chrisvoncsefalvay/vaers-narrative-generation huggingface dataset:
Age: 68.0
Sex: M
Vaccine: COVID19
Symptoms: Hyperkalaemia, Hypoaesthesia, Hypomagnesaemia, Influenza A virus test negative, Influenza B virus test
Clinical narrative: Narrative: 1/12/23 - Pt presented to ED with c/o feeling rough. Pt has cough, chest pain (pt BIBA for chest pain rated 5/10), and SOB. Pt also reported 5 episodes of diarrhea within 3 days, weakness, n/v, poor appetite, and intermittent numbness in chest. Pt reported low grade temp last night. Pt diagnosed with COVID x 1 week. Cardiac stents placed 4 months ago. Pt given 324mg ASA in ambulance with some relief of chest pain = 3/10. EMS placed on 2L oxygen via nasal cannula for comfort. Pt was diagnosed with COVID while at facility 5 days ago. Pt admitted to hospital on 1/12/23 with Primary Diagnosis: Covid 19 Dehydration Acute kidney injury chest pain HOSPITAL COURSE: Patient presented with nausea, vomiting and dehydration. He was found to have AKI which resolved with IV Fluid hydration. He was COVID (+) and because of multiple co-morbidities, he received 3 days of Remdesivir treatment. He was severe weak. He underwent Physical Therapy and it was recommended for STR vs LTC. It is most likely his high dose of Metformin 2gm bid also contributed to his weakness. He was d/c'ed off of Metformin and started on Lantus 20 units qhs. His electrolytes were replaced (Low K and Low Mg). He is stable and will be transported to skilled nursing facility today. Weakness/Decondition: - Continue PT/OT evaluation. -PT RECOMMENDATIONS: STR- to LTC at this time. - Skilled nursing facility today Covid 19 infection - on room air with oxygen saturations 96-100% - continue supportive care - Remdesivir day #3 (Completed) AKI (baseline creat ~ 1.2): Resolved - monitor renal function Hyperkalemia: Resolved - Patiromer x 1 - K 4.8 -> 4.4 -> 4.1 -> 4.4(today) Hypomagnesemia: - Mg 1.3 -> 1.6 -> 1.5 - Supplement w/Mg 1 gm IV today. Chronic Medical Problems: Seizure Disorder - continue with home Keppra (dose adjusted for renal function) T2DM/w/Hyperglycemia: - D/C'ed home metformin - Started Lantus 20 units qhs - carb controlled diet COPD - not in exacerbation HTN - continue with carvedilol, amlodipine HLP - holding home atorvastatin due to weakness - resume if weakness improves CAD - continue with aspirin, plavix, carvedilol, imdur - continue home ralonazine RA - home hydroxychloroquine - continue with home prednisone Dementia POA pressure injury Stage 2 left ischium with friction component too POA right lateral ankle Stage 3 Hypomagnesemia: Resolved DVT prophylaxis - sq heparin
Age: 68.0
Sex: M
Vaccine: COVID19
Symptoms: Laboratory test, Lymphocyte count normal, Lymphocyte percentage decreased, Mean cell haemoglobin concentration normal, Mean cell haemoglobin normal
Clinical narrative: Narrative: 1/12/23 - Pt presented to ED with c/o feeling rough. Pt has cough, chest pain (pt BIBA for chest pain rated 5/10), and SOB. Pt also reported 5 episodes of diarrhea within 3 days, weakness, n/v, poor appetite, and intermittent numbness in chest. Pt reported low grade temp last night. Pt diagnosed with COVID x 1 week. Cardiac stents placed 4 months ago. Pt given 324mg ASA in ambulance with some relief of chest pain = 3/10. EMS placed on 2L oxygen via nasal cannula for comfort. Pt was diagnosed with COVID while at facility 5 days ago. Pt admitted to hospital on 1/12/23 with Primary Diagnosis: Covid 19 Dehydration Acute kidney injury chest pain HOSPITAL COURSE: Patient presented with nausea, vomiting and dehydration. He was found to have AKI which resolved with IV Fluid hydration. He was COVID (+) and because of multiple co-morbidities, he received 3 days of Remdesivir treatment. He was severe weak. He underwent Physical Therapy and it was recommended for STR vs LTC. It is most likely his high dose of Metformin 2gm bid also contributed to his weakness. He was d/c'ed off of Metformin and started on Lantus 20 units qhs. His electrolytes were replaced (Low K and Low Mg). He is stable and will be transported to skilled nursing facility today. Weakness/Decondition: - Continue PT/OT evaluation. -PT RECOMMENDATIONS: STR- to LTC at this time. - Skilled nursing facility today Covid 19 infection - on room air with oxygen saturations 96-100% - continue supportive care - Remdesivir day #3 (Completed) AKI (baseline creat ~ 1.2): Resolved - monitor renal function Hyperkalemia: Resolved - Patiromer x 1 - K 4.8 -> 4.4 -> 4.1 -> 4.4(today) Hypomagnesemia: - Mg 1.3 -> 1.6 -> 1.5 - Supplement w/Mg 1 gm IV today. Chronic Medical Problems: Seizure Disorder - continue with home Keppra (dose adjusted for renal function) T2DM/w/Hyperglycemia: - D/C'ed home metformin - Started Lantus 20 units qhs - carb controlled diet COPD - not in exacerbation HTN - continue with carvedilol, amlodipine HLP - holding home atorvastatin due to weakness - resume if weakness improves CAD - continue with aspirin, plavix, carvedilol, imdur - continue home ralonazine RA - home hydroxychloroquine - continue with home prednisone Dementia POA pressure injury Stage 2 left ischium with friction component too POA right lateral ankle Stage 3 Hypomagnesemia: Resolved DVT prophylaxis - sq heparin
Age: 68.0
Sex: M
Vaccine: COVID19
Symptoms: Mean cell volume normal, Mean platelet volume decreased, Medical diet, Monocyte count increased, Monocyte percentage
