04/07/1964
MRN:
991776
Weight:
160lb or 73kg
Admitting Diagnosis:
Bacterial Pneumonia
Admitting Physician:
Wilson James, MD
None
High Cholesterol
L Knee Replacement
| Lab Result | Tested Value | Normal Value Range |
|---|---|---|
| Glucose | 130 | 70-100 |
| BUN | 18 | 5-20 |
| Creatinine | 1.2 | 0.5-1.5 |
| Sodium | 131 | 135-145 |
| Potassium | 3.7 | 3.5-5.0 |
| Chloride | 99 | 95-105 |
| Calcium | 9.8 | 9-11 |
| Lab Result | Tested Value | Normal Value Range |
|---|---|---|
| WBC | 18.2 | 4.8-10.8 |
| RBC | 5.1 | 4.7-6.1 |
| HGB | 13.1 | 12.6-17.4 |
| HCT | 39 | 37-51 |
| MCV | 85 | 80-94 |
| MCH | 28 | 27-31 |
| MCHC | 35 | 33-37 |
| Platelets | 190 | 130-400 |
| Segmented Neutrophils % | 89 | 50-70 |
| Neutrophils, bands | 8 | 0-5 |
| Lymphocytes % | 26 | 20-40 |
| Monocytes % | 7 | 0-15 |
| Eosinophils % | 3 | 0-6 |
| Basophils % | 1 | 0-2 |
| Reticulocytes | 0 | 0-1 |
| Lab Result | Tested Value | Normal Value Range |
|---|---|---|
| PT | 9.1 | 7.6-10.6 |
| PTT | 30 | 26-38 |
| Lab Result | Tested Value | Normal Value Range | |
|---|---|---|---|
| Troponin | <0.01 | <0.01 |
| Time | 2000 | 0000 | 0400 |
|---|---|---|---|
| Heart Rate | 109 | 107 | 110 |
| Blood Pressure | 150/90 | 120/85 | 121/87 |
| Respiratory Rate | 32 | 34 | 36 |
| Pulse Ox | 96% on 2L NC | 95% on 2L NC | 96% on 2L NC |
| Temperature | 102.6 Oral | NOT RECORDED | NOT RECORDED |
| Time | Provider | Notes |
|---|---|---|
| 2000 | Wilson James, MD | 56 yo male presenting to the ED with chest pain and shortness of breath with productive cough x 1 week, getting worse. On arrival, pt speaking in full sentences without difficulty, lungs with crackles auscultated bilaterally. Chest xray shows bilateral pneumonia, suspect bacterial; antibiotics ordered. |