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Harlem Hospital Case Study

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After review of the clinical information provided by Harlem Hospital, the Medical Director has denied your admission to Harlem Hospital. It was determined that the clinical information did not justify an inpatient stay. Acute inpatient hospitalization was not medically necessary. You are a 55 year old woman with past medical history of hypertension, coronary artery disease, systolic congestive heart failure with ejection fraction (test of heart function) 22% in Dec 2014, Atrial fibrillation on Coumadin, severe non-ischemic cardiomyopathy (poor heart function), chronic kidney disease status post (had) right Nephrectomy (kidney removal) in 2005, cervical cancer treated status post (with) bladder reconstruction who presented to the emergency department complaining of shortness of breath and chest tightness that started 4 days ago. …show more content…
Your Electrocardiogram (recording of your heart activity) showed Atrial fibrillation (irregular heartbeats), normal rate, Paced rhythm but there was no evidence of acute ischemic (decreased blood supply to the heart) changes. Your chest x-ray showed no evidence of interstitial or alveolar (parts of the lung) edema (fluid) noted and no pleural effusion (excess fluid builds around the lung). Your Creatinine (lab test) was 1.6, troponin (lab test) was 0.104 and no potassium or magnesium (lab tests) levels were provided. Your B-type-natriuretic-peptide (lab test) was greater than 3000. Your examination revealed intermittently irregular heart rate. Your lungs exam was

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