One-Liner:
Mr. Patient is an adult patient with a history of prior neurological event with residual deficits, cardiovascular disease status post major surgery, and metabolic disorder, admitted for infection with systemic complications presenting as abnormal movements^{†Note Date: Recent date
Note Content:
Hospital Internal Medicine Progress Notes Service: Treatment Team: General Medicine Attending: Attending Physician, MD Patient's Name/MRN: Patient, [MRN] Admit Date: Recent date Today's Date: Recent date Length of stay: LOS: Multiple days Room #: [Room] Patient is an adult patient with history of prior neurological event with residual deficits, cardiovascular disease, and metabolic disorder who presented with abnormal movements initially thought to be seizure-like activity. Overnight/Significant Events: Initial lab abnormalities noted, IV antibiotics initiated for infection. White blood cell count elevated, afebrile...}.

Brief Hospital Course:
Mr. Patient was admitted for infection with systemic complications and metabolic abnormalities, which presented as abnormal movements^{†Note Date: Recent date
Note Content:
Hospital Internal Medicine Progress Notes Service: Treatment Team: General Medicine Attending: Attending Physician, MD Patient's Name/MRN: Patient, [MRN] Admit Date: Recent date Today's Date: Recent date Length of stay: LOS: Multiple days Room #: [Room] Patient is an adult patient with history of prior neurological event with residual deficits, cardiovascular disease, and metabolic disorder who presented with abnormal movements initially thought to be seizure-like activity. Overnight/Significant Events: Initial lab abnormalities noted, IV antibiotics initiated for infection. White blood cell count elevated, afebrile...}. His hospital course was complicated by metabolic derangements, possibly related to home medications^{†Note Date: Recent date
Note Content:
Hospital Internal Medicine Progress Notes Service: Treatment Team: General Medicine Attending: Attending Physician, MD Patient's Name/MRN: Patient, [MRN] Admit Date: Recent date Today's Date: Recent date Length of stay: LOS: Multiple days Room #: [Room] Patient is an adult patient with history of prior neurological event with residual deficits, cardiovascular disease, and metabolic disorder who presented with abnormal movements initially thought to be seizure-like activity. Overnight/Significant Events: Initial lab abnormalities noted, IV antibiotics initiated for infection. White blood cell count elevated, afebrile...}, and electrolyte abnormalities^{†Note Date: Recent date
Note Content:
Hospital Internal Medicine Progress Notes Service: Treatment Team: General Medicine Attending: Attending Physician, MD Patient's Name/MRN: Patient, [MRN] Admit Date: Recent date Today's Date: Recent date Length of stay: LOS: Multiple days Room #: [Room] Patient is an adult patient with history of prior neurological event with residual deficits, cardiovascular disease, and metabolic disorder who presented with abnormal movements initially thought to be seizure-like activity. Overnight/Significant Events: Initial lab abnormalities noted, IV antibiotics initiated for infection. White blood cell count elevated, afebrile...}. He responded well to IV medications, fluid management, and metabolic support^{†Note Date: Recent date
Note Content:
Hospital Internal Medicine Progress Notes Service: Treatment Team: General Medicine Attending: Attending Physician, MD Patient's Name/MRN: Patient, [MRN] Admit Date: Recent date Today's Date: Recent date Length of stay: LOS: Multiple days Room #: [Room] Patient is an adult patient with history of prior neurological event with residual deficits, cardiovascular disease, and metabolic disorder who presented with abnormal movements initially thought to be seizure-like activity. Overnight/Significant Events: Initial lab abnormalities noted, IV antibiotics initiated for infection. White blood cell count elevated, afebrile...}. On his last day of hospitalization, the patient was afebrile, hemodynamically stable, and at his neurological baseline^{†Note Date: Recent date
Note Content:
Hospital Internal Medicine Progress Notes Service: Treatment Team: General Medicine Attending: Attending Physician, MD Patient's Name/MRN: Patient, [MRN] Admit Date: Recent date Today's Date: Recent date Length of stay: LOS: Multiple days Room #: [Room] Patient is an adult patient with history of prior neurological event with residual deficits, cardiovascular disease, and metabolic disorder who presented with abnormal movements initially thought to be seizure-like activity. Overnight/Significant Events: Initial lab abnormalities noted, IV antibiotics initiated for infection. White blood cell count elevated, afebrile...}. He was deemed stable for discharge back to his post-acute setting to complete his course of antibiotics^{†Note Date: Recent date
Note Content:
Hospital Internal Medicine Progress Notes Service: Treatment Team: General Medicine Attending: Attending Physician, MD Patient's Name/MRN: Patient, [MRN] Admit Date: Recent date Today's Date: Recent date Length of stay: LOS: Multiple days Room #: [Room] Patient is an adult patient with history of prior neurological event with residual deficits, cardiovascular disease, and metabolic disorder who presented with abnormal movements initially thought to be seizure-like activity. Overnight/Significant Events: Initial lab abnormalities noted, IV antibiotics initiated for infection. White blood cell count elevated, afebrile...}. Care management noted that no new physical or occupational therapy re-evaluation was required prior to his return^{†Note Date: Recent date
Note Content:
Hospital Internal Medicine Progress Notes Service: Treatment Team: General Medicine Attending: Attending Physician, MD Patient's Name/MRN: Patient, [MRN] Admit Date: Recent date Today's Date: Recent date Length of stay: LOS: Multiple days Room #: [Room] Patient is an adult patient with history of prior neurological event with residual deficits, cardiovascular disease, and metabolic disorder who presented with abnormal movements initially thought to be seizure-like activity. Overnight/Significant Events: Initial lab abnormalities noted, IV antibiotics initiated for infection. White blood cell count elevated, afebrile...}.

