Cookie Posted April 11, 2012 Posted April 11, 2012 Questions about his poo are reasonable. Add bloody to the list as well. We had a patient last night that the medic asked her the same question, said she was sick and vomited, chest pains and had a sudden bm, he asked her what it was, diaharrea etc.
ERDoc Posted April 11, 2012 Posted April 11, 2012 You want to know about his poo? Damn Emergentologists and their super secret medical knowledge It's called a complete history, Kiwi. Us undertrained doctors in the US know how to do it.
Kiwiology Posted April 11, 2012 Posted April 11, 2012 It's called a complete history, Kiwi. Us undertrained doctors in the US know how to do it. I never said you were undertrained And I thought perhaps some pathologic basis for your question existed that would explain his symps And this is the third post ive made from my phone after being interrupted trying to sleep after being up twelve hours already, I shall be well prepared for my acute call registrar days lol
DartmouthDave Posted April 12, 2012 Posted April 12, 2012 Hello, He isn't hot and dry so not an anticholinergic toxidrome. He is sweaty but not agitated so it isn't a sympathometic toxidrome. He has no muscle regidity and isn't on any SSRI or antipsychotics so it isn't a Serotonin Syndrome or NMS. What is his temp? What I do know is he is symptomatic with his HTN. I would give him some Ativan SL and see if his BP and HR decrease. Then maybe some NTG. Prehaps, it could be hyperthyroidism? I know infection can cause Graves Disease......Not sure endocrine is a weak point. Cheers
FireEMT2009 Posted April 15, 2012 Author Posted April 15, 2012 (edited) Hey everyone, Sorry for the delays in updates on the scenario in my last two weeks of medic school so everything is wrapping up. Anways back to the scenario: His feces is watery diarrhea with no mucous, blood, or anything abnormal. You find his tempature is 105 degrees. You note no crying, salivation, urination, etc. Continued assessment? Treatment? You also note that he seems to calm down a little bit after administrating the ativan but his heart rate is still high. His pain is untouched from the administration of nitroglycerin and ASA. He says he now has a headache. Vitals are now: 180/80 Pulse-155, RR-22 SpO2-98 Edited April 15, 2012 by FireEMT2009
Kiwiology Posted April 15, 2012 Posted April 15, 2012 i have absolutely no idea; any abnormal lab values? recent travel to africa? exposure to tribal rituals? ... kuru?
FireEMT2009 Posted April 15, 2012 Author Posted April 15, 2012 Nope, no, and nope. And its never Lupus! Nope, no, and nope. And its never Lupus!
ERDoc Posted April 15, 2012 Posted April 15, 2012 Any travel history, sick contacts, history of the same?
Recommended Posts