MDM //

with worsening shortness of breath over the past few weeks with constellation of symptoms concerning for possible CHF exacerbation. Patient not overtly hypoxic with minimal respiratory distress. No overt evidence of acute ischemia on EKG. Will trial nitroglycerin for afterload reduction, diuresis with strict I/O presuming no evidence of AKI or cardiorenal syndrome_. Trend troponin although low suspicion for acute ischemia given history and exam_. Low suspicion for acute PE given exam and history. Given decline in functional status, consider admission for diuresis and further cardiac evaluation_.



[Back to Main Menu]