Outstanding Issues / Follow-Up:
- Complete course of IV medications at post-acute setting for infection^{†Note Date: Recent date
Note Content:
Hospital Internal Medicine Progress Notes Service: Treatment Team: General Medicine Attending: Attending Physician, MD Patient's Name/MRN: Patient, [MRN] Admit Date: Recent date Today's Date: Recent date Length of stay: LOS: Multiple days Room #: [Room] Patient is an adult patient with history of prior neurological event with residual deficits, cardiovascular disease, and metabolic disorder who presented with abnormal movements initially thought to be seizure-like activity. Overnight/Significant Events: Initial lab abnormalities noted, IV antibiotics initiated for infection. White blood cell count elevated, afebrile...}.
- Outpatient repeat testing to evaluate for persistent abnormalities^{†Note Date: Recent date
Note Content:
Hospital Internal Medicine Progress Notes Service: Treatment Team: General Medicine Attending: Attending Physician, MD Patient's Name/MRN: Patient, [MRN] Admit Date: Recent date Today's Date: Recent date Length of stay: LOS: Multiple days Room #: [Room] Patient is an adult patient with history of prior neurological event with residual deficits, cardiovascular disease, and metabolic disorder who presented with abnormal movements initially thought to be seizure-like activity. Overnight/Significant Events: Initial lab abnormalities noted, IV antibiotics initiated for infection. White blood cell count elevated, afebrile...}.

Problem #1: Infection with Systemic Complications
• Key Diagnostics & Results:
- Initial lab abnormalities resolved^{†Note Date: Recent date
Note Content:
Hospital Internal Medicine Progress Notes Service: Treatment Team: General Medicine Attending: Attending Physician, MD Patient's Name/MRN: Patient, [MRN] Admit Date: Recent date Today's Date: Recent date Length of stay: LOS: Multiple days Room #: [Room] Patient is an adult patient with history of prior neurological event with residual deficits, cardiovascular disease, and metabolic disorder who presented with abnormal movements initially thought to be seizure-like activity. Overnight/Significant Events: Initial lab abnormalities noted, IV antibiotics initiated for infection. White blood cell count elevated, afebrile...}.
- Metabolic abnormalities improved^{†Note Date: Recent date
Note Content:
Hospital Internal Medicine Nurse Practitioner Student Progress Notes THIS IS A STUDENT NOTE AND MAY NOT REFLECT ACTUAL PLAN OF CARE. PLEASE SEE ATTENDING PHYSICIAN NOTE. THIS DOCUMENT SHOULD NOT BE USED FOR BILLING OR CODING. Service: Treatment Team: General Medicine Attending: Attending Physician, MD Patient's Name/MRN: Patient, [MRN] Admit Date: Recent date Today's Date: Recent date Length of stay: LOS: Multiple days Room #: [Room] Patient is an adult patient with history of prior neurological event with residual deficits, cardiovascular disease, and metabolic disorder who presented with abnormal movements initially thought to be seizure-like activity. Overnight/Significant Events: Initial lab abnormalities noted, IV antibiotics initiated for infection...}.
- Culture results showed bacterial growth with sensitivity to standard antibiotics^{†Note Date: Recent date
Note Content:
Hospital Internal Medicine Progress Notes Service: Treatment Team: General Medicine Attending: Attending Physician, MD Patient's Name/MRN: Patient, [MRN] Admit Date: Recent date Today's Date: Recent date Length of stay: LOS: Multiple days Room #: [Room] Patient is an adult patient with history of prior neurological event with residual deficits, cardiovascular disease, and metabolic disorder who presented with abnormal movements initially thought to be seizure-like activity. Overnight/Significant Events: Initial lab abnormalities noted, IV antibiotics initiated for infection. White blood cell count elevated, afebrile...}; blood cultures were unremarkable^{†Note Date: Recent date
Note Content:
Hospital Internal Medicine Progress Notes Service: Treatment Team: General Medicine Attending: Attending Physician, MD Patient's Name/MRN: Patient, [MRN] Admit Date: Recent date Today's Date: Recent date Length of stay: LOS: Multiple days Room #: [Room] Patient is an adult patient with history of prior neurological event with residual deficits, cardiovascular disease, and metabolic disorder who presented with abnormal movements initially thought to be seizure-like activity. Overnight/Significant Events: Initial lab abnormalities noted, IV antibiotics initiated for infection. White blood cell count elevated, afebrile...}.

