin 0.17, Crea 0.50, eGFR-Crea 142.36, ALT 17, AST 24, Wbc 8.9, Neutro 80, Hgb 11.4, Hct 36.1, Plt 360, RBC 3.9

844-1 KLP Infected insect bite right Diet DAT Dr. Alvez
ER 25/M foot with cellulitis IVF None
3/5/21 Meds: Clindamycin 300mg IV q6, Tramadol 50 mg IV Q8 Dr. Orantia/Quitoy/Hermnogino
Labs:
3/8: Foor APL: Soft tissue swelling

845-1 VU Slipped Capital Femoral Diet: DAT For Percutaneous Screw Dr. Rubio
DTR 13/M Epiphysis Left IVF: Fixation Left Hip to SCFE
3/7/21 Meds: Cefazolin 1 gm IV LD 3/9/21 8AM Dr. Orantia/ Hermogino/ Santos
Labs:
3/5/21: wbc 6.1, N 60, L 28, M 8, B 4, Hgb 14.7, Hct 41.5, MCV 77.6,MCH 27.5, MCHC 35.4, Plt ct 327.0 PGI Ajos, Kadir, Malibiran

8TH MAIN (10)

(Admission: 1 CARD: 0 Discharged: 0 Referral: 1 Transferred: 0 Expired: 0 HAMA: 0)
801 AP Adrenal Adenoma, Right, Diet: DAT Dr. N. Cruz
ER 43/M Adrenal Hyperplasia, Left IVF:
s/p Lap Adrenalectomy Meds: Trimetazidine, 35mg PO BID, Caltrate Plus 1 tab PO OD, spironolactone, Magnesium Oxide 250mg BID, Amlodipine 5 mg PO OD, Clonidine Dr. Ocampo/Quitoy/Hermogino
2/27/21 ¾/21 POD5 75mcg BID, Hydrocortisone 100mg IV post-op, Nalbuphine 10mg 10mg IV Q8, Mefenamic acid 500mg PO Q6, Tramadol + Paracetamol PO Q8,
Cefuroxime 500mg PO Q8
Labs: PGI Kadir
3/1/21: crea 0.70, Na 146, BUN 11.4, K 2.99
3/2/21: K 3.44
 ¾/21: : K 3.29 mmol/L
3/5/21: Na 143, K 2.93, Wbc 14.8, Neutro 74, Hgb 13.6, Hct 38.9, Plt 274
3/6/21: K 3.33
3/7/21: WBC: 8.7 N: 71 L:17 M: 9 E: 2 B:0 Hgb: 13.9 Hct 40.8 Plt 274 RBC: 13.9 MCV: 86.6 MCH: 29.5 MCHC: 34.1

802 EM Endometrioid Diet: DAT For Cystoscopy, Dr. Castro

REF 77/F Adenocarcinoma stage IIIA IVF: PNSS 1L x 12hrs Evacuation of Clots,
Meds: Tranexamic acid 500mg IV TID, Cefuroxime 1.5 gms IV LD Cauterization of Dr. Amante/Quitoy/Santos
3/5/21 Labs: Bleeders, Bladder Biopsy PGI Lopez/Marin
3/5/21: Crea 0.50, K 4.51, eGFR-Crea 93.35, Na 125, BUN 5.0, wbc 4.9, Neutro 81, rbc 2.6, hgb 7.5, hct 23.2, plt 228, PTT 22, Protime 10.2 3/9/21 1230PM

803-1 MC Lumbar Disc Disease L4-L5 Diet: DAT Dr. N Cruz

ER 48/M L5-S1 IVF: HL
Meds: Pregabalin 75mg Po TID, Dexketoprophen 25mg IV q8 Dr. Amante/Quitoy/Santos
Labs:
3/6/21 3/5/21 wbc 7.1 hb 16.1 hct 46.4 plt 316, neutro 60, rbc 5.7; Spine MRI: Thoracolumbar dextroscoliosis, lumbosacral spondylosis PGI Lopez/Marin

