2026 Consolidated CDA

ALLERGIES AND ADVERSE REACTIONSNo Known Drug AllergiesNo Known Drug Allergies

MEDICATIONSMedication Start Date Directions Status

Bactrim DS 800 mg-160 mg tablet, [RxNorm: 849580]
04/28/2022
TAKE 1 TABLET BY ORAL ROUTE EVERY 12 HOURS
Active
ondansetron HCl 4 mg tablet, [RxNorm: 104895]
02/08/2023
TAKE 1 TABLET PO EVERY 8 HOURS AS NEEDED FOR NAUSEA/VOMITING
Active
Imodium A-D 2 mg tablet, [RxNorm: 978013]
02/08/2023
TAKE 2 TABLETS (4 MG) BY ORAL ROUTE AFTER 1ST LOOSE STOOL AND 1 TABLET (2 MG) AFTER EACH NEXT BOWEL MOVEMENT; DO NOT EXCEED 16 MG IN 24HRS
Active
Zithromax Z-Pak 250 mg tablet, [RxNorm: 750149]
04/17/2023
TAKE 2 TABLETS (500 MG) BY ORAL ROUTE ONCE DAILY FOR 1 DAY THEN 1 TABLET (250 MG) BY ORAL ROUTE ONCE DAILY FOR 4 DAYS
Active
fluticasone propionate 50 mcg/actuation nasal spray,suspension, [RxNorm: 1797909]
04/28/2023
SPRAY 1 - 2 SPRAYS (50 - 100 MCG) IN EACH NOSTRIL BY INTRANASAL ROUTE DAILY
Active
omeprazole 20 mg capsule,delayed release, [RxNorm: 104099]
02/08/2023
TAKE 1 CAPSULE (20 MG) BY ORAL ROUTE ONCE DAILY 30 MINUTES TO 1 HOUR BEFORE A MEAL
ActivePROBLEMSNo known health problemsENCOUNTERSEncounter Performer Location Date
PROCEDURESProcedure Date

UA, [CPT-4: 81003]
02/08/2023
COMP METABOLIC PANEL (QUEST), [CPT-4: 10231]
04/28/2023
COMP METABOLIC PANEL (QUEST), [CPT-4: 10231]
02/08/2023
CBC W/ DIFF (QUEST), [CPT-4: 6399]
04/28/2023
CBC W/ DIFF (QUEST), [CPT-4: 6399]
02/08/2023
AMYLASE (QUEST), [CPT-4: 243]
02/08/2023
LIPASE (QUEST), [CPT-4: 606]
02/08/2023
CULTURE, STOOL (QUEST)- includes salmonella, shigella, etc. , [CPT-4: 32114]
02/08/2023
INFLUENZA Rapid Test, [CPT-4: 87804]
04/28/2022
 Stool O&P with permanent stain (quest), [CPT-4: 681]
02/08/2023
Abbott Binax Now Rapid COVID , [CPT-4: 87426]
04/28/2022
D-DIMER  QUANTITATIVE, [CPT-4: 8659]
04/28/2023
Lactoferrin, [CPT-4: 17321]
02/08/2023
C. Diff, stool , [CPT-4: 91664]
02/08/20237461 East Dr STE 102MontgomeryAL361178092USAuburn Montgomery Warhawk Health Services7461 East Dr STE 102MontgomeryAL361178092US7461 East Dr STE 102MontgomeryAL361178092USAuburn Montgomery Warhawk Health Services7461 East Dr STE 102MontgomeryAL361178092US7461 East Dr STE 102MontgomeryAL361178092USAuburn Montgomery Warhawk Health Services7461 East Dr STE 102MontgomeryAL361178092US7461 East Dr STE 102MontgomeryAL361178092USAuburn Montgomery Warhawk Health Services7461 East Dr STE 102MontgomeryAL361178092US7461 East Dr STE 102MontgomeryAL361178092USAuburn Montgomery Warhawk Health Services7461 East Dr STE 102MontgomeryAL361178092US7461 East Dr STE 102MontgomeryAL361178092USAuburn Montgomery Warhawk Health Services7461 East Dr STE 102MontgomeryAL361178092US7461 East Dr STE 102MontgomeryAL361178092USAuburn Montgomery Warhawk Health Services7461 East Dr STE 102MontgomeryAL361178092US7461 East Dr STE 102MontgomeryAL361178092USAuburn Montgomery Warhawk Health Services7461 East Dr STE 102MontgomeryAL361178092US7461 East Dr STE 102MontgomeryAL361178092USAuburn Montgomery Warhawk Health Services7461 East Dr STE 102MontgomeryAL361178092US7461 East Dr STE 102MontgomeryAL361178092USAuburn Montgomery Warhawk Health Services7461 East Dr STE 102MontgomeryAL361178092US7461 East Dr STE 102MontgomeryAL361178092USAuburn Montgomery Warhawk Health Services7461 East Dr STE 102MontgomeryAL361178092US7461 East Dr STE 102MontgomeryAL361178092USAuburn Montgomery Warhawk Health Services7461 East Dr STE 102MontgomeryAL361178092US7461 East Dr STE 102MontgomeryAL361178092USAuburn Montgomery Warhawk Health Services7461 East Dr STE 102MontgomeryAL361178092US7461 East Dr STE 102MontgomeryAL361178092USAuburn Montgomery Warhawk Health Services7461 East Dr STE 102MontgomeryAL361178092US

