Hospitalized, but Not Admitted: Admission Status
Hospitalized, but Not Admitted: Admission Status
Hospitalized, but Not Admitted: Admission Status
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Examples<br />
• S: Knee pain O: Knee pain A: Knee pain P: Knee<br />
replacement: denied!<br />
• Patient established care for knee pain due to OA 18<br />
months ago. At that time, a trial of NSAIDS and APAP for<br />
6 months produced no benefit. Three intraarticular<br />
steroid injections produced no relief, nor did six months<br />
of physical therapy. Thus, arthroplasty is indicated.<br />
• “Admit to OBS for rule out MI”: a nightmare!<br />
• While the ECG and biomarkers are normal, her risk<br />
factors of smoking and diabetes suggest a high risk of<br />
cardiac chest pain. I am concerned about the short-term<br />
risk of death from ACS. Thus, further urgent evaluation<br />
is warranted.