Date 05-8-20 2nd floor ext.

: 6431
Patient Pertinent PMH Active Issues Medications / Labs Active changes/ to do
on call
Pierre Sakr A case of 65 yo male patient kth The patient presented to the hospital for Iv : 500 nss On 10g sodium.
Dr Hady Ghanem small cell lung cancer with mets altered mental status and seizure( Amlor 5mg od (Na=130)
254 failed multiple chemotherapy of repetitive movement of hand) ACTRAPID
gemzar Labs showed na of 134 ONDANSETRON
Mri done showed periventricular lesions OMNIC OCAS 0.4 mg TAB PBS: hypochromia,
Has hx of chronic pancreatitis Eeg done showed epileptical waves EUTHYROX 100 mcg TAB, pres of dacryocytes
COPD depakine dose increase thn stopped DEXAMETHASONE VENOUS, 4 and epileptocytes.
DM Us done for post void residue was normal MG q8 Lymphopenia, abs of
No more foley AMLOCARD 5MG, BID plt
DISCOtrine 5 mg PATCH, PRN aggregates.considered
DULCOLAX 5 mg TAB, ORAL, 2 as a consequence of
SIADH and adrenal insuff TAB, BID his cancer
- 9/8: Constipation since 5/8 : LOVENOX 40mg/0.4ml INJ, QPM
patient didn’t gave stools ASPIRIN 100 mg TAB DAILY Euro k
stools gave 2 glycrine CONCor 5MG TAB, daily
KEPPRA, 1500 MG BID
NEXIUM 40mg FU on stools: gave
CRESTOR 10MG TAB, DAILY duphalac 30 cc and
PLAVix 75 mg TAB, dulcolax and today
Euro-K 20 mEq TID alpha clyss still nothg
sodium chloride 20%
( 4gm/20ml) INJ, I-VENOUS, 8 G
(SODIUM CHLORIDE)
duphalac 30 cc prn constipation

Moustafa nahas Case of 72 year old male patient Total of 4 PRBCs taken
255 KTH HTN, DM and CAD /p 5 Anemia workup actraid Transfused today 1
Dr. Riad Akoum stents (last one 2006), hairy cell (iron-ferritin-TIBC-folate-vitb12-peripheral lantus unit rbc irradiated
leukemia (2017) last chemo smear) nexium 40mg tab
Protective 2019, presented for dizziness of Withold aspirin lipitor 20 mg tab, daily f/p blood, urine,
isolation 3 days and 2 weeks hx of loose High scale act rapid insulin solucortef, 100 mg bid sputum cx
stools CT Abd/pelv with contrast: splenomegaly, concor 2.5mg tab, oral
Contact isolation Hb=6.5 …Platelets=21 hepatomegaly, multiple enlarged LNs lasix 40 mg tab, 0.5 tab, daily abx f/p cs with dr
(pending official report) potasflagyl 500mg tab, tid mokhbat (saja) if needs
-C/S endo for DM to be given
Consulted Found to have relapse of hairy Bone marrow showed relapse of hairy cell
physician: cell leukemia leukemia zarzio iv bid cxr done today
Pt took cladribine D5
Id dr mokhbat Home meds: ct scan chest abdo pelv done showed
Endocrino Aspirin 81 mg OD bilateral pleural effusion cardio consulted
Nexium 40 TTE showed normal EF with mild diastolic
Concor 5mg dysfunction
Lipitor 20mg OD Febrile neutropenia: mero targo completed
Galvusmet 50/100 fluco (today last day) flagyl (today last day)
Hgb and plt assessment each day if
transfusion needed
Platelet transfused today plts of 5 and one
to be prepared
-9/8: low grade fever 37.7 monitor if fever
cx and talked to dr akoum wants id cs
Nawale Farhat 60yo KTH ovarian CA with Rule out SBO 1L IV NSS Monitor for any drop
Dr Rita Assi peritoneal carcinomatosis - KUB normal NG tube in place in BP
253B and subsequent ascites - CT abdo pelv with IV and PO contrast PICC line in place (run given yesterday
done: Lovenox 40 mg BID baseline
diagnosed 4 years ago sp
partial obstruction, no transitional point Concor 2.5 OD systolic BP = 9-10)
debulking(2017) and Meronem 1gr
same as before + moderate ascites 2. Follow up on blood
chemotherapy on caelyx Q8hrs(for possible
- TPN started via PICC-line?? cx and
(liposomal doxorubicin) - c/s Rita Kortbawi – pain management microperforation) urine cx
last session on 24/7/2020 - c/s abi Lamaa – for parenteral nutrition Ondansetron 8mg Mero 1 gr already
presented for vomiting of PICC line PRN started
1.5 weeks duration - 9/8: ng tube removed patient is very Nexium 40 OD (prophylactic for
NB: 3 months ago SBO stable Venlafaxine 37.5 mg suspicious
And 6/2020 history of po meds resumed OD micorperforation)
right - PCR COVID done for gastro on tues Dexamethasone 8 mg 3. Gastro Dr Cynthia
DVT 􀀀 on xarelto 20mg OD ordered BID => decreased to tomorrow
at home npo and lovenox STOPed 4mg BID
Durogesic patch 4 abillam periph bag in
q72hrs picc line to be
discussed tomorrow
for now it’s okay

