Allergies
ED Brief Note April 14 0823
ED Triage Note April 14 0800
PCP Visit Follow Up Call April 13 1200
Allergies
PCP Visit April 10 1000
BMP/CMP | Coag | ABGs
Basic Metabolic Panel
CBC | Cardiac Panel
Iron | Lipids | Urinalysis
Allergies
+Complete Metabolic Panel
Urine Culture
Other
Coagulation Studies
BMP/CMP | Coag | ABGs
Basic Metabolic Panel
CBC | Cardiac Panel
Iron | Lipids | Urinalysis
Allergies
+Complete Metabolic Panel
Urine Culture
Other
Coagulation Studies
BMP/CMP | Coag | ABGs
CBC (w/ differential)
CBC | Cardiac Panel
Iron | Lipids | Urinalysis
Allergies
Urine Culture
Other
CBC (w/ differential)
CardiacPanel
BMP/CMP | Coag | ABGs
Urinalysis
CBC | Cardiac Panel
Iron | Lipids | Urinalysis
Allergies
Urine Culture
Other
BMP/CMP | Coag | ABGs
CBC | Cardiac Panel
Iron | Lipids | Urinalysis
Allergies
Urine Culture
Other
Allergies
Other Results
Infectious Disease
Urine Culture 4/10
Allergies
Cardiovascular
Allergies
Allergies
PCP Visit Follow Up Phone Call
Encounter Type: Phone CallDate: 4/13/26 Time: 1200 Patient's BMP and urine culture resulted. Urine culture with pansensitive E. coli. BMP notable for potassium of 6.9. Called patient to recommend patient present to the Emergency Department for electrolyte abnormality.
ED Brief Note
Patient with no pulse at 0823. Code blue called and CPR initited. On first rhythm check found to be in ventricular fibrilation and shock administered. ACLS continued.
ED Triage Note
Name: Marilyn Rosen Age: 78 years Sex: Female Chief Complaint: Presents to the ED by PCP recommendation for electrolyte abnormality. History of Present Illness: Patient recently seen by PCP for UTI and started on SMX-TMP 4 days ago. Past Medical History:HTN Hyperlipidemia Depression Anxiety GERD - diagnosed 9 months ago T2DM Osteoporosis CKD Stage IV Osteoartritis of L knee Home Medications: Amlodipine 10mg PO daily Lisinopril 20mg PO daily Metformin 500mg PO BID Atorvastatin 40mg PO nightly Paroxetine 40mg PO daily Alprazolam 0.5mg PO BID PRN anxiety Acetaminophen 500mg PO q6h PRN pain Omeprazole 40mg PO daily x 9 months Aspirin 81mg PO daily ChlorTabs 4mg PO q4-6h PRN seasonal allergies Assessment & Plan: Medical resident at bedside with patient for emergent evaluation of hyperkalemia.
PCP Visit
Name: Marilyn Rosen Age: 78 years Sex: Female Chief Complaint: Presents to the PCP office for dysuria, increased frequency and urgency . History of Present Illness: Patient reports dysuria, urinary frequency, and urgency beginning 2 days prior. Patient reports no fever or chills. Started azo this morning. Past Medical History:HTN Hyperlipidemia Depression Anxiety GERD - diagnosed 9 months ago T2DM Osteoporosis CKD Stage IV Osteoartritis of L knee Home Medications: Amlodipine 10mg PO daily Lisinopril 20mg PO daily Metformin 500mg PO BID Atorvastatin 40mg PO nightly Paroxetine 40mg PO daily Alprazolam 0.5mg PO BID PRN anxiety Acetaminophen 500mg PO q6h PRN pain Omeprazole 40mg PO daily x 9 months Aspirin 81mg PO daily ChlorTabs 4mg PO q4-6h PRN seasonal allergies Assessment & Plan: Patient presents with signs and symptoms of UTI. No concern for pyelonephritis with lack of flank pain and afebrile. Will start Bactrim x 7 days. Will obtain UA and urine culture in office and BMP on Monday.
