H&P help

 It sounds like the doctor is saying broad spectrum (zocin), (serial exam)---

IMPRESSION:  Clinically patient probably has a small perforation of his colonic cancer without free air or fluid.  No really septic type symptoms involved with the exception of fever.  In my opinion and I have discussed with Dr. ___ who agrees we should admit the patient gentle prep continue the intravenous antibiotics, broad spectrum **,  ** exams and monitoring.  There is no real indication in my opinion take an emergency room patient with a large tumor emergently to the operating room. Tonight  will recommend proceeding the OR in the morning. 

• H&P help - kel
  • Zosyn and serial exams. I have had the same in reports before. - sb
  • your paragraph has many grammatical errors - meMT
    • should read "need more help" nm - meMT
  • thanks - sam
  • Zosyn and serial exam sounds right sm - MDmt

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