804-2 CL CAD, Severe 3 Vessel Diet: LSLF DM Diet For CABG Dr. Cabasa
ER 50/M Disease; HASCVD, DMIIFor IVF: 3/10/21 10AM Dr.Maliwat
Meds: Clopidogrel 75 mg OD, Trimetazidine 75 mg OD, ISDN 5 mg SL, Rosuvastatin 20 mg ODHS, Omeprazole 40 mg OD, Tsynsta 1 tab OD
3/8/21 Labs: Dr.Ocampo/Dr.Hizon/Dr.Santos
3/8: hgb 14.1 hct 41 wbc 10.3 N 57 L 26 M 8 E 8 Plt 235 Crea 1.0 Mg 2.14 BUN 14.4 K 4.10 Na 138; Ica 1.15 Bleeding Time 3 min 15 secs; PT 10.4
vs 12.7 %act 109.4 INR 0.9 PTT 26.5 vs 25.6

807 HF T/C Generalized anxiety Diet: DAT Dr. N Cruz

REF 28/M disorder to r/o IVF: HL Dr. Hizon/Santos
hyperthyroidism Meds: Clonazepam 2mg BID, Omeprazole 40mg PO OD
Labs: PGI Jimenez/Macalisang/Masarap
3/1/21: Wbc 7.5, Neutro 48, Hgb 16.9, Hct 48.1, Plt 293
3/3/21: Crea 1.00, ALT 31, eGFR Crea 101.97, AST 24.0, BUN 14.5,
¾/21: FBS 84.8mg/dl

809 MA T/C Schizoaffective disorder Diet: DAT Dr. N Cruz

ER/CARD 22/M IVF: HL
Meds: Divalproic Sodium 500mg BID, Olanzapine 10mg ODGS PO, Clonazepam 2mg ½ tab BID PO Dr. Ocampo/Quitoy/Santos
2/24/21 Labs:
02/23/21: CBC: WBC: 9.2, S43, N43, L44, M9, E4, RBC: 6.2, HGB 17.4, HCT 50.5, PLT 268.0
02/24/21: FT3 5.58, FT4 14.82, TSH 1.91
03/01/21: Valproic Acid: 57.20@

812 LP HASCVD, Chronic AF in CVR, Diet: LSLF Dr. N. Cruz

62/M NVHA FC II; s/p CVD infarct IVF: HL
CARD with RMCA territory, 2020 Meds: Pantoprazole 40mg OD, Trimetazidine 35 mg PO BID, Atorvastatin 80mg ODHS, Apixaban 5mg BID, Citocoline 1g PO ODHS Dr. Quitoy
¾/21 left sided residuals; chornic Labs:
gout flare 2/4/21 WBC: 6.5 L: 15 N:71 M: 10 Hgb: 12.7 Hct: 39.9 MCV: 65.7 MCH: 20.9 MCHC: 31.8 Plt ct: 316 RBC: 6.1 Crea: BUN: 17.7 UA: 4 Na: 139 HS- PGI Malibiran / PGI Ajos
Troponin I: 3.3
¾/21: Crea 1, BUN 16.7, eGFR-Crea 80.31, K 4.18, Uric Acid 4.0, Na 139, wbc 6.5, Neutro 71, Hgb 12.7, Hct 39.9, Plt 316, Trop I 3.3
3/5/21: FBS 92.2

815 AS Lumbar disc disease Diet: DAT Dr. N Cruz

ER 35/M L3-L4, L4-L5 IVF: HL, Right MGH
Meds: Mefenamic acid 500mg Q6, Tramadol 50mg IV Q8, Pregabalin 75mg, Cetirizine 10mg Dr. Ocampo/Dr. Quitoy/Dr. Hermogino
2/21/21 Labs:
(02/23/21): Cranial CT Scan Non-contrast: No acute intracranial hemorrhages or cerebral contusions. No calvarial fractures noted. Bilateral chronic
maxillary sinusitis.
(02/21/21): Spinal MRI: No acute fracture or dislocation identified. CBC:WBC:6.4, N40,L48,M8,E3,B1,RBC:5.4,HgB16.4,HcT: 45.1,Plt:26

