Reporte zur Charge CVX208 (UNKNOWN

Symptomtext

Patient up to date on COVID vaccinations who admitted to hospital with COVID positive test (no respiratory issues during stay) for sepsis from UTI and active metastatic cancer. Provider discharge note below: "Significant Findings and Invasive Procedures) the patient presented with fever, tachycardia and leukocytosis found to be septic from complicated UTI. Mild hydro on imaging and she has ureteral stent. She also had AKI. aki improved as did fever/wbc. Urology recommended outpatient follow up and early stent exchange but not until out of covid isolation, especially given the fact she has resolution of aki and was feeling improved. She was given 1u prbc due to symptomatic anemia though she was not far from baseline and without observed hemorrhage. She was offered a second unit given 7.5 hgb and mild tachycardia but she declined. Will complete 7 day course with cipro, ucx was negative but was collected after cefepime given. Gen: in NAD. Non toxic. Appears improved. HEENT: mucosa moist CV: borderline tachycardic rate, regular rhythm Resp: clear to auscultation bilaterally Abd: soft Ext: left lower extremity with trace pittign lower extremity edema, right lower extremity without any significant edema Skin: warm, dry Neuro: alert, oriented x4 No flank pain. Issues Requiring Follow Up: (Who, what, when, and how communicated?) follow up urology for stent exchange in 1-2 weeks."