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ENDORSEMENT NOTES

Student’s Name: Patricia Feb. G. De Los Santos IVF’S Diagnostic Tests/Laboratory Tests Medications

Patient’s Name: Antonio Velez CBC with Differential ● Gentamycin 80 mg IVTT


WBC: 14.19x10 q8H ANST
Room/Bed: Room 12, Admission Date: March 23, 2021 RBC: 5.38x10
● #1 PLR 1L @30 gtts/min
Bed no. 4 HCT: 0.46 ● Tramadol 50 mg IVTT PRN
Age: 44 y/o Religion: Roman Catholic HGB: 15.6g/dL for pain
PC: 280
Gender: Male Diet: DAT BLOOD TYPE: O+ ● Alfacalcidol 100mg 1 tab
CC: Gunshot wound, POE: S/P: Debridement thigh, leg, Neutrophils: 62.30% PO OD
application of delta right leg and Lymphocytes: 3.70
Right lateral thigh, POX:
power transitional pin Monocytes: 3.30 ● Clindamycin 300mg 1 tab
Right medial thigh Eosinophils: 1.30 PO OD
Basophils: 0.40
Admitting Dx: Fracture, AP:
MCV: 86..4
Open IIIA, complete, MCH: 29.00
comminuted, distal 3rd, MCHC: 33.5
femur right
Urinalysis
Remarks: Color: YELLOW
Transparency: CLOUDY
✔ RBC: 20.3
WBC: 4.6
Bacteria: FEW
MUCUS THREADS: FEW
pH: negative
✔ Activity Restriction/s:
SP. GRAVITY: 1.015
PROTEIN: POSITIVE

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