Professional Documents
Culture Documents
March 20 - March 21, 2021
March 20 - March 21, 2021
Dr. Orantia/Dr.Quitoy/Dr.Santos
9 MORTALITIY 0
DISCHARGE
0
SERVICE IN PATIENT
931 JB CHF sec to IHD s/p CABG Diet: NGT feeding 1800 kcal peptamen 1:1 dilution 6 equal feedings MGH Dr. Cabasa
Card 59/M 02/26/21 IVF: PNSS IL x 10 cc/hr Dr. N. Cruz
POD 23 Meds: Trimetaizidine 35 mg BID, Atorvastatin 80 mg ODHS, Fenofibrate 160 mg ODHS, Omeprazole 40 mg OD, 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, Digoxin 0.25 mg OD, Doxophylline 400 mg OD.
Labs:
3/5:Interval increase in homogenous opacity in LLL previously ascribed to pneumonia with consolidation. Pulmonary congestive
changes; Beginning pneumonia in RLL, Aa, Thoracic spondylosis
3/5:Crea 0.6 Bun 15.6 K 4.16 Na 138
933 Cervical CA, ST IIB Diet NPPO Dr..Catapia
REF s/p Exlap, TAHBSO, IVF Dr. Matias
3/19/21 Cystoscopy, DJS Inserion Meds Dr. Morales
3/20/21 POD 1 Labs
Dr. Ocampo/Amante/Hermogino
935 PB Invasive Papillary Diet: DAT Dr. Dofitas
DTR 56/F Carcinoma, Left s/p IVF: PNSS 1L x 16 hours
Excision Biopsy s/p MRM, Meds: Tramadol 50 mg IV Q8, Ketorolac 30 mg IV Q8 Dr. Orantia/Dr.Quitoy/Dr.Santos
3/20/21 Left; Mastectomy, Right
3/19/21 (PGH) POD 2
936 EA Non-healing wound Left Diet: DM Diet 1,800kcal Dr. Fojas/ Salvana/ Tiongco/ Cabasa
REF 54/F Leg IVF: Furosemide 240mg + 216 ML PNSS X 5 MG/HR /Gumasing / S. Tayag
2/27/21 HASCVD, CAD, Meds: Ceftriaxone 2 gm IV Q24, spironolactone 25mg, enoxaparin 0.6 ml, ertapenem 1gm, sulodexide 600 csu
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
DM Type II 3/1/21: Crea 0.60, Na 141, EGFR-CREA: 103.34, K 4, BUN 16.4
s/p wound debridement 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
3/8/21 ¾/21: cbc wbc 17.7 Hgb 12.1 Hct 37.9 plt 254, N 82, L12, M6, Na 140, K 4.03
s/p Aortogram with Latest hgb 12.1 (10.5) CREA 0.6 k 4.66 Na 140
Peripheral Run off, Iliac
Artery Stenting 3/12/21
s/p embolectomy with AKA
3/18/21 POD 3
939 CS CVD Infarct, Cerebellar Diet: Ensure Gold Gtube Feeding 70 cc/hr Dr. Seng
ER 69/M S/p Tracehostomy, IVF: PNSS 1L 10 cc/hr Dr. Alvez
Gastrostomy; MV Settings: Simv, Ps 12, Rr 12, TV 400 , Pf 59 peep 5
2/20/21 2/27/21 POD 21 Meds: Cerebrolysine 10 ml IV q8 Levofloxacin 1 gm IV OD Atorvastatin 80 mg tab OD Paracetamol 500 mg tab q6 PRN Lactulose 30 mL ODHS Dr.Orantia/Dr.Hizon/Dr.Santos
s/p IJ cath (3/4/2021) 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
s/p 2 units PRBC (3/5/21) 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
Latest hgb 10.2 (10.7) crea 0.80 (1.40) Na 139 K 4.29 (4.26)
829 CL Pleural effusion left Diet NGT feeding 1500 kcal of Peptamen divided into 6 equal feeding 1.5:1 dilution add 1 scoop of bene protein, may have sips of water
REF 85/F secondary to PTB vs Lung and clear soups Dr. Gervasio
mass t/c malignancy IVF :PNSS 1L x 20cc/hr
2/8/21 s/p 1ST VATS, CTT, Left Med: Insulin Lispro 2 Units PRN, Celecoxib 100mg BID, Tramadol + Paracetamol 37.5/325mg PRN, Tramadol 50mg PRN, Nicardipine 1mg Dr. Ocampo/Hizon/Santos
2/10/21 POD 20; S/P32ND PRN, Losartan 50mg OD, Losartan + Amlodipine 50/5mg OD, Metoprolol 50mg BID, N-Acetylcysteine 600mg OD, Vitamis + Mineral 1
VATS, 3/1/21 POD 6, tab OD, Vitamin B complex 1 cap OD, Lactulose 30cc OD, Sodium Chloride 1g/tab TID, Tranexamic Acid 500mg/tab TID, Calcium
s/p Thoracentesis, Right Polysterene 5mg BID, Insuline Glargine 16 units OD, Albumin 20% 50 OD
2/21/21 POD 28 Labs:
s/p Port Catheter insertion 3/2/21: Utz Chest: Complicated pleural effusion, right with reaccumulation; minimal loculated pleural effusion with thickening, left.
3/6/21 POD15 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 calcified mass. No significant change in homogenous opacity in the left
upper lung.