• Therapeutic Procedures:
- Treated with IV fluid management and IV medications^{†Note Date: Recent date
Note Content:
Hospital Internal Medicine Progress Notes Service: Treatment Team: General Medicine Attending: Attending Physician, MD Patient's Name/MRN: Patient, [MRN] Admit Date: Recent date Today's Date: Recent date Length of stay: LOS: Multiple days Room #: [Room] Patient is an adult patient with history of prior neurological event with residual deficits, cardiovascular disease, and metabolic disorder who presented with abnormal movements initially thought to be seizure-like activity. Overnight/Significant Events: Initial lab abnormalities noted, IV antibiotics initiated for infection. White blood cell count elevated, afebrile...}, with the dose later adjusted as clinically indicated^{†Note Date: Recent date
Note Content:
Hospital Internal Medicine Progress Notes Service: Treatment Team: General Medicine Attending: Attending Physician, MD Patient's Name/MRN: Patient, [MRN] Admit Date: Recent date Today's Date: Recent date Length of stay: LOS: Multiple days Room #: [Room] Patient is an adult patient with history of prior neurological event with residual deficits, cardiovascular disease, and metabolic disorder who presented with abnormal movements initially thought to be seizure-like activity. Overnight/Significant Events: Initial lab abnormalities noted, IV antibiotics initiated for infection. White blood cell count elevated, afebrile...}.

• Current Status:
- Resolved^{†Note Date: Recent date
Note Content:
Hospital Internal Medicine Progress Notes Service: Treatment Team: General Medicine Attending: Attending Physician, MD Patient's Name/MRN: Patient, [MRN] Admit Date: Recent date Today's Date: Recent date Length of stay: LOS: Multiple days Room #: [Room] Patient is an adult patient with history of prior neurological event with residual deficits, cardiovascular disease, and metabolic disorder who presented with abnormal movements initially thought to be seizure-like activity. Overnight/Significant Events: Initial lab abnormalities noted, IV antibiotics initiated for infection. White blood cell count elevated, afebrile...}. The patient is afebrile, hemodynamically stable, and his lab abnormalities have resolved^{†Note Date: Recent date
Note Content:
Hospital Internal Medicine Progress Notes Service: Treatment Team: General Medicine Attending: Attending Physician, MD Patient's Name/MRN: Patient, [MRN] Admit Date: Recent date Today's Date: Recent date Length of stay: LOS: Multiple days Room #: [Room] Patient is an adult patient with history of prior neurological event with residual deficits, cardiovascular disease, and metabolic disorder who presented with abnormal movements initially thought to be seizure-like activity. Overnight/Significant Events: Initial lab abnormalities noted, IV antibiotics initiated for infection. White blood cell count elevated, afebrile...}.

• Discharge Plan & Goals:
- Complete course of IV medications at post-acute setting^{†Note Date: Recent date
Note Content:
Hospital Internal Medicine Progress Notes Service: Treatment Team: General Medicine Attending: Attending Physician, MD Patient's Name/MRN: Patient, [MRN] Admit Date: Recent date Today's Date: Recent date Length of stay: LOS: Multiple days Room #: [Room] Patient is an adult patient with history of prior neurological event with residual deficits, cardiovascular disease, and metabolic disorder who presented with abnormal movements initially thought to be seizure-like activity. Overnight/Significant Events: Initial lab abnormalities noted, IV antibiotics initiated for infection. White blood cell count elevated, afebrile...}.

