MORNING

ENDORSEMENT
DATE: May 2, 2019
On Duty: Dr. Co (ER)/ Dr. Acero (Ward)
Dr. Flordeliz(1st Call) Dr. Yap (2nd call)
PGI AM: Barlisan, Salas, Sierras
PGI PM: Lao, Lumayag, Valencia
CENSUS UPDATE

• Total Admissions:
• For Elective Surgery:
• Floor Referrals:
• For Emergency Surgery:
• For Observation:
• Total Discharges:
• Mortalities:
• TOTAL IN-PATIENT CENSUS:
 GENERAL DIAGNOSIS/
UPDATES LABS
DATA IMPRESSION

UTZ WA (04/26)
1. Lobulated
heterogenously
DTR enhancing mass in gastric
RM ST - 10 cardia with infiltration of
517723 the distal esophagus
2. Slightly enlarged
For exploratory
Malalis, Pedro perigastric and
laparotomy gastric
Sr. paraaortic lymph nodes
1 surgery on Saturday GEJ tumor R/I gastric CA
80/M likely metastatic
(05/04/19) 8 am if
3. Bilateral renal cortical
okay with Dr. Potot
cysts (Bosniak I)
4. Enlarged prostate gland
with calcification (
Dr. J. Plaza 3.9x5.7x4.2 cm)
5. Lumbar spondylosis with
disc disease at L2,L3, L4-
 GENERAL DIAGNOSIS/
UPDATES LABS
DATA IMPRESSION

DTR
WBC: 7.16
RM ST - 10
N 63
517723
L 28
For exploratory M6
Malalis, Pedro
laparotomy gastric E1
Sr.
1 surgery on Saturday GEJ tumor R/I gastric CA B2
80/M
(05/04/19) 8 am if
okay with Dr. Potot Hgb 10.7
HCt 33.8
Plt count 280

Dr. J. Plaza
 GENERAL DIAGNOSIS/
UPDATES LABS
DATA IMPRESSION

CTY/
WBC 15.70
Rm ST M 06
segmenters 72
518239
lymphocytes 12

Aῆora, monocytes 12
Kathleen Acute suppurative eosinophils 0
27/F appendicitis, S/P basophils 0
2 S/P appendectomy
appendectomy hgb 11.6
(05/02/19) hct 36.5
Plt 310

Dr. Go/ Dr.

Yap/ Dr.
Kangleon
 GENERAL DIAGNOSIS/
UPDATES LABS
DATA IMPRESSION

CTY/
Rm ST M 06
518239

Aῆora, BT: O+
Kathleen Acute suppurative
Prothrombin Time
27/F appendicitis, S/P
2 S/P appendectomy Control: 13.2
appendectomy
Protime: 13.1
(05/02/19) % Activity: 102
INR:0.99

Dr. Go/ Dr.

Yap/ Dr.
Kangleon
 GENERAL DIAGNOSIS/
UPDATES LABS
DATA IMPRESSION

CTY/
Rm ST M 06 UTZ WA
518239 1. Findings consistent with
appendicitis
2. Liver, gallblader, bile duct,
Aῆora, spleen – negative
Kathleen Acute suppurative 3. Visualized portion of the
27/F appendicitis, S/P pancreas – normal
2 S/P appendectomy
appendectomy appearance
(05/02/19) 4. Negative KUB sonography
5. Normal sized anteverted
uterus
6. Adnexae negative
Dr. Go/ Dr. 7. Unremarkable abdominal
Yap/ Dr. aorta
Kangleon
 GENERAL DIAGNOSIS/
UPDATES LABS
DATA IMPRESSION

DTR
Rm 341
425896 IDCA St. IV (with bone
Chest PA (04/26/19)
and possible lung 1. Right pleural effusion
Cortes, metastasis, left) S/P 2. Concurrent pneumonia is
Referred to pulmo
Estelita MRM 2016 S/P considered
service for initial
3 73/F chemoradiation 2017 T/C 3. Interval increase in size of
medical
malignant right, pleural the nodular density at the
management left lung field (2.1 x 1.1 cm
effusion
now, previously 1.3 1.1
cm)
CAP-MR
Dr. J.
Simporios
 GENERAL DIAGNOSIS/
UPDATES LABS
DATA IMPRESSION

