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Gap Fill Summary for Amanda

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Gap Fill Summary for Amanda

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Renato Schiavo
1

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Rose Anderson , 37 , is currently from esophageal suturing , cruroplasty , and mediastinal drainage due to a large hiatal hernia . Her medical history dyslipidemia , a 20 - year smoking history , and previous surgeries , including a C - section and foot rhinoplasty . She was initially with complaints of regurgitation for 20 years , dyspnea on exertion , and recently developed postprandial fullness . Currently , she is febrile , with a maximum temperature of 37 . 9°C , normotensive , and mildly tachycardic , with a heart rate of 70 to 111 bpm . , she is an enteral diet at 20 ml / h , ceftriaxone , metronidazole , and prophylactic enoxaparin , with a drain output of 100 ml serohematic fluid . Despite the fever , Rose stable , ambulatory , and has improvement in her abdominal pain , with no respiratory complaints . , the management plan maintaining her current diet and antibiotics , continuing motor and respiratory physiotherapy , and prophylaxis for venous thromboembolism . , it is crucial to closely her drain output and strictly avoid blind reinsertion of the nasoenteral tube , as well as clear guidance and support throughout her recovery .