            MEDICAL EQUIPMENTPatient has no history of implantable devicesIMMUNIZATIONSNo immunization historyVaccinationVITAL SIGNSDate Height Weight BMI Blood Pressure Temperature Pulse Pulse Oximetry Respiratory Rate Inhaled Oxygen Concentration Head Circumference Percentage BMI Percentage Weight to Length Percentage

04/28/2022 175 cm 71 kg 23.25 116/80 mm[Hg] 38 Cel 117 bpm 98 pct 16 bpm
02/08/2023 175 cm 69 kg 22.56 129/69 mm[Hg] 37 Cel 93 bpm 100 pct 16 bpm
04/17/2023 173 cm 70 kg 23.56 125/68 mm[Hg] 37 Cel 98 bpm 98 pct 16 bpm
04/28/2023 173 cm 70 kg 23.56 132/81 mm[Hg] 36 Cel 85 bpm 100 pct 16 bpmRESULTSResult Type Result Value Date

Leukocytes-Urine
Negative
02/08/2023
Urobilinogen-Urine
Negative
02/08/2023
Protein [Mass/Volume] in Urine by Test strip
Negative mg/dL
02/08/2023
pH of Urine by Test strip
6 [pH]
02/08/2023
Blood-Urine
Negative
02/08/2023
Ketones [Mass/Volume] in Urine by Test strip
Negative mg/dL
02/08/2023
Glucose [Mass/Volume] in Urine by Test strip
Negative mg/dL
02/08/2023
Cesium-Urine
No
02/08/2023
Specific Gravity of Urine by Test strip
1.000
02/08/2023
Bilirubin-Urine
Negative
02/08/2023
Nitrites-Urine
Negative
02/08/2023
Appearance of Urine
clear
02/08/2023
Color of Urine
yellow 
02/08/2023
INFLUENZA Rapid Test
Negative
04/28/2022
GLUCOSE
102
04/29/2023
UREA NITROGEN (BUN)
11
04/29/2023
CREATININE
0.84
04/29/2023
EGFR
97
04/29/2023
BUN/CREATININE RATIO
NOT APPLICABLE
04/29/2023
SODIUM
140
04/29/2023
POTASSIUM
4.3
04/29/2023
CHLORIDE
106
04/29/2023
CARBON DIOXIDE
28
04/29/2023
CALCIUM
9.1
04/29/2023
PROTEIN, TOTAL
7.1
04/29/2023
ALBUMIN
4.3
04/29/2023
GLOBULIN
2.8
04/29/2023
ALBUMIN/GLOBULIN RATIO
1.5
04/29/2023
BILIRUBIN, TOTAL
0.7
04/29/2023
ALKALINE PHOSPHATASE
76
04/29/2023
AST
14
04/29/2023
ALT
13
04/29/2023
WHITE BLOOD CELL COUNT
6.7
04/29/2023
RED BLOOD CELL COUNT
4.91
04/29/2023
HEMOGLOBIN
13.7
04/29/2023
HEMATOCRIT
40.5
04/29/2023
MCV
82.5
04/29/2023
MCH
27.9
04/29/2023
MCHC
33.8
04/29/2023
RDW
14.3
04/29/2023
PLATELET COUNT
246
04/29/2023
MPV
11.3
04/29/2023
ABSOLUTE NEUTROPHILS
3866
04/29/2023
ABSOLUTE LYMPHOCYTES
2365
04/29/2023
ABSOLUTE MONOCYTES
355
04/29/2023
ABSOLUTE EOSINOPHILS
54
04/29/2023
ABSOLUTE BASOPHILS
60
04/29/2023
NEUTROPHILS
57.7
04/29/2023
LYMPHOCYTES
35.3
04/29/2023
MONOCYTES
5.3
04/29/2023
EOSINOPHILS
0.8
04/29/2023
BASOPHILS
0.9
04/29/2023
D-DIMER, QUANTITATIVE
0.46
04/29/2023
LACTOFERRIN, QN, STOOL
87.60
02/17/2023
SOURCE:
STOOL
02/15/2023
RESULT:
