MDM //

Patient presents with chest pain without signs of acute ischemia on ECG. Patient given aspirin and is currently chest pain free. Low Wells score with low risk for PE and no significant hypoxia_. Given exam and history, low suspicion for dissection. No ectopy noted on monitor and patient well appearing. Had conversation with pt at length regarding risks vs benefits of admission to obs for chest pain. Mutual decision making for patient to be admitted to obs, and agrees to workup. Low suspicion for overt ACS but given age and persistence of symptoms, plan to admit to obs for serial troponins, serial EKGs, and risk stratification as inpatient.



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