442 CASE SCENARIO. LEFT LEG OSTEOMYELITIS/CELLULITIS.

Kingdom of God’s hospital Los Angeles,CA90000.

Interdisciplinary Kadex.

Mr Babyme,Luum.

Attending doctor: Tumtum,Worry.

MR# Q555500000.

Account#: Q000000022.

Status: Inpatient admission.

Code Status: Full code.

Isolation Precautions: Standard precautions.

Primary diagnosis: Left leg Osteomyelitis/ Cellulitis.

Secondary diagnosis: Etoh abuse,polysubstance abuse,Hep C, right BkA.,Hypertension.

Age 64years old man.

Weight:150lbs.

Height: 5ft 7inches.

Transportation: Bed.Left leg red and swollen, elevated on two pillows. Right stump healed elevated.

02 at 2liter NC.02 sat 93%.

Allergy: NKDA.

Diet: Regular diet.

Medications:

Vancomycin 1gm IV Q12hours.

0.9ND left AC @100ml/hour via pump.

Norco 5/5/325mg po Q4hours prn pain. Complain of pain 4/10,norco 5/325mg po given x1.

Re-evaluate pain after one hour, rated pain 0/10.

Laboratory Studies:

WBC “13.

H/H: 9.8,36%.

K:3.7 replaced with Kdur 20mEq ×1 as ordered.

NA:135.