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What is the appropriate patient status?

73-year-old male with a past medical history of ventral hernia with 3 prior surgeries presented to ED complaining of worsening abdominal pain with nausea.

Day of presentation:

2053: CT demonstrated SBO with thick-walled small bowel loop in ventral hernia.

2218: Observation order placed

2230: H&P assessment: SBO in known ventral hernia, possible incarceration by CT. Patient refusing NG, plan surgery consultation. IV pain meds, antiemetics as needed.

 

Day 1:

1157: Hospitalist note: Continue conservative management including IV fluids, surgery consult.

1208: Surgery consult: Morbidly obese, multiple hernia surgeries. Feeling better after 3 episodes of emesis and bowel movement. Plan abdominal series, advance to clear liquids.

1223: Inpatient order placed

1245: Abdominal series nonobstructive bowel gas pattern

 

Day 2:

1008: Hospitalist note- Feeling much better

1214: Discharge to home

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