Received Mar 24, 2025
| Type | Name | Manufacturer | Dose | Lot | Route / Site |
|---|---|---|---|---|---|
| COVID19 | COVID19 (COVID19 (MODERNA)) | MODERNA | 4 | 049D22A | IM / UN |
Name: Medical Record #: Age: 83 y.o. DOB: 7/XX/1941 Admit date: 3/17/2025 Discharge date: 03/18/25 Admitting Physician:, DO Attending Physician at the Time of Discharge: DO Primary Care Physician: MD Reason for Admission: C-diff, Covid Hospital Course: Patient presented to the emergency department for diarrhea and worsening generalized weakness. Upon admission, elevated white count was in the 60s. Zosyn and vanc was initiated. Imaging was relatively unremarkable other than bilateral pleural effusions. Patient did appear dry on initial exam and therefore 1 L bolus was given. GI PCR returned C difficile positive as well as RV P returned COVID positive. Patient was treated with oral vanc. White count down trended every day with patient feeling much better and having less stools per day. Patient was eating and tolerating diet well. Patient denied any chest pain, shortness of breath, abdominal pain. I called the patient's daughter who was amenable for patient's discharge back to facility. Patient was also amenable to this plan. We will discharge her with the total 10 day course of oral vanc. She is also instructed to take her Bumex for diuresis as well as as needed metolazone for extra diuresis. Patient will be discharged to facility in stable condition. She understands return precautions. Patient understands the importance of medication compliance and following up as told. All questions were answered. Discharged to Skilled Nursing Facility.