text:  Alcohol abuse in the past  Chronic obstructive pulmonary disease .  Chronic pleural effusions  Chronic renal insufficiency with baseline creatinine 1.8-2 . 5  Ischemic bowel status post SMA Percutaneous Transluminal Coronary Angioplasty . 6 Serratiaurosepsis .  Positive PPD . 8 Status post total hip replacement . 9  Right bundle branch block with left anterior hemiblock on electrocardiogram  Allergies to penicillin   sulfa   codeine   morphine sulfate .Medications on transfer included thiamine  multivitamin  Pepcid  ceftizoxime 1 gm intravenously q. eight hours  Flagyl 500 mg intravenously q. eight hours  gentamicin 80 mg IV q. 24 hours  Ventolin inhaler  Lotrimin cream  sliding scale nitro paste  pyridium  Vancomycin 125 mg p.o. q.i.d.  and calcium carbonate .  Habits  Positive for cigarettes of 40 pack    years quit in 1990.  Positive alcohol abuse in the distant past  Family history is positive for tuberculosis   hypertension   and alcoholism .  Social history  Former Vermont blacksmith  He has one son and lives in a nursing home .