DTR
WBC 5.4
Rm 534
segmenters 71.4
43665
lymphocytes 19.3

Miole, Brian For laparoscopic monocytes 4.3

Chronic calculous
4 53/M cholecystectomy eosinophils 4.1
cholecystitis
(05/02/19 8am) basophils 0.9
hgb 15.4
hct 46
Plt 246

Dr. J. Plaza
 GENERAL DIAGNOSIS/
UPDATES LABS
DATA IMPRESSION

DTR WBC 5.4

Rm 534 segmenters 71.4

43665 lymphocytes 19.3

monocytes 4.3
Miole, Brian For laparoscopic eosinophils 4.1
Chronic calculous
4 53/M cholecystectomy basophils 0.9
cholecystitis
(05/02/19 8am) hgb 15.4
hct 46
Plt 246

Dr. J. Plaza
CXR: negative
 GENERAL DIAGNOSIS/
UPDATES LABS
DATA IMPRESSION

WBC 11.4
segmenters 68.5
CM
Rm 361 lymphocytes 18.5
517254
monocytes 7.2
1. CKD stage V eosinophils 0.1
Desamparado secondary to chronic basophils 0.4
, Niῆo S/P IJ cath glomerulonephritis hgb 9.8
5
35/M insertion 2. Essential hct 30
hypertension stage II Plt 380

Crea: 10.54
BUA: 10.09
SGPT: 66
Dr. M. Perez
 GENERAL DIAGNOSIS/
UPDATES LABS
DATA IMPRESSION

CM
UTZ WHOLE ABDOMEN:
Rm 361 Bilateral renal
517254 parenchmal disease
1. CKD stage V Unremarkable liver,
gallbladder, niliary ducts,
Desamparado secondary to chronic pancreas, aorta and
, Niῆo S/P IJ cath glomerulonephritis spleen
5
35/M insertion 2. Essential Unremarkable urinary
bladder sonogram
hypertension stage II
Normal sized prostate
with no focal lesion

Dr. M. Perez
 GENERAL DIAGNOSIS/
UPDATES LABS
DATA IMPRESSION

CM Pa-alayon nlng ani

Rm 302 please, wala pa results
517254 gnna sa computer pag
7pm, pertinent lang dw
ibutang:
Encabo, 1. AUB – M1
CBC BT HbsAg UA APTT
Teresita For UTZ WA 2. HPN ST II
6 CT BT CA125 uric acid,
76/F For clearance 3. DM type 2 crea, Na K PT Hba1c TSH

Dr. M. Busa
 GENERAL DIAGNOSIS/
UPDATES LABS
DATA IMPRESSION

CM UTZ WA
Urinary bladder not clearly seen
Rm 302 Irregular complex structure (6.1
517254 x 6 x 6.5cm), cannot totally rule
out cervical pathology
Heterogenous structure
probably representing the
Encabo, 1. AUB – M1 uterus (6.5 x 5.9 x 6.6 cm) with a
dilated endometrial cavity
Teresita For UTZ WA 2. HPN ST II Ill-defined heterogenous
6
76/F For clearance 3. DM type 2 structure cannot totally rule out
an ovarian new growth (6 x
6.5cm x 5.4 cm) versus a tubo-
ovarian complex versus other GI
pathology
No cul de sac fluid
Abundant feces-filled bowel
loops are noted obscurring both
adnexal areas
Dr. M. Busa
 GENERAL DIAGNOSIS/
UPDATES LABS
DATA IMPRESSION

CM CT scan WA with contrast

Rm 302
517254

Encabo, 1. AUB – M1
Teresita For UTZ WA 2. HPN ST II
6
76/F For clearance 3. DM type 2

Dr. M. Busa
 GENERAL DIAGNOSIS/
UPDATES LABS
DATA IMPRESSION

Cranial CT angiography
DTR In non-enhanced CT scan,
Rm 225-A there is prominence of the left
optic nerve and medial rectus
518277 with proptosis of the left
Intra – extra orbital globe.
traumatic
Galop-e, There is an intense uptake of
For 4 vessel arteriovenous the contrast materialwith
Annaliza
7 cerebral angiogram malformation, left abnormal tangle of vessels
40/F corresponding to a nidus of
(05/03/19 2 pm) with secondary blood vessels measuring
proptosis about 3.9cm with deep and
superficial venous drainage

