Age: 81.0
Sex: F
Vaccine: COVID19
Symptoms: Dysphagia, Enterovirus test negative, Essential hypertension, Human metapneumovirus test, Human rhinovirus test
Clinical narrative: ED to Hosp-Admission Discharged  4/6/2021 - 4/9/2021 (3 days)    Last attending ? Treatment team Acute hypoxemic respiratory failure due to COVID-19 (CMS/HCC) Principal problem Discharge Summary  Internal Medicine           Discharge Summary   Hospitalist Medicine        Admission Date: 4/6/2021 Length of Stay: 3 Days Discharge Date: 4/9/2021     Admission Diagnosis     Hospital Problems          POA   * (Principal) Acute hypoxemic respiratory failure due to COVID-19 (CMS/HCC) Yes       Type 2 diabetes mellitus (CMS/HCC) Yes       Obesity Yes       Hypothyroidism Yes       Chronic combined systolic and diastolic heart failure (CMS/HCC) Yes       Benign essential hypertension Yes       81-year-old female presented to the hospital with a complaint of fever and cough COVID-19 - now saturating well on room air and  Afebrile Complaining of sore throat and difficulty in swallowing- now resolving Back pain improving Episode of diaphoresis and blurry vision -now resolved    Home Or Self Care   CODE STATUS: DNR (Do Not Resuscitate)     Active Issues Requiring Follow-up     Follow-up with PCP for further care as outpatient.     Test Results Pending at Discharge     Pending Labs    Order Current Status   Blood culture- 2 SETS Preliminary result   Blood culture- 2 SETS Preliminary result         Hospital Course     HPI: See H&P   Hospital Course:   Patient presented to the hospital with a complaint of fever and cough.  She was admitted for COVID-19 with respiratory failure.  Since she was saturating below 94%, she was started on remdesivir on admission.  Oxygen was given for supportive care.  She received albuterol inhaler, Mucinex, Tessalon Perles and Decadron.  In addition she complained of some sore throat and received Chloraseptic spray along with lozenges.  She had an episode of diaphoresis and change in vision during the hospitalization.  There were no events on the monitor and the CT of the head was negative.  The symptoms resolved.  She also complained of insomnia back pain for which he received melatonin and Lidoderm patch respectively.  She is feeling much better and has been saturating well on room air above 95% for the past 2 days.  I will continue with the albuterol inhaler, Decadron and Mucinex as outpatient for few more days.  She is asked to follow-up with her PCP for further care as outpatient.  ED to Hosp-Admission Discharged  4/13/2021 - 4/16/2021 (3 days)  Last attending ? Treatment team Weakness Principal problem Discharge Summary (Physician) ? ? Internal Medicine           Discharge Summary   Hospitalist Medicine        Admission Date: 4/13/2021 Length of Stay: 1 Days Discharge Date: 4/16/2021     Admission Diagnosis     Hospital Problems          POA   Type 2 diabetes mellitus (CMS/HCC) Yes       Hypothyroidism Yes       Hyperlipidemia due to type 2 diabetes mellitus (CMS/HCC) Yes       Gastroesophageal reflux disease Yes         Problem List          Resolved POA            Resolved Problems   Acute hypoxemic respiratory failure due to COVID-19 (CMS/HCC) 4/17/2021 Yes   * (Principal) Weakness 4/17/2021 Yes   Generalized weakness 4/17/2021 Yes       Home Under Care Of Organized Home Health Service   CODE STATUS: Prior     Active Issues Requiring Follow-up           Test Results Pending at Discharge           Hospital Course     HPI: See H&P admit report.   Hospital Course:    Patient was admitted secondary to weakness and hypoxia she recently did have a bout of COVID-19 and had been discharged home and has been set up for remote outpatient monitoring as per protocol. She returns for ongoing weakness. Patient was continued on Decadron and was seen by physical therapy and Occupational Therapy. The patient slowly continued to improve and was now back to baseline functioning. She may be discharged home and follow-up with PCP as advised as she is no longer on oxygen.   She is to complete the dexamethasone dose as she had previously been taking to complete a course. Home health had been previously set up at her previous admission.