Medical Record For Catherine Lutz

Patient Information

Name
Catherine Lutz
DOB:
12/26/1942
MRN:
155544
Admitting Diagnosis:
Colon cancer
Admitting Physician:
Michael Stark, M.D.

Past Medical History

Allergies

NKDA

Medical Problems

Hypertension, atrial fibrillation, Type II diabetes mellitus, seizure disorder

Surgical History

Hysterectomy 1987, Catheter ablation 2008

Provider Notes

Time Provider Notes
0830 Michael Stark, M.D. Colectomy 4 days ago. Patient with stable post-op course. Foley catheter discontinued 8 hours ago. Patient unable to void since catheter removed. Patient with developing fever.

Vital Signs

Time 0800 0400
Heart Rate 96 88
Blood Pressure 132/80 116/70
Respiratory Rate 18 16
Pulse Ox 98% 97%
Temperature 101.0 99.8