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Obstetric Case Summary

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Obstetric Case Summary
The patient is a 92-year-old gentleman who presented to the emergency room after having had a fall a week prior to this presentation at which time he was seen in St. Joseph's Wayne Hospital which he was found to have a comminuted proximal humeral fracture placed in a sling and discharged home. The patient however is not feeling well. He is having increasing pain and he brought in to the the emergency room by a friend. His medical history is significant for hypertension, atrial fibrillation on I believe he is on Coumadin. He also appears to be on Metformin. In the ED he required multiple doses of Morphine Sulfate in order to control his pain. He is also found to be in afib with a rate of 101. He is admitted inpatient to the telemetry floor and subsequently developed a very rapid afib and was seen by …show more content…

I believe based on the complicated history, the fall previous still requiring a significant amount of pain medication, the home sitituatuin which is not conducive to him at this point receiving any type of rehabilitation this patient deserves acute inpatient hospitalization and a short stay in a subacute to get him back to baseline to function and assist with the care of his

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