Clinical narrative: Narrative: 1/12/23 - Pt presented to ED with c/o feeling rough. Pt has cough, chest pain (pt BIBA for chest pain rated 5/10), and SOB. Pt also reported 5 episodes of diarrhea within 3 days, weakness, n/v, poor appetite, and intermittent numbness in chest. Pt reported low grade temp last night. Pt diagnosed with COVID x 1 week. Cardiac stents placed 4 months ago. Pt given 324mg ASA in ambulance with some relief of chest pain = 3/10. EMS placed on 2L oxygen via nasal cannula for comfort. Pt was diagnosed with COVID while at facility 5 days ago. Pt admitted to hospital on 1/12/23 with Primary Diagnosis: Covid 19 Dehydration Acute kidney injury chest pain HOSPITAL COURSE: Patient presented with nausea, vomiting and dehydration. He was found to have AKI which resolved with IV Fluid hydration. He was COVID (+) and because of multiple co-morbidities, he received 3 days of Remdesivir treatment. He was severe weak. He underwent Physical Therapy and it was recommended for STR vs LTC. It is most likely his high dose of Metformin 2gm bid also contributed to his weakness. He was d/c'ed off of Metformin and started on Lantus 20 units qhs. His electrolytes were replaced (Low K and Low Mg). He is stable and will be transported to skilled nursing facility today. Weakness/Decondition: - Continue PT/OT evaluation. -PT RECOMMENDATIONS: STR- to LTC at this time. - Skilled nursing facility today Covid 19 infection - on room air with oxygen saturations 96-100% - continue supportive care - Remdesivir day #3 (Completed) AKI (baseline creat ~ 1.2): Resolved - monitor renal function Hyperkalemia: Resolved - Patiromer x 1 - K 4.8 -> 4.4 -> 4.1 -> 4.4(today) Hypomagnesemia: - Mg 1.3 -> 1.6 -> 1.5 - Supplement w/Mg 1 gm IV today. Chronic Medical Problems: Seizure Disorder - continue with home Keppra (dose adjusted for renal function) T2DM/w/Hyperglycemia: - D/C'ed home metformin - Started Lantus 20 units qhs - carb controlled diet COPD - not in exacerbation HTN - continue with carvedilol, amlodipine HLP - holding home atorvastatin due to weakness - resume if weakness improves CAD - continue with aspirin, plavix, carvedilol, imdur - continue home ralonazine RA - home hydroxychloroquine - continue with home prednisone Dementia POA pressure injury Stage 2 left ischium with friction component too POA right lateral ankle Stage 3 Hypomagnesemia: Resolved DVT prophylaxis - sq heparin
Age: 68.0
Sex: M
Vaccine: COVID19
Symptoms: Nausea, Physical deconditioning, Platelet count normal, Protein total decreased, Red blood cell count decreased
Clinical narrative: Narrative: 1/12/23 - Pt presented to ED with c/o feeling rough. Pt has cough, chest pain (pt BIBA for chest pain rated 5/10), and SOB. Pt also reported 5 episodes of diarrhea within 3 days, weakness, n/v, poor appetite, and intermittent numbness in chest. Pt reported low grade temp last night. Pt diagnosed with COVID x 1 week. Cardiac stents placed 4 months ago. Pt given 324mg ASA in ambulance with some relief of chest pain = 3/10. EMS placed on 2L oxygen via nasal cannula for comfort. Pt was diagnosed with COVID while at facility 5 days ago. Pt admitted to hospital on 1/12/23 with Primary Diagnosis: Covid 19 Dehydration Acute kidney injury chest pain HOSPITAL COURSE: Patient presented with nausea, vomiting and dehydration. He was found to have AKI which resolved with IV Fluid hydration. He was COVID (+) and because of multiple co-morbidities, he received 3 days of Remdesivir treatment. He was severe weak. He underwent Physical Therapy and it was recommended for STR vs LTC. It is most likely his high dose of Metformin 2gm bid also contributed to his weakness. He was d/c'ed off of Metformin and started on Lantus 20 units qhs. His electrolytes were replaced (Low K and Low Mg). He is stable and will be transported to skilled nursing facility today. Weakness/Decondition: - Continue PT/OT evaluation. -PT RECOMMENDATIONS: STR- to LTC at this time. - Skilled nursing facility today Covid 19 infection - on room air with oxygen saturations 96-100% - continue supportive care - Remdesivir day #3 (Completed) AKI (baseline creat ~ 1.2): Resolved - monitor renal function Hyperkalemia: Resolved - Patiromer x 1 - K 4.8 -> 4.4 -> 4.1 -> 4.4(today) Hypomagnesemia: - Mg 1.3 -> 1.6 -> 1.5 - Supplement w/Mg 1 gm IV today. Chronic Medical Problems: Seizure Disorder - continue with home Keppra (dose adjusted for renal function) T2DM/w/Hyperglycemia: - D/C'ed home metformin - Started Lantus 20 units qhs - carb controlled diet COPD - not in exacerbation HTN - continue with carvedilol, amlodipine HLP - holding home atorvastatin due to weakness - resume if weakness improves CAD - continue with aspirin, plavix, carvedilol, imdur - continue home ralonazine RA - home hydroxychloroquine - continue with home prednisone Dementia POA pressure injury Stage 2 left ischium with friction component too POA right lateral ankle Stage 3 Hypomagnesemia: Resolved DVT prophylaxis - sq heparin
Age: 68.0
Sex: M
Vaccine: COVID19
Symptoms: Red cell distribution width increased, Renal impairment, Respiratory syncytial virus test negative, SARS-CoV-2 test positive, Troponin I normal
Clinical narrative: Narrative: 1/12/23 - Pt presented to ED with c/o feeling rough. Pt has cough, chest pain (pt BIBA for chest pain rated 5/10), and SOB. Pt also reported 5 episodes of diarrhea within 3 days, weakness, n/v, poor appetite, and intermittent numbness in chest. Pt reported low grade temp last night. Pt diagnosed with COVID x 1 week. Cardiac stents placed 4 months ago. Pt given 324mg ASA in ambulance with some relief of chest pain = 3/10. EMS placed on 2L oxygen via nasal cannula for comfort. Pt was diagnosed with COVID while at facility 5 days ago. Pt admitted to hospital on 1/12/23 with Primary Diagnosis: Covid 19 Dehydration Acute kidney injury chest pain HOSPITAL COURSE: Patient presented with nausea, vomiting and dehydration. He was found to have AKI which resolved with IV Fluid hydration. He was COVID (+) and because of multiple co-morbidities, he received 3 days of Remdesivir treatment. He was severe weak. He underwent Physical Therapy and it was recommended for STR vs LTC. It is most likely his high dose of Metformin 2gm bid also contributed to his weakness. He was d/c'ed off of Metformin and started on Lantus 20 units qhs. His electrolytes were replaced (Low K and Low Mg). He is stable and will be transported to skilled nursing facility today. Weakness/Decondition: - Continue PT/OT evaluation. -PT RECOMMENDATIONS: STR- to LTC at this time. - Skilled nursing facility today Covid 19 infection - on room air with oxygen saturations 96-100% - continue supportive care - Remdesivir day #3 (Completed) AKI (baseline creat ~ 1.2): Resolved - monitor renal function Hyperkalemia: Resolved - Patiromer x 1 - K 4.8 -> 4.4 -> 4.1 -> 4.4(today) Hypomagnesemia: - Mg 1.3 -> 1.6 -> 1.5 - Supplement w/Mg 1 gm IV today. Chronic Medical Problems: Seizure Disorder - continue with home Keppra (dose adjusted for renal function) T2DM/w/Hyperglycemia: - D/C'ed home metformin - Started Lantus 20 units qhs - carb controlled diet COPD - not in exacerbation HTN - continue with carvedilol, amlodipine HLP - holding home atorvastatin due to weakness - resume if weakness improves CAD - continue with aspirin, plavix, carvedilol, imdur - continue home ralonazine RA - home hydroxychloroquine - continue with home prednisone Dementia POA pressure injury Stage 2 left ischium with friction component too POA right lateral ankle Stage 3 Hypomagnesemia: Resolved DVT prophylaxis - sq heparin
