University of Santo Tomas Hospital Clinical Divison CV Medicine Referrals Census October 1, 2013 109C 13I00602 11-78-52 DOA: 9/29/13 DOR: 9/29/13 109E 13I00567 10-38-07 DOA: 9/27/13 DOR: 9/27/13 109I 13I00568 11-77-77 DOA: 9/27/13 DOR: 9/27/13 110G 13I00611 09-96-87 DOA: 9/29/13 DOR: 9/29/13 General Data IM Diagnosis Reyes, Delia 57/F (-) HTN (+) DM Galicia, Lorena 36/F (+) RHD Diagnosis OB-GYN G2P2(2002) vault prolapse stage 4a, 3Aa, 2ApB4, s/p TAHBSO with posterior repair G2P1(0110) AUB t/c endometrial hyperplasia, s/p mitral valve replacement Notes For abdominal sacrocolpopexy on Oct 1,2013 s/p curettage (9/27/13) on Digoxin 0.25mg/tab ½ tab OD Reyes, Daisy 51/F (+) HTN (-) DM G3P3(3003), AUB secondary to endometrial polyp, multiple myoma level, invasive ductal cancer stage 1 s/p MRM 2011 s/p TAHBSO 9/30/13 G3P2(2002) PU 40-41wks AOG, cephalic in beginning labor; EROM x 1hr GDM, diet controlled Bronchial asthma not in acute exacerbation MICU Acute cerebral infarct left MCA territory embolic SICU Left thalamic ICH with IVE and obstructive hydrocephalus For forceps delivery 9/29/13 Baxatra, Jessielyn 38/F (-) HTN (+) GDM MICU A Castillejo, Edward 49/M (?) HTN (?) DM SICU A 13I00423 11-75-15 DOA: 9/20/13 Villaluz, Agnes 57/F (-) HTN (-) DM SICU C 13I00592 11-78-25 DOA: 9/28/13 DOR: 9/28/13 Handayan, Angelito 43/M (-) HTN (-) DM 216A 13I00572 11-77-83 DOA: 9/27/13 DOR: 9/27/13 Mariano, Marilyn 59/F 217D 13I00334 11-73-28 DOA: 9/15/13 DOR: 9/18/13 217E DOA: 9/14 DOR: 9/14 Pagtakhan, Moises P. 81/M (-) HTN (-) DM Acute cerebral infarct, L MCA territory Barliza, Brian 49/M (+) HTN (+) DM t/c pontine infarct, R lower dorsal area prob atherosclerotic, NIHSS 4 217H 13100470 09-72-75 DOA: 9/22/13 Del Rosario Jr, Jesus 57/M (+) HTN (-) DM Tumor recurrence of malignant astrocytoma s/p subtotal excision s/p chemotherapy with RSS (2012) 219B 13100628 11-78-90 DOA: 9/30/13 DOR: 9/30/13 220D 13I00415 11-47-28 Mangalile, Elpidio 73/M (-) HTN (-) DM Buizon, Aurea B. 60/F (+) HTN (-) DM Intracerebral hemorrhage left lobe NEURO Acute cerebral infarct Right occipital cerebellar hemorrhage Probably cardioembolic in origin FEMALE SURGERY BPH Obstructive uropathy 2 to endmetrial CA st. III Losartan 50mg/tab Bisoprolol 5mg/tab Trimetazidine 35mg/tab OD Atorvastatin 40mg/tab OD s/p EVD insertion (9/20/13) s/p VPS (9/29/13) s/p left parietal burrhole craniotomy with evacuation of ICH 9/29/13 Atorvastatin 40mg/tab OD Amiodarone 200mg/tab ODHS Trimetazidine 35mg/tab BID ASA 80mg/tab OD Still for 2D echo, TFT Digoxin 0.25mg/tab OD Perindopril+Indapamide 5/1.25mg/tab OD Bisoprolol 5mg/tab OD Clonidine 75mcg/tab Rivaroxaban 20mg/tab ODHS Carvedilol 6.25mg/tab BID Diltiazem 60mg/tab OD Clonidine 150mcg/tab OD Atorvastatin 40mg/tab OD Cilostazol 100mg/tab BID s/p tracheostomy 9/26/13 Felodipine 5mg/tab OD For turp on October 2 No clearance yet ECG-NSR, RVH CXR-irregular lung fields on both upper lungs t/c PTB suggest ff up to rule out malignancy For cystoscopy, DJ stent insertion bilateral 10/2/13 still awaiting decision – high risk! DOA: 9/19/13 DOR: 9/19/13 220I 13I00074 11-62-74 DOA: 9/4/13 DOR: 9/4/13 221A 13100604 11-78-54 DOA: 9/29/13 DOR: 9/29/13 221D 13I00545 11-77-32 DOA: 9/26/13 DOR: 9/26/13 223A 13I00405 11-23-18 DOA: 9/19/13 DOR: 9/19/13 223E 13H00306 11-61-76 DOA: 8/17/13 223G 13I00484 06-77-84 DOA: 9/22/13 DOR: 9/22/13 307B 13I00603 11-78-53 DOA: 9/29/13 DOR: 9/29/13 307G 13I00534 08-17-24 DOA: 9/25/13 DOR: 9/25/13 307H 13I00230 01-64-44 DOA: 09/11/13 DOA: 09/11/13 307I 13I00512 11-76-49 DOA: 9/24/13 DOR: 9/24/13 308J 13I00560 11-71-67 DOA: 9/26/13 DOR: 9/27/13 309E 309G 13I00606 10-72-44 DOA: 9/29/13 309H DOA: 9/29/13 Furosemide 40mg/iv Renosa, Leonora D. 75/F De Leon, Jennifer 37/F Angeles, Honorata 59/M HTN St. II Toxic goiter s/p subtotal thyroidectomy, euthyroid (-) HTN (-) DM Bladder