No Salmonella or Shigella isolated
02/15/2023
STATUS:
FINAL
02/15/2023
CONCENTRATE RESULT:
No ova or parasites seen
02/15/2023
TRICHROME RESULT:
No ova or parasites seen Routine Ova and Parasite exam may not detect some parasites that occasionally cause diarrheal illness. Cryptosporidium Antigen and/or Cyclospora and Isospora Exam may be ordered to detect these parasites. One negative sample does not necessarily rule out the presence of a parasitic infection.  For additional information, please refer to https://education.questdiagnostics.com/faq/FAQ203 (This link is being provided for informational/ educational purposes only.)
02/15/2023
GLUCOSE
87
02/09/2023
UREA NITROGEN (BUN)
9
02/09/2023
CREATININE
0.95
02/09/2023
EGFR
84
02/09/2023
BUN/CREATININE RATIO
NOT APPLICABLE
02/09/2023
SODIUM
140
02/09/2023
POTASSIUM
4.1
02/09/2023
CHLORIDE
108
02/09/2023
CARBON DIOXIDE
25
02/09/2023
CALCIUM
9.0
02/09/2023
PROTEIN, TOTAL
7.0
02/09/2023
ALBUMIN
4.2
02/09/2023
GLOBULIN
2.8
02/09/2023
ALBUMIN/GLOBULIN RATIO
1.5
02/09/2023
BILIRUBIN, TOTAL
0.3
02/09/2023
ALKALINE PHOSPHATASE
63
02/09/2023
AST
18
02/09/2023
ALT
16
02/09/2023
AMYLASE
23
02/09/2023
LIPASE
13
02/09/2023
WHITE BLOOD CELL COUNT
7.1
02/09/2023
RED BLOOD CELL COUNT
4.67
02/09/2023
HEMOGLOBIN
13.0
02/09/2023
HEMATOCRIT
38.5
02/09/2023
MCV
82.4
02/09/2023
MCH
27.8
02/09/2023
MCHC
33.8
02/09/2023
RDW
13.1
02/09/2023
PLATELET COUNT
269
02/09/2023
MPV
10.7
02/09/2023
ABSOLUTE NEUTROPHILS
3962
02/09/2023
ABSOLUTE LYMPHOCYTES
2343
02/09/2023
ABSOLUTE MONOCYTES
547
02/09/2023
ABSOLUTE EOSINOPHILS
220
02/09/2023
ABSOLUTE BASOPHILS
28
02/09/2023
NEUTROPHILS
55.8
02/09/2023
LYMPHOCYTES
33.0
02/09/2023
MONOCYTES
7.7
02/09/2023
EOSINOPHILS
3.1
02/09/2023
BASOPHILS
0.4
02/09/2023NegativeNegativeNegativeNegativeNegativeNegativeNoNegativeNegativeclearyellow NegativeNOT APPLICABLESTOOLNo Salmonella or Shigella isolatedFINALNo ova or parasites seenNo ova or parasites seen Routine Ova and Parasite exam may not detect some parasites that occasionally cause diarrheal illness. Cryptosporidium Antigen and/or Cyclospora and Isospora Exam may be ordered to detect these parasites. One negative sample does not necessarily rule out the presence of a parasitic infection.  For additional information, please refer to https://education.questdiagnostics.com/faq/FAQ203 (This link is being provided for informational/ educational purposes only.)NOT APPLICABLETREATMENT PLANName Type Date

