ED physician note
PROGRESS · Dr. S. Chowdhury · Mar 6, 2026, 6:30 AM
82F from SNF with sepsis likely urosepsis. qSOFA 3. 30 mL/kg crystalloid bolus initiated. Blood cultures x2 drawn prior to antibiotics.
PS
Patrick Sullivan, MD
Attending Physician
Active Chart · MRN SYN-1009
Margaret Wilson
82 y/o F · Sepsis secondary to urinary source
Chart Review
Encounter timeline and laboratory review
Encounter timeline
Linked visit history and responsible clinicians.
Inpatient
OPENSepsis secondary to urinary source · Dr. Elena Ruiz
Started Mar 6, 2026, 5:45 AM
Labs
Recent resulted values for the active encounter.
| Collected | Test | Value | Reference |
|---|---|---|---|
| Mar 6, 2026, 6:15 AM | Urinalysis nitrites | Positive | Negative |
| Mar 6, 2026, 6:15 AM | Urinalysis WBC | 50+ per HPF | 0-5 |
| Mar 6, 2026, 6:10 AM | Creatinine | 2.1 mg/dL | 0.6-1.2 |
| Mar 6, 2026, 6:10 AM | Lactate | 4.8 mmol/L | 0.5-2.0 |
| Mar 6, 2026, 6:10 AM | WBC | 22.4 K/uL | 4.0-10.5 |
SIGNED
Notes
Progress and clinical documentation
ED physician note
PROGRESS · Dr. S. Chowdhury · Mar 6, 2026, 6:30 AM
82F from SNF with sepsis likely urosepsis. qSOFA 3. 30 mL/kg crystalloid bolus initiated. Blood cultures x2 drawn prior to antibiotics.
Orders
Medication, lab, and imaging entry
Urinalysis
LAB · Mar 6, 2026, 6:05 AM
Parameters: STAT
Rationale: Evaluate urinary source.
Blood cultures x2
LAB · Mar 6, 2026, 6:05 AM
Parameters: STAT
Rationale: Identify bacteremia.
Wrap-Up
Finalize documentation and orders
Signing this visit finalizes notes and promotes all remaining draft or pending orders to signed.