816 GG Seizure S/P aneurysm Diet: LSLF DM Diet Dr. Seng

ER 44/M clipping IVF: PNSS 1L x 120 cc/hr
Meds: Piperacillin Tazobactam 4.5g q8, Levetiracetam 5ml BID, Midazolam 4mg PRN, Lactulose 15ml ODHS Dr. Orantia/Quitoy/Santos
¾/21 Labs:
¾/21: Crea 1, Na 142, eGFR-Crea 91.13, BUN 16.7, K 4.44, Wbc 19.9, Neutro 87, Hgb 14.5, Hct 44.3, Plt 10.3, Trop I 34.1,
3/5/21: AST 36, ALT 73; Wbc 11.9, Neutro 62, Hgb 12.4, Hct 38.6, RBC 5.8, Plt 330
Diagnostics:.

824-1 AP Open Fracture, Proximal Diet: DAT, Islam Diet Dr. Herrera/Dr. Correa
ER 7/M Fibula, Left; closed fracture, IVF: HL MGH
01/21/21p distal tibia, left; Degloved Meds: Vitamin C 1 tbsp PO BID, MV+Zinc, 1 tbsp PO OD, Diphenhydramine 50mg PO PRN, Ibuprofen 8.5mL (200mg/5mL) PO PRN Awaiting Funds Dr Mendoza/Amante/Hermogino
left knee joint; Labs:
s/p Wound Debridment of 1/20/21 wbc 9.7/S67/L23/hgb8.0/hct24.6/platelet 84
left leg & short leg casting;
1/21/21
s/p Repeat Debridement,
External Fixation vac left leg
1/25/21
s/p repeat debridement w/
vac application
1/29/10
s/p STSG 2/5/21
s/p GI, COD 2/12/21

7TH EXTENSION: (9)

(Admissions: 0 Card: 0 Discharged: 1 ; Referral: 0 Transerred:0 Expired: 0 HAMA: 0)
732 MM Choledocholithiasis; Diet: NPO For Laparoscopic Dr. Guiling
DTR 37/F Cholecystolithiasis IVF: D5NR 1L x 8 hours Cholecystectomy Dr.Filarca
Meds: Cefuroxime 750 mg IV Q8, Tramadol 50 mg IV Q8 3/9/21 9AM
3/8/21 Labs: Dr.Ocampo/Dr.Hizon/Dr.Santos
3/8: hgb 13.6 hct 39.5 wbc 7.7 N 82 L 14 M 4 E 0 Plt 330’ Crea 0.60 K 4.19 Na 140 Alkpahos 155 BUN 10.4

733 FNT Chronic Calculous Diet: NPO For ERCP, Laparoscopic Dr. Pasco
DTR 51/F Cholecytitis IVF: D5LR 1L x 8 hours Cholecystectomy Dr.Yasay
Meds: Cefuroxime 1.5 gms IV LD 3/9/21 5PM
3/8/21 Labs: Dr.Ocampo/Dr.Hizon/Dr.Santos

736 MC Subdural Hemorrhage Diet: OF 1600 kcal divided into 6 feedings Dr. Salonga
56/M Hypertension IVF: PNSS 1L x 40cc/hr Dr. Ramiro
REF Meds:Citicoline 1 g IV Q12, Valproic acid 500 mg NGT, Losartan 50 mg NSGT,Atorvastatin 20 mg NGT, Clonazepam 2 mg ¼ NGT,
Cefepime 2 g IV, Dexamethasone 4mg, Sitalgliptin + Metformin5 50mg|1g NGT BID. Lactulose 30cc NGT ODHS. Moxifloxacin 400mg Dr.Orantia/Dr.Hizon/Dr.Santos
2/20/21 OD
Labs:
3/6 cbc wbc 28.6/n 80/l 7/m 3/stab 10/rbc 4.2/hgb 12.8/hct 38.1/platelet 452; crea 0.60/k 4.48/egfr crea 99.04/ast 27/na 139/alt21;
hs-CRP 3.8
2/20 Crea 0.90, eGFR-crea 83.84, ast 27, alt 22.0, cbc wbc 17.6, n 74, rbc 4, hgb 12.7, hct 36.5, plt 358

