tokens: Admission Date : 2011-10-28 Discharge Date : 2011-12-01 Date of Birth : 1964-04-14 Sex : F Service : Bone marrow transplant service Again , this was a 47-year-old female admitted with Berkitt's lymphoma . HOSPITAL COURSE OVER THESE PREVIOUS DAYS : 1. Liver lesions : The patient went for a repeat MRI which showed no change in the previously noted enumerable hepatic cyst in her liver . A Hepatology consult was obtained who felt that the most likely etiology of these cysts were from hepatic candidiasis , although one could not rule out lymphoma involving from Burkitt's . She will be discharged on AmBisome 300 mg IV q.d. for treatment of her hepatic candidiasis . This regimen , that being AmBisome , was recommended by the Infectious Disease physicians , who felt that AmBisome was a better drug of choice as compared to fluconazole . 2. Heme : The patient 's platelets , white count , and hematocrit have all been stable . Her white count remained elevated despite discontinuing her G-CSF . However , the patient is not febrile and her white count should be continued to be watched . 3. On the morning of 12-01 , the patient had some transient episodes of hypotension with SBP s in the 70 s. Her captopril was discontinued , and she was given two IV fluid boluses with appropriate response . Her blood pressures and all of her vital signs are stable . 4. FEN : The patient was continued on TPN over the past couple days . She is also started on marinol 2.5 mg p.o. b.i.d. and encouraged p.o. intake . CONDITION ON DISCHARGE : Guarded , but stable . DISCHARGE DIAGNOSES : 1. Burkitt's lymphoma . 2. Hepatic candidiasis . DISCHARGE STATUS : The patient will be discharged to an outside hospital . DISCHARGE MEDICATIONS : 1. AmBisome 300 mg IV q.d. 2. Marinol 2.5 mg p.o. b.i.d. before breakfast and dinner . 3. Atarax 25 mg IV / p.o. q. 4-6 h. prn for itching . 4. Colace 100 mg p.o. b.i.d. 5. Protonix 40 mg p.o. / IV q.d. 6. Nystatin 06-18 mL swish and swallow q.6. prn . 7. Peridex 15 mL swish and swallow prn . Maria Scheer , M.D.12.699 Dictated By : Inez Q Hubbard , M.D. MEDQUIST36 D : 2011-12-01 13:09 T : 2011-12-01 13:20 JOB #: 66182 Signed electronically by : DR. Richard Blakey on : FRI 2011-12-23 9:54 AM ( End of Report )