2. “Most likely due to” is a phrase that I try to use in every problem as it helps me think about why the patient is having what he is having. I will also put a reasoning blurb explaining why. I personally avoid just repeating labs, but I will put here my interpretation of the labs. First day - hemoglobin of 9 # Anemia - Most likely due to… Hm, I don't actually know. Let me send the initial work-up. Second day - iron deficiency # Iron deficiency anemia - Most likely due to… Hm, why is this 70 years-old male iron deficient? Is he bleeding? Did he get his screening colonoscopy? 3. The evidence: How did I come to the conclusion that the problem is most likely due to xyz? # Acute hypoxic respiratory failure Most likely due to pulmonary edema from heart failure given previous diagnosis, medication non-compliance, increased weight, increased BNP. Less likely pulmonary embolism given no risk factors, pneumonia given no fever, no leukocytosis, no cough, no inflammatory syndrome TTE May 2025: EF 20%
4.The plan: I prefer it in topics, each topic with one action item. This helps the reader (and you) to know what is going on each day.
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