737 DH Extra-axial Mass Left Diet: NGT dietary Nutren DM 150 ML water 6x a day PMGH Dr. Salonga
ER 52/F s/p craniotomy. Excision IVF: HL
of Tumor Meds: Amlodopine 5mg NGT, Linagliptin + Metformin 2.5/500 NGT BID, dexamethasone 4mg, losartan 50mg, Omeprazole 40mg IV OD, Dr. Ocampo/Dr.Hizon/Dr.Santos
2/27/21 2/13/21 POD 24 Levetiracetam 5ml NGT, BID. Linagliptin plus metformin 2.5/1000mg, insulin glargine 25 units, carvedilol 6.25mg, insulin gluilisine
6units, MVT + Minerals 1cap PO/NGT, Ca + VitD 1 tab NGT, D5050 ½ vail IV, Lactulose 30ml NGT
Labs:
2/19 crea 0.60, ca 7.9, k 4.01, eGFR-crea 104.8, A/G ratio 1.1, TP 4.1, Alb 2.1, Glob 2.0, Phos 3.47, mag 2.04, na 132
2/20 cbc WBC 13.9, N 89, rbc 4.4, hgb 12.3, hct 36.1, plt 200
2/25 crea 0.30 mg/dl, k 4.49, Na 130, eGFR-crea 131.64

738 DR CAD 2 vessel Diet: DAT Dr. Cabasa

DTR 46/M s/p CABG IVF:
REF ¾/21 POD 5 Meds: ISDN 10mg 1 tab BID, Paracetamol 650 mg/tab q8, Cefuroxime 750mg IV q8, Morphne 10mg tab q12, Carvedilol 6.25mg tab BID, Aspirin
80mg tab BID, Clopidogrel 75mg OD
Labs:
¾/21: Pt 11.7, Ptt 23.7, Pa 87, Crea 1.1, Mg 2.35, BUN 25.5
Diagnostics:
CXR ¾/21: Haziness right, Mild cardiomegaly

740 NT Chronic Calculous Diet: DAT For Laparoscopic Dr. David

REF 51/F Cholecystitis; DMII IVF: PLR 1L x 16 hours Cholecystectomy Dr.Dayrit
Meds: Cefuroxime 1.5 gms IV LD 3/9/21 3PM
3/8/21 LabsL Dr.Ocampo/Dr.Hizon/Dr.Santos

741 RV Osteoarthritis, Left Knee Diet DAT For TKR Dr. Jocson
DTR 54/M IVF D5L$ 1L x 8 hours 3/9/21 7AM
3/5/21 Meds: Dr. Orantia/Quitoy/Hermogino
Labs:

742 EW Recurrent Pleural Diet: DAT with SAP For Chest Xray Dr. Vergara/ Cabasa
REF 59/M Effusion, Left, Secondary IVF: PNSS 1L x 8hrs 3/9/21 Dr. Orantia/Hizon/Hermogino
3/1/21 to PTB S/P Meds: HRZE, Vitamin B complex 1tab OD, ketorolac 30mg, pct 1 gm, celecoxib 200mg, Tylenol 650 mg, cefuroxime 750 mg, omeprazole
Thrococentesis, Left 40mg OD, Levodopropizine 10ml PO, Morphine Sulfate 10mg/tab PO PGI Lopez, Marin
01/2021 Labs: 3/3 cholesterol 200.10, LDL 123, Direct HDL 39.83, TAG 184.4
s/p Left Thoracotomy, 3/6
Decoritcation 3/5 wbc 11.2, N 83, l 7, m 7, B3, rbc 4.3, hgb 13, hct 39.9, plt 260; ast 46, alt 42, Na 139, k 4.03, mg 1.83, crea .60, bun 6.6 eGFR 110.05;
¾/21 POD 5 pleural fluid cloudy red with coagulum, wbc 527, mononuclears 65, PMN 35, RBC 4518; pleural fluid GS: polymorphonuclear cells none
seen, no microorganisms seen

