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+62 yo male with hx of CVA, neurogenic bladder with indwelling suprapubic catheter with multiple prior admissions for UTIs, altered mental status, and urosepsis presents to the hospital in urosepsis now resolved after treatment with vanc/meropenem. Per CT there is a non-obstructing stone in the L ureter, no evidence of urethral strictures. Significant leaking around suprapubic cath site. Started on ditropan changed over to detrol. Urologist not concerned with leaking and will f/u with pt next week.
+s/p CVA
+Neurogenic bladder s/p suprapubic cath
+Recurrent UTIs with Klebsiella/Pseudomonas
+Non-hodgkins Marginal Zone Lymphoma of the left orbit Dx in 03
+(s/p R-CHOP x 6 cycles)
+Bells Palsy
+BPH
+Hypertension
+Partial Bowel obstruction s/p colostomy
+Hepatitis C
+Cryoglobulinemia
+SLE with transverse myelitis, anti-dsDNA Ab+
+Insulin Dependant Diabetic
+Fungal Esophagitis Stage IV?
+Urinary Tract Infections-pseudomonas & enterococcus
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