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Patient Details: Gender: Male, Age: 54. Patient Admitted on 2023-08-06, reason for admitting is Fever, hematuria, and dysuria and the admitting diagnosis is Urosepsis. Patient has conditions- Chronic Condition Name: Hypertension- - Medication: Lisinopril, Dosage: 20mg daily. - Medication: Metformi, Dosage: 1000mg twice daily.- Chronic Condition Name: Atrial Fibrillation- - Medication: Apixaban, Dosage: 5mg twice daily. - Medication: Metoprolol, Dosage: 100mg twice daily.Surgical Procedure name is Prostatectomy on 2020-03-30, name of the surgeon is Dr. John Smith conducted in University Hospital which is SuccessfulPatient Medical History: Medication the patient has been taking is Lisinopril 20mg daily from 2010-03-15Medication the patient has been taking is Metformi 1000mg twice daily from 2015-09-01Medication the patient has been taking is Apixaban 5mg twice daily from 2018-04-01Medication the patient has been taking is Metoprolol 100mg twice daily from 2018-04-01Patient has allergy with Penicillin and the reaction is HivesDay: 1- Date: 2023-08-06Symptoms: The symptoms are Hematuria for 2 days 2023-08-04 has severity Moderate.The symptoms are Dysuria for 1 day 2023-08-05 has severity Severe.The symptoms are Fever for 1 day 2023-08-05 has severity High.Vital Name: Temperature, Vital Value: 102.4 Fahrenheit.Vital Name: Pulse, Vital Value: 101 bpm.Vital Name: RespirationRate, Vital Value: 18 breaths/min.Vital Name: BloodPressure, Vital Value: 113/62 mmHg.Vital Name: SpO2, Vital Value: 95 %. - WBC: Value: 15.3 x10^9/L, Reference Range: 4.0-10.0, Interpretation: Elevated, Collection Time: 2023-08-06T07:30 - Hemoglobin: Value: 12.2 g/dL, Reference Range: 13.5-17.5, Interpretation: Low, Collection Time: 2023-08-06T07:30 - Creatinine: Value: 3.10 mg/dL, Reference Range: 0.70-1.30, Interpretation: High, Collection Time: 2023-08-06T07:30 Medications Prescribed: - Ciprofloxacin: Dosage: 500mg orally every 12 hours for 7 days, Start Date: 2023-08-06 - Ibuprofen: Dosage: 400mg orally every 6 hours as needed for pain (maximum of 3 days), Start Date: 2023-08-06 Progress Note: Monitor on telemetry, replace electrolytesDay: 2- Date: 2023-08-07Symptoms: The symptoms are Hematuria for 3 days 2023-08-04 has severity Mild.The symptoms are Dysuria for 2 days 2023-08-05 has severity Moderate.The symptoms are Fever for 2 days 2023-08-05 has severity Low.Vital Name: Temperature, Vital Value: 99.1 Fahrenheit.Vital Name: Pulse, Vital Value: 88 bpm.Vital Name: RespirationRate, Vital Value: 16 breaths/min.Vital Name: BloodPressure, Vital Value: 115/70 mmHg.Vital Name: SpO2, Vital Value: 97 %. - WBC: Value: 11.5 x10^9/L, Reference Range: 4.0-10.0, Interpretation: Slightly Elevated, Collection Time: 2023-08-07T07:30 - Hemoglobin: Value: 13.0 g/dL, Reference Range: 13.5-17.5, Interpretation: Normal, Collection Time: 2023-08-07T07:30 - Creatinine: Value: 1.40 mg/dL, Reference Range: 0.70-1.30, Interpretation: Slightly Elevated, Collection Time: 2023-08-07T07:30 Medications Prescribed: - Ciprofloxacin: Dosage: 500mg orally every 12 hours for 7 days, Start Date: 2023-08-06 - Ibuprofen: Dosage: 400mg orally every 6 hours as needed for pain (maximum of 3 days), Start Date: 2023-08-06 - Increased Fluid Intake: Dosage: Dosage not specified, Start Date: 2023-08-07 Progress Note: Monitor on telemetry, replace electrolytes. Patient shows significant improvement with reduced fever and improved lab results. Consider discharge if stable for another 24 hours.Day: 3- Date: 2023-08-08Symptoms: The symptoms are Hematuria for 4 days 2023-08-04 has severity Mild.The symptoms are Dysuria for 3 days 2023-08-05 has severity Mild.The symptoms are Fever for 2 days 2023-08-05 has severity None.Vital Name: Temperature, Vital Value: 98.6 Fahrenheit.Vital Name: Pulse, Vital Value: 76 bpm.Vital Name: RespirationRate, Vital Value: 14 breaths/min.Vital Name: BloodPressure, Vital Value: 120/80 mmHg.Vital Name: SpO2, Vital Value: 98 %. - WBC: Value: 8.5 x10^9/L, Reference Range: 4.0-10.0, Interpretation: Normal, Collection Time: 2023-08-08T07:30 - Hemoglobin: Value: 13.5 g/dL, Reference Range: 13.5-17.5, Interpretation: Normal, Collection Time: 2023-08-08T07:30 - Creatinine: Value: 1.20 mg/dL, Reference Range: 0.70-1.30, Interpretation: Normal, Collection Time: 2023-08-08T07:30 Medications Prescribed: - Ciprofloxacin: Dosage: 500mg orally every 12 hours for 7 days, Start Date: 2023-08-06 - Increased Fluid Intake: Dosage: Encourage increased water intake to help flush out the urinary tract infection, Start Date: 2023-08-06 Progress Note: Patient has shown continuous improvement and is now afebrile with stable vitals and normal lab results. Discharge is recommended with follow-up instructions and medications.Discharge Summary: The patient discharged on 2023-08-08. Procedures performed while in hospital None. Medication prescribed for patients Ciprofloxacin, Increased Fluid Intake. Patients Condition at Discharge The patient is stable with resolved symptoms of urinary tract infection. No signs of fever, dysuria, or significant hematuria were noted at the time of discharge. and follow up instructions for the patient Continue prescribed antibiotics for the full duration as directed. Maintain hydration by drinking plenty of fluids. Follow up with primary care physician in 1 week.. Discharge Summary of the patient The patient was admitted with symptoms of urinary tract infection, including hematuria, dysuria, and high fever. Treatment included a course of antibiotics and supportive care, such as ibuprofen for pain management and increased fluid intake. The patient's symptoms resolved, and lab tests confirmed normalization of WBC, hemoglobin, and creatinine levels at the time of discharge. Patient education on prevention and recognition of UTI symptoms was provided.
