17 h 38 m, 11 jun 2023 año - Medicine physician's addendum to progress note: "WBC count was slightly elevated than yesterday. Chest x-ray may represent combination of pulmonary edema or infection. Differentials includes but not limited to cardiogenic shock, septic shock…Holding off further fluid challenge because of grossly fluid overload. Starting broad-spectrum IV antibiotic with vancomycin, cefepime and azithromycin” (Cinta de tiempo)