Test Your Knowledge

What is the appropriate patient status?

74-year-old Medicare Beneficiary presented with altered mental status.  Past Medical History is significant for CHF, s/p CABG and pacemaker and renal insufficiency.


Day 0

2138: Pt presented to the ED: HR 143 and pedal edema on exam

2242: EKG with A. Fib RVR 131

2248: troponin #1 normal, troponin #2 elevated


Day 1

0252: Inpatient order entered

0315: H&P – Pt with elevated troponin, CHF exacerbation and intermittent runs of A. fib with RVR which resolved with IV diltiazem.  Mental status back to baseline.   Plan for telemetry, IV Lasix, cardiology consultation and continue home meds.

0650: Cardiology consult:  Acute on chronic diastolic heart failure exacerbation. Elevated troponin -nonspecific in etiology. Plan:  Digoxin, check dig level, continue Lasix


Day 2

0715: IM note: BNP improved with diuretics, no further intervention needed plan to discharge

1330: Discharge to home


Would you Status:


Want to see the the appropriate response as ruled by the DOJ?

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