3/2/21: Pleural fluid GS: Gram positive cocci in singly: 3+ ; Gram positive cocci in pairs: 1+
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
Latest hgb 11.9 (9.6)
835 MN Lung Abscess Diet: high protein diet MGH 3/22/21 Dr. Lukban
REF 25/M S/P CTT, left IVF: PNSS 1L x 80 cc/hr
3/1/21 POD 13 Meds: Celecoxib 200mg BID, Dexlansoprazole 60mg OD, Nalbuphine 10mg PRN, Ceftriaxone 2 gm s IV OD, Tranexamic Acid 1 gm Q8, Sinecod Forte Dr.Lukban/ Hizon/Santos
02/27/21 s/p thoracotomy left lower Tab TID
lobectomy 3/10/21 POD6 Labs:
s/p VATS 02/27/21: WBC 12.7, Neutro 84, Hgb 14.1, Hct 42.6, Plt 527, ALT 20, RBS 80.5
3/12/21 POD 9 Diagnostics:
S/p angiography 3/16/21 02/27/21: Chest CT: Large Pneumothorax with rightward mediastinal shift. Atelectasis Left lung. Chest PA: Pneumothorax, Left
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
3/11/21 wbc19.7 hgb 10.5 hct 31.5 plt 584
Latest hgb 10.6 (10.5) plt 337 (462)
840 JR Milliary TB, Thoracic Diet DAT (exclude apple and banana) Dr. N. Cruz/ Dr. Castillo
ER 33/M spondylosis IVF: HL Rehab
s/p CT guided drainage of Meds: Pregabalin 75mg BID, Dexamethasone 4mg PO TID, Paracetamol 500 mg PO, Omeprazole 40 mg PO, HRZE, Levofloxacin 500mg OD, MGH
1/28/21 paraspinal abscess Lactulose 30ml ODHS, Dexamethasone 4mg BID
(3/18/21) 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
817 LP HASCVD, Chronic AF in CVR, Diet: LSLF To complete 14 days Dr. N. Cruz
62/M NVHA FC II; s/p CVD infarct IVF: HL quarantine due: 3/17/21
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: MGH on 3/22
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
818 MDC CAP-MR Diet: 1200 kcal in 6 equal feedings 1:1 dilution nutribest Dr. K. Seng E. Roxas / G. Arandia
36/F IVF: pNSS 1ll x 40 cc/hr
Meds: Enoxaparin 0.4 OD, Paracetmaol 300 mg IV Q6, NAC, Piptazo 4.5 gms IV Q8, Plactulose 30 cc ODHS, Levofloxacin 500 mg OD
Lans
739 AC Breast mass, right t/c Diet: DM, renal diet Dr. Fojas
DTR 87/F malignancy IVF:
3/9/21 s/p MRM WITH FS Meds: Dr. Orantia/Hizon/Santos
3/16/21 Labs:
POD4
739 MC Sacral Decubitus Ulcer Diet: NGT Feeding Nutren Dr. Bernardo
REF 74/M Lumbar Ulcer, Left IVF: PNSS 1L x 80 cc/hr Dr. Salonga
Subarachnoid Hemorrhage, Meds: Omeprazole 40 mg OD, Valproic Acid BID, Citicholine BID
3/20/21 Resolving Dr. Orantia/Dr.Quitoy/Dr.Santos
743 MR Breast Mss t/c Malignancy Diet: DAT For Modified Radical Dr. Catapia
DTR 65/F IVF: Mastectomy, Right
Meds: 3/22/21 TF 11AM Case Dr. Orantia/Dr.Quitoy/Dr.Santos
3/20/21
711 JB Lumbar radiculopathy Diet: DAT Dr N. Cruz / Dr. Castillo / Dr. Salvana
ER 27/M From lumbar disc herniation IVF: PNSS 1L X 500 CC + Tramadol 300 mg x 100 cc/hr
s/p UTZ guided aspiration Meds:
3/13/21 biopsy lumbosacral abscess Labs:
3/16/21
714 AE ACL Tear, Left Diet: DAT For ACL Reconstruction, Dr. Canto
DTR 32/M IVF: D5NR 1L x 8 hours Left Dr. Gana
Meds: Cefazolin 2 gms IV 3/21/21 2PM
3/20/21 Dr. Orantia/Dr.Hizon/Dr.Santos
715 EL Breast Mass, Right t/c Diet: DAT For Modified Radial Dr. JTan
DTR 36/F Malignancy IVF; D5NR 1L x8 8 hours Mastetomy, Right Dr. NTan
Meds: Cefoxitin 1 gm/IV Q8 3/21/22 TF 1st Case
3/20/21 Labs: Dr. Orantia/Dr.Quitoy/Dr.Santos
726-2 HS Pleural Effusion, right sec to Diet DAT w SAP Dr. K. Tan / Dr. Francisco / Dr. Cabasas /
18/M infection s/p CTT insertion IVF: HL Dr. Albay
2/23/21 s/p streptokinase Meds:
fibrinolysis 3/2/21 Labs:
CCU(1)
CCU PC Breast CA, left Diet DAT Dr. Eseque
DTR 50/F St IIIA(T3N1M0) IVF PLR 1 x 10rh
3/19.21 s/p MRM, Left Meds: Celecoxib 200 mg BID, Dr. Ocampo/Amante/Hermogino
3/20/21/ POD 1 Labs:
IMU(1)
IMU 7 JM CKD Diet nepro hp 1000 kcal 1:1 dilution divided into 6 equal feedings Dr. N. Cruz
ER 64/M r/o ATP IVF:pnss x 80 cc/hr
3/9/21 Meds: Fluconazole 200 mg IV OD, Furosemide 20mg IV, Kalmate Q^, Omeprazole 40mg IV O, Sevelamer 500mg TID, Caltrate TID, Folic acid OD, Dr. Amante/Quitoy/Hermogino
Meropenem 500 mg IV q24
Labs:
3/11/21 Chest head and neck ct scan
Mortalities(0)
Discharges (9 )
929 RP Dr. W. Cruz
DTR 35/M Dr. Ocampo/Amante/Hermogino
3/18/21