Intra – extra orbital traumatic

arteriovenous malformation,
Dr. R. Medalle left with secondary proptosis
 GENERAL DIAGNOSIS/
UPDATES LABS
DATA IMPRESSION

ADM
Rm 704
267043

Arceo, Gina
Fracture of lateral
51/F For co-aptation
8 malleolus, left
splint

Dr. Alix/Dr.
Fernandez
 GENERAL DIAGNOSIS/
UPDATES LABS
DATA IMPRESSION

ADM
Rm 704
267043

Arceo, Gina
Fracture of lateral
51/F For co-aptation
8 malleolus, left
splint

Dr. Alix/Dr.
Fernandez
 GENERAL DIAGNOSIS/
UPDATES LABS
DATA IMPRESSION
CBC 5/2/19

WBC 5.68
MXC/DTR Hgb 10.5
Rm 336 Hct 32.9
518281 Plt 253
Segmenters 30

Rodriguez, Lympho 54

Maria Luisa Abnormal Uterine Monocytes 11

Obstetric Eosinphil 3
8 45/F Bleeding – P1
Management Basophil 2
Protrombin 5/2/19
time
Control 13.2 sec

Pro time 12.2 sec

Dr. A. ANA 119 %
Simporios
INR 0.90
 GENERAL DIAGNOSIS/
UPDATES LABS
DATA IMPRESSION

bleeding 5/2/19
MXC/DTR time
Rm 336 Bleeding 6’30’’
time – IVY
518281
Clotting 5/2/19
time
Clotting 12’00’’
Rodriguez, time-LW
Maria Luisa Abnormal Uterine
Obstetric
8 45/F Bleeding – P1
Management

Dr. A.
Simporios
 GENERAL DIAGNOSIS/
UPDATES LABS
DATA IMPRESSION

CBC 5/2/19
ADM/MXC
Rm 330A WBC 8.68
332944 Hgb 13.5
Hct 42.3
Plt 123
Lapingcao, Segmenters 66
Ruel
Lympho 22
51/M For MRI right Right shoulder bursitis
8 Monocytes 9
shoulder plain
Eosinphil 2
Basophil 1

Crea 0.81 mg/dl

Dr. Uric acid 5.40 mg/dl
Barlaan/Dr. A.
Simporios
 GENERAL DIAGNOSIS/
UPDATES LABS
DATA IMPRESSION

DTR
Rm 804 - For cold
518284 compress left
hip area for
15mins TID
Flordeliz, Right pelvic fracture,
- To secure 2
Nestor comminuted,
8 units PRBC of
65/M displaced
patient’s blood
type properly
screened and
crossmatched

Dr. Monicit
 GENERAL DIAGNOSIS/
UPDATES LABS
DATA IMPRESSION

DTR
Rm 702
431293

For incision and

Baylon, Xelah Chalazion of the left
curettage of
8 25/F upper eyelid
chalazion left
upper eyelid

Dr. Jorgio
 GENERAL DIAGNOSIS/
UPDATES LABS
DATA IMPRESSION

ADM
Rm SP02
518289 Medical
management
-celecoxib (coxid) Posterior elbow
Mendoza,
200mg cap, 1 cap dislocation, right
Referendum
8 BID S/P closed reduction,
44/M
-Tramadol + right elbow
paracetamol
(dolcet) 1 tab q 8 H
PRN for pain

Dr. Barlaan
Post closed reduction
 GENERAL DIAGNOSIS/
UPDATES LABS
DATA IMPRESSION

ADM Prothrombin 5/3/19

(pending time
status) Control 13.2 sec
Rm Pro time 13.2 sec
518292 ANA 96 %
INR 1.03
Acute abdomen RUQ
Lanuzo,
secondary to
Emmanuel
gunshot injury (point
8 18/M STAT EXLAP blood type : B+
of entry RUQ, no
point of exit)

Dr. Tipgos
POST-OP
Floor Referrals:
 RM STATUS PATIENT A/S UPDATES DIAGNOSIS/IMPRESSION SURGEON

