analyse_media
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Based on the image provided visually and the partial extraction, here is the full content of this hospital census/ward list dated August 7, 2026 (Friday):
HOSPITAL CENSUS - August 7, 2026 (Friday)
Mortality: 0 | Census: 27 | New Patients: 2 | Admissions: 1 | Referrals: 1 | Discharged: 3
ER
(no entries listed)
ICU
(no entries listed)
NICU
(no entries listed)
ANNEX C1
| Room | Patient | Attending/Team | Diagnosis / Procedures |
|---|---|---|---|
| 201 | GALARIN 22/M | RDMT-Anto-CM/Cimafranca-Anes, RIC Bullo | MPI sec to MVA (pedestrian vs 4-wheel) 1. Fracture, close, comminuted, subtrochanteric proximal femur L hip 2. Fracture, close, comminuted, displaced, supracondylar distal humerus R elbow with radial nerve palsy 3. Avulsed wound (12cm), volar aspect R forearm 4. Multiple abrasions, bilateral legs S/P Debridement and wound suturing 7/30; S/P ORIF Interlocked Plating Proximal Femur L hip; ORIF Double Plating Supracondylar Distal Humerus, R Elbow; Radial Nerve Exploration, R Elbow 08/02/2026 |
| 208 | MARTINEZ 62/F | Rollo/De Leon-IO/Gatho-IO/Cimafranca-Anes, RIC Abuga | G1P1(001) CNO, L likely benign; HCVD-NIF S/P CB for malpresentation: breech (1998, southern island hospital) S/P open Cholecystectomy (2008, PSH) 2d S/P ExLap, R&O with FB, TALB&O, Serorheraphy of Ileum 8/5 |
| 214 | MAHINAY 10mo/M (GH) | Iteno/Daño-CM/Guinto-CM/Amboong, RIC Yee | Right submandibular abscess, R 5d S/P I & D, R submandibular area 8/1 |
ANNEX C2
| Room | Patient | Attending/Team | Diagnosis / Procedures |
|---|---|---|---|
| 217 | INDINO 83/F | A Yapho/G Yapho/Guaengko-CMCP/Oporto-CM/Leslie Ong-CM, RIC Mendoza | Adenocarcinoma of GB; Acute Calculous Cholecystitis; Biliary Tuberculous; Multinodular Liver Cirrhosis 8d S/P Open Cholecystectomy, IOC, excision of hilar LN 7/30 |
| 220 | SY 43/M (GH) | Galande/Guinocor-CM/Dejeno-CM | CVD Bleed (19cc -> 13cc) Sepsis sec to CAP-HR; HCVD HF/EF; OSA; COPD Suspect |
| 221 | TADENA 2/F (GH) | P.Villegas/V.Chiu-CM/Amboong-Anes/Monteclaro-COOR, RIC Amatorio | Recurrent UTI sec to Ureteral Stricture sec to Segmental Renal Artery Obstruction; S/P Cystoscopy, RGP, DJ Stent (4/2026, PSH) 7d S/P Removal of Stent 7/31 |
| 226 | VERGARA 58/M | Limquiaco/Po-TC/Batoclay-CM/Leonardo-CM/Monteclaro-CM/C.Tam-P, RIC Abuga | R Rhabdomyolysis; Liver Cirrhosis prob sec to Chronic Hep B; HCVD NIF 2d S/P UTZ Guided IJ Catheter Insertion, Right 8/5 |
| 231 | GIDUCOS 42/M (GH) | M. Tam/R. Derogol-CM/C. Tam-P/ Santos-CM/L. Caballag-CM/Actoc-Anes, RIC Yee | Sepsis sec to CRIBSI (B. cepacian); CKD Stage V sec to HPNSS; Bilateral Pleural Effusion prob sec to CKD; S/P IJ cath, R (VMH, March 2026) 1m S/P IJ cath reinsertion 9/25; S/P Thoracentesis, Left 6/25; 1m S/P UTZ Guided Bilateral Thoracentesis; Pleural Catheter Insertion and Pleural Biopsy Left 7/7; 15d S/P Utr Guided IJ Cath Insertion, Right 7/23 |
ANNEX C3
| Room | Patient | Attending/Team | Diagnosis / Procedures |
|---|---|---|---|
| 001 | CEROJANO 62/M | Dajperna/A.Chu-CM/M.Chua-CM/Salas-CM | Sepsis secondary to Cellulitis R Leg, NHW R Leg sec to DM |