Patient Details: Gender: Female, Age: 45. Patient Admitted on 2023-09-01, reason for admitting is Fever, lower abdominal pain, and dysuria and the admitting diagnosis is Urosepsis. Patient has conditions- Chronic Condition Name: Diabetes Mellitus Type 2- - Medication: Metformin, Dosage: 500mg twice daily.- Chronic Condition Name: Hyperlipidemia- - Medication: Atorvastatin, Dosage: 20mg daily.Surgical Procedure name is Cholecystectomy on 2019-11-30, name of the surgeon is Dr. Emily Brown conducted in General Hospital which is SuccessfulPatient Medical History: Medication the patient has been taking is Metformin 500mg twice daily from 2015-07-10Medication the patient has been taking is Atorvastatin 20mg daily from 2018-05-20Patient has allergy with Sulfa drugs and the reaction is RashDay: 1- Date: 2023-09-01Symptoms: The symptoms are Lower abdominal pain for 2 days 2023-08-30 has severity Severe.The symptoms are Dysuria for 1 day 2023-08-31 has severity Moderate.The symptoms are Fever for 1 day 2023-08-31 has severity High.Vital Name: Temperature, Vital Value: 101.8 Fahrenheit.Vital Name: Pulse, Vital Value: 95 bpm.Vital Name: RespirationRate, Vital Value: 20 breaths/min.Vital Name: BloodPressure, Vital Value: 120/78 mmHg.Vital Name: SpO2, Vital Value: 96 %. - WBC: Value: 14.2 x10^9/L, Reference Range: 4.0-10.0, Interpretation: Elevated, Collection Time: 2023-09-01T08:30 - Hemoglobin: Value: 13.8 g/dL, Reference Range: 13.5-17.5, Interpretation: Normal, Collection Time: 2023-09-01T08:30 - Creatinine: Value: 1.50 mg/dL, Reference Range: 0.70-1.30, Interpretation: Slightly Elevated, Collection Time: 2023-09-01T08:30 Medications Prescribed: - Metformin: Dosage: 1000mg twice daily, Start Date: 2015-07-10 - Atorvastatin: Dosage: 20mg daily, Start Date: 2018-05-20 - Ciprofloxacin: Dosage: 500mg twice daily, Start Date: 2023-09-01 - Phenazopyridine: Dosage: 200mg three times daily for 2 days, Start Date: 2023-09-01 Progress Note: Monitor on telemetry, administer IV antibioticsDay: 2- Date: 2023-09-02Symptoms: The symptoms are Lower abdominal pain for 3 days 2023-08-30 has severity Moderate.The symptoms are Dysuria for 2 days 2023-08-31 has severity Mild.The symptoms are Fever for 2 days 2023-08-31 has severity Low.Vital Name: Temperature, Vital Value: 99.5 Fahrenheit.Vital Name: Pulse, Vital Value: 85 bpm.Vital Name: RespirationRate, Vital Value: 18 breaths/min.Vital Name: BloodPressure, Vital Value: 118/76 mmHg.Vital Name: SpO2, Vital Value: 97 %. - WBC: Value: 10.8 x10^9/L, Reference Range: 4.0-10.0, Interpretation: Slightly Elevated, Collection Time: 2023-09-02T07:30 - Hemoglobin: Value: 13.7 g/dL, Reference Range: 13.5-17.5, Interpretation: Normal, Collection Time: 2023-09-02T07:30 - Creatinine: Value: 1.30 mg/dL, Reference Range: 0.70-1.30, Interpretation: Normal, Collection Time: 2023-09-02T07:30 Medications Prescribed: - Metformin: Dosage: 1000mg twice daily, Start Date: 2015-07-10 - Atorvastatin: Dosage: 20mg daily, Start Date: 2018-05-20 - Ciprofloxacin: Dosage: 500mg twice daily, Start Date: 2023-09-01 - Phenazopyridine: Dosage: 200mg three times daily for 2 days, Start Date: 2023-09-01 Progress Note: Monitor on telemetry, patient showing improvement, continue IV antibioticsDay: 3- Date: 2023-09-03Symptoms: The symptoms are Lower abdominal pain for 4 days 2023-08-30 has severity Mild.The symptoms are Dysuria for 2 days 2023-08-31 has severity None.The symptoms are Fever for 2 days 2023-08-31 has severity None.Vital Name: Temperature, Vital Value: 98.6 Fahrenheit.Vital Name: Pulse, Vital Value: 76 bpm.Vital Name: RespirationRate, Vital Value: 16 breaths/min.Vital Name: BloodPressure, Vital Value: 120/80 mmHg.Vital Name: SpO2, Vital Value: 98 %. - WBC: Value: 8.2 x10^9/L, Reference Range: 4.0-10.0, Interpretation: Normal, Collection Time: 2023-09-03T07:30 - Hemoglobin: Value: 13.9 g/dL, Reference Range: 13.5-17.5, Interpretation: Normal, Collection Time: 2023-09-03T07:30 - Creatinine: Value: 1.10 mg/dL, Reference Range: 0.70-1.30, Interpretation: Normal, Collection Time: 2023-09-03T07:30 Medications Prescribed: Progress Note: Patient has shown continuous improvement and is now afebrile with stable vitals and normal lab results. Discharge is recommended with follow-up instructions and medications.Discharge Summary: The patient discharged on 2023-09-03. Procedures performed while in hospital None. Medication prescribed for patients Ciprofloxacin, Metformin, Atorvastatin, Phenazopyridine. Patients Condition at Discharge The patient is stable with resolved symptoms of urinary tract infection. No signs of fever, dysuria, or significant lower abdominal pain were noted at the time of discharge. and follow up instructions for the patient Continue prescribed antibiotics (Ciprofloxacin) for the full duration as directed. Maintain hydration by drinking plenty of fluids. Continue taking Metformin and Atorvastatin as previously prescribed. Follow up with primary care physician in 1 week.. Discharge Summary of the patient The patient was admitted with symptoms of urinary tract infection, including severe lower abdominal pain, dysuria, and high fever. Treatment included a course of antibiotics (Ciprofloxacin), Phenazopyridine for pain management, and supportive care. The patient's symptoms resolved, and lab tests confirmed normalization of WBC, hemoglobin, and creatinine levels at the time of discharge. Patient education on prevention and recognition of UTI symptoms was provided.
Patient Details: Gender: Male, Age: 52. Patient Admitted on 2024-05-10, reason for admitting is High fever, chills, flank pain and the admitting diagnosis is Pyelonephritis. Patient has conditions- Chronic Condition Name: Hypertension- - Medication: Lisinopril, Dosage: 10mg daily.- Chronic Condition Name: Hypercholesterolemia- - Medication: Atorvastatin, Dosage: 10mg daily.Surgical Procedure name is Appendectomy on 2002-07-14, name of the surgeon is Dr. Frank Green conducted in County Hospital which is SuccessfulPatient Medical History: Medication the patient has been taking is Lisinopril 10mg daily from 2010-03-15Medication the patient has been taking is Atorvastatin 10mg daily from 2015-08-25Patient has allergy with Penicillin and the reaction is RashDay: 1- Date: 2024-05-10Symptoms: The symptoms are Flank pain for 1 day 2024-05-09 has severity Severe.The symptoms are Chills for 1 day 2024-05-10 has severity Moderate.The symptoms are Fever for 1 day 2024-05-10 has severity High.Vital Name: Temperature, Vital Value: 102.4 Fahrenheit.Vital Name: Pulse, Vital Value: 100 bpm.Vital Name: RespirationRate, Vital Value: 22 breaths/min.Vital Name: BloodPressure, Vital Value: 135/85 mmHg.Vital Name: SpO2, Vital Value: 95 %. - WBC: Value: 15.6 x10^9/L, Reference Range: 4.0-10.0, Interpretation: Elevated, Collection Time: 2024-05-10T09:00 - Creatinine: Value: 1.2 mg/dL, Reference Range: 0.7-1.3, Interpretation: Normal, Collection Time: 2024-05-10T09:00 Medications Prescribed: - Lisinopril: Dosage: 10mg daily, Start Date: 2010-03-15 - Atorvastatin: Dosage: 10mg daily, Start Date: 2015-08-25 - Nitrofurantoin: Dosage: 100mg twice daily for 7 days, Start Date: 2024-05-10 Progress Note: Initiated IV antibiotics, monitor vitals every 4 hoursDay: 2- Date: 2024-05-11Symptoms: The symptoms are Flank pain for 2 days 2024-05-09 has severity Moderate.The symptoms are Chills for 2 days 2024-05-10 has severity Mild.The symptoms are Fever for 2 days 2024-05-10 has severity Moderate.Vital Name: Temperature, Vital Value: 100.5 Fahrenheit.Vital Name: Pulse, Vital Value: 