tokens: Admission Date : 2018-03-04 Discharge Date : 2018-03-09 Date of Birth : 1957-08-17 Sex : M Service : UROLOGY Allergies : Sulfonamides / Penicillins / Tetracyclines / Azithromycin / Iodine / Shellfish / Ace Inhibitors / Ciprofloxacin Attending : Donald E. Jacquet , M.D. Chief Complaint: Chronic prostatitis Major Surgical or Invasive Procedure: TURP History of Present Illness: Justin Searle a 60-year-old man with a long history of chronic prostatitis status post two transurethral resection of the prostate procedures in 2007 and 1998 . He also has a diagnosis of interstitial cystitis and more significantly has a history of coronary artery disease with a recent catheterization , supraventricular tachycardia , and a progressive mitochondrial myopathy . He has had symptoms of dribbling , stress incontinence , hematuria , but has no dysuria . He was preadmitted for cardiac clearance by Dr. Lair , his cardiologist . Past Medical History: 1. Coronary artery disease ( s/p stents to LAD and 3rd OM ) 2. Supraventricular tachycardia ( on a beta blocker ) . 3. Mitochondrial myopathy . 4. History of orthostasis with tilt table testing done in the past . 5. Status post transurethral resection of prostate times two ( in 2007 and 1998 ) . 6. Interstitial cystitis . 7. Pericarditis . 8. Hypertension . 9. Hypercholesterolemia . 10. Gastrointestinal bleed Social History : denies any tobacco. Divorced , lives in Wisconsin Family History : Father had MI at 42 Mother died of MI at 76 Physical Exam : Gen : NAD HEENT : MMM CV : RRR , no m/r/g Lungs : CTAB Abd : soft , +distension with tympany , no HSM , hyperactive BS Ext : no c/c/e Neuro : A&O x3 . ECG : NSR at 62 , nl axis , nl intervals , Q waves in III , avR , V1 . TWI 's in III , V1 . Pertinent Results: 2018-03-04 01:02PM GLUCOSE - 94 UREA N - 22* CREAT - 1.4* SODIUM - 142 POTASSIUM - 5.9* CHLORIDE - 108 TOTAL CO2 - 23 ANION GAP - 17 2018-03-04 01:02PM CALCIUM - 9.7 PHOSPHATE - 3.9 MAGNESIUM - 1.9 2018-03-04 01:02PM WBC - 7.5 RBC - 5.09 HGB - 15.4 HCT - 43.7 MCV - 86 MCH - 30.2 MCHC - 35.2* RDW - 13.6 2018-03-04 01:02PM PLT COUNT - 257# 2018-03-04 01:02PM PT - 12.2 PTT - 23.8 INR ( PT ) - 0.9 Brief Hospital Course: On HD2 , cardiac clearance was obtained by Dr. Sanchez . Patient tolerated procedure on 2018-03-05 and was transferred to ICU for 24hr post-op cardiac monitoring . Stay was uneventful . On POD1 , patient was transferred out of FICU to 12R . Catheter was removed . He was started on Pyridium . On POD2 , patient was deemed suitable and stable for discharge . On POD4 , patient was discharged . Discharge Medications : 1. Hydroxyzine HCl 10 mg Tablet Sig : One ( 1 ) Tablet PO DAILY ( Daily ) . 2. Atorvastatin Calcium 20 mg Tablet Sig : One ( 1 ) Tablet PO DAILY ( Daily ) . 3. Ezetimibe 10 mg Tablet Sig : One ( 1 ) Tablet PO DAILY ( Daily ) . 4. Simethicone 80 mg Tablet , Chewable Sig : 0.5-1 Tablet , Chewable PO QID ( 4 times a day ) as needed for indigestion/gas pain . 5. Aluminum-Magnesium Hydroxide 225-200 mg/5 mL Suspension Sig : 15-30 MLs PO QID ( 4 times a day ) as needed for indigestion . 6. Atenolol 100 mg Tablet Sig : One ( 1 ) Tablet PO DAILY ( Daily ) . 7. Hyoscyamine Sulfate 0.125 mg Tablet Sig : One ( 1 ) Tablet PO QID ( 4 times a day ) . 8. Phenazopyridine HCl 100 mg Tablet Sig : One ( 1 ) Tablet PO TID ( 3 times a day ) for 3 days . Discharge Disposition : Home Discharge Diagnosis : Chronic prostatitis Interstitial cystitis Discharge Condition : Good Discharge Instructions : Go to an Emergency Room if you experience symptoms including , but not necessarily limited to : new and continuing nausea , vomiting , fevers ( >101.5 F ) , chills , or shortness of breath . Proceed to the ER/EW/Monica if your wound becomes red , swollen , warm , or produces pus . You may remove your dressings 2 days after your surgery if they were not removed in the hospital . Leave the steri strips on until they begin to peel , then you may remove them. Staples and stitches will remain until your follow-up appointment . If you experience clear drainage from your wounds , cover them with a clean dressing and stop showering until the drainage subsides for at least 2 days . No heavy lifting or exertion for at least 6 weeks . No driving while taking pain medications . Narcotics can cause constipation . Please take an over the counter stool softener such as Colace or a gentle laxative such as Milk of Magnesia if you experience constipation . You may resume your regular diet as tolerated . You may take showers ( no baths ) after your dressings have been removed from your wounds . Continue taking your home medications unless otherwise contraindicated and follow up with PCP . Followup Instructions : F/U with Rau . Call for appointment F/U with Dr. Ross in 2-3 weeks . Michael Morgan MD 43-508 Completed by : Justin RAO MD 71-039 2018-03-09 @ 0842 Signed electronically by : DR. Freddy Darr on : FRI 2018-03-23 9:45 AM ( End of Report )