Test Your Knowledge

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

Would you Status:

Submit the form below to see the appropriate response as ruled by the DOJ on this case.

Test Your Knowledge: February 2023

FEBRUARY 202371- year-old male with history of TAVR, cardiomyopathy, pacemaker, cirrhosis, DM, HTN and chronic vertigo presented with syncope accompanied by vertigo. The patient reported a fall several days earlier, striking head.Day of presentation: 1838: CT head...

Test Your Knowledge: January 2023

76-year-old male with a past medical history significant for hypertension, hyperlipidemia , diabetes, chronic atrial fibrillation, and CKD stage 3 presented to the ED with chest pain.Day of presentation: 2332: EKG demonstrates atrial fibrillation with a heart rate 111...

Test Your Knowledge – November 2022

70-year-old male with a past medical history significant for nephrolithiasis, MI, CABG, CVA and DM presented to ED with 1 day history of worsening right flank pain, nausea, vomiting and chills. Seen one day earlier with CT demonstrating a stone in the right mid-ureter...