Age: 64.0
Sex: M
Vaccine: COVID19
Symptoms: Troponin I increased, Ultrasound Doppler abnormal, Viral test negative, White blood cell count increased
Clinical narrative: ED Discharged  4/19/2021 (2 hours) Last attending ? Treatment team Cough with exposure to COVID-19 virus +1 more Patient presents with ? Fatigue  HPI: Patient presents with a 3-day history of illness, started with a cough, generalized fatigue, some nauseousness and decreased energy.  He is here today with wife, over the last 2 days has not really ate or drank much, only had 1 cup of chicken noodle soup, states he has not really ate or drink anything secondary to no appetite.  Denies any diarrhea.  Denies history of problems with his heart or lungs such as asthma COPD smoking heart failure or heart attack. Denies any new or different swelling in his lower extremities, denies hemoptysis.  Patient had a COVID-19 test at pharmacy and was told the results may take 2 to 7 days. He has received one of his Covid vaccines but not the second, he was recently at an orthopedics appointment, otherwise denies any recent known exposures or other sick individuals to his knowledge.  Wife was fully vaccinated for COVID-19. He does admit to feeling more short of breath. Patient is retired Clinical Support 4/23/2021 COVID-19 Dx Medication Infusion Reason for Visit Progress Notes (Registered Nurse) ? ? Encounter Date: 4/23/2021 ? ? Signed    12:30 pm: Patient arrived in clinic for MAB infusion, wheeled to the clinic on a wheelchair, reports generalized weakness and a cough, no SOB. VS acceptable .   12:52 pm - Commenced on MAB infusion   01:15 pm - Infusion ended successful with no adverse reactions. VS stable. Will observe for 1 hour before discharge.    02:15 pm - Patient stable post infusion. Given a pulse oximeter and shown how to use it, educated on when to seek help.Navigators to make home follow up calls.Discharged home.         Instructions  COVID 19 Monoclonal Antibody (MAB) Infusion Patient Reference Guide  ED Discharged  4/26/2021 (5 hours)   DO Treatment team Bilateral pulmonary embolism 6 more Patient presents with ? Shortness of Breath  History of Present Illness: Patient is a 64-year-old male who presents for respiratory distress.  Patient has recent history of Covid approximate 10 days ago who presents for shortness of breath.  Patient says he woke up acutely short of breath with pain in the center of his chest.  EMS arrived, they said patient was diaphoretic and they could not get a pulse ox.  Patient's blood pressure was normotensive.  Patient now continues to feel like he cannot breathe.  Patient reports some mild pain in the center of his chest.  Patient denies history of DVT or PE.  Patient denies history of COPD or asthma but he is a former smoker.  Patient said he was started to feel better from a Covid standpoint until this morning.  Admission Discharged  4/26/2021 - 4/29/2021 (3 days)  Last attending ? Treatment team Pulmonary embolism associated with COVID-19 (CMS/HCC) Principal problem Discharge Summary (Physician) ? ? Internal Medicine          INPATIENT DISCHARGE SUMMARY HOSPITALIST GROUP .   Date: 4/29/2021 DOB: Admission Date: 4/26/2021 Length of stay: 3 Days     Admission diagnosis:     Primary Admission Diagnosis    Medical Problems     Hospital Problems        POA    * (Principal) Pulmonary embolism associated with COVID-19  Yes         Essential hypertension Yes         Other hyperlipidemia  Care Coordination Progress Note RN (Registered Nurse)    COVID 19 MAB Infusion Navigator Post Infusion Graduation   Infusion Date:  04/23/21    Medication ? bamlanivimab/etesevimab ? casirivimab ? bamlanivimab