Elderly patient involved in MVA, developed cellulitis to leg. He became delirious on Lexapro and his mood became unstable.
Would this be an appropriate sentence for HPI? The patient is a 76-year-old married white man who was transferred from the Medical Service for evaluation and _____ (dreaming of mode) instability. ...
At this point in time, my biggest concern because of his continued recurrent instability, is if there is any evidence of bony deficiency of his glenoid and humeral head. I am going to order an MRA of the shoulder as well as a CT scan with 3D reconstruction to further evaluate the glenoid and look for any evidence of an inverted s/l **pen_______** with greater than 25% of anterinferior bony loss.
Doc cuts himself off - was able to hear what I think was "pen something"
Thanks for any help! ...