李洪阿花 (77,F) APACH II 29 Admission 11/08 1.Sepsis 2.Bilateral lobe hepatomas s/p RFA,TACE, r/o lung metastasis 3.Liver cirrhosis, Child C,HBV related MICU 11/17 1. Sepsis with shock due to aspiration pneumonia with respiratory failure s/p intubation with ventilator support 2. Hypernatremia 3. Liver cirrhosis, HBV related,Child C complicated with jaundice,hypoalbumiemia,coagulopathy 4. Bilateral lobe hepatomas s/p RFA, TACE & PEIT with with left and main portal vein thrombosis 5. Hepatic encephalopathy grade I

Death 11/25 1. Death of cardiopulmonary failure 2. Sepsis shock with respiratory failure s/p intubation with ventilator support since 11/12 3. Left aspiration pneumonia (MRSA) 4. Sepsis (Kleb.pneumoniae) 5. Massive gastrointestine bleeding, origin? 6. Bilateral lobe hepatomas s/p radiofrequency ablation, transarterial embolization and percutaneous ethanol injectio therapy, with left and main portal vein thrombosis 7. Liver cirrhosis, HBV related, Child C complicated with severe jaundice, hypoalbumiemia, coagulopathy and ascites 8. Hypernatremia, favor over-dehydration

吳宗標 (54,M) APACH II 34 Admission 11/21 1. Mixed type respiratory failure s/p ET+MV on 11/21 2. ARDS, favor acute on CRF and/or sepsis related 3. Acute on CRF, suspect sepsis, r/o drug 4. Suspect sepsis, origin? 5. DKA 6. AF episode s/p cardioversion and CPCR, favor severe meta+ repiratory acidosis related 1. DM 2. CRF 3. Gout 4. HTN

AAD 11/22 1. Mixed type respiratory failure s/p intubation+ ventilation on 11/21 2. Acute respiratory distress syndrome, favor acute on chronic renal failure and/or sepsis related 3. Acute on chronic renal failure, suspect sepsis, r/o drug induced 4. Suspect sepsis, origin? 5. Diabetes ketoacidosis 6. Atrial flutter episode s/p cardioversion and CPCR, favor severe metabolic+ respiratory acidosis related 7. Diabetes mellitus 8. Gout 9. Hypertension

闕凌玉葉 (84,F) APACH II 13 Admission 10/04 1. Severe left side pleural effusion cause to be determinted. 2. Urinary tract infection 3. Essential hypertension. 4. Bilateral hip status post THR

MICU 10/11 1. Massive left side pleural effusion, suspect lung cancer related 2. Suspect SVC syndrome 3. Urinary tract infection 4. Essential hypertension. 5. Cirrhosis with splenomegaly and ascites 6. Bilateral hip status post THR with bedridden status 7. Old CVA

AAD 11/19 1. Impending respiratory failure under extubation+ ventilator support 2. Consciousness loss, favor new stroke and hyperammonemia related 3. Right side seizure attack with shock, favor new stroke 4. Massive left side pleural effusion and then with moderate right side pleural effusion, origin undeterminated 5. Nosocomial pneumonia 6. Acute respiratory distress syndrome 7. Acute renal failure favor sepsis or hepatorenal syndrome with bilateral pulmonary edema and hyperkalemia 8. Hypoalbuminemia 9. Macrocytic anemia, favor liver cirrhosis related 10. Palpable and soft right upper abdomen mass, favor hematoma 11. Atrial fibrillation 12. Bilateral hips status post total hip replacement under bed-ridden status 13. Old stroke 14. Essential hypertension 15. Cirrhosis with splenomegaly and ascites, Child C 16. Gastric ulcer, A2 with H. PYLORI infection

鄭武雄 (68,M) APACHII 31 Admission 10/14 1.Chronic obstructive airway disease with acute exacerbation 2.Bilatral pneumonia 3.Lung cancer, stage IV 4.Systemic inflammatory response syndrome 5.Benign prostate hyperplasia

MICU 10/26 1.Hypercapnia respiratory s/p intubation 2.bilateral lung pneumonia r/o PJP r/o viral infection 3.Chronic obstructive airway disease with acute exacerbation 4.Old MI s/p stent 5.Lung cancer (Pathology and current medication were unknown) 6.Systemic inflammatory response syndrome 7.Benign prostate hyperplasia 8.Oral candidiasis

AAD 11/17 1. Hypercapnia respiratory failure s/p intubation+ mechanical ventilator since 10/26, desaturation and shock on 11/17 => critical 自動出院 2. Bilateral lung pneumonia with acute respiratory distress syndrome 3. Lung cancer, stage IV (SQUAMOUS CELL CARCINOMA) 4. Highly suspect upper gastrointestine bleeding 5. Old myocardial infarction s/p stent 6. Chronic obstructive airway disease 7. Atrial Flutter episode 8. Acute renal insufficiency 9. Benign prostate hyperplasia 10. Abdomen distension with conspitation