Problem #2: Metabolic Derangements
The patient developed metabolic derangements, possibly related to home medications^{†Note Date: Recent date
Note Content:
Hospital Internal Medicine Nurse Practitioner Student Progress Notes THIS IS A STUDENT NOTE AND MAY NOT REFLECT ACTUAL PLAN OF CARE. PLEASE SEE ATTENDING PHYSICIAN NOTE. THIS DOCUMENT SHOULD NOT BE USED FOR BILLING OR CODING. Service: Treatment Team: General Medicine Attending: Attending Physician, MD Patient's Name/MRN: Patient, [MRN] Admit Date: Recent date Today's Date: Recent date Length of stay: LOS: Multiple days Room #: [Room] Patient is an adult patient with history of prior neurological event with residual deficits, cardiovascular disease, and metabolic disorder who presented with abnormal movements initially thought to be seizure-like activity. Overnight/Significant Events: Initial lab abnormalities noted, IV antibiotics initiated for infection...}. The condition resolved after administering IV fluid support, with metabolic parameters improving^{†Note Date: Recent date
Note Content:
Hospital Internal Medicine Nurse Practitioner Student Progress Notes THIS IS A STUDENT NOTE AND MAY NOT REFLECT ACTUAL PLAN OF CARE. PLEASE SEE ATTENDING PHYSICIAN NOTE. THIS DOCUMENT SHOULD NOT BE USED FOR BILLING OR CODING. Service: Treatment Team: General Medicine Attending: Attending Physician, MD Patient's Name/MRN: Patient, [MRN] Admit Date: Recent date Today's Date: Recent date Length of stay: LOS: Multiple days Room #: [Room] Patient is an adult patient with history of prior neurological event with residual deficits, cardiovascular disease, and metabolic disorder who presented with abnormal movements initially thought to be seizure-like activity. Overnight/Significant Events: Initial lab abnormalities noted, IV antibiotics initiated for infection...}, and the diabetes medication was discontinued^{†Note Date: Recent date
Note Content:
Hospital Internal Medicine Nurse Practitioner Student Progress Notes THIS IS A STUDENT NOTE AND MAY NOT REFLECT ACTUAL PLAN OF CARE. PLEASE SEE ATTENDING PHYSICIAN NOTE. THIS DOCUMENT SHOULD NOT BE USED FOR BILLING OR CODING. Service: Treatment Team: General Medicine Attending: Attending Physician, MD Patient's Name/MRN: Patient, [MRN] Admit Date: Recent date Today's Date: Recent date Length of stay: LOS: Multiple days Room #: [Room] Patient is an adult patient with history of prior neurological event with residual deficits, cardiovascular disease, and metabolic disorder who presented with abnormal movements initially thought to be seizure-like activity. Overnight/Significant Events: Initial lab abnormalities noted, IV antibiotics initiated for infection...}.

Problem #3: Abnormal Movements
The presenting complaint of abnormal movements was determined to be related to infection, not a true seizure^{†Note Date: Recent date
Note Content:
Hospital Internal Medicine Progress Notes Service: Treatment Team: General Medicine Attending: Attending Physician, MD Patient's Name/MRN: Patient, [MRN] Admit Date: Recent date Today's Date: Recent date Length of stay: LOS: Multiple days Room #: [Room] Patient is an adult patient with history of prior neurological event with residual deficits, cardiovascular disease, and metabolic disorder who presented with abnormal movements initially thought to be seizure-like activity. Overnight/Significant Events: Initial lab abnormalities noted, IV antibiotics initiated for infection. White blood cell count elevated, afebrile...}. Imaging of the head showed no acute abnormalities^{†Note Date: Recent date
Note Content:
Hospital Internal Medicine Progress Notes Service: Treatment Team: General Medicine Attending: Attending Physician, MD Patient's Name/MRN: Patient, [MRN] Admit Date: Recent date Today's Date: Recent date Length of stay: LOS: Multiple days Room #: [Room] Patient is an adult patient with history of prior neurological event with residual deficits, cardiovascular disease, and metabolic disorder who presented with abnormal movements initially thought to be seizure-like activity. Overnight/Significant Events: Initial lab abnormalities noted, IV antibiotics initiated for infection. White blood cell count elevated, afebrile...}, and no further abnormal movements occurred during the hospitalization^{†Note Date: Recent date
Note Content:
Hospital Internal Medicine Progress Notes Service: Treatment Team: General Medicine Attending: Attending Physician, MD Patient's Name/MRN: Patient, [MRN] Admit Date: Recent date Today's Date: Recent date Length of stay: LOS: Multiple days Room #: [Room] Patient is an adult patient with history of prior neurological event with residual deficits, cardiovascular disease, and metabolic disorder who presented with abnormal movements initially thought to be seizure-like activity. Overnight/Significant Events: Initial lab abnormalities noted, IV antibiotics initiated for infection. White blood cell count elevated, afebrile...}.