Urine Culture
Date: 4/10 Time: 1030am
Culture: > 100,000 CFU/mL Escherichia coli
Antibiotic Susceptibility Antibiotic Result Ampicillin Susceptibile Amox-Clav Susceptibile Cefazolin Susceptible Ceftriaxone Susceptible Levofloxacin Susceptible Nitrofurantoin Susceptible SMX-TMP Susceptible Gentamicin Susceptible
Urine Culture
Date: 4/10 Time: 1030am
Culture: > 100,000 CFU/mL Escherichia coli
Antibiotic Susceptibility Antibiotic Result Ampicillin Susceptibile Amox-Clav Susceptibile Cefazolin Susceptible Ceftriaxone Susceptible Levofloxacin Susceptible Nitrofurantoin Susceptible SMX-TMP Susceptible Gentamicin Susceptible
Urine Culture
Date: 4/10 Time: 1030am
Culture: > 100,000 CFU/mL Escherichia coli
Antibiotic Susceptibility Antibiotic Result Ampicillin Susceptibile Amox-Clav Susceptibile Cefazolin Susceptible Ceftriaxone Susceptible Levofloxacin Susceptible Nitrofurantoin Susceptible SMX-TMP Susceptible Gentamicin Susceptible
Urine Culture
Date: 4/10 Time: 1030am
Culture: > 100,000 CFU/mL Escherichia coli
Antibiotic Susceptibility Antibiotic Result Ampicillin Susceptibile Amox-Clav Susceptibile Cefazolin Susceptible Ceftriaxone Susceptible Levofloxacin Susceptible Nitrofurantoin Susceptible SMX-TMP Susceptible Gentamicin Susceptible
Urine Culture
Date: 4/10 Time: 1030am
Culture: > 100,000 CFU/mL Escherichia coli
Antibiotic Susceptibility Antibiotic Result Ampicillin Susceptibile Amox-Clav Susceptibile Cefazolin Susceptible Ceftriaxone Susceptible Levofloxacin Susceptible Nitrofurantoin Susceptible SMX-TMP Susceptible Gentamicin Susceptible
Urine Culture
Date: 4/10 Time: 1030am
Culture: > 100,000 CFU/mL Escherichia coli
Antibiotic Susceptibility Antibiotic Result Ampicillin Susceptibile Amox-Clav Susceptibile Cefazolin Susceptible Ceftriaxone Susceptible Levofloxacin Susceptible Nitrofurantoin Susceptible SMX-TMP Susceptible Gentamicin Susceptible
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Transcript
Allergies
ED Brief Note April 14 0823
ED Triage Note April 14 0800
PCP Visit Follow Up Call April 13 1200
Allergies
PCP Visit April 10 1000
BMP/CMP | Coag | ABGs
Basic Metabolic Panel
CBC | Cardiac Panel
Iron | Lipids | Urinalysis
Allergies
+Complete Metabolic Panel
Urine Culture
Other
Coagulation Studies
BMP/CMP | Coag | ABGs
Basic Metabolic Panel
CBC | Cardiac Panel
Iron | Lipids | Urinalysis
Allergies
+Complete Metabolic Panel
Urine Culture
Other
Coagulation Studies
BMP/CMP | Coag | ABGs
CBC (w/ differential)
CBC | Cardiac Panel
Iron | Lipids | Urinalysis
Allergies
Urine Culture
Other
CBC (w/ differential)
CardiacPanel
BMP/CMP | Coag | ABGs
Urinalysis
CBC | Cardiac Panel
Iron | Lipids | Urinalysis
Allergies
Urine Culture
Other
BMP/CMP | Coag | ABGs
CBC | Cardiac Panel
Iron | Lipids | Urinalysis
Allergies
Urine Culture
Other
Allergies
Other Results
Infectious Disease
Urine Culture 4/10
Allergies
Cardiovascular
Allergies
Allergies
PCP Visit Follow Up Phone Call
Encounter Type: Phone CallDate: 4/13/26 Time: 1200 Patient's BMP and urine culture resulted. Urine culture with pansensitive E. coli. BMP notable for potassium of 6.9. Called patient to recommend patient present to the Emergency Department for electrolyte abnormality.
ED Brief Note
Patient with no pulse at 0823. Code blue called and CPR initited. On first rhythm check found to be in ventricular fibrilation and shock administered. ACLS continued.