Age: 68.0
Sex: M
Vaccine: COVID19
Symptoms: Vomiting, White blood cell count increased
Clinical narrative: Narrative: 1/12/23 - Pt presented to ED with c/o feeling rough. Pt has cough, chest pain (pt BIBA for chest pain rated 5/10), and SOB. Pt also reported 5 episodes of diarrhea within 3 days, weakness, n/v, poor appetite, and intermittent numbness in chest. Pt reported low grade temp last night. Pt diagnosed with COVID x 1 week. Cardiac stents placed 4 months ago. Pt given 324mg ASA in ambulance with some relief of chest pain = 3/10. EMS placed on 2L oxygen via nasal cannula for comfort. Pt was diagnosed with COVID while at facility 5 days ago. Pt admitted to hospital on 1/12/23 with Primary Diagnosis: Covid 19 Dehydration Acute kidney injury chest pain HOSPITAL COURSE: Patient presented with nausea, vomiting and dehydration. He was found to have AKI which resolved with IV Fluid hydration. He was COVID (+) and because of multiple co-morbidities, he received 3 days of Remdesivir treatment. He was severe weak. He underwent Physical Therapy and it was recommended for STR vs LTC. It is most likely his high dose of Metformin 2gm bid also contributed to his weakness. He was d/c'ed off of Metformin and started on Lantus 20 units qhs. His electrolytes were replaced (Low K and Low Mg). He is stable and will be transported to skilled nursing facility today. Weakness/Decondition: - Continue PT/OT evaluation. -PT RECOMMENDATIONS: STR- to LTC at this time. - Skilled nursing facility today Covid 19 infection - on room air with oxygen saturations 96-100% - continue supportive care - Remdesivir day #3 (Completed) AKI (baseline creat ~ 1.2): Resolved - monitor renal function Hyperkalemia: Resolved - Patiromer x 1 - K 4.8 -> 4.4 -> 4.1 -> 4.4(today) Hypomagnesemia: - Mg 1.3 -> 1.6 -> 1.5 - Supplement w/Mg 1 gm IV today. Chronic Medical Problems: Seizure Disorder - continue with home Keppra (dose adjusted for renal function) T2DM/w/Hyperglycemia: - D/C'ed home metformin - Started Lantus 20 units qhs - carb controlled diet COPD - not in exacerbation HTN - continue with carvedilol, amlodipine HLP - holding home atorvastatin due to weakness - resume if weakness improves CAD - continue with aspirin, plavix, carvedilol, imdur - continue home ralonazine RA - home hydroxychloroquine - continue with home prednisone Dementia POA pressure injury Stage 2 left ischium with friction component too POA right lateral ankle Stage 3 Hypomagnesemia: Resolved DVT prophylaxis - sq heparin
Age: 100.0
Sex: M
Vaccine: PNC20
Symptoms: Unevaluable event
Clinical narrative: Narrative:
Age: 63.0
Sex: F
Vaccine: COVID19
Symptoms: Acute respiratory failure, Alanine aminotransferase normal, Angiogram pulmonary normal, Anion gap, Aspartate aminotransferase normal
Clinical narrative: Narrative:  12/21/22 - Pt sent to ED from community residential care facility for hypotension, generalized body weakness (GBW), body aches x 1 day. Pt reported chills and muscle pain. In ED, Pt tested COVID +. Pt given 1L NS IVF considering tachycardia / likely dehydration, rectal Tylenol, cefepime IV. Pt will be admitted to hospital 12/21 d/t COVID-19, GBW, body aches and abnormal chest x-ray (possible pneumonia). Pt admitted 12/21/22 through 1/20/23. PRINCIPAL DIAGNOSIS (Reason for admission after study): Acute hypoxic respiratory failure secondary to COVID and possibly aspiration pneumonia. ADDITIONAL DIAGNOSES: Acute on chronic dysphagia due to cervical osteophyte complex COVID viral pneumonia Schizoaffective disorder Syncope Hypothyroidism Hospital Course: 1. Acute COVID 19 infection/pneumonia - clinically resolved. Completed course of remdesivir and decadron. 2. Acute hypoxic respiratory failure due to COVID 19 and possible bacterial pneumonia - resolved. No evidence of PE on Chest CTA. S/P cefepime x 7 days 3. Dysphagia - Failed MBSS badly, per both SLP and radiologist there is little change of recovery short of potential surgery. Osteophyte complex. Community provider has accepted for transfer, but no beds right now. Pt will be transferred to facility for evaluation of osteophytes once bed is available. 4. Hypothyroidism - TSH high nl range cont levoxyl repeat TSH in 4- 6 weeks 5. Syncope, resolved - likely related to hypotension. No further evaluation. 6. Schizoaffective ds, PTSD - Stable, at baseline. Cont Haldol 150mg q4weeks (last dose 12/8/22) Given mentation/sensorium concerns and low plts MH recommended to d/c Valproate (mood instability hx). Can be reconsidered in future as an outpatient, with close monitoring of labs 7. DVT ppx- hep sc
Age: 63.0
Sex: F
Vaccine: COVID19
Symptoms: Asthenia, Band neutrophil percentage, Basophil count decreased, Basophil percentage decreased, Bilirubin urine