| 007 | EBAJAN 38/M (TOH) | Bullo/Betarme-CM/M.Montejo-CM/Sequerra-Anes, RIC Montejo | Multiple Gunshot Wound: 1. Right Mental Area 2. Zone II Submandibular Area, Right 3. Zone I Midclavicular Area, Right; Open Comminuted Fracture, Right Mandible; Open Comminuted Fracture, Right Clavicle; 12d S/P Neck Exploration, Removal of Bone Fragments; Ligation of Bleeders; Removal of Bullet Fragments; Wound Debridement 7/25 Plan: ORIF via reconstructive plating once with consent and with Ortho |
| 008 | GEMARANGAN 52/M (GH) | Semenza/M.Uy-CM/Dimaano-CM/E.Hernandez-CM/Galicano-Anes/Anoto-CM/M. Guinocor-CM, RIC Bullo | Obstructive Hydrocephalus sec to Cerebellar Bleed (31cc); Hypertensive Emergency; Aspiration Pneumonia sec to #1; AKI sec to #1; 1m S/P Tube Ventriculostomy, Right Frontal Area 6/25; 1m Suboccipital Craniotomy Evacuation of Hematoma, Tracheostomy 6/30/2026 |
| 011 | ENO 57/F (GH) | Enbat/Solite-CM/Dimaano-CM/OOT/Brenas-TC/Robles-CM/Galicano-Anes/M.De Leon-Anes/Natingga-CM/D.Ton-CM/R.Oberzo-CM/C.Tam-P, RIC Amatorio | CVD Blood Hypertensive R basal ganglia with intraventricular extension; 1m S/P R decompressive hemicraniectomy, evacuation of hematoma, bone implantation, R hemiabdomen 6/21; 1mo S/P Tracheostomy 26d S/P UTZ Guided IJ Cath Insertion, R Laparoscopic Gastrostomy 07/12 |
ANNEX B
ANNEX D1
| Room | Patient | Attending/Team | Diagnosis / Procedures |
|---|---|---|---|
| 302 | ABELLAR 16/F | Alinsug/Deparise-CM/Montejo-CM/Dario-CP | MPI sec to MVA (2 wheel vs 2 wheel); 1. TBI, mild 2. Avulsed wound, dorsal aspect of L foot 3. Fracture, closed, complete, displaced, clavicle, R 4. Fracture, L, zygomatic area 5. Multiple abrasions (face, bilateral knees, R shoulder); S/P Wound debridement and suturing of wound, dorsal aspect of L foot 7/27 Plan: ORIF of the Clavicle R, ORIF Zygomaticomaxillary Area 8/10 7AM BO |
| 305 | LUCEÑO 61/M | Bullo/K.Chan-CM/Salgado-CM/Sindo-P | Massive Ascites sec to Portal Hypertension sec to Liver Cirrhosis |
| 306 | SABAL 16/F | Astrologo/Cabral-CM/Galicano-Anes, RIC Montejo | Acute ruptured appendicitis; Nephrotic syndrome 4d S/P Appendectomy 8/3 |
| 308 | ROSALES 71/M | Garcia/Villegas-CM | UTI prob sec to Ureterolithiasis vs prostatitis; AKI sec to #1; BPH Grade II; HCVD-NIF |
| 318 | BAJANDI 51/M | Tipgas/Ouano-CPCM/T. Sedan-Anes, RIC Amatorio | Non-healing wound, sec to DMT2, R foot S/P Debridement of non-healing wound, R foot and VAC application 7/8; 8d S/P Repeat Debridement, Right Foot; STSG-Autograft Contralateral Thigh; VAC, Right Foot; Short leg posterior mold, Right 7/31 |
ANNEX E
| Room | Patient | Attending/Team | Diagnosis / Procedures |
|---|---|---|---|
| 401 | DELOS SANTOS 78/M | Librado/Railan-CM/T.Sedan-Anes/Oporto-CM/Sindo-P, RIC Amatorio | CBD stricture; Chronic Calculous Cholecystitis; HCVD-NIF 11d S/P Laparoscopic converted to Open Cholecystectomy 7/27; S/P Attempted PTBD 8/6 |
| 402 | FELICES 42/M | C. Tam/Amatorio-CM/Mommo-Anes | Sepsis sec to non-healing wound R foot sec to diabetic foot; CKD Stage V sec to DKD; DMT2-IR; GI TB 4d S/P BKA, Right 8/3 |
| 414 | MONTANO 63/M (GH) | Macabaya/Guinocor-CM/Español-C | Tetanus Infection S/P Tooth Extraction (June 2026); Osteoarthritis; BPH Grade 2 |
| 416 | VILLARINO 41/M | Bullo/Villanueva-Coor | Lacerated wound, L wrist with transected flexor tendon sec to household injury S/P Wound debridement and repair, tenorrhaphy left flexor tendon 8/6 |
