Let’s go back to the first case we saw before the video.

A 68-year-old male recipient of a cadaveric liver transplant four years previous for alcohol cirrhosis with good graft function and excellent adherence to immune suppressive regimen was admitted to the hospital for “suspect infection.”

At the time of admission, the patient demonstrated a T 101°F, HR 108 and regular, BP 110/62, R 19 and non-labored, Pox 98% on RA. 

Detailed examination was unremarkable. Labs demonstrated a WBC of 17,000 with 86% neutrophils, but were otherwise unremarkable. The patient was placed on empiricbroad spectrum antibiotics, including IV vancomycin and IV ceftazidime. He had been vaccinated for both Hep A and B prior to current hospitalization.

Evaluation during his 5-day hospital stay included two sets of blood cultures daily through day 3 of hospitalization, CXR and urine culture on admission, CT of chest/abdomen/pelvis, chest CT angiography, bilateral lower extremity doppler ultrasonography, transthoracic echocardiogram, CMV quant, serum HSV cultures, serum EBV IgM /IgG and HCV quant. All were negative. 

By day 3 of hospitalization, the patient became afebrile, and WBC normalized to 8,000. On day 4, antibiotics were changed to oral levofloxacin 750 mg po daily to be continued to complete a course of 14 days.

The patient remained afebrile for the rest of his hospitalization, and he was discharged to home on day 5.

Based on the information above, what is the best documentation for this case?Click the best answer.

Click the forward arrow when you're finished to review case 2.