Problem #4: Genitourinary Condition
• Key Diagnostics & Results:
- A post-void residual check was planned to evaluate for retention^{†Note Date: Recent date
Note Content:
Hospital Internal Medicine Nurse Practitioner Student Progress Notes THIS IS A STUDENT NOTE AND MAY NOT REFLECT ACTUAL PLAN OF CARE. PLEASE SEE ATTENDING PHYSICIAN NOTE. THIS DOCUMENT SHOULD NOT BE USED FOR BILLING OR CODING. Service: Treatment Team: General Medicine Attending: Attending Physician, MD Patient's Name/MRN: Patient, [MRN] Admit Date: Recent date Today's Date: Recent date Length of stay: LOS: Multiple days Room #: [Room] Patient is an adult patient with history of prior neurological event with residual deficits, cardiovascular disease, and metabolic disorder who presented with abnormal movements initially thought to be seizure-like activity. Overnight/Significant Events: Initial lab abnormalities noted, IV antibiotics initiated for infection...}. A subsequent check was within acceptable range^{†Note Date: Recent date
Note Content:
Hospital Internal Medicine Progress Notes Service: Treatment Team: General Medicine Attending: Attending Physician, MD Patient's Name/MRN: Patient, [MRN] Admit Date: Recent date Today's Date: Recent date Length of stay: LOS: Multiple days Room #: [Room] Patient is an adult patient with history of prior neurological event with residual deficits, cardiovascular disease, and metabolic disorder who presented with abnormal movements initially thought to be seizure-like activity. Overnight/Significant Events: Initial lab abnormalities noted, IV antibiotics initiated for infection. White blood cell count elevated, afebrile...}.
- Abnormalities were noted on urinalysis^{†Note Date: Recent date
Note Content:
Hospital Internal Medicine Progress Notes Service: Treatment Team: General Medicine Attending: Attending Physician, MD Patient's Name/MRN: Patient, [MRN] Admit Date: Recent date Today's Date: Recent date Length of stay: LOS: Multiple days Room #: [Room] Patient is an adult patient with history of prior neurological event with residual deficits, cardiovascular disease, and metabolic disorder who presented with abnormal movements initially thought to be seizure-like activity. Overnight/Significant Events: Initial lab abnormalities noted, IV antibiotics initiated for infection. White blood cell count elevated, afebrile...}.

• Therapeutic Procedures:
- Home medication for genitourinary condition was restarted^{†Note Date: Recent date
Note Content:
Hospital Internal Medicine Nurse Practitioner Student Progress Notes THIS IS A STUDENT NOTE AND MAY NOT REFLECT ACTUAL PLAN OF CARE. PLEASE SEE ATTENDING PHYSICIAN NOTE. THIS DOCUMENT SHOULD NOT BE USED FOR BILLING OR CODING. Service: Treatment Team: General Medicine Attending: Attending Physician, MD Patient's Name/MRN: Patient, [MRN] Admit Date: Recent date Today's Date: Recent date Length of stay: LOS: Multiple days Room #: [Room] Patient is an adult patient with history of prior neurological event with residual deficits, cardiovascular disease, and metabolic disorder who presented with abnormal movements initially thought to be seizure-like activity. Overnight/Significant Events: Initial lab abnormalities noted, IV antibiotics initiated for infection...} after being held due to infection^{†Note Date: Recent date
Note Content:
Hospital Internal Medicine Nurse Practitioner Student Progress Notes THIS IS A STUDENT NOTE AND MAY NOT REFLECT ACTUAL PLAN OF CARE. PLEASE SEE ATTENDING PHYSICIAN NOTE. THIS DOCUMENT SHOULD NOT BE USED FOR BILLING OR CODING. Service: Treatment Team: General Medicine Attending: Attending Physician, MD Patient's Name/MRN: Patient, [MRN] Admit Date: Recent date Today's Date: Recent date Length of stay: LOS: Multiple days Room #: [Room] Patient is an adult patient with history of prior neurological event with residual deficits, cardiovascular disease, and metabolic disorder who presented with abnormal movements initially thought to be seizure-like activity. Overnight/Significant Events: Initial lab abnormalities noted, IV antibiotics initiated for infection...}.

