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Out Running...


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25 replies to this topic

#1 HarryM

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Posted 18 December 2012 - 07:56 PM

So this is a case from our medical director he gave to us during our annual conference on clinical updates and where we are going clinically, what we do well and where we need to improve...

Background
Called to a 40yo male who collapsed while running. He has no prior medical history, taking no medications and is not allergic to anything he knows of. Prior to collapsing he complain of feeling very unwell with sudden onset 10/10 abdo pain (diffuse and states "pain is all over") and explosive diarrhoea.

Vitals
RR: 35/min with a shallow tidal volume
HR: 160/min with weak radial pulse
BP: 90/70
Cap Refill: 4 seconds
GCS: 13 (E3, V4, M6) - appears mildly confused and responding to voice
12-lead ECG: attached

Attached File  19-12-2012 8-43-57 a.m..jpg   74.77KB   36 downloads

I'm not going to give you any other info now. When we went through this scenario we were given the above info and we had to ask for other information that we thought would be relevant and then make a treatment decision. So if you want more info ask for it and if I don't know it I'll make it up consistent with the actual diagnosis.

Edited by HarryM, 18 December 2012 - 07:57 PM.

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#2 Arctickat

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Posted 19 December 2012 - 12:55 AM

Pericarditis with rapid colonic response?
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#3 HarryM

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Posted 19 December 2012 - 01:17 AM

I've heard about your pericarditis fantasy Arcitckat...but that's not it.
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#4 Arctickat

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Posted 19 December 2012 - 01:34 AM

DAMMIT!!!!!!!!!!!!!
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#5 Curiosity

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Posted 19 December 2012 - 02:14 AM

Ill make up a pericarditis scenario for you next time.

What are the physical findings? Specifically abdo. Distention, tenderness, rigidity, guarding? Any recent trauma or illness?

Any weakness, numbness, tingling in extremities?
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