itku2er Posted November 14, 2008 Share Posted November 14, 2008 You are called to a 30 yo male CC: dizziness sweating agitation. Only medication is prozac. VS: P90 R20 bp 128/74 Link to comment Share on other sites More sharing options...
Christopher.Collins Posted November 14, 2008 Share Posted November 14, 2008 Ok.... Whats his SPO2? Whens the last time he ate? Allergies? Whens the last time he took the prozac? What was he doing when he started to feel ill and how long ago was that? Any medical history? Link to comment Share on other sites More sharing options...
Christopher.Collins Posted November 14, 2008 Share Posted November 14, 2008 Oh yea, Any recreational drinking or drug use? Link to comment Share on other sites More sharing options...
itku2er Posted November 14, 2008 Author Share Posted November 14, 2008 No drinking or drug use. Link to comment Share on other sites More sharing options...
Timmy Posted November 15, 2008 Share Posted November 15, 2008 BGL? BP - Sitting, Standing? Any SOB? Onset Time? What was he doing when it started? ECG? Link to comment Share on other sites More sharing options...
chbare Posted November 15, 2008 Share Posted November 15, 2008 Need to consider serotonin syndrome. Physical exam, neurological status, temp, and XII lead? Any sudden changes in medication routine or dose? Take care, chbare. Link to comment Share on other sites More sharing options...
ERDoc Posted November 15, 2008 Share Posted November 15, 2008 Maybe we should focus more on the history before we jump to physical exam and interventions. The devil is in the details and I would say that by the title of the thread, we have more digging to do. Describe the dizziness, does anything make it worse, any nausea/vomtting, fevers, recent illness, recent medication changes, previous episodes, any pain anywhere? That long runon sentence should get us started. Link to comment Share on other sites More sharing options...
spenac Posted November 15, 2008 Share Posted November 15, 2008 Explain to him that if he lies to you he will die when you start treatment. Then ask him again about meds including viagra, etc, and recreation drugs including xtasy. Any change in his response? Link to comment Share on other sites More sharing options...
crotchitymedic1986 Posted November 15, 2008 Share Posted November 15, 2008 I am sorry, but with those scant details it could be anything from an orgasm to a AAA or SA --- give us some details. Link to comment Share on other sites More sharing options...
Christopher.Collins Posted November 15, 2008 Share Posted November 15, 2008 I think mom fell asleep :evil: *pokes with a stick* How does the patient present... whats he look like, hows he acting? Link to comment Share on other sites More sharing options...
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