Clinical narrative: Narrative:  12/21/22 - Pt sent to ED from community residential care facility for hypotension, generalized body weakness (GBW), body aches x 1 day. Pt reported chills and muscle pain. In ED, Pt tested COVID +. Pt given 1L NS IVF considering tachycardia / likely dehydration, rectal Tylenol, cefepime IV. Pt will be admitted to hospital 12/21 d/t COVID-19, GBW, body aches and abnormal chest x-ray (possible pneumonia). Pt admitted 12/21/22 through 1/20/23. PRINCIPAL DIAGNOSIS (Reason for admission after study): Acute hypoxic respiratory failure secondary to COVID and possibly aspiration pneumonia. ADDITIONAL DIAGNOSES: Acute on chronic dysphagia due to cervical osteophyte complex COVID viral pneumonia Schizoaffective disorder Syncope Hypothyroidism Hospital Course: 1. Acute COVID 19 infection/pneumonia - clinically resolved. Completed course of remdesivir and decadron. 2. Acute hypoxic respiratory failure due to COVID 19 and possible bacterial pneumonia - resolved. No evidence of PE on Chest CTA. S/P cefepime x 7 days 3. Dysphagia - Failed MBSS badly, per both SLP and radiologist there is little change of recovery short of potential surgery. Osteophyte complex. Community provider has accepted for transfer, but no beds right now. Pt will be transferred to facility for evaluation of osteophytes once bed is available. 4. Hypothyroidism - TSH high nl range cont levoxyl repeat TSH in 4- 6 weeks 5. Syncope, resolved - likely related to hypotension. No further evaluation. 6. Schizoaffective ds, PTSD - Stable, at baseline. Cont Haldol 150mg q4weeks (last dose 12/8/22) Given mentation/sensorium concerns and low plts MH recommended to d/c Valproate (mood instability hx). Can be reconsidered in future as an outpatient, with close monitoring of labs 7. DVT ppx- hep sc
Age: 63.0
Sex: F
Vaccine: COVID19
Symptoms: Blood albumin decreased, Blood alkaline phosphatase normal, Blood bilirubin normal, Blood calcium normal, Blood chloride normal
Clinical narrative: Narrative:  12/21/22 - Pt sent to ED from community residential care facility for hypotension, generalized body weakness (GBW), body aches x 1 day. Pt reported chills and muscle pain. In ED, Pt tested COVID +. Pt given 1L NS IVF considering tachycardia / likely dehydration, rectal Tylenol, cefepime IV. Pt will be admitted to hospital 12/21 d/t COVID-19, GBW, body aches and abnormal chest x-ray (possible pneumonia). Pt admitted 12/21/22 through 1/20/23. PRINCIPAL DIAGNOSIS (Reason for admission after study): Acute hypoxic respiratory failure secondary to COVID and possibly aspiration pneumonia. ADDITIONAL DIAGNOSES: Acute on chronic dysphagia due to cervical osteophyte complex COVID viral pneumonia Schizoaffective disorder Syncope Hypothyroidism Hospital Course: 1. Acute COVID 19 infection/pneumonia - clinically resolved. Completed course of remdesivir and decadron. 2. Acute hypoxic respiratory failure due to COVID 19 and possible bacterial pneumonia - resolved. No evidence of PE on Chest CTA. S/P cefepime x 7 days 3. Dysphagia - Failed MBSS badly, per both SLP and radiologist there is little change of recovery short of potential surgery. Osteophyte complex. Community provider has accepted for transfer, but no beds right now. Pt will be transferred to facility for evaluation of osteophytes once bed is available. 4. Hypothyroidism - TSH high nl range cont levoxyl repeat TSH in 4- 6 weeks 5. Syncope, resolved - likely related to hypotension. No further evaluation. 6. Schizoaffective ds, PTSD - Stable, at baseline. Cont Haldol 150mg q4weeks (last dose 12/8/22) Given mentation/sensorium concerns and low plts MH recommended to d/c Valproate (mood instability hx). Can be reconsidered in future as an outpatient, with close monitoring of labs 7. DVT ppx- hep sc
Age: 63.0
Sex: F
Vaccine: COVID19
Symptoms: Blood creatinine normal, Blood glucose normal, Blood potassium normal, Blood sodium normal, Blood thyroid stimulating hormone normal
Clinical narrative: Narrative:  12/21/22 - Pt sent to ED from community residential care facility for hypotension, generalized body weakness (GBW), body aches x 1 day. Pt reported chills and muscle pain. In ED, Pt tested COVID +. Pt given 1L NS IVF considering tachycardia / likely dehydration, rectal Tylenol, cefepime IV. Pt will be admitted to hospital 12/21 d/t COVID-19, GBW, body aches and abnormal chest x-ray (possible pneumonia). Pt admitted 12/21/22 through 1/20/23. PRINCIPAL DIAGNOSIS (Reason for admission after study): Acute hypoxic respiratory failure secondary to COVID and possibly aspiration pneumonia. ADDITIONAL DIAGNOSES: Acute on chronic dysphagia due to cervical osteophyte complex COVID viral pneumonia Schizoaffective disorder Syncope Hypothyroidism Hospital Course: 1. Acute COVID 19 infection/pneumonia - clinically resolved. Completed course of remdesivir and decadron. 2. Acute hypoxic respiratory failure due to COVID 19 and possible bacterial pneumonia - resolved. No evidence of PE on Chest CTA. S/P cefepime x 7 days 3. Dysphagia - Failed MBSS badly, per both SLP and radiologist there is little change of recovery short of potential surgery. Osteophyte complex. Community provider has accepted for transfer, but no beds right now. Pt will be transferred to facility for evaluation of osteophytes once bed is available. 4. Hypothyroidism - TSH high nl range cont levoxyl repeat TSH in 4- 6 weeks 5. Syncope, resolved - likely related to hypotension. No further evaluation. 6. Schizoaffective ds, PTSD - Stable, at baseline. Cont Haldol 150mg q4weeks (last dose 12/8/22) Given mentation/sensorium concerns and low plts MH recommended to d/c Valproate (mood instability hx). Can be reconsidered in future as an outpatient, with close monitoring of labs 7. DVT ppx- hep sc
Age: 63.0
Sex: F
Vaccine: COVID19
Symptoms: Blood urea normal, Blood urine present, Blunted affect, COVID-19, COVID-19 pneumonia
