Deciper This: Medical Edition

Decipher This:

85 yo F with PMH MMP incl. AF on coumadin, CAD s/p MI x2, 3v CABG (LIMA -> LAD, SVG -> OM, circ), MR s/p St. Judes MVR, DM, CHF, COPD on 2L home O2, OSA, PVD s/p R -> L fem-fem bypass, admitted with confusion and left-sided weakness after fall couple days earlier. Head CT with R MCA CVA/ICH. Patient intubated for airway control. On HD#5, T 103F, HR 135 BP 70/50, R 20, O2 sat 90% on FIO2 60% ACV. CXR with LLL, RML & RLL infiltrates concerning for multifocal pna, presumed VAP. CT-PA with same as well as RUL subsegmental PE. SCx grows MRSA and ESBL K.pneumo. Started on appropriate abx but still febrile. Multiple BCx with MRSA. UCx with amp-C E.cloacae & VRE. TEE with 1cm MV veg. Poor surgical candidate. On HD #9, patient found with PEA arrest. Code Blue called. ACLS begun. ABC secure. Got atropine x 1, epi q3 min x 3. ECG now with VF. Shock x 2 into asystole. Code called after 20 minutes. TOD 4:30am 06/06/06.

Disclaimer – this is an entirely made up case. I’m having fun with medical abbreviations.