Oral Candidiasis

 

88 year old female referred by GP to Emergency Department for general decline from past 2 weeks. She has decreased oral intake. She has completed course of oral Cephalexin as per her General practitioner.

 

Diagnosis– Cellulitis

Hypernatraemia

Oral Candidiasis

Dehydration

 

Allergies–  Penicillin

 

Past Medical History– Dementia

Hypertension

Diverticulitis

Asthma

UTIs

GORD

Bowel Cancer

Chronia Pain- Neck, Shoulder and Knee

SCC- Leg

She is incontinent. Bed Bound- lifting machine to be used for tranfers.

 

Medications-    Metoclopramide

Paracetamol

Bricancyl (QID)

Antacid

Vitamin D

Pantaprazole

Temazepam

Frusemide

Tapentadol

Budesonide

Norspan – Weekly

 

Assessment-

Alert, GCS 14, Confused. The pupils were equal and reactive to light.  Mild weakness in both legs. There was normal strength in upper limbs.

Afebrile, temperature- 35.5

Blood pressure- 148/89 mmHg, Respiratory rate- 18 bpm, SPO2 98% on room air, BGL- 5.9.

Chest Clear

Abdo- Lax, Non- tender, No nausea or vomiting reported by patient.

Skin was warm, clean and intact.

Bilateral swollen legs

Both lower legs- Hot and tender/ red.

  1. L) Thigh Lymphangitis