Clinical narrative: Narrative:  12/21/22 - Pt sent to ED from community residential care facility for hypotension, generalized body weakness (GBW), body aches x 1 day. Pt reported chills and muscle pain. In ED, Pt tested COVID +. Pt given 1L NS IVF considering tachycardia / likely dehydration, rectal Tylenol, cefepime IV. Pt will be admitted to hospital 12/21 d/t COVID-19, GBW, body aches and abnormal chest x-ray (possible pneumonia). Pt admitted 12/21/22 through 1/20/23. PRINCIPAL DIAGNOSIS (Reason for admission after study): Acute hypoxic respiratory failure secondary to COVID and possibly aspiration pneumonia. ADDITIONAL DIAGNOSES: Acute on chronic dysphagia due to cervical osteophyte complex COVID viral pneumonia Schizoaffective disorder Syncope Hypothyroidism Hospital Course: 1. Acute COVID 19 infection/pneumonia - clinically resolved. Completed course of remdesivir and decadron. 2. Acute hypoxic respiratory failure due to COVID 19 and possible bacterial pneumonia - resolved. No evidence of PE on Chest CTA. S/P cefepime x 7 days 3. Dysphagia - Failed MBSS badly, per both SLP and radiologist there is little change of recovery short of potential surgery. Osteophyte complex. Community provider has accepted for transfer, but no beds right now. Pt will be transferred to facility for evaluation of osteophytes once bed is available. 4. Hypothyroidism - TSH high nl range cont levoxyl repeat TSH in 4- 6 weeks 5. Syncope, resolved - likely related to hypotension. No further evaluation. 6. Schizoaffective ds, PTSD - Stable, at baseline. Cont Haldol 150mg q4weeks (last dose 12/8/22) Given mentation/sensorium concerns and low plts MH recommended to d/c Valproate (mood instability hx). Can be reconsidered in future as an outpatient, with close monitoring of labs 7. DVT ppx- hep sc
Age: 63.0
Sex: F
Vaccine: COVID19
Symptoms: Carbon dioxide normal, Chest X-ray abnormal, Chills, Chromaturia, Condition aggravated
Clinical narrative: Narrative:  12/21/22 - Pt sent to ED from community residential care facility for hypotension, generalized body weakness (GBW), body aches x 1 day. Pt reported chills and muscle pain. In ED, Pt tested COVID +. Pt given 1L NS IVF considering tachycardia / likely dehydration, rectal Tylenol, cefepime IV. Pt will be admitted to hospital 12/21 d/t COVID-19, GBW, body aches and abnormal chest x-ray (possible pneumonia). Pt admitted 12/21/22 through 1/20/23. PRINCIPAL DIAGNOSIS (Reason for admission after study): Acute hypoxic respiratory failure secondary to COVID and possibly aspiration pneumonia. ADDITIONAL DIAGNOSES: Acute on chronic dysphagia due to cervical osteophyte complex COVID viral pneumonia Schizoaffective disorder Syncope Hypothyroidism Hospital Course: 1. Acute COVID 19 infection/pneumonia - clinically resolved. Completed course of remdesivir and decadron. 2. Acute hypoxic respiratory failure due to COVID 19 and possible bacterial pneumonia - resolved. No evidence of PE on Chest CTA. S/P cefepime x 7 days 3. Dysphagia - Failed MBSS badly, per both SLP and radiologist there is little change of recovery short of potential surgery. Osteophyte complex. Community provider has accepted for transfer, but no beds right now. Pt will be transferred to facility for evaluation of osteophytes once bed is available. 4. Hypothyroidism - TSH high nl range cont levoxyl repeat TSH in 4- 6 weeks 5. Syncope, resolved - likely related to hypotension. No further evaluation. 6. Schizoaffective ds, PTSD - Stable, at baseline. Cont Haldol 150mg q4weeks (last dose 12/8/22) Given mentation/sensorium concerns and low plts MH recommended to d/c Valproate (mood instability hx). Can be reconsidered in future as an outpatient, with close monitoring of labs 7. DVT ppx- hep sc
Age: 63.0
Sex: F
Vaccine: COVID19
Symptoms: Cough, Dehydration, Dysphagia, Electrocardiogram T wave abnormal, Eosinophil count decreased
Clinical narrative: Narrative:  12/21/22 - Pt sent to ED from community residential care facility for hypotension, generalized body weakness (GBW), body aches x 1 day. Pt reported chills and muscle pain. In ED, Pt tested COVID +. Pt given 1L NS IVF considering tachycardia / likely dehydration, rectal Tylenol, cefepime IV. Pt will be admitted to hospital 12/21 d/t COVID-19, GBW, body aches and abnormal chest x-ray (possible pneumonia). Pt admitted 12/21/22 through 1/20/23. PRINCIPAL DIAGNOSIS (Reason for admission after study): Acute hypoxic respiratory failure secondary to COVID and possibly aspiration pneumonia. ADDITIONAL DIAGNOSES: Acute on chronic dysphagia due to cervical osteophyte complex COVID viral pneumonia Schizoaffective disorder Syncope Hypothyroidism Hospital Course: 1. Acute COVID 19 infection/pneumonia - clinically resolved. Completed course of remdesivir and decadron. 2. Acute hypoxic respiratory failure due to COVID 19 and possible bacterial pneumonia - resolved. No evidence of PE on Chest CTA. S/P cefepime x 7 days 3. Dysphagia - Failed MBSS badly, per both SLP and radiologist there is little change of recovery short of potential surgery. Osteophyte complex. Community provider has accepted for transfer, but no beds right now. Pt will be transferred to facility for evaluation of osteophytes once bed is available. 4. Hypothyroidism - TSH high nl range cont levoxyl repeat TSH in 4- 6 weeks 5. Syncope, resolved - likely related to hypotension. No further evaluation. 6. Schizoaffective ds, PTSD - Stable, at baseline. Cont Haldol 150mg q4weeks (last dose 12/8/22) Given mentation/sensorium concerns and low plts MH recommended to d/c Valproate (mood instability hx). Can be reconsidered in future as an outpatient, with close monitoring of labs 7. DVT ppx- hep sc
Age: 63.0
Sex: F
Vaccine: COVID19
Symptoms: Eosinophil percentage decreased, Glomerular filtration rate normal, Glucose urine absent, Granulocyte count, Granulocyte percentage
Clinical narrative: Narrative:  12/21/22 - Pt sent to ED from community residential care facility for hypotension, generalized body weakness (GBW), body aches x 1 day. Pt reported chills and muscle pain. In ED, Pt tested COVID +. Pt given 1L NS IVF considering tachycardia / likely dehydration, rectal Tylenol, cefepime IV. Pt will be admitted to hospital 12/21 d/t COVID-19, GBW, body aches and abnormal chest x-ray (possible pneumonia). Pt admitted 12/21/22 through 1/20/23. PRINCIPAL DIAGNOSIS (Reason for admission after study): Acute hypoxic respiratory failure secondary to COVID and possibly aspiration pneumonia. ADDITIONAL DIAGNOSES: Acute on chronic dysphagia due to cervical osteophyte complex COVID viral pneumonia Schizoaffective disorder Syncope Hypothyroidism Hospital Course: 1. Acute COVID 19 infection/pneumonia - clinically resolved. Completed course of remdesivir and decadron. 2. Acute hypoxic respiratory failure due to COVID 19 and possible bacterial pneumonia - resolved. No evidence of PE on Chest CTA. S/P cefepime x 7 days 3. Dysphagia - Failed MBSS badly, per both SLP and radiologist there is little change of recovery short of potential surgery. Osteophyte complex. Community provider has accepted for transfer, but no beds right now. Pt will be transferred to facility for evaluation of osteophytes once bed is available. 4. Hypothyroidism - TSH high nl range cont levoxyl repeat TSH in 4- 6 weeks 5. Syncope, resolved - likely related to hypotension. No further evaluation. 6. Schizoaffective ds, PTSD - Stable, at baseline. Cont Haldol 150mg q4weeks (last dose 12/8/22) Given mentation/sensorium concerns and low plts MH recommended to d/c Valproate (mood instability hx). Can be reconsidered in future as an outpatient, with close monitoring of labs 7. DVT ppx- hep sc
