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Kings Brook Jewish Medical Center Case Study

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After review of the clinical information provided by Kings Brook Jewish Medical Center, the Medical Director has denied your admission to Kings Brook Jewish Medical Center. It was determined that the clinical information did not justify an inpatient stay. Acute inpatient hospitalization was not medically necessary. You are a 26 year old male who presented to the emergency room with complaining of difficulty swallowing. You experienced throat pain, severe right jaw pain and edema (fluid) for the duration of 2 days prior to your hospital admission. You had an intermittent toothache for the past 2 years, but did not see dentist. You had a temperature of 97.7 at the time of admission. Your exam showed that you had tonsils that was noted as moderately red and swollen with …show more content…

Your white blood count (lab test) was 16.6, computed axial tomography (test) of the neck showed mild edematous (swelling) and enlargement of the right tonsil without abscess (pocket of infection). You received intravenous treatment (through the vein) fluid bolus (fast) in the amount of 2 liters, Morphine (pain medicine) for pain, Decadron (medicine that decreases swelling), Clindamycin (antibiotic) and Unasyn (antibiotic) all intravenous (through the vein) stat (immediately). Your blood cultures showed no growth. You were admitted with intravenous (through the vein) fluid at 60 an hour (rate), Zosyn (antibiotic) intravenous (through the vein) every 6 hours, Heparin (medicine to thin blood) and Tylenol. You were seen by an Infectious disease (specialist) for a consultation and continued on intravenous (through the vein) antibiotics. Based on the Interqual guideline criteria (a decision based program to determine medical need) for infection, the clinical guidelines were not met because there was no documented failed outpatient anti-infective treatment; you were not Immunocompromised (body not able to fight infection or gets infection easily) and your temperature was not greater than 99.4

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