PS
Patrick Sullivan, MD

Attending Physician

Active Chart · MRN SYN-1021

Ruth Phillips

73 y/o F · Recurrent C. difficile colitis

AllergiesClindamycin
Chart flagsRecent hospitalization · Prior C. diff infection
Visit focusC. difficile colitis — severity-guided oral vancomycin
AdmittingDr. Anne Sullivan
Visit StatusIn Progress

Chart Review

Encounter timeline and laboratory review

Encounter timeline

Linked visit history and responsible clinicians.

Inpatient

Recurrent C. difficile colitis · Dr. Anne Sullivan

OPEN

Started Mar 5, 2026, 1:00 PM

Notes

Progress and clinical documentation

Infectious disease consult

CONSULT · Dr. G. Ibrahim · Mar 5, 2026, 2:00 PM

SIGNED

Recurrent C. diff colitis. WBC 28.4 concerning for severe disease (WBC > 15K criteria met). Received cephalosporins during last admission 2 weeks ago. Recommend oral vancomycin 125 mg QID. Consider CT abdomen if clinical worsening to rule out megacolon.

Orders

Medication, lab, and imaging entry

Stool studies

LAB · Mar 5, 2026, 1:10 PM

SIGNED

Parameters: Urgent

Rationale: Rule out other enteric pathogens.

C. diff toxin PCR

LAB · Mar 5, 2026, 1:10 PM

SIGNED

Parameters: STAT

Rationale: Confirm recurrent C. diff.

Wrap-Up

Finalize documentation and orders

Signing this visit finalizes notes and promotes all remaining draft or pending orders to signed.