Noha Bassil 84 yr KTH: 1- UTI: wbc 8-12 CRP 28.3 CO2 : 20 Invanz 1g q 8 d1 Pending PCR COVID
Dr Hady ghanem - Hypothyroidism and on Invanz 1g q 24hrs IV 1.5 l and stop Pending cx urine and
251 A 2- AKI: crea 1.12 bas 0.7-0.8 Lasix blood
Page 1 of 3
MR F-10 Ed.7
 pleural and lung Lovenox 40 mg
lymphoma since 1.5 yrs
ago on chemo every 3
months (next cycle b 17
/8
- HTN
- Recurrent UTI
- Left eye glaucoma
- Presented for 39.5 fever
at home and mild
suprapubic tenderness
with urinary
incontinence and
frequency
- Previous cx: proteus in
urine, ESBL in urine
sensitive to
nitrofurantoin , ecoli
=>noroxin
- CT ABDO PELV: right
sided pyelonephritis
Nabiha ayoub 78 yo KTH MM on ninlaro CT abd/pelv diffuse fluid filled sml Iv 1 L d5w and 160 meq sodium f/p mri tmrw
1 tab /wk initially stopped bowels and colon and dilated sml bicarb acidotic nl AG order cs ophthlmo
Mom of dr 3 m ago and res 2 weeks bowel no signs of obsrtr tmrw
caroline On 1L nc o2 for desat 89%
ago last tab Thursday Tk 2 liters run then started levophed
anesthesia Pres for profuse watery and turned off 24 hrs later
diarrhea of 2 days duration
Dr hady ghanem
Icu transfer
and nausea and decr Po Mero and flagyl d2 cdiff neg pending
intake SBP 69 cmv pcr to r/o cmv colitis but
256b probably due to ninlaro

Hgb 8 given 1 prbc: neutropenia and

thrombocytopenia plt 69 monitor

Diast dysfx dr zaloum on board.

Lasix and aldactone were stopped.
Today pitting edema and congestion
given Lasix 20 IV once f/p with
cardio

Artificial tears order cs ophthlamo

and ask who they want

L greater trochanteric fracture 1

month ago. Dr assi ordered xray
pelvis hip and mri f/p mri
Issam akil 63 year old gentleman KTH Polysite inserted
257 b DL , HTN, initially Started on folfox
presented for early satiety,
Dr hady ghanem decreased PO intake,
fullness, and constipation.
FNA was done. On
immunohistochemistry he
was found to have CK7
positive, TTF1 negative,
CDX2 and CK20 negative
gastric adenocarcinoma
locally advanced. He
presented now for
chemotherapy folfox
(Fluorouracil (5-FU) "F",
and Oxaliplatin (Eloxatin) )
and polysite insertion
Sami majed 69 year old gentleman vidaza (Azacitidine) cycle 2.
257 a
Dr akkoum
KTH hypothyroidism,
pseudogout s/p
prostatectomy 16 years
ago for prostate cancer
found to have MDS
presenting for

Page 2 of 3
MR F-10 Ed.7
 chemotherapy with
vidaza (Azacitidine)
cycle 2.
Noor toueiny 29 year old lady KTH Claryg ivig today 25 tomorrow Ivig Needs
Dr hady ghanem
252 a
ALL then AML a long 20 financial
time ago after which Give before each perf 1 g then approval plz get
she had an unrelated diphenhydramine 6.25 mg it tmrw
donor stem cell
transplant to which she Needs financial approval plz Plz let her sign
developed a chronic get it tmrw ivig consent
GVHD manifesting as
autoimmune disease
lupus positive ana
positive and cirrhosis
and protein losing
enteropathy presenting
for IVIG before
rituximab (anti cd20)
treatment
Nemri Case of a 98 year old 1- Resume home f/p cardio cs tarsha
abdotannous Emilio
lady kth hx of breast meds f/p abdominal us if
Dr akkoum cancer since 20 years 2- Abdominal and done
251 b s/p L radical pelvic US to f/p
mastectomy with ascites and cxr
chemotherapy and done
tamoxifen tx , chronic 3- c/s cardio tasha
normocytic anemia (Emilio)
since 2 years
(transfusion
dependent), htn, DM,
CKD (2), DM, DL,
recurrent UTI (e coli)
presented for ascites of
unknown of origin f/p

Page 3 of 3
MR F-10 Ed.7