| Substance | Reaction | Severity | Status |
|---|---|---|---|
| Demerol | Unknown | Unknown | Active |
| Plaquenil | Unknown | Unknown | Active |
| Lupron | Unknown | Unknown | Active |
| Medication | Start Date | Directions | Status |
|---|---|---|---|
| 12/16/2019 | TAKE 1 CAPSULE (300 MG) BY ORAL ROUTE EVERY 12 HOURS | Active | |
| 12/19/2019 | TAKE 1 CAPSULE (300 MG) BY ORAL ROUTE EVERY 12 HOURS | Active | |
| 12/10/2019 | TAKE 1 TABLET (20 MG) BY ORAL ROUTE ONCE DAILY tid x 2 day then 20 mg bid x 2 days then 20 mg qd x 2 days. | Active | |
| 11/11/2021 | TAKE 1 TABLET BY ORAL ROUTE EVERY 12 HOURS | Active | |
| 12/10/2019 | TAKE AS DIRECTED(ZPACK) | Active | |
| 11/11/2021 | TAKE BY ORAL ROUTE AS DIRECTED PER PACKAGE INSTRUCTIONS | Active | |
| 12/10/2019 | Active | ||
| 06/05/2023 | Active | ||
| 06/05/2023 | Active | ||
| 06/05/2023 | Active | ||
| 06/05/2023 | TAKE 1 CAPSULE (100 MG) BY ORAL ROUTE EVERY 12 HOURS WITH FOOD | Active |
| Encounter | Performer | Location | Date |
|---|---|---|---|
| INTERMEDIATE EST PT | Carol Stewart | Auburn Montgomery Warhawk Health Services | Dec 10, 2019 |
| LIMITED EST PT | Carol Stewart | Auburn Montgomery Warhawk Health Services | Dec 16, 2019 |
| BRIEF EST PT | Lindsey Barton | Auburn Montgomery Warhawk Health Services | Sep 21, 2020 |
| BRIEF EST PT | Lindsey Barton | Auburn Montgomery Warhawk Health Services | Oct 26, 2020 |
| NO CHARGE | Lindsey Barton | Auburn Montgomery Warhawk Health Services | Sep 14, 2021 |
| NO CHARGE | Lindsey Barton | Auburn Montgomery Warhawk Health Services | Sep 19, 2022 |
| NO CHARGE | Lindsey Barton | Auburn Montgomery Warhawk Health Services | Aug 23, 2023 |
| Procedure | Date |
|---|---|
| STREP A, [LOINC: 18481-2] | 11/11/2021 |
| UA, [CPT-4: 81003] | 06/05/2023 |
| CULTURE, URINE, ROUTINE (QUEST), [CPT-4: 395] | 06/05/2023 |
| INFLUENZA Rapid Test, [CPT-4: 87804] | 11/11/2021 |
| INFLUENZA Rapid Test, [CPT-4: 87804] | 12/10/2019 |
| THERAPEUTIC INJECTION ADMIN, [CPT-4: 96372] | 10/03/2022 |
| Dexamethasone 4mg/ml, [CPT-4: J1100] | 10/03/2022 |
| Depo-Medrol 40mg/ml, [CPT-4: J1030] | 10/03/2022 |
| COVID Rapid Testing, [CPT-4: 87426] | 10/26/2020 |
| Immunization Injection Administration, [CPT-4: 90471] | 09/14/2021 |
| Immunization Injection Administration, [CPT-4: 90471] | 09/19/2022 |
| Immunization Injection Administration, [CPT-4: 90471] | 09/21/2020 |
| Immunization Injection Administration, [CPT-4: 90471] | 08/23/2023 |
| Influenza virus vaccine, [CPT-4: 90686] | 08/23/2023 |
| Influenza virus vaccine, [CPT-4: 90686] | 09/19/2022 |
| Influenza virus vaccine, [CPT-4: 90686] | 09/14/2021 |
| Influenza virus vaccine, [CPT-4: 90686] | 09/21/2020 |
| Abbott Binax Now Rapid COVID , [CPT-4: 87426] | 11/11/2021 |
| COVID-19, mRNA, LNP-S, PF, [CPT-4: 91300] | 04/11/2022 |
| COVID BOOSTER ADMIN, [CPT-4: 0004A] | 09/19/2022 |
| Abbott COVID Rapid Test, [CPT-4: ABBO] | 02/15/2023 |
| COVID-19 Vaccine- Bivalent Booster- Pfizer, [CPT-4: 91312] | 09/19/2022 |
| Name | Date | Status |
|---|---|---|