92 bpm.Vital Name: RespirationRate, Vital Value: 20 breaths/min.Vital Name: BloodPressure, Vital Value: 130/82 mmHg.Vital Name: SpO2, Vital Value: 96 %. - WBC: Value: 13.2 x10^9/L, Reference Range: 4.0-10.0, Interpretation: Elevated, Collection Time: 2024-05-11T09:00 - Creatinine: Value: 1.1 mg/dL, Reference Range: 0.7-1.3, Interpretation: Normal, Collection Time: 2024-05-11T09:00 Medications Prescribed: - Lisinopril: Dosage: 10mg daily, Start Date: 2010-03-15 - Atorvastatin: Dosage: 10mg daily, Start Date: 2015-08-25 - Nitrofurantoin: Dosage: 100mg twice daily for 7 days, Start Date: 2024-05-10 Progress Note: Continued IV antibiotics, patient improvingDay: 3- Date: 2024-05-12Symptoms: The symptoms are Flank pain for 3 days 2024-05-09 has severity Mild.The symptoms are Chills for 2 days 2024-05-10 has severity None.The symptoms are Fever for 2 days 2024-05-10 has severity Mild.Vital Name: Temperature, Vital Value: 99.2 Fahrenheit.Vital Name: Pulse, Vital Value: 80 bpm.Vital Name: RespirationRate, Vital Value: 18 breaths/min.Vital Name: BloodPressure, Vital Value: 125/80 mmHg.Vital Name: SpO2, Vital Value: 98 %. - WBC: Value: 10.1 x10^9/L, Reference Range: 4.0-10.0, Interpretation: Normal, Collection Time: 2024-05-12T09:00 - Creatinine: Value: 1.0 mg/dL, Reference Range: 0.7-1.3, Interpretation: Normal, Collection Time: 2024-05-12T09:00 Medications Prescribed: - Lisinopril: Dosage: 10mg daily, Start Date: 2010-03-15 - Atorvastatin: Dosage: 10mg daily, Start Date: 2015-08-25 - Nitrofurantoin: Dosage: 100mg twice daily for 7 days, Start Date: 2024-05-10 Progress Note: Patient showing significant improvement, consider transition to oral antibioticsDay: 4- Date: 2024-05-13Symptoms: The symptoms are Flank pain for 4 days 2024-05-09 has severity None.The symptoms are Chills for 3 days 2024-05-10 has severity None.The symptoms are Fever for 3 days 2024-05-10 has severity None.Vital Name: Temperature, Vital Value: 98.6 Fahrenheit.Vital Name: Pulse, Vital Value: 76 bpm.Vital Name: RespirationRate, Vital Value: 16 breaths/min.Vital Name: BloodPressure, Vital Value: 120/80 mmHg.Vital Name: SpO2, Vital Value: 99 %. - WBC: Value: 7.9 x10^9/L, Reference Range: 4.0-10.0, Interpretation: Normal, Collection Time: 2024-05-13T09:00 - Creatinine: Value: 0.9 mg/dL, Reference Range: 0.7-1.3, Interpretation: Normal, Collection Time: 2024-05-13T09:00 Medications Prescribed: - Lisinopril: Dosage: 10mg daily, Start Date: 2010-03-15 - Atorvastatin: Dosage: 10mg daily, Start Date: 2015-08-25 - Nitrofurantoin: Dosage: 100mg twice daily for 7 days, Start Date: 2024-05-10 Progress Note: Patient stable, transitioning to oral antibiotics, discharge planned for tomorrowDischarge Summary: The patient discharged on 2024-05-13. Procedures performed while in hospital None. Medication prescribed for patients Lisinopril, Atorvastatin, Nitrofurantoin. Patients Condition at Discharge The patient is stable with resolved symptoms of pyelonephritis. No signs of fever, chills, or flank pain were noted at the time of discharge. and follow up instructions for the patient Continue prescribed antibiotics (Nitrofurantoin) for the full duration as directed. Maintain hydration by drinking plenty of fluids. Continue taking Lisinopril and Atorvastatin as previously prescribed. Follow up with primary care physician in 1 week.. Discharge Summary of the patient The patient was admitted with symptoms of pyelonephritis, including severe flank pain, chills, and high fever. Treatment included a course of antibiotics (Nitrofurantoin) and supportive care. The patient's symptoms resolved, and lab tests confirmed normalization of WBC and creatinine levels at the time of discharge. Patient education on prevention and recognition of pyelonephritis symptoms was provided.