• Current Status:
- Stable^{†Note Date: Recent date
Note Content:
Hospital Internal Medicine Progress Notes Service: Treatment Team: General Medicine Attending: Attending Physician, MD Patient's Name/MRN: Patient, [MRN] Admit Date: Recent date Today's Date: Recent date Length of stay: LOS: Multiple days Room #: [Room] Patient is an adult patient with history of prior neurological event with residual deficits, cardiovascular disease, and metabolic disorder who presented with abnormal movements initially thought to be seizure-like activity. Overnight/Significant Events: Initial lab abnormalities noted, IV antibiotics initiated for infection. White blood cell count elevated, afebrile...}. The patient is voiding well with no signs of acute retention^{†Note Date: Recent date
Note Content:
Hospital Internal Medicine Progress Notes Service: Treatment Team: General Medicine Attending: Attending Physician, MD Patient's Name/MRN: Patient, [MRN] Admit Date: Recent date Today's Date: Recent date Length of stay: LOS: Multiple days Room #: [Room] Patient is an adult patient with history of prior neurological event with residual deficits, cardiovascular disease, and metabolic disorder who presented with abnormal movements initially thought to be seizure-like activity. Overnight/Significant Events: Initial lab abnormalities noted, IV antibiotics initiated for infection. White blood cell count elevated, afebrile...}.

• Discharge Plan & Goals:
- Continue home medications for genitourinary condition^{†Note Date: Recent date
Note Content:
Hospital Internal Medicine Progress Notes Service: Treatment Team: General Medicine Attending: Attending Physician, MD Patient's Name/MRN: Patient, [MRN] Admit Date: Recent date Today's Date: Recent date Length of stay: LOS: Multiple days Room #: [Room] Patient is an adult patient with history of prior neurological event with residual deficits, cardiovascular disease, and metabolic disorder who presented with abnormal movements initially thought to be seizure-like activity. Overnight/Significant Events: Initial lab abnormalities noted, IV antibiotics initiated for infection. White blood cell count elevated, afebrile...}.

• Outstanding / Pending Issues:
- Recommend outpatient repeat testing to evaluate for persistent abnormalities to determine if further evaluation is needed^{†Note Date: Recent date
Note Content:
Hospital Internal Medicine Progress Notes Service: Treatment Team: General Medicine Attending: Attending Physician, MD Patient's Name/MRN: Patient, [MRN] Admit Date: Recent date Today's Date: Recent date Length of stay: LOS: Multiple days Room #: [Room] Patient is an adult patient with history of prior neurological event with residual deficits, cardiovascular disease, and metabolic disorder who presented with abnormal movements initially thought to be seizure-like activity. Overnight/Significant Events: Initial lab abnormalities noted, IV antibiotics initiated for infection. White blood cell count elevated, afebrile...}.

Problem #5: Electrolyte Abnormalities
The patient developed electrolyte abnormalities, with values below normal range^{†Note Date: Recent date
Note Content:
Hospital Internal Medicine Nurse Practitioner Student Progress Notes THIS IS A STUDENT NOTE AND MAY NOT REFLECT ACTUAL PLAN OF CARE. PLEASE SEE ATTENDING PHYSICIAN NOTE. THIS DOCUMENT SHOULD NOT BE USED FOR BILLING OR CODING. Service: Treatment Team: General Medicine Attending: Attending Physician, MD Patient's Name/MRN: Patient, [MRN] Admit Date: Recent date Today's Date: Recent date Length of stay: LOS: Multiple days Room #: [Room] Patient is an adult patient with history of prior neurological event with residual deficits, cardiovascular disease, and metabolic disorder who presented with abnormal movements initially thought to be seizure-like activity. Overnight/Significant Events: Initial lab abnormalities noted, IV antibiotics initiated for infection...}, consistent with refeeding-related changes^{†Note Date: Recent date
Note Content:
Hospital Internal Medicine Progress Notes Service: Treatment Team: General Medicine Attending: Attending Physician, MD Patient's Name/MRN: Patient, [MRN] Admit Date: Recent date Today's Date: Recent date Length of stay: LOS: Multiple days Room #: [Room] Patient is an adult patient with history of prior neurological event with residual deficits, cardiovascular disease, and metabolic disorder who presented with abnormal movements initially thought to be seizure-like activity. Overnight/Significant Events: Initial lab abnormalities noted, IV antibiotics initiated for infection. White blood cell count elevated, afebrile...}. The issue resolved with intravenous and oral electrolyte repletion^{†Note Date: Recent date
Note Content:
Hospital Internal Medicine Progress Notes Service: Treatment Team: General Medicine Attending: Attending Physician, MD Patient's Name/MRN: Patient, [MRN] Admit Date: Recent date Today's Date: Recent date Length of stay: LOS: Multiple days Room #: [Room] Patient is an adult patient with history of prior neurological event with residual deficits, cardiovascular disease, and metabolic disorder who presented with abnormal movements initially thought to be seizure-like activity. Overnight/Significant Events: Initial lab abnormalities noted, IV antibiotics initiated for infection. White blood cell count elevated, afebrile...}, with values improving to normal range prior to discharge^{†Note Date: Recent date
Note Content:
Hospital Internal Medicine Progress Notes Service: Treatment Team: General Medicine Attending: Attending Physician, MD Patient's Name/MRN: Patient, [MRN] Admit Date: Recent date Today's Date: Recent date Length of stay: LOS: Multiple days Room #: [Room] Patient is an adult patient with history of prior neurological event with residual deficits, cardiovascular disease, and metabolic disorder who presented with abnormal movements initially thought to be seizure-like activity. Overnight/Significant Events: Initial lab abnormalities noted, IV antibiotics initiated for infection. White blood cell count elevated, afebrile...}.