Age: 63.0
Sex: F
Vaccine: COVID19
Symptoms: Haematocrit decreased, Haemoglobin decreased, Hypotension, Hypothyroidism, Influenza A virus test negative
Clinical narrative: Narrative:  12/21/22 - Pt sent to ED from community residential care facility for hypotension, generalized body weakness (GBW), body aches x 1 day. Pt reported chills and muscle pain. In ED, Pt tested COVID +. Pt given 1L NS IVF considering tachycardia / likely dehydration, rectal Tylenol, cefepime IV. Pt will be admitted to hospital 12/21 d/t COVID-19, GBW, body aches and abnormal chest x-ray (possible pneumonia). Pt admitted 12/21/22 through 1/20/23. PRINCIPAL DIAGNOSIS (Reason for admission after study): Acute hypoxic respiratory failure secondary to COVID and possibly aspiration pneumonia. ADDITIONAL DIAGNOSES: Acute on chronic dysphagia due to cervical osteophyte complex COVID viral pneumonia Schizoaffective disorder Syncope Hypothyroidism Hospital Course: 1. Acute COVID 19 infection/pneumonia - clinically resolved. Completed course of remdesivir and decadron. 2. Acute hypoxic respiratory failure due to COVID 19 and possible bacterial pneumonia - resolved. No evidence of PE on Chest CTA. S/P cefepime x 7 days 3. Dysphagia - Failed MBSS badly, per both SLP and radiologist there is little change of recovery short of potential surgery. Osteophyte complex. Community provider has accepted for transfer, but no beds right now. Pt will be transferred to facility for evaluation of osteophytes once bed is available. 4. Hypothyroidism - TSH high nl range cont levoxyl repeat TSH in 4- 6 weeks 5. Syncope, resolved - likely related to hypotension. No further evaluation. 6. Schizoaffective ds, PTSD - Stable, at baseline. Cont Haldol 150mg q4weeks (last dose 12/8/22) Given mentation/sensorium concerns and low plts MH recommended to d/c Valproate (mood instability hx). Can be reconsidered in future as an outpatient, with close monitoring of labs 7. DVT ppx- hep sc
Age: 63.0
Sex: F
Vaccine: COVID19
Symptoms: Influenza B virus test, Laboratory test, Lung consolidation, Lung infiltration, Lung opacity
Clinical narrative: Narrative:  12/21/22 - Pt sent to ED from community residential care facility for hypotension, generalized body weakness (GBW), body aches x 1 day. Pt reported chills and muscle pain. In ED, Pt tested COVID +. Pt given 1L NS IVF considering tachycardia / likely dehydration, rectal Tylenol, cefepime IV. Pt will be admitted to hospital 12/21 d/t COVID-19, GBW, body aches and abnormal chest x-ray (possible pneumonia). Pt admitted 12/21/22 through 1/20/23. PRINCIPAL DIAGNOSIS (Reason for admission after study): Acute hypoxic respiratory failure secondary to COVID and possibly aspiration pneumonia. ADDITIONAL DIAGNOSES: Acute on chronic dysphagia due to cervical osteophyte complex COVID viral pneumonia Schizoaffective disorder Syncope Hypothyroidism Hospital Course: 1. Acute COVID 19 infection/pneumonia - clinically resolved. Completed course of remdesivir and decadron. 2. Acute hypoxic respiratory failure due to COVID 19 and possible bacterial pneumonia - resolved. No evidence of PE on Chest CTA. S/P cefepime x 7 days 3. Dysphagia - Failed MBSS badly, per both SLP and radiologist there is little change of recovery short of potential surgery. Osteophyte complex. Community provider has accepted for transfer, but no beds right now. Pt will be transferred to facility for evaluation of osteophytes once bed is available. 4. Hypothyroidism - TSH high nl range cont levoxyl repeat TSH in 4- 6 weeks 5. Syncope, resolved - likely related to hypotension. No further evaluation. 6. Schizoaffective ds, PTSD - Stable, at baseline. Cont Haldol 150mg q4weeks (last dose 12/8/22) Given mentation/sensorium concerns and low plts MH recommended to d/c Valproate (mood instability hx). Can be reconsidered in future as an outpatient, with close monitoring of labs 7. DVT ppx- hep sc
Age: 63.0
Sex: F
Vaccine: COVID19
Symptoms: Lymphocyte count decreased, Lymphocyte percentage decreased, Mean cell haemoglobin concentration normal, Mean cell haemoglobin increased, Mean cell volume increased
Clinical narrative: Narrative:  12/21/22 - Pt sent to ED from community residential care facility for hypotension, generalized body weakness (GBW), body aches x 1 day. Pt reported chills and muscle pain. In ED, Pt tested COVID +. Pt given 1L NS IVF considering tachycardia / likely dehydration, rectal Tylenol, cefepime IV. Pt will be admitted to hospital 12/21 d/t COVID-19, GBW, body aches and abnormal chest x-ray (possible pneumonia). Pt admitted 12/21/22 through 1/20/23. PRINCIPAL DIAGNOSIS (Reason for admission after study): Acute hypoxic respiratory failure secondary to COVID and possibly aspiration pneumonia. ADDITIONAL DIAGNOSES: Acute on chronic dysphagia due to cervical osteophyte complex COVID viral pneumonia Schizoaffective disorder Syncope Hypothyroidism Hospital Course: 1. Acute COVID 19 infection/pneumonia - clinically resolved. Completed course of remdesivir and decadron. 2. Acute hypoxic respiratory failure due to COVID 19 and possible bacterial pneumonia - resolved. No evidence of PE on Chest CTA. S/P cefepime x 7 days 3. Dysphagia - Failed MBSS badly, per both SLP and radiologist there is little change of recovery short of potential surgery. Osteophyte complex. Community provider has accepted for transfer, but no beds right now. Pt will be transferred to facility for evaluation of osteophytes once bed is available. 4. Hypothyroidism - TSH high nl range cont levoxyl repeat TSH in 4- 6 weeks 5. Syncope, resolved - likely related to hypotension. No further evaluation. 6. Schizoaffective ds, PTSD - Stable, at baseline. Cont Haldol 150mg q4weeks (last dose 12/8/22) Given mentation/sensorium concerns and low plts MH recommended to d/c Valproate (mood instability hx). Can be reconsidered in future as an outpatient, with close monitoring of labs 7. DVT ppx- hep sc
