Patient Name: Putul Barua
Patient ID: 135799
Room No.: CCU-4
Date of Admission: 01/07/2011
Date Deceased: 01/15/2011 00:41:00
Admitting physician: Simon William, MD, Pulmonology
Consultations: J.K. Mc Clain, MD, Cariology Trevor Jordan, Nephrology
This 42 year old gentleman was admitted on 1-7 and expired on jan 15. He was admitted with progressive tachycardia, hemoptysis, and dyspnea. Please see his admission history and physical exam for details.
Hospital course: the pt hospital course was characterized by a progressively downhill course. He was initially hospitalized and found to be midly hypoxic, which rapidly corrected to his suuplemental low flow oxygen therapy hwoever, he gradually became more oxygen dependent on high flow oxygen, eventually requiring intubation with mechanical ventilationin in order to maintain his oxygenation. He underwent an open lung biopsy in an attempt to delineate radiology of his pulmonary situation, and this was recorded as idiopathic pulmonary fibrosis and alveolitis. This specimen was sent to the forest general pathology dept for further eval, and they where able to give no further help considering the idiolgy of his pulmonary status. An echocardiogram showed left ventricular wall motion hypokenisia and an injection fraction of approx. 35%.
Dr. J.K. Mc Clain and other members of the cardiology dept consulted on the pt. they felt that his hypoxia and breathlessness wer not secondary to his cardiac status. He had super ventricular cardiac arryhtmias, including atrial fribulation and atrial flutter. The cardiology staff utilized intravenous medication that controlled the cardiac rage, adequately resolving these cardiac issues. I managed the pt ventilator in intensive care status along with my respitory theraoy team. Unfortunately the pt developed multiple infections, hospital acquired, including Klebsiella pneumonia infection and probable fungemia. Multiple...