Answered

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A 70-year-old female presented to the hospital with fever, myalgia, arthralgia, tachycardia, and dehydration and was believed to be septic. This patient has a history of hypertension, CHF, and migraines. Routine medications include Lasix 40 milligrams by mouth each morning, if needed, for significant pedal edema and Isordil 20 milligrams by mouth four times a day.

A variety of studies were obtained to further delineate the source of her problem. Urine cultures were negative. Blood cultures grew Escherichia coli. The blood urea nitrogen level was 22, and a random glucose was 149. An anterior-posterior film of the chest taken at the same time showed acute pulmonary edema.

The patient received intravenous fluids. The patient's routine medications were continued, and she received intravenous antibiotics. On the fourth day of her hospital stay, it was believed that the patient had reached maximal hospital benefit and was therefore switched to oral antibiotics and was discharged. The patient left the hospital in good condition.

DISCHARGE DIAGNOSES:

Sepsis due to Escherichia coli:

Dehydration:

Hypertensive heart disease:

Left ventricular failure:

Sagot :

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