Age: 63.0
Sex: F
Vaccine: COVID19
Symptoms: Mean platelet volume normal, Metamyelocyte count, Monocyte count increased, Monocyte percentage increased, Mood altered
Clinical narrative: Narrative:  12/21/22 - Pt sent to ED from community residential care facility for hypotension, generalized body weakness (GBW), body aches x 1 day. Pt reported chills and muscle pain. In ED, Pt tested COVID +. Pt given 1L NS IVF considering tachycardia / likely dehydration, rectal Tylenol, cefepime IV. Pt will be admitted to hospital 12/21 d/t COVID-19, GBW, body aches and abnormal chest x-ray (possible pneumonia). Pt admitted 12/21/22 through 1/20/23. PRINCIPAL DIAGNOSIS (Reason for admission after study): Acute hypoxic respiratory failure secondary to COVID and possibly aspiration pneumonia. ADDITIONAL DIAGNOSES: Acute on chronic dysphagia due to cervical osteophyte complex COVID viral pneumonia Schizoaffective disorder Syncope Hypothyroidism Hospital Course: 1. Acute COVID 19 infection/pneumonia - clinically resolved. Completed course of remdesivir and decadron. 2. Acute hypoxic respiratory failure due to COVID 19 and possible bacterial pneumonia - resolved. No evidence of PE on Chest CTA. S/P cefepime x 7 days 3. Dysphagia - Failed MBSS badly, per both SLP and radiologist there is little change of recovery short of potential surgery. Osteophyte complex. Community provider has accepted for transfer, but no beds right now. Pt will be transferred to facility for evaluation of osteophytes once bed is available. 4. Hypothyroidism - TSH high nl range cont levoxyl repeat TSH in 4- 6 weeks 5. Syncope, resolved - likely related to hypotension. No further evaluation. 6. Schizoaffective ds, PTSD - Stable, at baseline. Cont Haldol 150mg q4weeks (last dose 12/8/22) Given mentation/sensorium concerns and low plts MH recommended to d/c Valproate (mood instability hx). Can be reconsidered in future as an outpatient, with close monitoring of labs 7. DVT ppx- hep sc
Age: 63.0
Sex: F
Vaccine: COVID19
Symptoms: Myalgia, Neutrophil percentage, Nitrite urine absent, Pain, Platelet count decreased
Clinical narrative: Narrative:  12/21/22 - Pt sent to ED from community residential care facility for hypotension, generalized body weakness (GBW), body aches x 1 day. Pt reported chills and muscle pain. In ED, Pt tested COVID +. Pt given 1L NS IVF considering tachycardia / likely dehydration, rectal Tylenol, cefepime IV. Pt will be admitted to hospital 12/21 d/t COVID-19, GBW, body aches and abnormal chest x-ray (possible pneumonia). Pt admitted 12/21/22 through 1/20/23. PRINCIPAL DIAGNOSIS (Reason for admission after study): Acute hypoxic respiratory failure secondary to COVID and possibly aspiration pneumonia. ADDITIONAL DIAGNOSES: Acute on chronic dysphagia due to cervical osteophyte complex COVID viral pneumonia Schizoaffective disorder Syncope Hypothyroidism Hospital Course: 1. Acute COVID 19 infection/pneumonia - clinically resolved. Completed course of remdesivir and decadron. 2. Acute hypoxic respiratory failure due to COVID 19 and possible bacterial pneumonia - resolved. No evidence of PE on Chest CTA. S/P cefepime x 7 days 3. Dysphagia - Failed MBSS badly, per both SLP and radiologist there is little change of recovery short of potential surgery. Osteophyte complex. Community provider has accepted for transfer, but no beds right now. Pt will be transferred to facility for evaluation of osteophytes once bed is available. 4. Hypothyroidism - TSH high nl range cont levoxyl repeat TSH in 4- 6 weeks 5. Syncope, resolved - likely related to hypotension. No further evaluation. 6. Schizoaffective ds, PTSD - Stable, at baseline. Cont Haldol 150mg q4weeks (last dose 12/8/22) Given mentation/sensorium concerns and low plts MH recommended to d/c Valproate (mood instability hx). Can be reconsidered in future as an outpatient, with close monitoring of labs 7. DVT ppx- hep sc
Age: 63.0
Sex: F
Vaccine: COVID19
Symptoms: Polychromasia, Protein total normal, Protein urine absent, Red blood cell count decreased, Red blood cells urine positive
Clinical narrative: Narrative:  12/21/22 - Pt sent to ED from community residential care facility for hypotension, generalized body weakness (GBW), body aches x 1 day. Pt reported chills and muscle pain. In ED, Pt tested COVID +. Pt given 1L NS IVF considering tachycardia / likely dehydration, rectal Tylenol, cefepime IV. Pt will be admitted to hospital 12/21 d/t COVID-19, GBW, body aches and abnormal chest x-ray (possible pneumonia). Pt admitted 12/21/22 through 1/20/23. PRINCIPAL DIAGNOSIS (Reason for admission after study): Acute hypoxic respiratory failure secondary to COVID and possibly aspiration pneumonia. ADDITIONAL DIAGNOSES: Acute on chronic dysphagia due to cervical osteophyte complex COVID viral pneumonia Schizoaffective disorder Syncope Hypothyroidism Hospital Course: 1. Acute COVID 19 infection/pneumonia - clinically resolved. Completed course of remdesivir and decadron. 2. Acute hypoxic respiratory failure due to COVID 19 and possible bacterial pneumonia - resolved. No evidence of PE on Chest CTA. S/P cefepime x 7 days 3. Dysphagia - Failed MBSS badly, per both SLP and radiologist there is little change of recovery short of potential surgery. Osteophyte complex. Community provider has accepted for transfer, but no beds right now. Pt will be transferred to facility for evaluation of osteophytes once bed is available. 4. Hypothyroidism - TSH high nl range cont levoxyl repeat TSH in 4- 6 weeks 5. Syncope, resolved - likely related to hypotension. No further evaluation. 6. Schizoaffective ds, PTSD - Stable, at baseline. Cont Haldol 150mg q4weeks (last dose 12/8/22) Given mentation/sensorium concerns and low plts MH recommended to d/c Valproate (mood instability hx). Can be reconsidered in future as an outpatient, with close monitoring of labs 7. DVT ppx- hep sc
