Age: 71.0
Sex: M
Vaccine: COVID19
Symptoms: Epiglottic mass, Gastrointestinal tube insertion, Hypoxia, Illness, Laryngoscopy
Clinical narrative: Physician Discharge Summary     Patient: MRN Age:72 y.o. DOB: Admit Date:  7/18/2022 Discharge Date:  8/1/2022      Principal Diagnoses:  Principal Problem:   Supraglottic mass Active Problems:   Pneumonia due to infectious organism   COVID-19 virus infection   Paralysis of left vocal fold     Discharge Diagnosis:  Supraglottic mass, constipation,    Hospital Course:  Patient is a 72 YO man who was admitted to medical center on 07/18 for concern of aspiration pneumonia, COVID-19, and supraglottic mass dxed by ENT on 07/14.  PMHx of GERD, HLD, HTN, COPD.  At admission Patient was placed on empiric antibiotics for aspiration pneumonia and mild illness w/ COVID-19 and was treated supportively. On 07/22 was deemed low to moderate risk for surgical procedure by Cardiology due to hx of brief polymorphic VT and hx of cardiac cath showing hazy 80% lesion is distal LAD though to spasm.  Patient underwent biopsy under the care of Dr.  ON 07/28 G-tube was placed by IR.  In regards to pneumonia Patient completed course of abx while admitted. Will be discharged home now that tube feedings can be arranged at home.    Consults to:  ENT, Cardiology, Speech, SW    Procedure(s): Percutaneous G-tube placement, Microlaryngoscopy- direct rigid with biopsy    Disposition:  home   Discharge Condition:  fair   Discharge Medications:   Current Discharge Medication List   START taking these medications   Details senna (SENOKOT) 8.6 mg tablet Take 1 Tablet by mouth Once daily as needed for Constipation for up to 30 days. Qty: 30 Tablet, Refills: 0   Associated Diagnoses: Drug-induced constipation   lansoprazole compounding kit (PREVACID) 3 mg/mL oral suspension Take 10 mL by mouth Once Daily for 30 days. Qty: 30 Each, Refills: 0   Associated Diagnoses: Drug-induced constipation   walker (ULTRA-LIGHT ROLLATOR) Misc 1 Each Once Daily. Qty: 1 Each, Refills: 0   Associated Diagnoses: Aspiration pneumonia; COVID-19 virus infection; Weakness     CONTINUE these medications which have CHANGED   Details fluticasone propionate (FLONASE) 50 mcg/Actuation nasal spray Spray 2 Sprays in nose Once Daily for 30 days. In each nostril. Qty: 1 Each, Refills: 0   Associated Diagnoses: Acute non-recurrent sinusitis, unspecified location; Non-recurrent acute suppurative otitis media of left ear without spontaneous rupture of tympanic membrane     CONTINUE these medications which have NOT CHANGED   Details fluticasone propion-salmeteroL (WIXELA INHUB) 500-50 mcg/dose inhaler Take 1 Puff by inhalation Twice a day. Qty: 1 Each, Refills: 5   Associated Diagnoses: Moderate persistent asthma without complication   tiotropium bromide (SPIRIVA RESPIMAT) 2.5 mcg/actuation inhaler Take 2 Puffs by inhalation Once Daily. Qty: 1 Each, Refills: 5   Associated Diagnoses: Moderate persistent asthma without complication   metoprolol (TOPROL-XL) 100 mg XL tablet Take 1 Tablet by mouth Once Daily. Qty: 30 Tablet, Refills: 5   atorvastatin (LIPITOR) 80 mg tablet Take 1 Tablet by mouth At bedtime for 90 days. Qty: 90 Tablet, Refills: 0   aspirin 81 mg chewable tablet Take 1 Tablet by mouth Once Daily. Qty: 30 Tablet, Refills: 11   Associated Diagnoses: Acute respiratory failure with hypoxia   budesonide (PULMICORT) 0.5 mg/2 mL NbSp nebulizer solution Take 2 mL by inhalation Twice a day as needed (WHEEZING). Qty: 60 Each, Refills: 3   Associated Diagnoses: Chronic obstructive pulmonary disease, unspecified COPD type   zileuton (ZYFLO CR) 600 mg Take 1 Tablet by mouth Twice a day with meals. Qty: 60 Tablet, Refills: 5   Associated Diagnoses: Moderate persistent asthma without complication   naproxen (NAPROSYN) 500 mg tablet Take 1 Tablet by mouth Twice a day as needed for Pain. Qty: 60 Tablet, Refills: 1   Associated Diagnoses: Right hip pain   traMADoL (ULTRAM) 50 mg tablet Take 50 mg by mouth Every 6 hours as needed for Pain.   levocetirizine (XYZAL) 5 mg tablet Take 5 mg by mouth Daily. Qty: 90 Tab, Refills: 3   Associated Diagnoses: Cough   montelukast (SINGULAIR) 10 mg tablet Take 1 Tab by mouth Every evening. Qty: 30 Tab, Refills: 3   Associated Diagnoses: Environmental allergies; Cough   albuterol (PROVENTIL) 2.5 mg /3 mL (0.083 %) nebulization Take 0.5 Vials by nebulization Every 4 hours as needed for Wheezing.   omeprazole (PRILOSEC) 40 mg DR capsule Take 1 Cap by mouth Daily. Qty: 90 Cap, Refills: 3   Associated Diagnoses: Gastroesophageal reflux disease without esophagitis   albuterol (VENTOLIN HFA) 90 mcg/Actuation inhaler Take 2 Puffs by inhalation Every 4 hours as needed (WHEEZING). Qty: 1 Each, Refills: 5   Associated Diagnoses: Chronic obstructive pulmonary disease, unspecified COPD type; Cough; Wheeze   ipratropium-albuterol (DUO-NEB) 0.5 mg-3 mg(2.5 mg base)/3 mL nebulizer solution Take 3 mL by nebulization Every 6 hours as needed. Qty: 40 Each, Refills: 0   Associated Diagnoses: Cough; COPD exacerbation