745 DP Hepatocellular Carcinoma Diet: DAT For TACE Dr. Gensolin

DTR 69/F IVF: Ketorolac drip 3 amps in 500 cc D5W x 24 hours 3/11/21 8:30AM Dr.Fabian
Meds: Cefuroxime 1.5 gms IV LD
3/8/21 Labs: Dr.Ocampo/Dr.Hizon/Dr.Santos

7th Main: (9)

(Admission: 1 card: 0; Discharged: 3; Referral: 1; Transferred: 0, Expired: 0, Absconded)
702 CA AGE with moderatie signs Diet: DAT For WAB UTZ Dr. Fojas
ER 25/F of Dehydration IVF: Bacillus Clausii, Racecadotril 100 mg TID, Metoclopromide 10 mg Q8, Ciprofloxacin 200 mg BID 3/9/21
Meds: Cefuroxime 1.5 gms IV LD Dr.Ocampo/Dr.Hizon/Dr.Santos
3/8/21 LabsL

707 RC Pleural effusion probably Diet: DAT For Modified CTT, Right; Dr. Alvez
Ref 36/M secondary to PTB; IVF: HL I&D Bilateral Inguinal
supracervical abscess, right Meds: piperacillin +tazubactam 4-5gm iv q8,vancomycin 1gm iv q12 Area Dr. Amante/, Dr. Quitoy/ Dr. Santos
3/6/21 Labs 3/10/21 8AM PGI Lopez Marin
3/6 UA dark yellow/slight cludy/1+/neg/neg/ket trace/neg/ protein +3/neg/neg/5.0/1.020
Wbc 44.1/rbc 8.2/epithelial cells 21.6/hyaline cast 2.9/bacteria 11.4; cbc wbc 7.6/n 88/l 4/m 8/e 0/b0/rbc 4.0/hgb 12.4/hct 37/plt 370; crea
0.70/bun 13.1/egfr crea 121.41/k 4.50/na 131; ast 750/alt 191

708 GG BPH Diet: NGT Feeding For Whole Abdominal Dr. Gana
ER 83/F IVF: Ultrasound
Meds: Ciprofloxacin 500 mg BID. Tranexamic acid 500 mg Q6 3/9/21 Dr.Ocampo/Dr.Hizon/Dr.Santos
3/8/21 Labs:
3/8L hgb 8.5 hct 26.2 wbc 21.1 N 88 L6 M 6 Plt 237; PT 14.3 vs 12.7 %act 59.2 INR 1.23 PTT 28.5 bs 28.6; Crea 1.2 Na 139 K4.08 ; UA wbc 2724.17,
rbc 2887.t70 Bacteria 177.12

712 MM Pleural Effusion, Left Diet: DAT Dr. Gervacio

REF 29/M S/P Thoracotomy IVF: PNSS 1 L x 16 h Dr. Orantia/Hermogino/Santos
3/5/21 3/6/21 POD 3 Meds: vitamin K 1 amp IV Q8 PGI Ajos, Kadir, Malibiran
Labs: ¾/21: wbc 5.5, N 73, L 20, M 6, E 1, Hgb 12.8, Hct 38.8, MCV 81.3, MCH 26.8, MCHC 33, plt ct. 444, PT 13.5, PT 13.5, PT control 12.8, PT %
activity 66, PT INR 1.16, PTT 28, PTT control 24.9