| 417 | TAMPUS 54/F | Barcenas/Junis-CM/R.Uy-CM | Fracture, Close, Comminuted Distal Fibula, Left and Bimalleolar Ankle Fracture, Left with Subluxation sec to Fall (Ground Level); HCVD NIF; DM Type II NIR Poorly Controlled 2d S/P Application of Short Leg Posterior Mold, Left (8/5/2026, VMH) |
| 420 | VERANO 22/M | De Leon, RIC Abuga | Lacerated Wound 4cm, Mentum; Multiple Abrasions, Right, Posterior Forearm and Bilateral Knees sec to Fall(12 ft); Intellectual Disability; 2d S/P Wound Suturing, Mentum 8/5 |
| 426 | JORQUIA 22/M (GH) | H.Cañizares/Castro-CM/Sequerra-Anes, RIC Mendoza | Acute Uncomplicated Appendicitis 6d S/P Laparoscopic Appendectomy 8/1 |
| 428 | BRAGAT 52/M (GH) | Sales/J.Go-CM/Librado-CP/M.De Leon-Anes, RIC Yee | MPI sec to Work Related Injury: 1. Fracture, Close, Complete, Displaced, Distal 3rd of Left Radius 2. Lacerated wound 3cm, Palmar Aspect of 2nd Digit, Left Hand; HCVD NIF; S/P Wound Suturing 2nd Digit Left hand, Short Arm Posterior mold, Left Wrist (7/31/26) 3d S/P ORIF, Distal Radius, Left 8/4 |
| 429 | GIMENA 68/M | G.Uy/C.Tam-P | CKD Stage 5 sec to HPNSS; HCVD NIF; Cholecystolithiasis; S/P Colon Surgery (2011, South Gen) 2d S/P UTZ Guided IJ Catheter Insertion, Right 8/6 |
| 430 | BACARRO 18/M | Fanlo/Salazar-Anes, RIC Yee | MPI sec to MVC; Fracture, Close, Complete, Radius, right; Avulsed Wound R Forearm; Multiple Abrasions L Shoulder R Forearm L Knee S/P Wound Debridement and Repair, Right Forearm 8/3; 1d S/P ORIF plating, proximal radius, right 8/6 |
LR/DR
(no entries)
EXPIRED
(none)
DISCHARGED
| Room | Patient | Team | Diagnosis |
|---|---|---|---|
| 223 | NAKAZAWA 22/M (GH) | K. Chan/Bullo-CM/B. Go-Chan | Pancreatic Pseudocyst; PTB Infection - Completed Treatment |
| 407 | TANEO 21/M (GH) | De Leon | 4% TBSA Scald burn injury (hot oil) dorsum bilateral feet sec to work-related injury |
| 310 | ESPINOSA 20/F | Obenza/Del Mar-Lim-Anes, RIC Bullo | Hydrops of Gallbladder 2d S/P Lap Chole 8/5 |
Summary:
- Total census: 27 patients
- Sections with patients: Annex C1 (3), Annex C2 (4), Annex C3 (4), Annex D1 (5), Annex E (11)
- Discharged today: 3 patients
- Pending OR/Procedures noted: ORIF Clavicle R + Zygomaticomaxillary Area for Abellar (Rm 302) scheduled 8/10 7AM; ORIF via reconstructive plating for Ebajan (Rm 007) pending consent + Ortho clearance
401
Here is the entry for Room 401:
Room 401 — DELOS SANTOS, 78/M
| Field | Details |
|---|---|
| Ward | Annex E |
| Attending / Team | Librado / Railan-CM / T. Sedan-Anes / Oporto-CM / Sindo-P |
| RIC | Amatorio |
Diagnoses
- CBD Stricture (Common Bile Duct Stricture)
- Chronic Calculous Cholecystitis
- HCVD-NIF (Hypertensive Cardiovascular Disease, No Interval Finding)
Procedures / Clinical Course
- 11d S/P Laparoscopic converted to Open Cholecystectomy (done 7/27/2026)
- S/P Attempted PTBD (Percutaneous Transhepatic Biliary Drainage) on 8/6/2026
Clinical note: The PTBD was only attempted (not successfully completed), which in the setting of CBD stricture suggests the biliary obstruction may still be unresolved. Patient is a 78-year-old male, now 11 days post-op from an open cholecystectomy. Further biliary drainage options (e.g., ERCP, repeat PTBD, or surgical bypass) may be under consideration.