Problem #6: Metabolic Disorder with Hyperglycemia
During admission, the patient experienced elevated glucose levels^{†Note Date: Recent date
Note Content:
Hospital Internal Medicine Progress Notes Service: Treatment Team: General Medicine Attending: Attending Physician, MD Patient's Name/MRN: Patient, [MRN] Admit Date: Recent date Today's Date: Recent date Length of stay: LOS: Multiple days Room #: [Room] Patient is an adult patient with history of prior neurological event with residual deficits, cardiovascular disease, and metabolic disorder who presented with abnormal movements initially thought to be seizure-like activity. Overnight/Significant Events: Initial lab abnormalities noted, IV antibiotics initiated for infection. White blood cell count elevated, afebrile...}, which was managed with insulin therapy^{†Note Date: Recent date
Note Content:
Hospital Internal Medicine Progress Notes Service: Treatment Team: General Medicine Attending: Attending Physician, MD Patient's Name/MRN: Patient, [MRN] Admit Date: Recent date Today's Date: Recent date Length of stay: LOS: Multiple days Room #: [Room] Patient is an adult patient with history of prior neurological event with residual deficits, cardiovascular disease, and metabolic disorder who presented with abnormal movements initially thought to be seizure-like activity. Overnight/Significant Events: Initial lab abnormalities noted, IV antibiotics initiated for infection. White blood cell count elevated, afebrile...}. Home oral medications were held^{†Note Date: Recent date
Note Content:
Hospital Internal Medicine Nurse Practitioner Student Progress Notes THIS IS A STUDENT NOTE AND MAY NOT REFLECT ACTUAL PLAN OF CARE. PLEASE SEE ATTENDING PHYSICIAN NOTE. THIS DOCUMENT SHOULD NOT BE USED FOR BILLING OR CODING. Service: Treatment Team: General Medicine Attending: Attending Physician, MD Patient's Name/MRN: Patient, [MRN] Admit Date: Recent date Today's Date: Recent date Length of stay: LOS: Multiple days Room #: [Room] Patient is an adult patient with history of prior neurological event with residual deficits, cardiovascular disease, and metabolic disorder who presented with abnormal movements initially thought to be seizure-like activity. Overnight/Significant Events: Initial lab abnormalities noted, IV antibiotics initiated for infection...}, and the medication was discontinued^{†Note Date: Recent date
Note Content:
Hospital Internal Medicine Progress Notes Service: Treatment Team: General Medicine Attending: Attending Physician, MD Patient's Name/MRN: Patient, [MRN] Admit Date: Recent date Today's Date: Recent date Length of stay: LOS: Multiple days Room #: [Room] Patient is an adult patient with history of prior neurological event with residual deficits, cardiovascular disease, and metabolic disorder who presented with abnormal movements initially thought to be seizure-like activity. Overnight/Significant Events: Initial lab abnormalities noted, IV antibiotics initiated for infection. White blood cell count elevated, afebrile...}. At discharge, the plan was to continue holding other oral medications^{†Note Date: Recent date
Note Content:
Hospital Internal Medicine Progress Notes Service: Treatment Team: General Medicine Attending: Attending Physician, MD Patient's Name/MRN: Patient, [MRN] Admit Date: Recent date Today's Date: Recent date Length of stay: LOS: Multiple days Room #: [Room] Patient is an adult patient with history of prior neurological event with residual deficits, cardiovascular disease, and metabolic disorder who presented with abnormal movements initially thought to be seizure-like activity. Overnight/Significant Events: Initial lab abnormalities noted, IV antibiotics initiated for infection. White blood cell count elevated, afebrile...}.