Patient Details: Gender: Female, Age: 45. Patient Admitted on 2024-04-25, reason for admitting is Persistent dysuria and hematuria and the admitting diagnosis is Recurrent UTI. Patient has conditions- Chronic Condition Name: Diabetes Mellitus Type 2- - Medication: Metformin, Dosage: 500mg BID.Surgical Procedure name is Cholecystectomy on 2019-10-10, name of the surgeon is Dr. Emily White conducted in City Hospital which is SuccessfulPatient Medical History: Medication the patient has been taking is Metformin 500mg BID from 2018-06-15Patient has allergy with Sulfa drugs and the reaction is HivesDay: 1- Date: 2024-04-25Symptoms: The symptoms are Dysuria for 5 days 2024-04-20 has severity Severe.The symptoms are Hematuria for 2 days 2024-04-23 has severity Moderate.Vital Name: Temperature, Vital Value: 99.5 Fahrenheit.Vital Name: Pulse, Vital Value: 82 bpm.Vital Name: RespirationRate, Vital Value: 18 breaths/min.Vital Name: BloodPressure, Vital Value: 130/85 mmHg.Vital Name: SpO2, Vital Value: 97 %. - WBC: Value: 12.0 x10^9/L, Reference Range: 4.0-10.0, Interpretation: Elevated, Collection Time: 2024-04-25T07:30 - Creatinine: Value: 0.8 mg/dL, Reference Range: 0.7-1.3, Interpretation: Normal, Collection Time: 2024-04-25T07:30 Medications Prescribed: - Metformin: Dosage: 500mg BID, Start Date: 2018-06-15 - Ciprofloxacin: Dosage: 500mg twice daily, Start Date: 2024-04-25 - Phenazopyridine: Dosage: 200mg three times daily, Start Date: 2024-04-25 Progress Note: Started oral antibiotics, increased fluid intake advisedDay: 2- Date: 2024-04-26Symptoms: The symptoms are Dysuria for 6 days 2024-04-20 has severity Moderate.The symptoms are Hematuria for 3 days 2024-04-23 has severity Mild.Vital Name: Temperature, Vital Value: 98.9 Fahrenheit.Vital Name: Pulse, Vital Value: 78 bpm.Vital Name: RespirationRate, Vital Value: 16 breaths/min.Vital Name: BloodPressure, Vital Value: 125/80 mmHg.Vital Name: SpO2, Vital Value: 98 %. - WBC: Value: 10.5 x10^9/L, Reference Range: 4.0-10.0, Interpretation: Slightly Elevated, Collection Time: 2024-04-26T07:30 - Creatinine: Value: 0.8 mg/dL, Reference Range: 0.7-1.3, Interpretation: Normal, Collection Time: 2024-04-26T07:30 Medications Prescribed: - Metformin: Dosage: 500mg BID, Start Date: 2018-06-15 - Ciprofloxacin: Dosage: 500mg twice daily, Start Date: 2024-04-25 - Phenazopyridine: Dosage: 200mg three times daily, Start Date: 2024-04-25 Progress Note: Symptoms improving, continue current treatmentDay: 3- Date: 2024-04-27Symptoms: The symptoms are Dysuria for 7 days 2024-04-20 has severity Mild.The symptoms are Hematuria for 4 days 2024-04-23 has severity None.Vital Name: Temperature, Vital Value: 98.6 Fahrenheit.Vital Name: Pulse, Vital Value: 76 bpm.Vital Name: RespirationRate, Vital Value: 16 breaths/min.Vital Name: BloodPressure, Vital Value: 120/75 mmHg.Vital Name: SpO2, Vital Value: 99 %. - WBC: Value: 8.2 x10^9/L, Reference Range: 4.0-10.0, Interpretation: Normal, Collection Time: 2024-04-27T07:30 - Creatinine: Value: 0.8 mg/dL, Reference Range: 0.7-1.3, Interpretation: Normal, Collection Time: 2024-04-27T07:30 Medications Prescribed: - Metformin: Dosage: 500mg BID, Start Date: 2018-06-15 - Ciprofloxacin: Dosage: 500mg twice daily, Start Date: 2024-04-25 - Phenazopyridine: Dosage: 200mg three times daily, Start Date: 2024-04-25 Progress Note: Consider discharge if symptoms resolve completelyDay: 4- Date: 2024-04-28Symptoms: The symptoms are Dysuria for 8 days 2024-04-20 has severity None.The symptoms are Hematuria for 5 days 2024-04-23 has severity None.Vital Name: Temperature, Vital Value: 98.4 Fahrenheit.Vital Name: Pulse, Vital Value: 72 bpm.Vital Name: RespirationRate, Vital Value: 16 breaths/min.Vital Name: BloodPressure, Vital Value: 118/75 mmHg.Vital Name: SpO2, Vital Value: 99 %. - WBC: Value: 7.0 x10^9/L, Reference Range: 4.0-10.0, Interpretation: Normal, Collection Time: 2024-04-28T07:30 - Creatinine: Value: 0.8 mg/dL, Reference Range: 0.7-1.3, Interpretation: Normal, Collection Time: 2024-04-28T07:30 Medications Prescribed: - Metformin: Dosage: 500mg BID, Start Date: 2018-06-15 - Ciprofloxacin: Dosage: 500mg twice daily, Start Date: 2024-04-25 - Phenazopyridine: Dosage: 200mg three times daily, Start Date: 2024-04-25 Progress Note: Patient stable, symptoms resolved, discharge plannedDischarge Summary: The patient discharged on 2024-04-28. Procedures performed while in hospital None. Medication prescribed for patients Ciprofloxacin, Metformin, Phenazopyridine. Patients Condition at Discharge The patient is stable with resolved symptoms of urinary tract infection. No signs of fever, dysuria, or hematuria were noted at the time of discharge. and follow up instructions for the patient Continue prescribed antibiotics (Ciprofloxacin) for the full duration as directed. Maintain hydration by drinking plenty of fluids. Continue taking Metformin as previously prescribed. Follow up with primary care physician in 1 week.. Discharge Summary of the patient The patient was admitted with symptoms of urinary tract infection, including severe dysuria and moderate hematuria. Treatment included a course of antibiotics (Ciprofloxacin), Phenazopyridine for pain management, and supportive care. The patient's symptoms resolved, and lab tests confirmed normalization of WBC and creatinine levels at the time of discharge. Patient education on prevention and recognition of UTI symptoms was provided.