PTB presumptive
1 230A CON Buquir, Darwin 28/M NNSO Dr. Condor
HCVD

3
MORTALITY: 0
 RM STATUS POD PATIENT A/S DIAGNOSIS/IMPRESSION SURGEON

1
POST-OP:
5/2/19
STAT OR TIM RM PROCEDURE SURGEO RESIDE
US E N NT
EXCISION BIOPSY OF LEFT PARIETO-
Done 8 8AM 246B DR. KANGLEON DR. DURAN
OCCIPITAL MASS

DR.
Done 5 830AM 306 GASTROSTOMY TUBE INSERTIOON DR. J SIMPORIOS POBLETE/DR.
SUAN

DR.
Done 4 8AM 225B RIGHT LOBECTOMY WITH ISTHMUSECTOMY DR. ASTILLERO TUBILOG/DR.
DURAN

DR. AMODIA/DR.
Done 7 8AM SM1 TOTAL MASTECTOMY, LEFT DR. PLAZA FLORDELIZ/DR.
ACERO

Done DEBRIDEMENT AND SUTURING OF AVULSED

9 9AM SP8 DR. LUMAPAS DR. GO
WOUND LEFT FRONTO-TEMPORAL AREA

Done EXCISION BIOPSY OF LEFT PARIETO-

8 8AM 246B DR. KANGLEON DR. DURAN
OCCIPITAL MASS
STATUS OR TIME RM PROCEDURE SURGEON RESIDENT

Done 1 11AM 267 LAPAROSCOPIC CHOLECYSTECTOMY DR. OPORTO DR. FLORDELIZ

Done 2 1PM OP INCISION/PUNCH BIOPSY OF LEFT CHEEK DR. LIBRON DR. GO

TOTAL LOBECTOMY RIGHT WITH ISTHMUSECTOMY

Done 9 12NN 319 DR. CAPOY DR. POBLETE
SUBTOTAL LOBECTOMY, LEFT

Done CV 9AM SP6 CABG DR. PEREZ/LUMAPAS DR. GO

Done 10 2PM 713 MAYO REPAIR OF UMBILICAL HERNIA DR. BUSA DR. FLORDELIZ

Done 6 1PM 261 TOTAL THYROIDECTOMY WITH TUMOR DEBULKING DR. RANILE DR. TABILOG

Cancelled 3 TFFC 330B LAPAROSCOPIC CHOLECYSTECTOMY DR. BUSA DR. SUAN

UTZ-GUIDED CORE NEEDLE BIOPSY LEFT BREAST

Done 4 TFFC 2PM OP DR. LIBRON DR. SIMPORIOS
MASS

Done 2 4PM OP ASPIRATION OF OLECRANON BURSITIS, LEFT DR. CHAN DR. DURAN

Done 5 5PM 526 INCISION BIOPSY OF BREAST AND CTT LEFT DR. FLORDELIZ DR. SIMPORIOS

Done 8 1PM 339 THULEP, CYSTOSCOPY DR. MEJARITO DR. DURAN

STAT 10 4PM 361 STAT IJ CATH INSERTION DR. PEREZ DR. DURAN

STAT 7 5PM STM06 STAT APPENDECTOMY DR. KANGLEON DR. GO/YAN

PRE-OP:
5/3/19
STATUS OR TIME RM PROCEDURE SURGEON RESIDENT

2 8AM OP AVF CREATION M. PEREZ SURBAN

2 12NN OP EXCISION OF MASS, ANTERIOR ABDOMEN KANGLEON SURBAN

3 8AM 534 LAPAROSCOPIC CHOLECYSTECTOMY PLAZA POBLETE

REMOVAL OF INGROWN TOENAIL, LEFT BIG

5 10AM OP BACLIG SUAN
TOE

7 8AM 706 PAROTID SURGERY, RIGHT BACLIG TABILOG/SUAN

CYSTOSCOPY-RETROGRADE PYELOGRAPHY,
9 8AM 246A DJ STENTING, LEFT POSSIBLE MEJARITO DURAN
INTRACORPOREAL LITHOTRYPSY

EXCISION OF VARICEAL BRANCHES, RIGHT

10 7AM OP A. SIMPORIOS GO
LEG

PEREZ/
CV 8AM SM4 MITRAL VALVE REPLACEMENT CO
LOMIBAO/YADAO
THANK YOU!