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Dec 07, 2007 11:49 pm
Edited : Dec 07, 2007 11:55 pm |
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You are doing your ER residency/rotation when a 38 y.o female walks in complaining of severe abdominal pain.
What do you want to know about the patient? |
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| Dec 07, 2007 11:54 pm |
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| btw, in case you don't know what I mean, ask for the patients history, vitals, meds etc. and I will fill it in and we will try to get to a diagnosis! |
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Dec 07, 2007 11:57 pm
Edited : Dec 07, 2007 11:59 pm |
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lol bro you PRINGLED your own question :) i guess I wasn't fast enough... or was i typing down a longer reply :) and yep... the patient's history is the vital key to unlocking the "mysteries" lol
btw, word of the day -
PRINGLING: trying to do something first ahead of everybody else. it's like popping somebody's cherry :) |
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| Dec 08, 2007 12:02 am |
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Pt has no significant history, pt is g1p1 gave birth 4 days ago.
meds, finished prenatal meds , takes atenolol for hypertension
vitals are 130/84, pulse of 70, 18 resps, pupils normal, lung sounds clear bilaterally |
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| Dec 08, 2007 12:05 am |
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| don't answer yet i have yet to put my thinking cap on. :) aarrghhh the pressure! :) |
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| Dec 08, 2007 12:09 am |
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| ummm if it's possible to gather the remaining pieces of the puzzle regarding her full history then i think she's on the safe side and will probably have to do a bit of maintenance on the hypertensive end. :) so, how did i do? |
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| Dec 08, 2007 12:11 am |
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| the pt is still in severe pain and refuses to leave the hospital until you help her |
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Dec 08, 2007 12:12 am
Edited : Dec 08, 2007 12:17 am |
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| oh, cool :) more clues starting to show up *gets into sleuth mode then meditates for a sec*.... |
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| Dec 08, 2007 12:17 am |
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| so the pain should then be localized, and we should try to pinpoint whatever probable hypothetical considerations we could gather then just try to get to the core of things by narrowing the case down to the bare essentials and just ditch other unrelated stuff like *this couldn't be this coz of this... then that couldn't be that, too*... 'til a much more accurate diagnosis is reached :) |
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| Dec 08, 2007 12:18 am |
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| Ask questions, run tests (ill give you the results) do what you'd do in the hospital! |
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| Dec 08, 2007 12:21 am |
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| indeedy :) and ummm since you're already a professional, doc, would it be righteous if the patient insists on belittling your directions by not following them? as in your case, her persistence on staying until she feels that you're really taking care of her? |
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| Dec 08, 2007 12:23 am |
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| What directions didn't she follow, I said she insisted to stay cuz the other option was you kicked her out of the hospital and she was found dead, and her family is suing you for not helping her .... |
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Dec 08, 2007 12:28 am
Edited : Dec 08, 2007 12:28 am |
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| hmmm, doc this is actually branching out to more exciting stuff :) |
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| Dec 08, 2007 12:30 am |
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| so we start again, shes in your hospital complaining of abdominal pain, how are you going to treat her? |
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| Dec 08, 2007 12:31 am |
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| oh, i thought this was a different case :) the abdominal one and this pregnant subject |
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