itku2er Posted March 19, 2009 Author Share Posted March 19, 2009 Is he complient with his meds? Did he take them all today? Any pain? Currently not on meds DM is controlled with diet. He can't tell you if he is having pain. pupils? skin? Pupils are round a little sluggish Skin is warm cynosis is noted at the hands and feet Link to comment Share on other sites More sharing options...
scott33 Posted March 19, 2009 Share Posted March 19, 2009 (edited) anterior wall fascicular block small Q in lead 1 and possible prolonged qrs ?? left axis deviation -40 to - 80 Can you just explain how you found that, and its clinical significance. I can't see any of what you are saying. --------------------------------------------------------------------------------------------------------------------- Did we get lung sounds? Edited March 19, 2009 by scott33 Link to comment Share on other sites More sharing options...
Jeepluv77 Posted March 19, 2009 Share Posted March 19, 2009 (edited) I'm still thinking it's hemorrhagic stroke. Can I assume it's been five minutes and get a repeat on vitals, including bp, hr, rr, pupils, and skin? edit- also assuming we're already in the truck and gone, btw Edited March 19, 2009 by Jeepluv77 Link to comment Share on other sites More sharing options...
itku2er Posted March 19, 2009 Author Share Posted March 19, 2009 Can you just explain how you found that, and its clinical significance. I can't see any of what you are saying. --------------------------------------------------------------------------------------------------------------------- Did we get lung sounds? BBS are clear but you do have an occassional Wheeze Link to comment Share on other sites More sharing options...
scott33 Posted March 20, 2009 Share Posted March 20, 2009 JVD? pedal edema? acites? Heart sounds if you do them? Right sided-EKG? Link to comment Share on other sites More sharing options...
itku2er Posted March 20, 2009 Author Share Posted March 20, 2009 JVD? pedal edema? acites? Heart sounds if you do them? Right sided-EKG? Slight JVD +2 pitting edema. no right sided ekg no heart sounds done. Link to comment Share on other sites More sharing options...
itxtme Posted March 20, 2009 Share Posted March 20, 2009 anterior wall fascicular block small Q in lead 1 and possible prolonged qrs ?? left axis deviation (-40 to -90) I have the axis as normal??? Dont tell me I have been doing it wrong all these years! Cant see the Q wave either, but if it is there its certainley not big enough to be pathological! Have dispersed clots travelled to his brain and heart?? Im going with AMI (inferior) - lets go with a V4R, ) Link to comment Share on other sites More sharing options...
itku2er Posted March 20, 2009 Author Share Posted March 20, 2009 I have the axis as normal??? Dont tell me I have been doing it wrong all these years! Cant see the Q wave either, but if it is there its certainley not big enough to be pathological! Have dispersed clots travelled to his brain and heart?? Im going with AMI (inferior) - lets go with a V4R, ) you are on the right track there itxme. Link to comment Share on other sites More sharing options...
CBEMT Posted March 21, 2009 Share Posted March 21, 2009 anterior wall II, III, and aVF is........NOT anterior. Just sayin. Link to comment Share on other sites More sharing options...
HERBIE1 Posted March 21, 2009 Share Posted March 21, 2009 I'm thinking this guy needs a head CT ASAP. I'm calling it neurological until proven otherwise and treating it as such. His PMH of a DVT makes me suspicious of a cerebral vascular event of some type- aneurysm, bleed, AVM, clot, etc. Could be cardiac based which led to head problems- he's on Coumadin, so maybe threw a clot... Curious to see the outcome, here. Link to comment Share on other sites More sharing options...
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