Reference no: EM133639660

Question

Inpatient admission: The patient, an elderly woman, was known to have congestive heart failure, arteriosclerotic heart disease, and chronic obstructive pulmonary disease. She had no history of coronary artery bypass grafting. She developed increased shortness of breath, dyspnea on exertion, temperature elevation, and productive cough. These problems were felt to represent congestive heart failure and pneumonia. She was admitted for cultures, IV antibiotics, pulmonary toilet, and increased diuresis. Her initial non-contrast chest film showed congestive heart failure and bilateral lung infiltrates. In discussing this case with the pulmonary consultant, the physician felt it was wise to transfer the patient to another hospital so that both pulmonary and cardiology staff could work together with this patient.

Discharge diagnoses: (1) Arteriosclerotic heart disease, (2) congestive heart failure, (3) pneumonia, (4) chronic obstructive lung disease.