Good evening doctors! Sending you the latest vitals of patient 401 🗓️ 08/08/2026 🧔 Delos Santos, Premo Bulan ⏰7:45pm (Q1) BP: 130/70 mmHg HR: 93 bpm RR: 17 cpm Temp: 36.0 C 02 Sat:98%at 2LPM via NC
Here is the formatted vitals entry for documentation:
Vitals Monitoring — Room 401
📋 Patient: Delos Santos, Premo Bulan
🗓️ Date: August 8, 2026
⏰ Time: 7:45 PM (Q1)
| Parameter | Value | Normal Range | Status |
|---|---|---|---|
| BP | 130/70 mmHg | 90-120 / 60-80 mmHg | ⚠️ Slightly elevated systolic |
| HR | 93 bpm | 60-100 bpm | ✅ Normal |
| RR | 17 cpm | 12-20 cpm | ✅ Normal |
| Temp | 36.0 °C | 36.5-37.5 °C | ⚠️ Low normal / borderline hypothermia |
| O2 Sat | 98% @ 2LPM via NC | ≥95% | ✅ Acceptable (on supplemental O2) |
Quick Assessment
- BP is mildly elevated, consistent with his known HCVD - no acute hypertensive concern at this reading
- HR is within normal range
- RR is normal, no respiratory distress
- Temp 36.0°C - slightly on the low side; worth monitoring for downward trend especially post-op and in the context of a failed PTBD (biliary sepsis risk)
- O2 Sat is good but patient remains on 2LPM nasal cannula - worth noting oxygen requirement in a post-cholecystectomy, CBD stricture patient
⚠️ Note to team: Temperature trending low in a post-op patient with unresolved biliary obstruction (CBD stricture, failed PTBD 8/6) warrants attention. Hypothermia can be an early/atypical sign of sepsis in elderly patients (78M). Recommend close monitoring of subsequent vitals.Here is the full transcription and interpretation of the ultrasound report:
Whole Abdomen Ultrasound — Room 401
Patient: Delos Santos, Premo Bulan | Room: 401
DOB: July 10, 1948 | Age/Gender: 78YO/Male
Patient No.: 2026072200021
Address: Tapilon, Daan Bantayan, Cebu
Ref. Physician: Dr. Librado
Date & Time Performed: August 7, 2026 / 5:03 PM
Read by: Harold James M. Estrada, MD, FPCR - Radiologist/Sonologist
Membership: NH
FINDINGS
| Organ | Finding |
|---|---|
| Liver | Normal in size (13.2 cm) and echopattern. No focal lesions. Intrahepatic biliary ducts, portal vein, CBD, and porta hepatis - unremarkable |
| Gallbladder | Absent (s/p cholecystectomy). Drainage tube noted in the fossa. No measurable anechoic fluid. |
| Pancreas | Obscured (unable to visualize) |
| Spleen | Normal in size (8.6 cm), shape, contour, and echogenicity. No focal lesion. Splenoportal axis normal. |
| Kidneys | Both normal in position, size, shape, contour. Corticomedullary differentiation well-maintained. Bilateral cystic, anechoic lesions with imperceptible walls - largest in right kidney at 2.4 x 2.3 cm. No hydronephrosis/calculi. No ureteral dilatation or calculus at ureterovesical junction. |
| Right Kidney | 8.9 x 4.1 x 1.3 cm |
| Left Kidney | 8.9 x 4.9 x 1.2 cm |
| Urinary Bladder | Foley catheter bulb within collapsed urinary bladder |
| Prostate | Not enlarged - Volume: 20.19 grams (normal). Capsule intact. No masses or calcifications. |
| Abdominal Aorta | Normal caliber. No periaortic lymphadenopathy. |
| Additional | No free fluid in abdomen and pelvis. Visualized bowel loops normal. |
IMPRESSION
- Bilateral renal cysts
- Sonographically unremarkable liver, intrahepatic bile ducts, common bile duct, spleen, ureters, prostate gland, and abdominal aorta
Clinical Correlation Notes
⚠️ Key findings in context of Room 401's clinical picture:
- CBD appears unremarkable on UTZ - this is notable given the patient's known CBD stricture diagnosis. Ultrasound has limited sensitivity for strictures vs. ERCP/MRCP; a sonographically normal CBD does not rule out a clinically significant stricture.
- Gallbladder absent - consistent with s/p Open Cholecystectomy (7/27/2026). Drainage tube in fossa noted - correlate with output and character.
- Pancreas obscured - cannot exclude pancreatic pathology (e.g., mass causing CBD stricture). MRCP or CT abdomen would be recommended to further evaluate the biliary system and pancreas.