Patient Details: Gender: Female, Age: 48. Patient Admitted on 2024-05-15, reason for admitting is Fever, flank pain, and dysuria and the admitting diagnosis is UTI with suspected pyelonephritis. Patient has conditions- Chronic Condition Name: Hypertension- - Medication: Amlodipine, Dosage: 5mg daily.- Chronic Condition Name: Diabetes Mellitus Type 2- - Medication: Metformin, Dosage: 500mg twice daily.Surgical Procedure name is Knee Replacement on 2023-04-12, name of the surgeon is Dr. Christopher Lee conducted in Central Orthopedic Clinic which is SuccessfulPatient Medical History: Medication the patient has been taking is Amlodipine 5mg daily from 2024-05-10Medication the patient has been taking is Metformin 500mg twice daily from 2024-05-10Patient has allergy with Iodine and the reaction is RashDay: 1- Date: 2024-05-15Symptoms: The symptoms are Fever for Not specified 2024-05-15 has severity 102.7°F.The symptoms are Flank Pain for Not specified 2024-05-15 has severity Present.The symptoms are Dysuria for Not specified 2024-05-15 has severity Present.Vital Name: Temperature, Vital Value: 102.7 Fahrenheit.Vital Name: Pulse, Vital Value: 92 bpm.Vital Name: BloodPressure, Vital Value: 130/80 mmHg. - WBC: Value: 14.8 x10^9/L, Reference Range: 4.0-10.0, Interpretation: Not specified, Collection Time: Not specified - Hemoglobin: Value: 12.6 g/dL, Reference Range: Not specified-Not specified, Interpretation: Not specified, Collection Time: Not specified - Creatinine: Value: 1.2 mg/dL, Reference Range: Not specified-Not specified, Interpretation: Not specified, Collection Time: Not specified Medications Prescribed: - Amlodipine: Dosage: 5mg daily, Start Date: 2024-05-10 - Metformin: Dosage: 500mg twice daily, Start Date: 2024-05-10 - Ciprofloxacin: Dosage: 500mg twice daily, Start Date: 2024-05-15 Progress Note: Started on IV fluids and empirical antibiotics.Day: 2- Date: 2024-05-16Symptoms: The symptoms are Fever for Not specified 2024-05-16 has severity Reduced (100.2°F).The symptoms are Flank Pain for Not specified 2024-05-15 has severity Present.The symptoms are Dysuria for Not specified 2024-05-15 has severity Present.Vital Name: Temperature, Vital Value: 100.2 Fahrenheit.Vital Name: Pulse, Vital Value: 88 bpm.Vital Name: BloodPressure, Vital Value: 128/76 mmHg. - WBC: Value: 12.5 x10^9/L, Reference Range: 4.0-10.0, Interpretation: Not specified, Collection Time: Not specified - Hemoglobin: Value: 12.8 g/dL, Reference Range: Not specified-Not specified, Interpretation: Not specified, Collection Time: Not specified - Creatinine: Value: 1.1 mg/dL, Reference Range: Not specified-Not specified, Interpretation: Not specified, Collection Time: Not specified Medications Prescribed: - Amlodipine: Dosage: 5mg daily, Start Date: 2024-05-10 - Metformin: Dosage: 500mg twice daily, Start Date: 2024-05-10 - Ciprofloxacin: Dosage: 500mg twice daily, Start Date: 2024-05-15 - Acetaminophen: Dosage: 650mg every 6 hours as needed for pain, Start Date: 2024-05-16 Progress Note: Continued antibiotics, pain management initiated.Day: 3- Date: 2024-05-17Symptoms: The symptoms are Fever for Not specified 2024-05-17 has severity Absent.The symptoms are Flank Pain for Not specified 2024-05-15 has severity Mild.The symptoms are Dysuria for Not specified 2024-05-15 has severity Improving.Vital Name: Temperature, Vital Value: 98.9 Fahrenheit.Vital Name: Pulse, Vital Value: 82 bpm.Vital Name: BloodPressure, Vital Value: 126/72 mmHg. - WBC: Value: 9.6 x10^9/L, Reference Range: 4.0-10.0, Interpretation: Not specified, Collection Time: Not specified - Hemoglobin: Value: 13.2 g/dL, Reference Range: Not specified-Not specified, Interpretation: Not specified, Collection Time: Not specified - Creatinine: Value: 1.0 mg/dL, Reference Range: Not specified-Not specified, Interpretation: Not specified, Collection Time: Not specified Medications Prescribed: - Amlodipine: Dosage: 5mg daily, Start Date: 2024-05-10 - Metformin: Dosage: 500mg twice daily, Start Date: 2024-05-10 - Ciprofloxacin: Dosage: 500mg twice daily, Start Date: 2024-05-15 - Acetaminophen: Dosage: 650mg every 6 hours as needed for pain, Start Date: 2024-05-16 Progress Note: Continued antibiotics, pain management initiated.Day: 4- Date: 2024-05-18Symptoms: The symptoms are Fever for Not specified 2024-05-18 has severity Absent.The symptoms are Flank Pain for Not specified 2024-05-15 has severity Minimal.The symptoms are Dysuria for Not specified 2024-05-15 has severity Resolved.Vital Name: Temperature, Vital Value: 98.5 Fahrenheit.Vital Name: Pulse, Vital Value: 78 bpm.Vital Name: BloodPressure, Vital Value: 124/70 mmHg. - WBC: Value: 8.2 x10^9/L, Reference Range: 4.0-10.0, Interpretation: Not specified, Collection Time: Not specified - Hemoglobin: Value: 13.5 g/dL, Reference Range: Not specified-Not specified, Interpretation: Not specified, Collection Time: Not specified - Creatinine: Value: 0.9 mg/dL, Reference Range: Not specified-Not specified, Interpretation: Not specified, Collection Time: Not specified Medications Prescribed: - Amlodipine: Dosage: 5mg daily, Start Date: 2024-05-10 - Metformin: Dosage: 500mg twice daily, Start Date: 2024-05-10 - Ciprofloxacin: Dosage: 500mg twice daily, Start Date: 2024-05-15 - Acetaminophen: Dosage: 650mg every 6 hours as needed for pain, Start Date: 2024-05-16 - Ciprofloxacin: Dosage: 500mg orally twice daily, Start Date: 2024-05-18 Progress Note: Patient ambulating, considering transition to oral antibiotics.Discharge Summary: The patient discharged on 2024-05-18. Procedures performed while in hospital None. Medication prescribed for patients Amlodipine, Metformin, Ciprofloxacin, Acetaminophen. Patients Condition at Discharge The patient is stable with resolved symptoms of urinary tract infection. No signs of fever, dysuria, or significant flank pain were noted at the time of discharge. and follow up instructions for the patient Continue prescribed antibiotics (Ciprofloxacin) for the full duration as directed. Maintain hydration by drinking plenty of fluids. Continue taking Amlodipine and Metformin as previously prescribed. Follow up with primary care physician in 1 week.. Discharge Summary of the patient The patient was admitted with symptoms of urinary tract infection, including high fever, flank pain, and dysuria. Treatment included a course of antibiotics (Ciprofloxacin), pain management (Acetaminophen), and supportive care. The patient's symptoms resolved, and lab tests confirmed normalization of WBC, hemoglobin, and creatinine levels at the time of discharge. Patient education on prevention and recognition of UTI symptoms was provided.
Patient Details: Gender: Female, Age: 40. Patient Admitted on 2024-05-20, reason for admitting is Fever, body ache, and fatigue and the admitting diagnosis is Viral Fever. Patient has conditions- Chronic Condition Name: Hypertension- - Medication: Lisinopril, Dosage: 20mg daily. - Medication: Metformi, Dosage: 1000mg twice daily.- Chronic Condition Name: Asthma- - Medication: Albuterol Inhaler, Dosage: As needed. - Medication: Fluticasone, Dosage: 250mcg daily.Surgical Procedure name is Prostatectomy on 2020-03-30, name of the surgeon is Dr. John Smith conducted in University Hospital which is SuccessfulSurgical Procedure name is Prostatectomy on 2020-03-30, name of the surgeon is Dr. John Smith conducted in University Hospital which is SuccessfulPatient Medical History: Medication the patient has been taking is Lisinopril 20mg daily from 2010-03-15Medication the patient has been taking is Metformi 1000mg twice daily from 2010-03-15Medication the patient has been taking is Albuterol Inhaler As needed from 2008-02-10Medication the patient has been taking is Fluticasone 250mcg daily from 2008-02-10Patient has allergy with Aspirin and the reaction is AnaphylaxisDay: 1- Date: 2024-05-20Symptoms: The symptoms are Fever for 1 day 2024-05-20 has severity High.The symptoms are Body Ache for 1 day 2024-05-20 has severity Mild.The symptoms are Fatigue for 1 day 2024-05-20 has severity Moderate.Vital Name: Temperature, Vital Value: 101.8 Fahrenheit.Vital Name: Pulse, Vital Value: 90 bpm.Vital Name: Respiration Rate, Vital Value: 18 breaths/min.Medications Prescribed: - Lisinopril: Dosage: 20mg daily, Start Date: 2010-03-15 - Metformi: Dosage: 1000mg twice daily, Start Date: 2010-03-15 - Albuterol Inhaler: Dosage: As needed, Start Date: 2008-02-10 - Fluticasone: Dosage: 250mcg daily, Start Date: 2008-02-10 - Antipyretics: Dosage: 20mg daily, Start Date: 2024-05-20 Progress Note: Start antipyretics and supportive care. Monitor closely for any worsening of symptoms.Discharge Summary: The patient discharged on 2024-05-20. Procedures performed while in hospital None. Medication prescribed for patients Lisinopril, Metformin, Albuterol Inhaler, Fluticasone, Antipyretics. Patients Condition at Discharge The patient is stable with resolved symptoms of fever, body ache, and fatigue. No signs of fever or other symptoms were noted at the time of discharge. and follow up instructions for the patient Continue prescribed medications as directed. Take antipyretics as needed for fever. Follow up with primary care physician if symptoms persist or worsen.. Discharge Summary of the patient The patient was admitted with symptoms of high fever, body ache, and fatigue. Treatment included antipyretics for fever reduction and supportive care. The patient's symptoms resolved during hospitalization, and no further complications were noted at the time of discharge.