Relevant Medical History:
- Prior neurological event with residual deficits^{†Note Date: Recent date
Note Content:
Hospital Internal Medicine Progress Notes Service: Treatment Team: General Medicine Attending: Attending Physician, MD Patient's Name/MRN: Patient, [MRN] Admit Date: Recent date Today's Date: Recent date Length of stay: LOS: Multiple days Room #: [Room] Patient is an adult patient with history of prior neurological event with residual deficits, cardiovascular disease, and metabolic disorder who presented with abnormal movements initially thought to be seizure-like activity. Overnight/Significant Events: Initial lab abnormalities noted, IV antibiotics initiated for infection. White blood cell count elevated, afebrile...}
- Hypertension (HTN)^{†Note Date: Recent date
Note Content:
Hospital Internal Medicine Progress Notes Service: Treatment Team: General Medicine Attending: Attending Physician, MD Patient's Name/MRN: Patient, [MRN] Admit Date: Recent date Today's Date: Recent date Length of stay: LOS: Multiple days Room #: [Room] Patient is an adult patient with history of prior neurological event with residual deficits, cardiovascular disease, and metabolic disorder who presented with abnormal movements initially thought to be seizure-like activity. Overnight/Significant Events: Initial lab abnormalities noted, IV antibiotics initiated for infection. White blood cell count elevated, afebrile...}
- Metabolic disorder^{†Note Date: Recent date
Note Content:
Hospital Internal Medicine Progress Notes Service: Treatment Team: General Medicine Attending: Attending Physician, MD Patient's Name/MRN: Patient, [MRN] Admit Date: Recent date Today's Date: Recent date Length of stay: LOS: Multiple days Room #: [Room] Patient is an adult patient with history of prior neurological event with residual deficits, cardiovascular disease, and metabolic disorder who presented with abnormal movements initially thought to be seizure-like activity. Overnight/Significant Events: Initial lab abnormalities noted, IV antibiotics initiated for infection. White blood cell count elevated, afebrile...}
- Cardiovascular disease^{†Note Date: Recent date
Note Content:
Hospital Internal Medicine Progress Notes Service: Treatment Team: General Medicine Attending: Attending Physician, MD Patient's Name/MRN: Patient, [MRN] Admit Date: Recent date Today's Date: Recent date Length of stay: LOS: Multiple days Room #: [Room] Patient is an adult patient with history of prior neurological event with residual deficits, cardiovascular disease, and metabolic disorder who presented with abnormal movements initially thought to be seizure-like activity. Overnight/Significant Events: Initial lab abnormalities noted, IV antibiotics initiated for infection. White blood cell count elevated, afebrile...}
- Genitourinary condition with recent urinary issues diagnosed during a prior hospitalization^{†Note Date: Recent date
Note Content:
Hospital Internal Medicine Progress Notes Service: Treatment Team: General Medicine Attending: Attending Physician, MD Patient's Name/MRN: Patient, [MRN] Admit Date: Recent date Today's Date: Recent date Length of stay: LOS: Multiple days Room #: [Room] Patient is an adult patient with history of prior neurological event with residual deficits, cardiovascular disease, and metabolic disorder who presented with abnormal movements initially thought to be seizure-like activity. Overnight/Significant Events: Initial lab abnormalities noted, IV antibiotics initiated for infection. White blood cell count elevated, afebrile...}

Relevant Surgical History:
- Cardiac surgery^{†Note Date: Recent date
Note Content:
Hospital Internal Medicine Progress Notes Service: Treatment Team: General Medicine Attending: Attending Physician, MD Patient's Name/MRN: Patient, [MRN] Admit Date: Recent date Today's Date: Recent date Length of stay: LOS: Multiple days Room #: [Room] Patient is an adult patient with history of prior neurological event with residual deficits, cardiovascular disease, and metabolic disorder who presented with abnormal movements initially thought to be seizure-like activity. Overnight/Significant Events: Initial lab abnormalities noted, IV antibiotics initiated for infection. White blood cell count elevated, afebrile...}
- Prior neurological intervention^{†Note Date: Recent date
Note Content:
Hospital Internal Medicine Progress Notes Service: Treatment Team: General Medicine Attending: Attending Physician, MD Patient's Name/MRN: Patient, [MRN] Admit Date: Recent date Today's Date: Recent date Length of stay: LOS: Multiple days Room #: [Room] Patient is an adult patient with history of prior neurological event with residual deficits, cardiovascular disease, and metabolic disorder who presented with abnormal movements initially thought to be seizure-like activity. Overnight/Significant Events: Initial lab abnormalities noted, IV antibiotics initiated for infection. White blood cell count elevated, afebrile...}