Gemini18
Expert
IMMEDIATE CAUSE OF DEATH:
1. Severe sepsis, gram-negative sepsis.
2. C.Diff colitis
3. Other contributing causes of death include hypokalemia, thrombocytopenia, severe protein calorie malnutrition, anemia and mycotic aneurysm.
Patient is found by neighbor in her care on 8/1/08, EMS is called. On arrival in the ED patient was found to have a temperature of 95.3 initially and then 101.3 later on. Pt was in ARF and hyponatremic. Pt was very hypoxic with sats at 77% on room air. Labs were abnormal with white count of 2.8 and chest x-ray finding in not acute disease. CT showed evidence of findings as discussed above. Pt was admitted with several altered mental status and sepsis.
Hospital Course:
1. Sepsis - started on IV Cipro. ID consulted
2. C. diff colitis - placed on Flagyl
3. Severe Shock - continued to be hypotensive afterwards. Despite initial treament, patient declined.
Pt expired at 19:40 on 8/3/08
Labs were done
Exam - General, Chest, Abd, CVS and Extremities
A/P
1. Sepsis. C. Diff Colitis
2. Hypotension
3. Hypokalemia
4. Thrombocytopenia
4. Mycotic aneurysm
No time documented, but it is coded as a critical care.
1. Severe sepsis, gram-negative sepsis.
2. C.Diff colitis
3. Other contributing causes of death include hypokalemia, thrombocytopenia, severe protein calorie malnutrition, anemia and mycotic aneurysm.
Patient is found by neighbor in her care on 8/1/08, EMS is called. On arrival in the ED patient was found to have a temperature of 95.3 initially and then 101.3 later on. Pt was in ARF and hyponatremic. Pt was very hypoxic with sats at 77% on room air. Labs were abnormal with white count of 2.8 and chest x-ray finding in not acute disease. CT showed evidence of findings as discussed above. Pt was admitted with several altered mental status and sepsis.
Hospital Course:
1. Sepsis - started on IV Cipro. ID consulted
2. C. diff colitis - placed on Flagyl
3. Severe Shock - continued to be hypotensive afterwards. Despite initial treament, patient declined.
Pt expired at 19:40 on 8/3/08
Labs were done
Exam - General, Chest, Abd, CVS and Extremities
A/P
1. Sepsis. C. Diff Colitis
2. Hypotension
3. Hypokalemia
4. Thrombocytopenia
4. Mycotic aneurysm
No time documented, but it is coded as a critical care.