| Influenza virus vaccine | 09/14/2021 | Completed |
| COVID-19, mRNA, LNP-S, PF | 04/11/2022 | Completed |
| Influenza virus vaccine | 09/19/2022 | Completed |
| COVID-19 Vaccine- Bivalent Booster- Pfizer | 09/19/2022 | Completed |
| Influenza virus vaccine | 08/23/2023 | Completed |
| Date | Height | Weight | BMI | Blood Pressure | Temperature | Pulse | Pulse Oximetry | Respiratory Rate | Inhaled Oxygen Concentration | Head Circumference Percentage | BMI Percentage | Weight to Length Percentage |
|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 12/10/2019 | 127/75 mm[Hg] | 37 Cel | 77 bpm | |||||||||
| 10/26/2020 | 36 Cel | |||||||||||
| 11/11/2021 | 165 cm | 79 kg | 29.12 | 146/66 mm[Hg] | 37 Cel | 75 bpm | 96 pct | 17 bpm | ||||
| 10/03/2022 | 165 cm | 84 kg | 30.85 | 146/89 mm[Hg] | 36 Cel | 67 bpm | 98 pct | 17 bpm | ||||
| 06/05/2023 | 140/72 mm[Hg] | 37 Cel | 89 bpm | 99 pct | 16 bpm |
| Result Type | Result Value | Date |
|---|---|---|
| Leukocytes-Urine | Negative | 06/05/2023 |
| Urobilinogen-Urine | Negative | 06/05/2023 |
| Protein [Mass/Volume] in Urine by Test strip | Negative mg/dL | 06/05/2023 |
| pH of Urine by Test strip | 5 [pH] | 06/05/2023 |
| Blood-Urine | Positive | 06/05/2023 |
| Ketones [Mass/Volume] in Urine by Test strip | Negative mg/dL | 06/05/2023 |
| Glucose [Mass/Volume] in Urine by Test strip | Negative mg/dL | 06/05/2023 |
| Cesium-Urine | yes | 06/05/2023 |
| Specific Gravity of Urine by Test strip | 1.025 | 06/05/2023 |
| Bilirubin-Urine | Negative | 06/05/2023 |
| Nitrites-Urine | Positive | 06/05/2023 |
| Appearance of Urine | clear | 06/05/2023 |
| Color of Urine | yellow | 06/05/2023 |
| STREP A | Negative | 11/11/2021 |
| INFLUENZA Rapid Test | Negative | 12/10/2019 |
| INFLUENZA Rapid Test | Negative | 11/11/2021 |
| COVID Rapid Testing | Negative | 10/26/2020 |
| SOURCE: | URINE | 06/06/2023 |
| STATUS: | FINAL | 06/06/2023 |
| RESULT: | Mixed genital flora isolated. These superficial bacteria are not indicative of a urinary tract infection. No further organism identification is warranted on this specimen. If clinically indicated, recollect clean-catch, mid-stream urine and transfer immediately to Urine Culture Transport Tube. | 06/06/2023 |
| Name | Type | Date |
|---|---|---|
| Prescription | TAKE 1 TABLET (20 MG) BY ORAL ROUTE ONCE DAILY tid x 2 day then 20 mg bid x 2 days then 20 mg qd x 2 days. | December 10, 2019 |
| Prescription | TAKE AS DIRECTED(ZPACK) | December 10, 2019 |
| Prescription | TAKE 1 TABLET (20 MG) BY ORAL ROUTE ONCE DAILY tid x 2 day then 20 mg bid x 2 days then 20 mg qd x 2 | December 10, 2019 |
| Prescription | TAKE 1 TABLET (20 MG) BY ORAL ROUTE ONCE DAILY tid x 2 day then 20 mg bid x 2 days then 20 mg qd x 2 days. | December 10, 2019 |
| Prescription | TAKE AS DIRECTED(ZPACK) | December 10, 2019 |
| Prescription | TAKE 1 TABLET (20 MG) BY ORAL ROUTE ONCE DAILY tid x 2 day then 20 mg bid x 2 days then 20 mg qd x 2 | December 10, 2019 |
| Prescription | TAKE 1 CAPSULE (300 MG) BY ORAL ROUTE EVERY 12 HOURS | December 19, 2019 |