case presentation
Download
Skip this Video
Download Presentation
Case Presentation

Loading in 2 Seconds...

play fullscreen
1 / 20

Case Presentation - PowerPoint PPT Presentation


  • 69 Views
  • Uploaded on

Case Presentation. Kelly King, D.O. ARIA Health, PGY-4 Emergency Medicine Resident. Chief Complaint. 73 y/o F with abdominal pain and vomiting. Initial Vitals. T 98.4F P 82 RR 18 BP 125/63 SaO2 94% on Room Air Weight 85.6 kg. HPI.

loader
I am the owner, or an agent authorized to act on behalf of the owner, of the copyrighted work described.
capcha
Download Presentation

PowerPoint Slideshow about ' Case Presentation' - myra-chaney


An Image/Link below is provided (as is) to download presentation

Download Policy: Content on the Website is provided to you AS IS for your information and personal use and may not be sold / licensed / shared on other websites without getting consent from its author.While downloading, if for some reason you are not able to download a presentation, the publisher may have deleted the file from their server.


- - - - - - - - - - - - - - - - - - - - - - - - - - E N D - - - - - - - - - - - - - - - - - - - - - - - - - -
Presentation Transcript
case presentation

Case Presentation

Kelly King, D.O.

ARIA Health, PGY-4

Emergency Medicine Resident

chief complaint
Chief Complaint
  • 73 y/o F with abdominal pain and vomiting
initial vitals
Initial Vitals
  • T 98.4F
  • P 82
  • RR 18
  • BP 125/63
  • SaO2 94% on Room Air
  • Weight 85.6 kg
slide4
HPI
  • 73 y/o F presents to ED via EMS secondary to abdominal pain x 2 days
  • “it hurts”
review of symptoms
Review of Symptoms
  • Not able to assess due to mental status
pmh psh
PMHPSH
  • Anxiety Disorder
  • Hypothyroidism
  • High Cholesterol
  • Cholecystectomy
social history
Social History
  • Current every day smoker
home medications
Home Medications
  • Altoprev ER 60 mg daily
  • Percodan 325 mg/4.8355 mg two times daily
  • Lexapro 10 mg daily
  • Lorazepam 2 mg four times a day
  • Meloxicam 15 mg daily
  • Synthroid 150 mcg daily
physical exam
Physical Exam
  • General Appearance: Well nourished, pt appears ill
  • Eyes: PERRL, EOMI, clear conjunctiva B/L
  • Oropharynx: no exudate, no erythema, no airway obstruction
  • ENMT: dry oral mucosa, normal color
  • Neck: no JVD, supple
physical exam1
Physical Exam
  • Cardiac: regular rhythm, normal rate, no gallop, no murmur, no rubs
  • Respiratory: normal respiratory effort, no tenderness to palpation, no crepitus
  • Lung: Diffuse coarse breath sounds B/L, no wheezing, rales or rhonchi
  • Rectal: trace heme positive, empty rectal vault
physical exam2
Physical Exam
  • Abdomen: Hyperactive bowel sounds, (+) diffuse tenderness, (+) guarding, (+) rebound, non-distended and soft, normal turgor, normal color, warm, dry
  • Lower extremities: Poor hygiene of feet
  • Back: full ROM, non-tender, no CVA tenderness
  • Mental status: awake, disoriented
  • Neuro/psych: patient moving all 4 extremities
slide12
EKG
  • Photo
laboratory data1
Laboratory Data
  • PT/INR: 24.7/2.2
  • PTT: 31
  • Troponin: < 0.02
  • UA: Moderate blood
  • 80 ketones
  • 100 protein
  • Blood Type: A-

Ca: 8.4

Total Bili: 0.1

Direct Bili: < 0.1

Total Protein: 6.8

AlkPhos: 57

AST: 17

ALT: 17

Lactic Acid: 1.1

ed course
ED Course
  • Seen by ED Physician
  • Patient having tonic-clonic seizure
  • Sepsis alert called
  • Pt intubated due to increased agitation and need for airway protection and further diagnostic studies
ad