| Patient case 1 | Patient case 2 | Patient case 3 |
---|---|---|---|
CC | Two week history of constipation. | Nausea, vomiting, and high blood pressure. | Pneumonia. |
 | Admitted to General medicine service. | Admitted to General medicine service | Admitted to General medicine service. |
HPI | 18 year old female with chronic history of pelvic floor dysfunction, who presents with chronic constipation for 14 days, associated with nausea, vomiting, and abdominal pain. | 19 year old female who is transferred from an outside hospital with nausea, vomiting, and unable to control blood sugars | 58 year old male who was admitted after complaining of "shortness of breath." Patient was found to have pneumonia and pulmonic valve agitation consistent with endocarditis |
PMH | Asthma | Type 1 Diabetes Mellitus | ESRD status-post cadaveric renal transplant |
Depression | SLE | Hypertension. | |
Fibromyalgia | JRA | Non-insulin-dependent diabetes mellitus | |
Chronic constipation | Asthma | Dyslipidemia. | |
TMJ disorder | Raynaud's | Renal transplant. | |
Pelvic pain | Duodenitis | Multiple AV grafts. | |
 | Gastroparesis |  | |
 | Celiac sprue |  | |
 | Bursitis of both hips |  | |
FH | NR | NR | NR |
SH | NR | NR | NR |
Home medications | Prozac 80 mg po daily. | Venlafaxine 150 mg po qAM | Atenolol 100 PO daily |
Ortho-tri-cylen 1 po daily | Nifedipine 30 mg po qAM | Lipitor 10 mg PO daily | |
Magnesium chelate 40 mg po daily | Lisinopril 5 mg po Daily | Cyclosporine 75 mg PO bid | |
Lactobacillus 1 capsule po daily | Hydroxychloroquine 200 mg po bid | Diltiazem 300 mg PO daily | |
Lyrica 150 mg po bid | Fluticasone 1 Puff Daily | Lasix 40 mg PO daily | |
Abilify 6 mg po daily | Esomeprazole 40 mg po bid | Glipizide 5 mg PO bid | |
Pimozide 1 mg po daily | Clonazepam 2 mg po daily | Lisinopril 15 mg PO bid | |
Tizanidine 4–8 mg po bid prn | Albuterol 4 Puffs q1hour PRN | Losartan 100 mg PO daily | |
 | Insulin pump | Cellcept 500 mg PO bid | |
 |  | K-Phos 250 mg PO bid | |
 |  | Prednisone 10 mg every other day PO | |
Laboratory data | WBC: 8.1, Hgb: 12.6, Plt: 277, Na 137, K:3.6, Cl:104, Hco3:24, anion gap 13, Gluc: 90, BUN:10, Cr: 0.73, Ca: 9.1, protein 7.8, Alb: 4.3, total bilirubin: 0.5, Alk phos: 50, AST 21, ALT 13 | Not available on admission | Not available on admission |
Height and weight | Height: 175 cm | Height: 154.9 cm | Height: Not available |
 | Weight: 69 kg | Weight:74 kg | Weight: 135 kg |