Received Mar 17, 2025
| Type | Name | Manufacturer | Dose | Lot | Route / Site |
|---|---|---|---|---|---|
| COVID19 | COVID19 (COVID19 (PFIZER-BIONTECH)) | PFIZER\BIONTECH | 5 | HG2649 | IM / UN |
Name: Medical Record #: Age: 79 y.o. DOB: 2/xx/19xx Admit date: 3/8/2025 Discharge date: 3/10/2025 Admitting Physician: MD Attending Physician at the Time of Discharge: MD Primary Care Physician: MD Reason for Admission: Abdominal pain with concerns for small-bowel obstruction that was clinically ruled out Brief Summary of Hospital Stay: Patient is a 79 y.o. female with h/o incarcerated hernia s/p repair in 2019, anxiety disorder, GERD, hypertension, CVA, dysphagia, asthma, anxiety would presented with sore throat for the past 4 days secondary to COVID-19 though did have intermittent bouts of abdominal pain for which CT of the abdomen pelvis was performed which showed findings suspicious for partial small bowel obstruction related to an internal hernia with transition point near the back containing umbilical hernia. General surgery consulted and evaluated patient and assessed that patient did not have small-bowel obstruction clinically and patient was able tolerate general diet without any issues and discharge home on 03/10. Patient with some soft blood pressures around time of discharge with systolics in the 90s to 100s for which patient's losartan 50 and Lasix 40 mg daily were paused though these can be restarted at next PCP visit if blood pressure is stable. Issues Requiring Follow Up: -follow up to ensure that blood pressures were not restarting home losartan 50 and Lasix 40 daily Patient Active Problem List Diagnosis Date Noted ? Abdominal pain 03/09/2025 ? Umbilical hernia 03/08/2025 ? COVID 03/08/2025 ? Chronic HFrEF (heart failure with reduced ejection fraction) (HCC) 06/16/2024 ? Acute diverticulitis 06/16/2024 ? AKI (acute kidney injury) (HCC) 06/16/2024 ? Incarcerated umbilical hernia 08/23/2022 ? Osteopenia 11/20/2019 Discharged to Home