itxtme Posted October 21, 2008 Share Posted October 21, 2008 I was going to query metabolic acidosis but the breathing didnt fit the picture. One would expect rapid Kussmaul's breathing in response to it, and a resp rate of 20 doesnt sit in there. Link to comment Share on other sites More sharing options...
hammerpcp Posted October 21, 2008 Share Posted October 21, 2008 Am I totally missing something here? What is "normal" for this pt? Her normal level of consciousness and function and ability to communicate? Maybe this is her normal state, other then the bloody sputum/emesis of course. BTW I would be having a high degree of suspicion towards aspiration for which albuterol would not be particularly helpful obviously. So according to incident hx 911 was called because the pt was 'unresponsive'. Lets get a bit of a description about what that actually means. i.e. has her LOC improved since the call was placed? because she isn't unresponsive now. So, how long did this episode last? was it witnessed? was there sz activity? etc. And what is this mysterious neuro disease? I just read the OP again. Why does the pt live with mom? To me this indicates an inability to care for oneself. Assuming the facial droop and dysphasia is new I am going to top my list of ddx with cerebral ruptured aneurysm, blood tinged sputum from the stomach ulcers brought up with the vomit. Either that or the pt had a sz and bit her tongue due to same ddx. Link to comment Share on other sites More sharing options...
Richard B the EMT Posted October 21, 2008 Share Posted October 21, 2008 Why does the pt live with mom? Perhaps it is financial. I live with my mom because the rent's cheap! Link to comment Share on other sites More sharing options...
firedoc5 Posted October 22, 2008 Share Posted October 22, 2008 Perhaps it is financial. I live with my mom because the rent's cheap! Likely story. Link to comment Share on other sites More sharing options...
hammerpcp Posted October 22, 2008 Share Posted October 22, 2008 This thread should be called "I need A house" Link to comment Share on other sites More sharing options...
Richard B the EMT Posted October 22, 2008 Share Posted October 22, 2008 I think it is "Dr House", as seen on the Fox Television Network. Link to comment Share on other sites More sharing options...
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