Avery Auer ========== Race: White Ethnicity: Hispanic Gender: F Age: 18 Birth Date: 2004-12-09 Marital Status: S -------------------------------------------------------------------------------- ALLERGIES: No Known Allergies -------------------------------------------------------------------------------- MEDICATIONS: 2022-11-08[STOPPED] : Acetaminophen 325 MG Oral Tablet for Acute bronchitis (disorder) 2021-12-05[STOPPED] : levofloxacin 500 MG Oral Tablet for Acute myeloid leukemia, disease (disorder) 2021-11-23[STOPPED] : Jolivette 28 Day Pack 2020-11-28[STOPPED] : Yaz 28 Day Pack -------------------------------------------------------------------------------- CONDITIONS: 2022-11-08 - 2022-11-22 : Acute bronchitis (disorder) 2021-12-05 - 2021-12-05 : Neutropenia (disorder) 2021-12-05 - 2021-12-05 : Acute myeloid leukemia, disease (disorder) -------------------------------------------------------------------------------- CARE PLANS: 2022-11-08[CURRENT] : Respiratory therapy Activity: Recommendation to avoid exercise Activity: Deep breathing and coughing exercises -------------------------------------------------------------------------------- REPORTS: 2022-03-24 : Generalized anxiety disorder 7 item (GAD-7) - Generalized anxiety disorder 7 item (GAD-7) total score [Reported.PHQ] 14.0 {score} 2021-03-18 : Patient Health Questionnaire-9: Modified for Teens [Reported.PHQ.Teen] - Patient Health Questionnaire-9: Modified for Teens total score [Reported.PHQ.Teen] 1.0 {score} 2021-03-18 : Generalized anxiety disorder 7 item (GAD-7) - Generalized anxiety disorder 7 item (GAD-7) total score [Reported.PHQ] 4.0 {score} 2021-03-18 : Complete blood count (hemogram) panel - Blood by Automated count - Leukocytes [#/volume] in Blood by Automated count 10.1 10*3/uL - Erythrocytes [#/volume] in Blood by Automated count 4.3 10*6/uL - Hemoglobin [Mass/volume] in Blood 12.7 g/dL - Hematocrit [Volume Fraction] of Blood by Automated count 46.1 % - MCV [Entitic volume] by Automated count 85.5 fL - MCH [Entitic mass] by Automated count 31.9 pg - MCHC [Mass/volume] by Automated count 33.9 g/dL - Erythrocyte distribution width [Entitic volume] by Automated count 42.5 fL - Platelets [#/volume] in Blood by Automated count 184.0 10*3/uL - Platelet distribution width [Entitic volume] in Blood by Automated count 403.1 fL - Platelet mean volume [Entitic volume] in Blood by Automated count 10.8 fL -------------------------------------------------------------------------------- OBSERVATIONS: 2022-03-24 : Generalized anxiety disorder 7 item (GAD-7) total score [Reported.PHQ] 14.0 {score} 2022-03-24 : Tobacco smoking status Smokes tobacco daily (finding) 2022-03-24 : Respiratory rate 13.0 /min 2022-03-24 : Heart rate 76.0 /min 2022-03-24 : Blood Pressure - Diastolic Blood Pressure 75.0 mm[Hg] - Systolic Blood Pressure 108.0 mm[Hg] 2022-03-24 : Body mass index (BMI) [Percentile] Per age and gender 54.6 % 2022-03-24 : Body Mass Index 21.4 kg/m2 2022-03-24 : Body Weight 61.5 kg 2022-03-24 : Pain severity - 0-10 verbal numeric rating [Score] - Reported 2.0 {score} 2022-03-24 : Body Height 169.7 cm 2021-12-05 : Body Temperature 98.6 [degF] 2021-12-05 : Neutrophils [#/volume] in Blood by Automated count 403.3 10*3/uL 2021-03-18 : Patient Health Questionnaire-9: Modified for Teens total score [Reported.PHQ.Teen] 1.0 {score} 2021-03-18 : Generalized anxiety disorder 7 item (GAD-7) total score [Reported.PHQ] 4.0 {score} 2021-03-18 : Tobacco smoking status Smokes tobacco daily (finding) 2021-03-18 : Platelet mean volume [Entitic volume] in Blood by Automated count 10.8 fL 2021-03-18 : Platelet distribution width [Entitic volume] in Blood by Automated count 403.1 fL 2021-03-18 : Platelets [#/volume] in Blood by Automated count 184.0 10*3/uL 2021-03-18 : Erythrocyte distribution width [Entitic volume] by Automated count 42.5 fL 2021-03-18 : MCHC [Mass/volume] by Automated count 33.9 g/dL 2021-03-18 : MCH [Entitic mass] by Automated count 31.9 pg 2021-03-18 : MCV [Entitic volume] by Automated count 85.5 fL 2021-03-18 : Hematocrit [Volume Fraction] of Blood by Automated count 46.1 % 2021-03-18 : Hemoglobin [Mass/volume] in Blood 12.7 g/dL 2021-03-18 : Erythrocytes [#/volume] in Blood by Automated count 4.3 10*6/uL 2021-03-18 : Leukocytes [#/volume] in Blood by Automated count 10.1 10*3/uL 2021-03-18 : Respiratory rate 16.0 /min 2021-03-18 : Heart rate 94.0 /min 2021-03-18 : Blood Pressure - Diastolic Blood Pressure 73.0 mm[Hg] - Systolic Blood Pressure 114.0 mm[Hg] 2021-03-18 : Body mass index (BMI) [Percentile] Per age and gender 57.0 % 2021-03-18 : Body Mass Index 21.1 kg/m2 2021-03-18 : Body Weight 60.7 kg 2021-03-18 : Pain severity - 0-10 verbal numeric rating [Score] - Reported 0.0 {score} 2021-03-18 : Body Height 169.4 cm -------------------------------------------------------------------------------- PROCEDURES: 2022-11-08 : Plain chest X-ray (procedure) for Acute bronchitis (disorder) 2022-03-24 : Anticipatory guidance (procedure) 2022-03-24 : Assessment using Car, Relax, Alone, Forget, Friends, Trouble Screening Test (procedure) 2022-03-24 : Assessment of substance use (procedure) 2022-03-24 : Medication Reconciliation (procedure) 2022-03-24 : Assessment of anxiety (procedure) 2021-12-05 : Transfer to stepdown for Acute myeloid leukemia, disease (disorder) 2021-12-05 : Chemotherapy (procedure) for Acute myeloid leukemia, disease (disorder) 2021-03-18 : Depression screening using Patient Health Questionnaire Nine Item score (procedure) 2021-03-18 : Depression screening (procedure) 2021-03-18 : Assessment of anxiety (procedure) -------------------------------------------------------------------------------- IMMUNIZATIONS: 2022-03-24 : Influenza, seasonal, injectable, preservative free 2021-03-18 : meningococcal MCV4P 2021-03-18 : Influenza, seasonal, injectable, preservative free -------------------------------------------------------------------------------- ENCOUNTERS: 2022-11-08 (Dr. Alysha Koch) : Encounter at TEWKSBURY HOSPITAL : Encounter for Acute bronchitis (disorder) 2022-03-24 (Dr. Gerard Pouros) : Encounter at CLARITY HEALTH & WELLNESS LLC 2021-12-05 (Dr. Alysha Koch) : Encounter at TEWKSBURY HOSPITAL : Encounter for Acute myeloid leukemia, disease (disorder) 2021-11-23 (Dr. Alysha Koch) : Encounter at TEWKSBURY HOSPITAL 2021-03-18 (Dr. Gerard Pouros) : Encounter at CLARITY HEALTH & WELLNESS LLC 2020-11-28 (Dr. Alysha Koch) : Encounter at TEWKSBURY HOSPITAL -------------------------------------------------------------------------------- IMAGING STUDIES: --------------------------------------------------------------------------------