| MEU552 - 4/18/01 2:55:21 PM |
| KALEIDA HEALTH MR#: 99999-999 MILLARD FILLMORE HOSPITAL NAME: DOE, JOHN J 3 Gates Circle DATE OF BIRTH: 11/24/1922 Buffalo, NY 14209 ROOM#: 0857 ADMISSION DATE: 04/03/2001 DISCHARGE SUMMARY DISCHARGE DATE: 04/05/2001 _______________________________________________________________________________ Dictated by Test M. Test, M.D. cc: Robert B. Jones, M.D. Thomas M. Smith, M.D. HISTORY OF PRESENT ILLNESS: The patient is a 78-year-old white male who was admitted. The patient denies any fever or chills. MEDICATIONS: No past medications. PAST MEDICAL HISTORY: Past medical history is significant for emphysema. SOCIAL HISTORY: The patient is a former smoker. PAST SURGICAL HISTORY: No surgical history. PHYSICAL EXAMINATION: The patient is a well-developed, well-nourished male in no apparent distress. Afebrile, vital signs stable. HEENT within normal limits. Cardiac - regular rhythm. Lungs clear. Abdomen soft, nontender. IMPRESSION: Test. PLAN: Ultrasound and IV antibiotics. HOSPITAL COURSE: The patient underwent ultrasound which revealed no evidence of any abscess. The patient remained afebrile and the patient was continued on IV antibiotics for 48 hours. The patient had some improvement in his symptoms and, as such, the patient was converted to p.o. antibiotics and discharged home by Dr. Smith. The patient will follow up with Dr. Smith in the office. The patient will be sent home with Levoquin 500 mg p.o. q.d. for 3 weeks. Activity will be limited and diet will be as tolerated. MedQuist/12171/242547 D: 04/05/2001 09:11 ___________________________ T: 04/10/2001 17:44 |