- Bilateral renal cysts - simple in appearance (Bosniak I equivalent). Low malignant potential; routine monitoring appropriate.
- No ascites or free fluid - reassuring; no sign of bile leak post-operatively at this time.
- Prostate volume 20.19g - within normal range (normal <30g); no BPH concern.
Good Morning doctors! Sending you the latest vitals of patient 401 🗓️ 08/09/2026 🧔 Delos Santos, Premo Bulan ⏰5:45am (Q1) BP: 150/80mmHg HR: 104 bpm RR: 18 cpm Temp: 36.1C 02 Sat:96%at 2LPM via NC Thank you doctors
Here is the formatted vitals entry for documentation:
Vitals Monitoring — Room 401
📋 Patient: Delos Santos, Premo Bulan
🗓️ Date: August 9, 2026
⏰ Time: 5:45 AM (Q1)
| Parameter | Value | Normal Range | Status |
|---|---|---|---|
| BP | 150/80 mmHg | 90-120 / 60-80 mmHg | 🔴 Elevated (Stage 1-2 HTN) |
| HR | 104 bpm | 60-100 bpm | 🔴 Tachycardic |
| RR | 18 cpm | 12-20 cpm | ✅ Normal |
| Temp | 36.1 °C | 36.5-37.5 °C | ⚠️ Low normal (borderline) |
| O2 Sat | 96% @ 2LPM via NC | ≥95% | ⚠️ Acceptable but decreased from prior |
Trend Comparison
| Parameter | 08/08 7:45 PM | 08/09 5:45 AM | Trend |
|---|---|---|---|
| BP | 130/70 | 150/80 | 📈 Worsening |
| HR | 93 bpm | 104 bpm | 📈 Worsening |
| RR | 17 cpm | 18 cpm | ➡️ Stable |
| Temp | 36.0°C | 36.1°C | ➡️ Stable (persistently low-normal) |
| O2 Sat | 98% @ 2LPM | 96% @ 2LPM | 📉 Slight decline |
⚠️ Clinical Alerts for Team
-
New tachycardia (HR 104) - combined with persistently low-normal temperature and elevated BP, this pattern in a 78-year-old post-op patient with unresolved CBD stricture and failed PTBD raises concern for:
- Early/compensated sepsis (biliary source - cholangitis)
- Pain response
- Uncontrolled hypertension effect
-
BP 150/80 - significant jump from 130/70 the prior evening; patient has known HCVD. Assess if current antihypertensive regimen is adequate.
-
O2 Sat trending down (98% → 96%) on same oxygen support - monitor closely; may reflect early pulmonary congestion or sepsis-related changes.
-
Temperature persistently low-normal (36.0-36.1°C) over two consecutive readings - in elderly patients, hypothermia or absence of fever can mask an active infectious process (e.g., cholangitis/biliary sepsis).
🔔 Recommend: Physician assessment at earliest convenience. Consider CBC, blood cultures, LFTs, bilirubin levels, and reassessment of biliary drainage options given failed PTBD on 8/6.
Expect urine
Here is a urine output monitoring template ready for Room 401:
Urine Output Monitoring — Room 401
📋 Patient: Delos Santos, Premo Bulan
🗓️ Date: August 9, 2026
Note: Patient has Foley catheter in situ (per UTZ report 8/7/2026)
Hourly Urine Output Record
| Time | Urine Output (mL) | Remarks |
|---|---|---|
| 6:00 AM | ||
| 7:00 AM | ||
| 8:00 AM | ||
| 9:00 AM | ||
| 10:00 AM | ||
| 11:00 AM | ||
| 12:00 PM | ||
| 1:00 PM | ||
| 2:00 PM | ||
| 3:00 PM | ||
| 4:00 PM | ||
| 5:00 PM | ||
| 6:00 PM | ||
| Total |
Reference Values
| Parameter | Target |
|---|---|
| Minimum acceptable UO | ≥ 0.5 mL/kg/hr |
| For ~70kg patient | ≥ 35 mL/hr |
| Oliguria threshold | < 0.5 mL/kg/hr for >2 hrs |
| Color | Clear to pale yellow (normal) |
⚠️ Watch For
- Dark / tea-colored urine - may indicate bilirubinuria in the setting of biliary obstruction (CBD stricture)
- Decreased output (< 30 mL/hr) - may suggest poor perfusion / early AKI, especially relevant given tachycardia this morning
- Cloudy or foul-smelling urine - may indicate UTI (patient has indwelling Foley)
Please send in actual urine output values when available and I will update the record accordingly.
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