Discuss the History of Present Illness.

Millie LarsenDate of Birth: 01/23/19xxGender: F Age: 84 Weight: 106 lbs. (48 kg) Height: 61 inchesRace: (Faculty can select) Religion: (Faculty can select)Major Support: Dina (daughter) Support Phone: Allergies: No known allergies Immunizations: Influenza & pneumonia (2 years ago)Attending Provider/Team: Eric Lund, MDPast Medical History: Glaucoma, hypertension, osteoarthritis, stress incontinence, hypercholesterolemia.History of Present Illness: Millie’s daughter Dina became concerned yesterday when she stopped over to check on her and found her still in her bathrobe at 6:00PM. The house was very unkempt, and Millie couldn’t remember her daughter’s name. Dina stayed with her for a few hours, but when Millie became more confused she decided to bring her to the Emergency Department. They arrived in the emergency department at 12:15AM.Social History: Widow for one year; involved in church activities and gardening. Daughter and grandchildren live nearby.Primary Medical Diagnosis: Dehydration, urinary tract infectionSurgeries/Procedures & Dates: Cholecystectomy at age 30Hospital OrdersDate/Time:Today’s date0600Admit to Medical UnitBathroom privileges with assistanceRegular, low fat dietI & 0Captopril 25 mg po three times a dayMetoprolol 100 mg po every dayFurosemide 40 mg po twice per dayAtorvastatin 50 mg po once dailyAlendronate 70 mg po once weekly, patient takes on SundayCelecoxib 200 mg po once a dayCiprofloxacin 250 mg po every 12 hoursAcetaminophen 325 mg po q6h prn pain or feverIV fluids D5 0.45% NaCl with 20 mEq KCL per liter at 60ml/hr Eric Lund, MD Situation: Millie Larsen is an 84-year-old female brought to the ER by her daughter with confusion.Background: When Millie’s daughter stopped in to see her yesterday evening, she found that she was not making sense or acting right. She brought her to the ER and a decision was made to admit her, but she remained in the ER all night until a bed became available an hour ago. Mrs. Larsen has a history of hypertension, glaucoma, osteoporosis, arthritis, elevated cholesterol, and stress incontinence. It is unclear whether she has taken her medications properly the past few days; her daughter couldn’t tell from looking at her medication box.Assessment: Millie’s last vital signs at 2:30AM were: temperature 98.4, heart rate 76, respirations 14, BP 170/90. She is not oriented to time or place and seems quite confused. She has an IV of D5 0.45% NaCl with 20 mEq KCL per liter at 60 mL’s per hour.Her labs were drawn in the ED. She has 12000 WBC’s, an elevated sodium, and a urine specific gravity of 1.050, with some signs of a UTI. Urine culture is being done. Her primary physician Dr. Lund was notified of her admission and wrote orders for her meds.Lab DataComplete Blood CountResultReference RangeWBC (White Blood Count)126.0-11.0 K/uLRBC (Red Blood Count)5.24.5-5.9 M/uLHGB (Hemoglobin)9.912.0-15.6 g/dL (F)13.0-18.0 g/dL (M)HCT (Hematocrit)32%36-46 % (F)40-52 % (M)PLT (Platelets)320150-450 K/uLBasic Metabolic PanelResultReference RangeSodium149135-145 mmol/LPotassium3.53.5-5 mmol/LCarbon dioxide3835-45 mm hgCalcium2.42-2.6 mmol/LChloride9795-105 mEq/LGlucose10565-110 mg/dLBun1.51.2-3 mmol/LCreatinine1.00.8-1.3 mg/dLUrinalysisResultReference RangeColorDark amberYellow- dark yellowAppearanceCloudyClearSpecific gravit