[Solved]: Patient, an 82-year-old that presents today to see Dr

Patient, an 82-year-old that presents today to see Dr. Newson. Dr. Newson saw this patient 10 days ago in office, where she was diagnosed with a UTI and prescribed nitrofurantoin po. Today she presents with the complaints of dysuria, low back pain, abdominal pain, nausea, and diarrhea. After a positive UA she was admitted to Weston Hospital. PE: Ht: 5’ 3”, Wt: 112 lb., T: 97.3, P: 70, R: 19, BP: 133/62, O2 sat 97%. Dr. Newson notes LLQ tenderness and poor nutritional intake. Blood work results: WBC-16.5, RBC-5.70, HCT-50.5 indicating infection. Urine culture showed Staphylococcus. CT scan of abdomen and pelvis reveal mild diverticulitis. Chest clear, lungs clear—sounds bilaterally S1 & S2 heard. Active bowel sound. Strong muscle strength in all extremities. Pulse is regular. Skin is intact, noted redness in coccyx area. Mucous membrane is moist and pink. Functioning independently. Laboratory results: Sodium—133 (L); Potassium—4.7 Chloride—95 (L); CO2—23 Glucose-Serum—122 (H); BUN—16 Creatinine—0.8; Protein—8.2 Albumin—4.7; Total Bilirubin—1.3 WBC—15.5 (H); RBC—5.70 (H) HGB—15.9; HCT—50.5 (H) Platelet—326; Neutrophils—65.4 Lymphocytes—27.0; Monocytes—6.3 Eosinophils—0.4; Basophils—0.9 ALT—13; AST—31; Alkaline Phosphatase—106 Patient was started on Vancomycin 200 mg/IV q 6 hr, Docusate sodium 100 mg/hr, and Zofran 24 mg po. Patient responded to treatment and is alert & oriented x 3. If she continues to improve, she will be discharged home tomorrow. Dx: Staphylococcal UTI, Large intestine diverticulitis