REFERRAL
Capital City Gastroenterology  Capital City 
April 21, 2023
REFERRAL
Capital City Gastroenterology  Capital City 
April 21, 2023
REFERRAL
Capital City Gastroenterology  Capital City 
April 21, 2023
REFERRAL
Capital City Gastroenterology  Capital City 
April 21, 2023
REFERRAL
Capital City Gastroenterology  Capital City 
April 21, 2023
REFERRAL
Capital City Gastroenterology  Capital City 
April 21, 2023
REFERRAL
 East Montgomery Imaging Center
May 02, 2023
REFERRAL
Brian Sellers
June 01, 2023
REFERRAL
Capital City Gastroenterology  Capital City 
February 09, 2023
REFERRAL
Capital City Gastroenterology  Capital City 
February 09, 2023
REFERRAL
Capital City Gastroenterology  Capital City 
February 09, 2023
REFERRAL
Capital City Gastroenterology  Capital City 
February 09, 2023
REFERRAL
Capital City Gastroenterology  Capital City 
February 09, 2023
REFERRAL
Capital City Gastroenterology  Capital City 
February 09, 2023
REFERRAL
Brian Sellers
May 05, 2023
REFERRAL
 East Montgomery Imaging Center
April 28, 2023Capital City Gastroenterology  Capital City Capital City Gastroenterology  Capital City Capital City Gastroenterology  Capital City Capital City Gastroenterology  Capital City Capital City Gastroenterology  Capital City Capital City Gastroenterology  Capital City  East Montgomery Imaging CenterBrian SellersCapital City Gastroenterology  Capital City Capital City Gastroenterology  Capital City Capital City Gastroenterology  Capital City Capital City Gastroenterology  Capital City Capital City Gastroenterology  Capital City Capital City Gastroenterology  Capital City Brian Sellers East Montgomery Imaging CenterGoals SectionNo goal informationHealth Concerns SectionNo Known Health Concerns on INSTRUCTIONSNo Known Instructions/Patient EducationSOCIAL HISTORYNo Social History Selected to be DisplayedFUNCTIONAL STATUSNo informationMENTAL STATUSNo information

Medication	Start Date	Directions	Status
Bactrim DS 800 mg-160 mg tablet, [RxNorm: 849580]	04/28/2022	TAKE 1 TABLET BY ORAL ROUTE EVERY 12 HOURS	Active
ondansetron HCl 4 mg tablet, [RxNorm: 104895]	02/08/2023	TAKE 1 TABLET PO EVERY 8 HOURS AS NEEDED FOR NAUSEA/VOMITING	Active
Imodium A-D 2 mg tablet, [RxNorm: 978013]	02/08/2023	TAKE 2 TABLETS (4 MG) BY ORAL ROUTE AFTER 1ST LOOSE STOOL AND 1 TABLET (2 MG) AFTER EACH NEXT BOWEL MOVEMENT; DO NOT EXCEED 16 MG IN 24HRS	Active
Zithromax Z-Pak 250 mg tablet, [RxNorm: 750149]	04/17/2023	TAKE 2 TABLETS (500 MG) BY ORAL ROUTE ONCE DAILY FOR 1 DAY THEN 1 TABLET (250 MG) BY ORAL ROUTE ONCE DAILY FOR 4 DAYS	Active
fluticasone propionate 50 mcg/actuation nasal spray,suspension, [RxNorm: 1797909]	04/28/2023	SPRAY 1 - 2 SPRAYS (50 - 100 MCG) IN EACH NOSTRIL BY INTRANASAL ROUTE DAILY	Active
omeprazole 20 mg capsule,delayed release, [RxNorm: 104099]	02/08/2023	TAKE 1 CAPSULE (20 MG) BY ORAL ROUTE ONCE DAILY 30 MINUTES TO 1 HOUR BEFORE A MEAL	Active

