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A resident recently experienced mouth swelling and was sent to the hospital for evaluation. After receiving treatment, the resident returned to our facility. Communication with Hospital: The resident's nurse, Cassy from the University of Iowa, communicated that the resident's vital signs were stable. The resident was diagnosed with a dental abscess and concurrent pneumonia and urinary tract infection (UTI). Treatment includes a 10-day course of antibiotics. Resident's Current Status upon Return: Time of Return: The resident arrived back at our facility at 0020 hours. Vital Signs on Arrival: Temperature: 97. 5 ° F 97.5 ° F Oxygen Saturation: 94% on room air Pulse: 85 beats per minute Respiration Rate: 18 breaths per minute Blood Pressure: 126 / 80 126/80 mmHg Pain Assessment: The resident reported a pain level of 7 in the back, and medication was administered to manage the pain. Diagnostic and Treatment Summary: Diagnostic Tests Conducted: Basic Metabolic Panel with Calcium (BMP/Ca) Complete Blood Count with Differential (CBC w/ diff) Lactic Acid Test CT Scan of the Brain External CT of the Cervical Spine External CT of the Maxillofacial Region External Chest X-ray Diagnosis: Periodontal abscess Medication: The resident was prescribed Amoxicillin-Clavulanate 875 / 125 875/125 mg, to.
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