Patient Details: Gender: Male, Age: 35. Patient Admitted on 2024-05-22, reason for admitting is Severe diarrhea and abdominal pain and the admitting diagnosis is Gastroenteritis. Patient has conditions- Chronic Condition Name: Osteoarthritis- - Medication: Ibuprofen, Dosage: 400mg as needed. - Medication: Acetaminophen, Dosage: 650mg as needed.Surgical Procedure name is Appendectomy on 2023-07-15, name of the surgeon is Dr. Emily Davis conducted in City General Hospital which is SuccessfulPatient Medical History: Medication the patient has been taking is Ibuprofen 400mg as needed from 2024-02-10Medication the patient has been taking is Acetaminophen 650mg as needed from 2024-02-10Patient has allergy with Penicillin and the reaction is HivesDischarge Summary: The patient discharged on Not specified. Procedures performed while in hospital Not specified. Medication prescribed for patients Not specified. Patients Condition at Discharge Not specified and follow up instructions for the patient Not specified. Discharge Summary of the patient Not specified
Patient Details: Gender: Male, Age: 55. Patient Admitted on 2024-05-25, reason for admitting is Cough, sore throat, and congestion and the admitting diagnosis is Upper Respiratory Tract Infection. Patient has conditions- Chronic Condition Name: Depression- - Medication: Sertraline, Dosage: 50mg daily. - Medication: Cognitive Behavioral Therapy (CBT), Dosage: Weekly sessions.Surgical Procedure name is Cataract Surgery on 2023-08-22, name of the surgeon is Dr. Sophia Wilson conducted in Eye Clinic which is SuccessfulPatient Medical History: Medication the patient has been taking is Sertraline 50mg daily from 2023-09-05Medication the patient has been taking is Cognitive Behavioral Therapy (CBT) Weekly sessions from 2023-09-05Patient has allergy with Insulin and the reaction is HypoglycemiaDay: 1- Date: 2024-05-25Symptoms: The symptoms are Cough for 1 day 2024-05-25 has severity Moderate.The symptoms are Sore Throat for 1 day 2024-05-25 has severity Mild.The symptoms are Congestion for 1 day 2024-05-25 has severity Mild.Vital Name: Temperature, Vital Value: 99.0 Fahrenheit.Vital Name: Pulse, Vital Value: 78 bpm.Vital Name: Respiration Rate, Vital Value: 16 breaths/min.Medications Prescribed: Progress Note: Prescribe symptomatic relief medication. Encourage rest and hydration. Advise on proper cough etiquette.Discharge Summary: The patient discharged on 2024-05-25. Procedures performed while in hospital None. Medication prescribed for patients Sertraline, Antitussive, Analgesic, Decongestant. Patients Condition at Discharge The patient is stable with mild to moderate symptoms of cough, sore throat, and congestion. Vital signs are within normal range. and follow up instructions for the patient Continue taking Sertraline as previously prescribed. Take the prescribed symptomatic relief medications as directed. Encourage rest, hydration, and proper cough etiquette. Follow up with primary care physician if symptoms persist or worsen.. Discharge Summary of the patient The patient presented with symptoms of cough, sore throat, and congestion, suggestive of a mild respiratory infection. Treatment included prescribing symptomatic relief medications and providing guidance on self-care measures. Vital signs were within normal limits. Patient education on proper cough etiquette and the importance of rest and hydration was provided.
Patient Details: Gender: Female, Age: 28. Patient Admitted on 2024-05-26, reason for admitting is Facial pain, headache, and nasal congestion and the admitting diagnosis is Sinusitis. Patient has conditions- Chronic Condition Name: Rheumatoid Arthritis- - Medication: Methotrexate, Dosage: 15mg weekly. - Medication: Adalimumab, Dosage: 40mg every two weeks.Surgical Procedure: {'name': 'Lumbar Fusion', 'surgeryDate': '2023-11-10', 'surgeon': 'Dr. Daniel White', 'hospital': 'Spine Institute', 'outcome': 'Successful'}Patient Medical History: Medication the patient has been taking is Methotrexate 15mg weekly from 2023-12-18Medication the patient has been taking is Adalimumab 40mg every two weeks from 2023-12-18Patient has allergy with Insulin and the reaction is HypoglycemiaDay: 1- Date: 2024-05-26Symptoms: The symptoms are Cough for 1 day 2024-05-25 has severity Moderate.The symptoms are Sore Throat for 1 day 2024-05-25 has severity Mild.The symptoms are Congestion for 1 day 2024-05-25 has severity Mild.Vital Name: Temperature, Vital Value: 99.0 Fahrenheit.Vital Name: Pulse, Vital Value: 78 bpm.Vital Name: Respiration Rate, Vital Value: 16 breaths/min.Medications Prescribed: Progress Note: Prescribe symptomatic relief medication. Encourage rest and hydration. Advise on proper cough etiquette.Discharge Summary: The patient discharged on 2024-05-25. Procedures performed while in hospital Symptomatic relief medication prescribed. Medication prescribed for patients Antitussive, Analgesic, Decongestant. Patients Condition at Discharge The patient is stable with resolved symptoms of cough, sore throat, and congestion. No signs of fever or respiratory distress were noted at the time of discharge. and follow up instructions for the patient Continue prescribed medications (Antitussive, Analgesic, Decongestant) as directed for symptomatic relief. Encourage rest and hydration. Follow up with primary care physician if symptoms persist or worsen.. Discharge Summary of the patient The patient presented with symptoms of cough, sore throat, and congestion, indicative of a mild respiratory infection. Treatment included symptomatic relief medications for cough suppression, pain management, and decongestion. The patient's symptoms improved during hospitalization, and no further intervention was deemed necessary. Patient education on proper cough etiquette and self-care measures was provided.