commit 234297fe9d8f41e34d012b5b89ce19c2d3d09720
parent 17f735771e349ee1daa62e3bd8ac7fcf7375a9fc
Author: Beau Hilton <beau.hilton@vumc.org>
Date: Sat, 21 Aug 2021 23:02:47 -0500
small mod mr, move things
Diffstat:
9 files changed, 95 insertions(+), 91 deletions(-)
diff --git a/index.md b/index.md
@@ -22,6 +22,6 @@ Feed for this page.
## Posts
-[Morning Report 08/2021](/mr-2021.html)
+[Morning Report 08/2021](posts/mr-2021.html)
See old posts [here](https://cbeauhilton.github.io)
diff --git a/mr-2021.md b/mr-2021.md
@@ -1,90 +0,0 @@
-## HPI
-
-70F with chest pain, abdominal pain, and constipation.
-
-2-3mo weight loss, night sweats.
-
-2-3wk +perineal ?cyst, initially ttp and hurt to walk, but now nontender.
-
-~1wk constipation, BRB on TP.
-
-+crampy LLQ pain 8/10, x3-4 days, improves with positioning (supine with head raised somewhat, 3-4 pillows).
-
-+LUQ and left-sided chest pain x1-2 days, radiates to L arm, not related to exertion, lasts a few minutes.
-
-
-## PMSHx
-- TVH-BSO for fibroids and endometriosis (~20y ago)
-- hemorrhoids (no surgeries)
-- s/p Moderna COVID vaccine (~4wk ago)
-- utd on mammograms, colonoscopies, no deviations from regular schedule
-
-## SHx
-- monogamous x45y, G2P2 sons, 6yo grandson, all healthy
-- never smoker
-- social EtOH, none this year
-- previously secretary
-- likes to DIY: painting, home crafts, gardening
-
-## FHx
-- M GM: uterine cancer (~40yo)
-- P GF: lung ca, unknown type (~70yo)
-
-## OP Meds
-- duloxetine 60mg
-- ASA 81mg
-- melatonin 6mg
-- no notable allergies
-
-## PE
-- VS: wnl
-- GEN: NAD
-- HEENT: no LAD
-- PULM: fine
-- CV: fine
-- ABD: NTND, +splenomegaly
-- GYN: 0.5cm lesion R side of anterior perineum, NT, freely mobile
-- NEURO: fine
-
-## Labs
-- Hgb 12.7
-- WBC 58.3
- - 0 blasts
- - 0 atypical lymphs
- - + slight L shift
-- Plt 490
-- BMP grossly wnl (gluc 202)
-- LFTs fine
-- Trop <0.01
-- urate 10.4
-- phos 5.0
-- LDH 330
-- fibrinogen 355
-
-## Other studies
-- EKG wnl
-- CT-PE -ve
-- CT a/p wwo
- - +10x7cm pelvic mass (central/R adnexum, exerting mass effect on sigmoid colon)
- - spleen ~20cm largest dimension w ?infarcts x2,
- - L internal iliac vein filling defects c/w nonocclusive DVT
-- PET/CT
- - splenomegaly with diffusely increased uptake, diffuse FDG uptake of axial and appendicular skeleton, mild uptake of abdominal pelvic lymph nodes, and minimal to mild uptake in the pelvic mass.
-
-## Further notes on hospital course
-- CEA 1.7 (wnl), CA-125 52 (-)
-- urate 9.5 5d later w IVF, given rasburicase 3mg x1 -> urate 3.8
-- phos similarly without movement, sevelamer eventually helpful
-- pelvic mass bx: smooth muscle
-- BMBx: hypercellular >90%, no blasts, +trilineage atypica > myeloid, MF-1 fibrosis.
