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When a patient with documented severe AS is admitted and treated for dyspnea, but the attending documents only aortic stenosis without specifying concurrent heart failure, the CDI specialist should query: Based on the patients presentation with dyspnea, reduced exercise tolerance, and aortic stenosis does the patient have systolic heart failure, diastolic heart failure, or is the dyspnea solely attributable to mechanical obstruction without HF at this time
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These two absolute gems went on a cave tour today and quickly realized that 52F underground in July is chillier than you would think