diverticulum; squamous cell CA of the bladder s/p partial cystectomy (8/23/13) Cholelithiasis not in cholecystitis s/p intubation (9/20) signed EOLCP – to consume all medications including pressors Norepinephrine drip 16mg/250 D5W, max 196cc/hr Ivrabradine 5mg/tab s/p open cholecystectomy 9/30/13 to follow 2nd case (+) HTN Spindle cell tumor of right thigh s/p wide excision of right thigh mass 9/30/13 7am Telmisartan 40mg+HCTZ 12.5mg OD Atorvastatin 40mg/tab 1 tab ODHS Espinosa, Lourdes L. 66/F Aragon, Norma 53/F ASHD, HCVD, CAD, LVH, LAL, AS, MPAE, Mod MR, AR mild, TR mild, PR in CHF class IV-D HTN St II DM type 2 Left frontal convexity meningioma s/p 4 Vessel angiogram with embolization (8/27/13) Ivabradine 7.5mg/tab BID Damong, Sally Shayne T. 43/F (-) HTN (-) DM Gallardo, Arvin 32/M (-) HTN (-) DM Tiongson, Jose III 40/M (-) HTN (-) DM Residual pituitary adenoma with obstructive hydrocephalus s/p bifrontal craniotomy with excision of tumor on 9/30/13 Olivar, George 34/M MI – 2007 Primary aldosteronism 2012 Left basal ganglia, ICH s/p E decompression (9/16) Hermogeno, Leoncio 45/M Carotid Cavernous Fistula, indirect; AVM s/p embolization Atorvastatin 40mg/tab OD ISMN 30mg OD Amlodipine 5mg/tab 1 tab OD Trimetazidine 35mg/tab 1 tab OD Bisoprolol 5mg/tab 1 tab OD Digozxin 0.25mg/tab every other day Enalapril 5mg/tab 1 tab OD Furosemide 20mg/tab 1 tab OD Omeprazole 40mg/tab 1 tab OD s/p OR (9/4/13) MALE SURGERY Diabetic foot TB meningitis treated with chronic nonobstructive hydrocephalus Tentative coil embolization schedule 10/1/13 s/p ray amputation big toe right foot 9/30/13 Amlodipine 10 OD Carvedilol 6.25 BID Ivabradine 7.5mg/tab BID For thalium viability scan on 9/30/13 Salacup, Edilberto 66/M (+) RHD 1957 Pleural effusion left Community acquired pneumonia Trimetazidine 35mg/tab BID Carvedilol 6.25mg/tab OD Enalapril 5mg/tab OD Atorvastatin 40mg/tab OD s/p VATS biopsy with deloculation and decortication on 9/30/13 Corpuz, Andrew 38/M Cadaguit, Hernando 51/M (-) HTN (-) DM (+) HTN Asymptomatic gallbladder stone Laparoscopic cholecystectomy 10/1/13 Incisional Hernia s/p whipple’s procedure (12/17/12) For repair of incisional hernia 10/1/13 LLantero, Larry 38/M (-) HTN (-) DM Appendicitis s/p emergency appendectomy 9/30/13 MEDICINE 211E 13I00580 00-70-80 DOA: 9/27/13 DOR: 9/29/13 Catotocan, Ma. Theresa 51/F HTN stagae 1 ASHD, CAD at risk, NIF UGIB prob Aspirin induced vs stress induced, HTN stage II controlled s/p CVA, CKD 302C 13E00409 11-27-19 DOA: 5/24/13 302G 13I00601 11-78-51 DOA: 9/29/13 302H 13I00598 11-78-48 DOA: 9/29/13 303B 13I00004 11-66-84 DOA: 9/1/13 DOR: 9/15/13 303I 13I00319 11-66-85 DOA: 9/15/13 Espiritu, Corazan 58/F (+) HTN SAN DAMIAN Well diff Sq Cell CA of tongue St. IVA (T4N1M0) Espinoza, Marites 46/F (-) HTN (-) DM Multinodular nontoxic goiter Caguitla, Angelita 63/F (-) HTN (-) DM Thyroglossal duct cyst Monterona, Leonardo 63/M HPN St. II (-) DM SCCA of the tongue Tamantoc, Felix 60/M (+) HTN (-) DM SCCA, EAC, AS For upper GI endoscopy Awaiting 2D echo results prior to clearance s/p Trache (5/28) s/p Tot glossec, Laryngectomy, w/ Anterolat thigh flap recon, Mod RND, R, Supraomohyoid ND (5/28), s/p wound exploration, control of bleeders (5/31) s/p Gastro tube insertion (7/16) Tentative OR schedule 10/2/13 (total thyroidectomy) Clearance granted as outpatient – intermediate risk Risk stratification to follow Tentative OR schedule 10/2/13 (sistrunk procedure) Clearance granted as outpatient – clinical: low Procedural : moderate Risk stratification to follow s/p total glossectomy (9/24/13) Albumin infusion, Furosemide 20mg/iv after every albumin infusion, Kalium durule qid Dilitiazem 80mg/tab, repeat Na K crea October 2 Tentative OR sched on 10/4/13 Clearance granted 2d echo: CLVR with GWMC and NRSF, ef=75%, MR mild, AR mild, TR mild, mild pulmonary htn