Age: 63.0
Sex: F
Vaccine: COVID19
Symptoms: Red cell distribution width normal, Respiratory syncytial virus test negative, SARS-CoV-2 test positive, Schizoaffective disorder, Sinus tachycardia
Clinical narrative: Narrative:  12/21/22 - Pt sent to ED from community residential care facility for hypotension, generalized body weakness (GBW), body aches x 1 day. Pt reported chills and muscle pain. In ED, Pt tested COVID +. Pt given 1L NS IVF considering tachycardia / likely dehydration, rectal Tylenol, cefepime IV. Pt will be admitted to hospital 12/21 d/t COVID-19, GBW, body aches and abnormal chest x-ray (possible pneumonia). Pt admitted 12/21/22 through 1/20/23. PRINCIPAL DIAGNOSIS (Reason for admission after study): Acute hypoxic respiratory failure secondary to COVID and possibly aspiration pneumonia. ADDITIONAL DIAGNOSES: Acute on chronic dysphagia due to cervical osteophyte complex COVID viral pneumonia Schizoaffective disorder Syncope Hypothyroidism Hospital Course: 1. Acute COVID 19 infection/pneumonia - clinically resolved. Completed course of remdesivir and decadron. 2. Acute hypoxic respiratory failure due to COVID 19 and possible bacterial pneumonia - resolved. No evidence of PE on Chest CTA. S/P cefepime x 7 days 3. Dysphagia - Failed MBSS badly, per both SLP and radiologist there is little change of recovery short of potential surgery. Osteophyte complex. Community provider has accepted for transfer, but no beds right now. Pt will be transferred to facility for evaluation of osteophytes once bed is available. 4. Hypothyroidism - TSH high nl range cont levoxyl repeat TSH in 4- 6 weeks 5. Syncope, resolved - likely related to hypotension. No further evaluation. 6. Schizoaffective ds, PTSD - Stable, at baseline. Cont Haldol 150mg q4weeks (last dose 12/8/22) Given mentation/sensorium concerns and low plts MH recommended to d/c Valproate (mood instability hx). Can be reconsidered in future as an outpatient, with close monitoring of labs 7. DVT ppx- hep sc
Age: 63.0
Sex: F
Vaccine: COVID19
Symptoms: Specific gravity urine normal, Stomatocytes present, Syncope, Tachycardia, Troponin I increased
Clinical narrative: Narrative:  12/21/22 - Pt sent to ED from community residential care facility for hypotension, generalized body weakness (GBW), body aches x 1 day. Pt reported chills and muscle pain. In ED, Pt tested COVID +. Pt given 1L NS IVF considering tachycardia / likely dehydration, rectal Tylenol, cefepime IV. Pt will be admitted to hospital 12/21 d/t COVID-19, GBW, body aches and abnormal chest x-ray (possible pneumonia). Pt admitted 12/21/22 through 1/20/23. PRINCIPAL DIAGNOSIS (Reason for admission after study): Acute hypoxic respiratory failure secondary to COVID and possibly aspiration pneumonia. ADDITIONAL DIAGNOSES: Acute on chronic dysphagia due to cervical osteophyte complex COVID viral pneumonia Schizoaffective disorder Syncope Hypothyroidism Hospital Course: 1. Acute COVID 19 infection/pneumonia - clinically resolved. Completed course of remdesivir and decadron. 2. Acute hypoxic respiratory failure due to COVID 19 and possible bacterial pneumonia - resolved. No evidence of PE on Chest CTA. S/P cefepime x 7 days 3. Dysphagia - Failed MBSS badly, per both SLP and radiologist there is little change of recovery short of potential surgery. Osteophyte complex. Community provider has accepted for transfer, but no beds right now. Pt will be transferred to facility for evaluation of osteophytes once bed is available. 4. Hypothyroidism - TSH high nl range cont levoxyl repeat TSH in 4- 6 weeks 5. Syncope, resolved - likely related to hypotension. No further evaluation. 6. Schizoaffective ds, PTSD - Stable, at baseline. Cont Haldol 150mg q4weeks (last dose 12/8/22) Given mentation/sensorium concerns and low plts MH recommended to d/c Valproate (mood instability hx). Can be reconsidered in future as an outpatient, with close monitoring of labs 7. DVT ppx- hep sc
Age: 63.0
Sex: F
Vaccine: COVID19
Symptoms: Urinary sediment present, Urine ketone body present, Urine leukocyte esterase, Urobilinogen urine, Vertebral osteophyte
Clinical narrative: Narrative:  12/21/22 - Pt sent to ED from community residential care facility for hypotension, generalized body weakness (GBW), body aches x 1 day. Pt reported chills and muscle pain. In ED, Pt tested COVID +. Pt given 1L NS IVF considering tachycardia / likely dehydration, rectal Tylenol, cefepime IV. Pt will be admitted to hospital 12/21 d/t COVID-19, GBW, body aches and abnormal chest x-ray (possible pneumonia). Pt admitted 12/21/22 through 1/20/23. PRINCIPAL DIAGNOSIS (Reason for admission after study): Acute hypoxic respiratory failure secondary to COVID and possibly aspiration pneumonia. ADDITIONAL DIAGNOSES: Acute on chronic dysphagia due to cervical osteophyte complex COVID viral pneumonia Schizoaffective disorder Syncope Hypothyroidism Hospital Course: 1. Acute COVID 19 infection/pneumonia - clinically resolved. Completed course of remdesivir and decadron. 2. Acute hypoxic respiratory failure due to COVID 19 and possible bacterial pneumonia - resolved. No evidence of PE on Chest CTA. S/P cefepime x 7 days 3. Dysphagia - Failed MBSS badly, per both SLP and radiologist there is little change of recovery short of potential surgery. Osteophyte complex. Community provider has accepted for transfer, but no beds right now. Pt will be transferred to facility for evaluation of osteophytes once bed is available. 4. Hypothyroidism - TSH high nl range cont levoxyl repeat TSH in 4- 6 weeks 5. Syncope, resolved - likely related to hypotension. No further evaluation. 6. Schizoaffective ds, PTSD - Stable, at baseline. Cont Haldol 150mg q4weeks (last dose 12/8/22) Given mentation/sensorium concerns and low plts MH recommended to d/c Valproate (mood instability hx). Can be reconsidered in future as an outpatient, with close monitoring of labs 7. DVT ppx- hep sc