Diagnosis: Gastroenteritis
Treatment: Inpatient admission
The inpatient admission was not medically necessary.

The treatment as provided was medically appropriate for the patient's complaints; however, the level at which the care was provided was not medically necessary. The care could have been provided at a lower level safely and effectively.

Despite the patient's presentation, the care as provided could have been rendered in its entirety at a lower level of care. The patient had a varied constellation of findings including CT diagnosed colitis, nausea with emesis, diabetes and hyperglycemia; yet she did not evidence a change in mental status, high fevers, neurologic changes, hypotension, signs of sepsis, hemodynamic changes, renal abnormalities, need for prolonged NPO status, need for invasive surgery, need for invasive monitoring or treatments, severe electrolyte dyscrasias or any other indication for an acute admission. The dehydration was managed effectively and the patient did respond to the antinausea medication as provided. As such the care could have been rendered at a lesser level.