714 JA ACL tear, Left Diet DAT Dr. N. Cruz

DTR 28/M IVF: HL
S/P Arthroplasty Meds mefenamic acid 500 mg poq6/tramadol + paracetamol 37.5/325 mg PO q8 Dr. Amante/Quitoy/Hermogino
3/3/21 ¾/21 POD 5 Labs PGI Lopez, Marin
2/25 CBC WBC 8.4 /N 55 /L 33/M 8 /E 3/B 1 Hgb 15.5/ Hct 42.6/ Platelet 398

715 GA AKI, HPN Diet:DAT Dr. Azores

 77/M Colon CA Stage IV (Liver IVF: HL
Mets) s/p 4 cycles Meds: Omeprazole 40 mg OD, Metoprolol OD, Amlodipine OD, Losartan OD
Chemotherapy Labs: Dr.Ocampo/Dr.Hizon/Dr.Santos

716 GR T/C Partial Gut Obstruction Diet: DAT . Dr.Santiaguel/ Dr. E. Salvana/ Dr. Rubio
REF 812 IVF: PNSS 1L x 60 meqs KCL x 8 hrs
Meds: 1 amp of Vitamin K iv Q8, Racecadotril 100 mg/tab TID,HNBB Dr. Paner
2/24/21 Labs:
3/7: WBC: 9.9 N: 87 L: 7 M: & E: 0 B:0 RBC: 4.2 Hgb: 11.3 HCt: 33.7 MCV: 80. 8 MCH: 27.1 MCHC: 33.5 Plt: 443; K: 4.06 Dr. Ocampo/Quitoy/Santos
3/6/: K 2.41
(02/24/21): Serum Mg 1.99, Ionized Ca 0.97; BUN 38.0, CREA 0.80, EGFR-CREA 88.62, NA 123, K 3.34, A/G RATIO 0.8, Total Protein 5.5, Globulin PGIs, Kadir
3.0, Albumin 2.5.
2/24/: CBC: WBC 8.7, S92, L4, M4, RBC 4.0, HGB 11.3, HCT 31.7, PLT 306.;Urinalysis: Urobilinogen 2+, Ketone 3+, Protein 1+, RBC 19.3
1/23/ Non-Contrast WAB: Focal wall thickening at the splenic flexure (transition point) with resultant partial gut obstruction. Colonoscopy with
tissue correlation is recommended. Highly distended gallbladder.

717 DR Papillary Thyroid Carcinoma Diet: DAT Dr. Eseque/Tayuag/Dr Tan

DTR 14/F s/p Total Thryoidectomy IVF: D5LR 1L x 8 hours
3/7/21 3/8/21 POD 1 Meds: Cefazolin 500 mg IV Dr. Orantia/Hermogino/ Santos
Labs:
¾/21: wbc 7.7, N 66, L 23, M 7, B 4, Hgb 14.5, Hct 45.7, MCV 79.5,MCH 25.2, MCHC 31.7, Plt ct 324 PGI Ajos, Kadir, Malibiran

723-2 FA Complicated UTI Diet: LSLF DM w/SAP MGH Dr. Tia

ER 71/M DMII IVF: HL
HCVD, Meds: HNBB 10 mg IV Q6, Omeprazole 40 mg OD, Metformin 500 BID, Amlodipine 10 mg OD, Carvedilol OD, Atoravastatin 40 OD, Ciprofloxacin Dr. Ocampo/Dr.Hizon/Dr.Santos
1/31/21 Gallbladder 500 mg BID
adenomyomatosis, Labs:
CVD Infarct 3/5/21: cell count and diff count of pleural fluid: total volume- 7,300, color- yellow with coagulum, transparency-cloudy; miceosxopic exam: wbc
S/P thoracentesis ( 1 L) 2.0, rbc 27.0; Body fluid analysis (pleural fluid): protein 2.0, glucose 144.8, LDH 80.0; 228, total protein 5.3, A/G ratio 0.9, globulin derived 2.8,
3/5/21 POD 2 albumin 2.5
3/2/21: K 2.77

