Reporte zur Charge U01533

Symptomtext

Discharge Provider: DO Primary Care Provider at Discharge: DO Admission Date: 5/22/2022 Discharge Date: 5/25/2022 HOSPITAL PROBLEMS 1. Covid-19 Infection 2. Diarrhea secondary to Covid-19 3. AKI 4. HTN 5. T2DM 6. IDA 7. COPD 8. GERD 9. HLD 10. RLS HOSPITAL COURSE: Patient is a 72 y.o. female admitted to hospital due to diarrhea and dehydration secondary to Covid-19 infection. Covid-19/Diarrhea: Patient admitted with several days of copious diarrhea and subsequent dehydration. She had also been feeling generally unwell, with congestion and rhinorrhea. Was found to be Covid positive on 5/22/2022. Did not have SOB, fever or cough. Was not candidate for steroids or Remdesivir. While thought diarrhea due to Covid infection did not want to overlook bacterial cause so enteric pathogens and C diff were tested which came back negative. Patient was started on IV fluids. Diarrhea began to resolve and patient was tolerating diet. Was able to discharge home. AKI: On admission Cr 3.32, with baseline 1.0-1.3. Likely prerenal given GI losses and dehydration. Lisinopril and Maxide was held, and she was started on IV fluids, with subsequent improvement in Cr. IV fluids were discontinued when patient had adequate PO intake, and Cr continued to show improvement. Was deemed stable for discharge home with follow up with PCP. Lisinopril and Maxide held at discharge, with repeat BMP ordered for 5/27/2022. IDA: Patients Hb 8.5 on admission. Vit B12 and folate WNL. Iron low at 26. Was started on Iron supplementation. EGD 2019: distal stricture with erosion, moderate HH. Colon 2017: 5 mm, diminutive polyp - tubular adenoma