Age: 61.0
Sex: M
Vaccine: COVID19
Symptoms: Anxiety, Arteriosclerosis, Back pain, COVID-19, COVID-19 pneumonia
Clinical narrative: ED to Hosp-Admission  Discharged  10/4/2021 - 10/7/2021 (3 days)  Pneumonia due to COVID-19 virus Admission Diagnosis      Medical Problems             Hospital Problems          POA   * (Principal) Pneumonia due to COVID-19 virus Yes       Generalized anxiety disorder Yes       Obstructive sleep apnea syndrome Yes       Morbid obesity Yes       Mixed hyperlipidemia Yes       Essential hypertension Yes       Morbid obesity Yes       Seizure disorder Yes       Lab test positive for detection of COVID-19 virus Yes       Abdominal pain Unknown       Pneumonia due to infectious organism, unspecified laterality, unspecified part of lung Yes            Medical Problems                Home Under Care Of Organized Home Health Service   CODE STATUS: Prior     Active Issues Requiring Follow-up     Blood pressures     Test Results Pending at Discharge           Hospital Course     HPI: Please see H&P for details   Hospital Course:   62-year-old gentleman with multiple medical problems was admitted to hospital because of COVID-19 pneumonia.  He was admitted and started on remdesivir and steroids.  His oxygenation was optimal and remote patient monitoring system was arranged and he will be discharged home.  He is going to finish his course of steroids.  He is instructed to do proning as much as he he can.  Because of his BMI and COVID-19 infection he is high risk for VTE.  After discussion with patient patient will be placed on prophylactic Xarelto for 30 days.  He will be follow-up with his PCP.  Also his blood pressures are suboptimally controlled.  His medications were adjusted and he is going to follow-up with his PCP for the same.     History of Present Illness    Abdominal pain Patient is an 62 y.o. male.    Past medical history of morbid obesity and sleep apnea, generalized anxiety disorder, depression, diabetes, hypertension, dyslipidemia, seizure disorder on Dilantin, presented to the ER for evaluation of intense abdominal pain and also he reported that he tested positive for Covid at home. Patient is fully vaccinated according to the patient. He was having symptoms of backache, malaise and generalized body ache with poor appetite.  He also reported loss of taste and smell.  Patient had checked for Covid at home and it was positive.  Patient last night started to have severe upper abdominal pain.  Pain intensity was 8 out of 10.  Pain was not radiating to the back.  Due to recent positive Covid testing and abdominal pain and anxiety from that he decided to come to the ER. Vitals in the ER showed mild tachycardia mild accelerated hypertension, patient remained afebrile, patient maintained good oxygen saturation on room air.   Labs reviewed CBC and CMP And they were all normal. Troponin was also normal. Testing here in the hospital was positive again. Urinalysis was unremarkable. CT abdomen and pelvis did not show any acute abnormality but showed patchy airspace disease in the lung bases concerning for pneumonia. Chest x-ray showed possible pneumonia EKG showed sinus tachycardia otherwise unremarkable.   Review of Systems  Constitutional: Positive for activity change, appetite change and fatigue.  HENT: Negative.   Eyes: Negative.   Respiratory: Negative.   Cardiovascular: Negative.   Gastrointestinal: Positive for abdominal pain.  Endocrine: Negative.   Genitourinary: Negative.   Musculoskeletal: Positive for back pain.  Allergic/Immunologic: Negative.   Neurological: Negative.   Hematological: Negative.   Psychiatric/Behavioral: Negative.