724-1 MA Left Groin Mass s/p Trucut Diet:DAT Dr. Sioco

DTR 44/F Biopsy ( Spindle Cell IVF: HL Dr. Gervasio
Neoplasm) Meds: Tramadol 50 mg IV Q8, Cefuroxime 500 mg BID
3/8/21 s/p Wide Excision Labs: Dr.Ocampo/Dr.Hizon/Dr.Santos
3/8/21 POD 1

725-1 ER Avulsed Wound Lateral Diet:DAT Dr. Gervasio

46/M Wrist, Left with Trasnected IVF: HL
Radial Artery and FPLT, Meds: Tramadol 50 mg IV Q8, Ampisulbactam 750 mg, Paracetamol 500 mg Q6, Oemprazole 40 mg OD, Tranexamic Acid 500 mg Q8 Dr.Ocampo/Dr.Hizon/Dr.Santos
Laceration 1st Dgit Right Labs:
Hand
s/p Wound Exploration,
Repair of Radial Artery,
Left, Tenorrhaphy of Flexor
Policis Longus, Wound
Suturing 1st digit Right Hand
3/8/21

CCU (0)

NICU(0)

IMU(2)
IMU 4 MF Covid + Diet: OF Dr. Cabasa/ Dr. Azores
REF 70/F CAP-MR, Necrotizing IVF: Heplock
Pneumonia MV Settings: simv TV 360 Bur 12 Peep 5 Ps 15 Fio2 40% Dr. Amante/Dr.Hizon/Dr.Santos
1/25/21 s/p Tracheostomy Meds: Paracetamol 300 mg IV q4 PRN, Fenofibrate 160 mg tab ODHS, Procaterol 10 mL via NGT q12,Tranexamic acid 500 mg IV q8
1/30/21 POD 38 Dapagliflozin + saxagliptin NGT OD, Ernestine NGT BID, Ivabradine NGT OD, Potassium Chloride 600 mg tab NGY TID, Ceftazolane
Tazobactam 1.5 g IV q8
Labs: GS of ETA 3/5/2021: PMN 3+ Gram negative 2+ Blood CS: Sensitive to amikacin cotrimoxazole Coliston gentamicin ; Urine
CS:Candida species

GR UGIB prob. secondary to Diet: General Liquid Diet Dr. Recio/ Gervacio
IMU 5 64/F BPUD vs BEV; Posterior IVF: PNSS1L x 40cc/hr Dr. Orantia/Hizon/Hermogino
mediastinal mass t/c Meds: Omeprazole 80mg TIV as bolus, Hemostan 500mg TIV,q8 PRN, Hook to NC 3-4LPM, potassium cl 750mg, piperacillin tazobactam 4.5, PGI Lopez, Marin
From 933 malignant pleural effusion pregabalin 75mg, tranex 500 mg
Ref Labs:
3/1/21 3/2/21: CVOID (-),
3/4/21: CKMB: 4.1; Trop I: 0.40; BNP: 708, D-Dimer: 2960

DISCHARGES(6)
926 CR
DTR 27/F Dr. Guiling/Dr. filarca

03/05/2021 Dr. orantia/ hermogino/

843 -1 MTA Dr. Azores

DTR 61/F
Dr. Orantia/Quitoy/Santos
3/4/21
PGI Kadir

710-1 WE Dr. Gensolin

ER 42/F
Dr. Ocampo/Santos
3/2/21
PGI Ajos, Kadir, Malibiran

725-1 NW Dr. Tia

DTR 58/F
3/7/21 Dr. Orantia/ Hermogino/Santos

PGI Ajos, Kadir, Malibiran

715 TDV Dr. Eseque

ER 46/M
Dr. Amante/Quitoy/Santos
3/6/21
PGI Lopez, Marin

721 ZD Dr. Gumasing

REF 78/F
Dr. Amante/Quitoy/Hermogino
3/3/21 PGI Lopez, Marin

827 RP
REF 71/M Dr. Rubio

3/6/21 Dr. Amante/Quitoy/Santos

PGI Lopez/Marin