ED Triage Note
Name: Marilyn Rosen Age: 78 years Sex: Female Chief Complaint: Presents to the ED by PCP recommendation for electrolyte abnormality. History of Present Illness: Patient recently seen by PCP for UTI and started on SMX-TMP 4 days ago. Past Medical History:HTN Hyperlipidemia Depression Anxiety GERD - diagnosed 9 months ago T2DM Osteoporosis CKD Stage IV Osteoartritis of L knee Home Medications: Amlodipine 10mg PO daily Lisinopril 20mg PO daily Metformin 500mg PO BID Atorvastatin 40mg PO nightly Paroxetine 40mg PO daily Alprazolam 0.5mg PO BID PRN anxiety Acetaminophen 500mg PO q6h PRN pain Omeprazole 40mg PO daily x 9 months Aspirin 81mg PO daily ChlorTabs 4mg PO q4-6h PRN seasonal allergies Assessment & Plan: Medical resident at bedside with patient for emergent evaluation of hyperkalemia.
PCP Visit
Name: Marilyn Rosen Age: 78 years Sex: Female Chief Complaint: Presents to the PCP office for dysuria, increased frequency and urgency . History of Present Illness: Patient reports dysuria, urinary frequency, and urgency beginning 2 days prior. Patient reports no fever or chills. Started azo this morning. Past Medical History:HTN Hyperlipidemia Depression Anxiety GERD - diagnosed 9 months ago T2DM Osteoporosis CKD Stage IV Osteoartritis of L knee Home Medications: Amlodipine 10mg PO daily Lisinopril 20mg PO daily Metformin 500mg PO BID Atorvastatin 40mg PO nightly Paroxetine 40mg PO daily Alprazolam 0.5mg PO BID PRN anxiety Acetaminophen 500mg PO q6h PRN pain Omeprazole 40mg PO daily x 9 months Aspirin 81mg PO daily ChlorTabs 4mg PO q4-6h PRN seasonal allergies Assessment & Plan: Patient presents with signs and symptoms of UTI. No concern for pyelonephritis with lack of flank pain and afebrile. Will start Bactrim x 7 days. Will obtain UA and urine culture in office and BMP on Monday.
Urine Culture
Date: 4/10 Time: 1030am
Culture: > 100,000 CFU/mL Escherichia coli
Antibiotic Susceptibility Antibiotic Result Ampicillin Susceptibile Amox-Clav Susceptibile Cefazolin Susceptible Ceftriaxone Susceptible Levofloxacin Susceptible Nitrofurantoin Susceptible SMX-TMP Susceptible Gentamicin Susceptible
Urine Culture
Date: 4/10 Time: 1030am
Culture: > 100,000 CFU/mL Escherichia coli
Antibiotic Susceptibility Antibiotic Result Ampicillin Susceptibile Amox-Clav Susceptibile Cefazolin Susceptible Ceftriaxone Susceptible Levofloxacin Susceptible Nitrofurantoin Susceptible SMX-TMP Susceptible Gentamicin Susceptible
Urine Culture
Date: 4/10 Time: 1030am
Culture: > 100,000 CFU/mL Escherichia coli
Antibiotic Susceptibility Antibiotic Result Ampicillin Susceptibile Amox-Clav Susceptibile Cefazolin Susceptible Ceftriaxone Susceptible Levofloxacin Susceptible Nitrofurantoin Susceptible SMX-TMP Susceptible Gentamicin Susceptible
Urine Culture
Date: 4/10 Time: 1030am
Culture: > 100,000 CFU/mL Escherichia coli
Antibiotic Susceptibility Antibiotic Result Ampicillin Susceptibile Amox-Clav Susceptibile Cefazolin Susceptible Ceftriaxone Susceptible Levofloxacin Susceptible Nitrofurantoin Susceptible SMX-TMP Susceptible Gentamicin Susceptible
Urine Culture
Date: 4/10 Time: 1030am
Culture: > 100,000 CFU/mL Escherichia coli
Antibiotic Susceptibility Antibiotic Result Ampicillin Susceptibile Amox-Clav Susceptibile Cefazolin Susceptible Ceftriaxone Susceptible Levofloxacin Susceptible Nitrofurantoin Susceptible SMX-TMP Susceptible Gentamicin Susceptible
Urine Culture
Date: 4/10 Time: 1030am
Culture: > 100,000 CFU/mL Escherichia coli
Antibiotic Susceptibility Antibiotic Result Ampicillin Susceptibile Amox-Clav Susceptibile Cefazolin Susceptible Ceftriaxone Susceptible Levofloxacin Susceptible Nitrofurantoin Susceptible SMX-TMP Susceptible Gentamicin Susceptible