Procedure	Date
UA, [CPT-4: 81003]	02/08/2023
COMP METABOLIC PANEL (QUEST), [CPT-4: 10231]	04/28/2023
COMP METABOLIC PANEL (QUEST), [CPT-4: 10231]	02/08/2023
CBC W/ DIFF (QUEST), [CPT-4: 6399]	04/28/2023
CBC W/ DIFF (QUEST), [CPT-4: 6399]	02/08/2023
AMYLASE (QUEST), [CPT-4: 243]	02/08/2023
LIPASE (QUEST), [CPT-4: 606]	02/08/2023
CULTURE, STOOL (QUEST)- includes salmonella, shigella, etc. , [CPT-4: 32114]	02/08/2023
INFLUENZA Rapid Test, [CPT-4: 87804]	04/28/2022
Stool O&P with permanent stain (quest), [CPT-4: 681]	02/08/2023
Abbott Binax Now Rapid COVID , [CPT-4: 87426]	04/28/2022
D-DIMER QUANTITATIVE, [CPT-4: 8659]	04/28/2023
Lactoferrin, [CPT-4: 17321]	02/08/2023
C. Diff, stool , [CPT-4: 91664]	02/08/2023

Date	Height	Weight	BMI	Blood Pressure	Temperature	Pulse	Pulse Oximetry	Respiratory Rate
04/28/2022	175 cm	71 kg	23.25	116/80 mm[Hg]	38 Cel	117 bpm	98 pct	16 bpm
02/08/2023	175 cm	69 kg	22.56	129/69 mm[Hg]	37 Cel	93 bpm	100 pct	16 bpm
04/17/2023	173 cm	70 kg	23.56	125/68 mm[Hg]	37 Cel	98 bpm	98 pct	16 bpm
04/28/2023	173 cm	70 kg	23.56	132/81 mm[Hg]	36 Cel	85 bpm	100 pct	16 bpm

