Hospital Course
| Day 1 |
| 20:00: Admitted, started on levofloxacin for gastroenteritis, multiple treatments for constipation, Demerol (100 to 150 mg q 2 h PRN), and fluids at 100 mL/h. Celebrex and prednisone were continued. No physical. |
| Day 2 |
| 01:30: Nursing noted increasing distention of the abdomen and markedly increased pain. A Foley catheter was inserted. |
| 05:10: Creatinine was 2.0 up from 1.3 on admission; BUN was 20 up from 12 on admission, potassium was 4.3 up from 3.0 on admission, WBC 11.0, Hb 11.8. |
| 07:00: Temperature (T) 98.2, blood pressure (BP) 91/51, heart rate (HR) 66, O2 saturation 88% |
| 14:30: On-call physician ordered colonoscopy, computed tomography scans of the abdomen and pelvis for the following day. |
| 15:00: T 96.5, HR 137, BP 108/56, O2 saturation 89% |
| 18:00: Input/output since 0600 was 2381 mL in and 150 mL out. |
| 20:00: T 96.5, BP 90/60, HR 131, O2 saturation 88% |
| The patient had to be aroused with a sternal rub to administer oral medication. |
| No physician wrote progress notes on this day. |
| Day 3 |
| Physicians were given details of deterioration on day 3. |