Review of the medical record indicates that on August 8/14 she twisted her ankle and sustained an opened left distal fracture and had undergone an ORIF. The site became infected and the wound was surgical debrided and she started on IV antibiotic for osteomyelitis. Other medical history includes obesity, thyroid disease, congenital heart disease, HTN, bilateral PE May 2014, protein losing enteropathy, pleural effusion, , lower extremity cellulitis, Pseudomonas infection, acquired spastic diplegia of lower extremities, pulmonary stenosis, atrial septal defect and tricuspid regurgitation.
At today’s visit she is accompanied by her father and private aide. She is awake, alert and oriented and is lying in bed on her back. She reports that in …show more content…
After her surgery she was sent to rehab then home. After been home 5 days from the rehab she developed nausea, low BP, weakness and change in her behavior. She was advice by her orthopedic MD to go to the ER. She went to Tradition hospital and was transferred to memorial hospital in Hollywood where she was treated for osteomyelitis with IV antibiotics and had wound surgical debrided by plastic surgeon, resulting in a 3 weeks hospital stay. She states that she was also treated for a kidney infection and told she has poor kidney function. She reports that she was advised to not take any medications that could affect her kidney due to the risk for further kidneys compromised. She was discharged home 5 days ago with a wound vac to left ankle wounds and intravenous antibiotic Ceftazidime and cubicin daily until 10/18/16. She has SN, PT, OT, HHA through trilogy home health agency and IV infusion through at home infusion services. The SN from trilogy home health maintain her wound vac, IV, and draws weekly CBC, CA1P, ESR, CRP, CK. She does not have a follow up appointment with the plastic surgeon Dr Whee, but will schedule an appointment. She complains of pain in left ankle that she describes as “stabbing pain, feel like my leg is been
At today’s visit she is accompanied by her father and private aide. She is awake, alert and oriented and is lying in bed on her back. She reports that in …show more content…
After her surgery she was sent to rehab then home. After been home 5 days from the rehab she developed nausea, low BP, weakness and change in her behavior. She was advice by her orthopedic MD to go to the ER. She went to Tradition hospital and was transferred to memorial hospital in Hollywood where she was treated for osteomyelitis with IV antibiotics and had wound surgical debrided by plastic surgeon, resulting in a 3 weeks hospital stay. She states that she was also treated for a kidney infection and told she has poor kidney function. She reports that she was advised to not take any medications that could affect her kidney due to the risk for further kidneys compromised. She was discharged home 5 days ago with a wound vac to left ankle wounds and intravenous antibiotic Ceftazidime and cubicin daily until 10/18/16. She has SN, PT, OT, HHA through trilogy home health agency and IV infusion through at home infusion services. The SN from trilogy home health maintain her wound vac, IV, and draws weekly CBC, CA1P, ESR, CRP, CK. She does not have a follow up appointment with the plastic surgeon Dr Whee, but will schedule an appointment. She complains of pain in left ankle that she describes as “stabbing pain, feel like my leg is been