BRIEF OVERVIEW: Admission Date: 1/14/2025 Discharge Date: Jan 16, 2025 Discharge Disposition: home health care svc DETAILS OF HOSPITAL STAY: PRESENTING PROBLEM: Hypocalcemia [E83.51] Elevated C-reactive protein (CRP) [R79.82] Elevated sed rate [R70.0] Hypoxia [R09.02] Elevated troponin [R79.89] Atrial fibrillation with RVR [I48.91] Elevated brain natriuretic peptide (BNP) level [R79.89] Diabetic ulcer of toe of right foot associated with diabetes mellitus of other type, unspecified ulcer stage [E13.621, L97.519] Acute on chronic congestive heart failure, unspecified heart failure type [I50.9] Hyperglycemia due to diabetes mellitus [E11.65] Pneumonia due to COVID-19 virus [U07.1, J12.82] COVID-19 [U07.1] COVID [U07.1] HOSPITAL COURSE: Patient is a 67-year-old male history of diabetes, diabetic neuropathy, peripheral vascular disease status post left AKA, coronary artery disease, AFib on Xarelto, depression anxiety and chronic pain. Presents for chief complaint of cough shortness for breath chest pain. Admission EKGs chronic AFib without ST segment or T-wave changes. Troponins were noted to be elevated with negative delta likely related to demand ischemia from hypoxia. Patient was on 2 L at admission febrile. RVP was obtained and positive for COVID-19. Patient was started on remdesivir and Decadron for COVID treatment. Initially requiring supplemental oxygen titrated to room air. Patient was complete course of steroids at discharge. During stay patient was noted to have right 1st toe chronic wound. He was seen by wound care team without obvious signs of infection although some concern for long-term healing. Patient was not seen Cardiothoracic surgery in 3-4 years she will be referred on outpatient basis for further workup. We will follow up with wound care team and have home health for wound nursing. Patient was recurrent episodes of chest pain during his stay all associated with morning meals and self resolving. EKGs were obtained and normal at those times likely deemed related to viral syndrome versus GI based. Discharged to Home Health Services