Received Aug 11, 2025
| Type | Name | Manufacturer | Dose | Lot | Route / Site |
|---|---|---|---|---|---|
| RAB | RABIES (RABAVERT) | NOVARTIS VACCINES AND DIAGNOSTICS | 1 | — | SYR / OT |
| RAB | RABIES (RABAVERT) | NOVARTIS VACCINES AND DIAGNOSTICS | 1 | fdp00683 | IM / OT |
Patient s/p dog bite by family dog. Upon evaluation in the hospital, patient reported that dog was unknown canine who attacked patient and dog. Rabies vaccine was decided to be given by ED provider 7/25. RN administered vaccine and provided vaccine information sheet. Prior to vaccine, family reports that patient was in usual state of health. Following discharge from ED, patient's family reports that patient stopped eating and drinking, was feeling anxious and overwhelmed. Patient had trouble finishing sentences when brought back to the ED. Patient admitted with altered mental status.
Anxiety following dog bite
82-year-old woman with past medical history significant for Waldenstrom macroglobulinemia and CLL, history of heart disease, atrial fibrillation, pacemaker insertion, cardioversion, expressive aphasia, and mild dementia in the past.
Augmentin 875/125 mg tablet po BID starting 7/25; Eliquis, Digoxin (level subtherapeutic on admission); diltiazem ER, Gentamicin ointment; Rituximab sc injections q 90 days with last dose 6/2/25
NKDA
Brain MRI 7/31: Slightly motion degraded exam. Within this limitation, no acute intracranial abnormality. Brain MRI 8/6 does show : THERE IS A SMALL AREA OF ACUTE INFARCTION IN THE CORTEX OF THE UPPER POSTERIOR RIGHT PARIETAL LOBE. patient was found to have klebsiella in urine on 8/3, C. diff + 8/3. LP performed 8/6- NGTD