-- JAK2 -ve, BCR/ABL -ve
-
-## TLS
-- laboratory vs clinical
-- risk assessment
-- rasburicase
-- allopurinol
-- when to expect
-
-## MDS/MPN overlap syndromes
-- something profound
diff --git a/chrome_ext.md b/old/chrome_ext.md
diff --git a/humility_talk.md b/old/humility_talk.md
diff --git a/old_site_howto.md b/old/old_site_howto.md
diff --git a/old_slogan.md b/old/old_slogan.md
diff --git a/remember_everything.md b/old/remember_everything.md
diff --git a/rmd_py.md b/old/rmd_py.md
diff --git a/posts/mr-2021.md b/posts/mr-2021.md
@@ -0,0 +1,94 @@
+# Morning Report 08/23/2021
+
+Details modified, generalized, and otherwise fudged to be HIPAA-compliant.
+
+## HPI
+
+70F with chest pain, abdominal pain, and constipation.
+
+2-3mo weight loss, night sweats.
+
+2-3wk +perineal ?cyst, initially ttp and hurt to walk, but now nontender.
+
+~1wk constipation, BRB on TP.
+
++crampy LLQ pain 8/10, x3-4 days, improves with positioning (supine with head raised somewhat, 3-4 pillows).
+
++LUQ and left-sided chest pain x1-2 days, radiates to L arm, not related to exertion, lasts a few minutes.
+
+
+## PMSHx
+- TVH-BSO for fibroids and endometriosis (~20y ago)
+- hemorrhoids (no surgeries)
+- s/p Moderna COVID vaccine (~4wk ago)
+- utd on mammograms, colonoscopies, no deviations from regular schedule
+
+## SHx
+- monogamous x45y, G2P2 sons, 6yo grandson, all healthy
+- never smoker
+- social EtOH, none this year
+- previously secretary
+- likes to DIY: painting, home crafts, gardening
+
+## FHx
+- M GM: uterine cancer (~40yo)
+- P GF: lung ca, unknown type (~70yo)
+
+## OP Meds
+- duloxetine 60mg
+- ASA 81mg
+- melatonin 6mg
+- no notable allergies
+
+## PE
+- VS: wnl
+- GEN: NAD
+- HEENT: no LAD
+- PULM: fine
+- CV: fine
+- ABD: NTND, +splenomegaly
+- GYN: 0.5cm lesion R side of anterior perineum, NT, freely mobile
+- NEURO: fine
+
+## Labs
+- Hgb 12.7
+- WBC 58.3
+ - 0 blasts
+ - 0 atypical lymphs
+ - + slight L shift
+- Plt 490
+- BMP grossly wnl (gluc 202)
+- LFTs fine
+- Trop <0.01
+- urate 10.4
+- phos 5.0
+- LDH 330
+- fibrinogen 355
+
+## Other studies
+- EKG wnl
+- CT-PE -ve
+- CT a/p wwo
+ - +10x7cm pelvic mass (central/R adnexum, exerting mass effect on sigmoid colon)
+ - spleen ~20cm largest dimension w ?infarcts x2,
+ - L internal iliac vein filling defects c/w nonocclusive DVT
+- PET/CT
+ - splenomegaly with diffusely increased uptake, diffuse FDG uptake of axial and appendicular skeleton, mild uptake of abdominal pelvic lymph nodes, and minimal to mild uptake in the pelvic mass.
+
+## Further notes on hospital course
+- CEA 1.7 (wnl), CA-125 52 (-)
+- urate 9.5 5d later w IVF, given rasburicase 3mg x1 -> urate 3.8
+- phos similarly without movement, sevelamer eventually helpful
+- pelvic mass bx: smooth muscle
+- BMBx: hypercellular >90%, no blasts, +trilineage atypica > myeloid, MF-1 fibrosis.
+- JAK2 -ve, BCR/ABL -ve
+
+## TLS
+- laboratory vs clinical
+- risk assessment
+- rasburicase
+- allopurinol
+- when to expect
+
+## MDS/MPN overlap syndromes
+- something profound
