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Assessment / Plan

65M with history of x, initially admitted for X, now with x.

Acute hypoxemic respiratory failure

Septic shock from GNR bacteremia

Acute kidney injury, grade 2

Recommendations

• XX
• xxx

Billing Details Problems: 1,2,3

Data: xx

Risk: xx

Subjective

• overnight, no acute events
• reports no specific concerns

Full ROS performed. Negative except as mentioned above.

Objective Vitals Tmax x

Exam RRR.CTAB

Labs & Imaging

All labs and imaging within past 24 hr personally reviewed by me.