Result Type	Result Value	Date
Leukocytes-Urine	Negative	02/08/2023
Urobilinogen-Urine	Negative	02/08/2023
Protein [Mass/Volume] in Urine by Test strip	Negative mg/dL	02/08/2023
pH of Urine by Test strip	6 [pH]	02/08/2023
Blood-Urine	Negative	02/08/2023
Ketones [Mass/Volume] in Urine by Test strip	Negative mg/dL	02/08/2023
Glucose [Mass/Volume] in Urine by Test strip	Negative mg/dL	02/08/2023
Cesium-Urine	No	02/08/2023
Specific Gravity of Urine by Test strip	1.000	02/08/2023
Bilirubin-Urine	Negative	02/08/2023
Nitrites-Urine	Negative	02/08/2023
Appearance of Urine	clear	02/08/2023
Color of Urine	yellow	02/08/2023
INFLUENZA Rapid Test	Negative	04/28/2022
GLUCOSE	102	04/29/2023
UREA NITROGEN (BUN)	11	04/29/2023
CREATININE	0.84	04/29/2023
EGFR	97	04/29/2023
BUN/CREATININE RATIO	NOT APPLICABLE	04/29/2023
SODIUM	140	04/29/2023
POTASSIUM	4.3	04/29/2023
CHLORIDE	106	04/29/2023
CARBON DIOXIDE	28	04/29/2023
CALCIUM	9.1	04/29/2023
PROTEIN, TOTAL	7.1	04/29/2023
ALBUMIN	4.3	04/29/2023
GLOBULIN	2.8	04/29/2023
ALBUMIN/GLOBULIN RATIO	1.5	04/29/2023
BILIRUBIN, TOTAL	0.7	04/29/2023
ALKALINE PHOSPHATASE	76	04/29/2023
AST	14	04/29/2023
ALT	13	04/29/2023
WHITE BLOOD CELL COUNT	6.7	04/29/2023
RED BLOOD CELL COUNT	4.91	04/29/2023
HEMOGLOBIN	13.7	04/29/2023
HEMATOCRIT	40.5	04/29/2023
MCV	82.5	04/29/2023
MCH	27.9	04/29/2023
MCHC	33.8	04/29/2023
RDW	14.3	04/29/2023
PLATELET COUNT	246	04/29/2023
MPV	11.3	04/29/2023
ABSOLUTE NEUTROPHILS	3866	04/29/2023
ABSOLUTE LYMPHOCYTES	2365	04/29/2023
ABSOLUTE MONOCYTES	355	04/29/2023
ABSOLUTE EOSINOPHILS	54	04/29/2023
ABSOLUTE BASOPHILS	60	04/29/2023
NEUTROPHILS	57.7	04/29/2023
LYMPHOCYTES	35.3	04/29/2023
MONOCYTES	5.3	04/29/2023
EOSINOPHILS	0.8	04/29/2023
BASOPHILS	0.9	04/29/2023
D-DIMER, QUANTITATIVE	0.46	04/29/2023
LACTOFERRIN, QN, STOOL	87.60	02/17/2023
SOURCE:	STOOL	02/15/2023
RESULT:	No Salmonella or Shigella isolated	02/15/2023
STATUS:	FINAL	02/15/2023
CONCENTRATE RESULT:	No ova or parasites seen	02/15/2023
TRICHROME RESULT:	No ova or parasites seen Routine Ova and Parasite exam may not detect some parasites that occasionally cause diarrheal illness. Cryptosporidium Antigen and/or Cyclospora and Isospora Exam may be ordered to detect these parasites. One negative sample does not necessarily rule out the presence of a parasitic infection. For additional information, please refer to https://education.questdiagnostics.com/faq/FAQ203 (This link is being provided for informational/ educational purposes only.)	02/15/2023
GLUCOSE	87	02/09/2023
UREA NITROGEN (BUN)	9	02/09/2023
CREATININE	0.95	02/09/2023
EGFR	84	02/09/2023
BUN/CREATININE RATIO	NOT APPLICABLE	02/09/2023
SODIUM	140	02/09/2023
POTASSIUM	4.1	02/09/2023
CHLORIDE	108	02/09/2023
CARBON DIOXIDE	25	02/09/2023
CALCIUM	9.0	02/09/2023
PROTEIN, TOTAL	7.0	02/09/2023
ALBUMIN	4.2	02/09/2023
GLOBULIN	2.8	02/09/2023
ALBUMIN/GLOBULIN RATIO	1.5	02/09/2023
BILIRUBIN, TOTAL	0.3	02/09/2023
ALKALINE PHOSPHATASE	63	02/09/2023
AST	18	02/09/2023
ALT	16	02/09/2023
AMYLASE	23	02/09/2023
LIPASE	13	02/09/2023
WHITE BLOOD CELL COUNT	7.1	02/09/2023
RED BLOOD CELL COUNT	4.67	02/09/2023
HEMOGLOBIN	13.0	02/09/2023
HEMATOCRIT	38.5	02/09/2023
MCV	82.4	02/09/2023
MCH	27.8	02/09/2023
MCHC	33.8	02/09/2023
RDW	13.1	02/09/2023
PLATELET COUNT	269	02/09/2023
MPV	10.7	02/09/2023
ABSOLUTE NEUTROPHILS	3962	02/09/2023
ABSOLUTE LYMPHOCYTES	2343	02/09/2023
ABSOLUTE MONOCYTES	547	02/09/2023
ABSOLUTE EOSINOPHILS	220	02/09/2023
ABSOLUTE BASOPHILS	28	02/09/2023
NEUTROPHILS	55.8	02/09/2023
LYMPHOCYTES	33.0	02/09/2023
MONOCYTES	7.7	02/09/2023
EOSINOPHILS	3.1	02/09/2023
BASOPHILS	0.4	02/09/2023

Name	Type	Date
REFERRAL	Capital City Gastroenterology Capital City	April 21, 2023
REFERRAL	Capital City Gastroenterology Capital City	April 21, 2023
REFERRAL	Capital City Gastroenterology Capital City	April 21, 2023
REFERRAL	Capital City Gastroenterology Capital City	April 21, 2023
REFERRAL	Capital City Gastroenterology Capital City	April 21, 2023
REFERRAL	Capital City Gastroenterology Capital City	April 21, 2023
REFERRAL	East Montgomery Imaging Center	May 02, 2023
REFERRAL	Brian Sellers	June 01, 2023
REFERRAL	Capital City Gastroenterology Capital City	February 09, 2023
REFERRAL	Capital City Gastroenterology Capital City	February 09, 2023
REFERRAL	Capital City Gastroenterology Capital City	February 09, 2023
REFERRAL	Capital City Gastroenterology Capital City	February 09, 2023
REFERRAL	Capital City Gastroenterology Capital City	February 09, 2023
REFERRAL	Capital City Gastroenterology Capital City	February 09, 2023
REFERRAL	Brian Sellers	May 05, 2023
REFERRAL	East Montgomery Imaging Center	April 28, 2023