FireEMT2009 Posted April 15, 2012 Author Share Posted April 15, 2012 Diabeetus? BGL is 103mg/dl No past medical history. Any travel history, sick contacts, history of the same? Except for area soccer games none. He has a upper respiratory tract infection that is being treated with the medications from the previous posts bbut other than that thats all the medical history he has. He plays soccer and is in great physical condition. Link to comment Share on other sites More sharing options...
ERDoc Posted April 15, 2012 Share Posted April 15, 2012 (edited) What part of the country are we in? Any known tick, mosquito or other insect bites? Edited April 15, 2012 by ERDoc Link to comment Share on other sites More sharing options...
runswithneedles Posted April 15, 2012 Share Posted April 15, 2012 whats the family history? Link to comment Share on other sites More sharing options...
Eydawn Posted April 15, 2012 Share Posted April 15, 2012 You said it was a professionally cleaned house... recently cleaned? Exposure to cleaning agents? Just a thought. I'm curious... could this be an atypical presentation of Stevens-Johnson Syndrome? The flushed red skin fits, and if he's got the rare zebra of a lesion on the myocardium, that could account for the chest pain... SJS is associated with antibiotic use, including 'cillins... may be he hasn't reached the peeling skin part yet. (Oh, and I didn't google that, we've recently studied SJS in my nursing pharmacology course.) The diarrhea could be accounted for as a simple side effect of antibiotic use. *Puzzlement* Wendy CO EMT-B Link to comment Share on other sites More sharing options...
runswithneedles Posted April 16, 2012 Share Posted April 16, 2012 (edited) What does his nasal mucosa look like. No trail marks noted? (including feet) Im still not ready to rule out drug abuse Has the house had any recent work done.(cleaning of course) was this because of some kind of plumping or recent water damage? any petechiae? Edited April 16, 2012 by runswithneedles Link to comment Share on other sites More sharing options...
ERDoc Posted April 16, 2012 Share Posted April 16, 2012 This sure sounds like the red as a beet, mad as a hatter, dry as a bone, hot as a hare syndrome. Link to comment Share on other sites More sharing options...
FireEMT2009 Posted April 16, 2012 Author Share Posted April 16, 2012 What part of the country are we in? Any known tick, mosquito or other insect bites? Southeast USA. You ask the patient and he says that he has not been bitten or noticed any difference in his bodily appearance, such as a rash. whats the family history? Family history- HTN appearance and older age and some history of diabetes. Thats it. You said it was a professionally cleaned house... recently cleaned? Exposure to cleaning agents? Just a thought. I'm curious... could this be an atypical presentation of Stevens-Johnson Syndrome? The flushed red skin fits, and if he's got the rare zebra of a lesion on the myocardium, that could account for the chest pain... SJS is associated with antibiotic use, including 'cillins... may be he hasn't reached the peeling skin part yet. (Oh, and I didn't google that, we've recently studied SJS in my nursing pharmacology course.) The diarrhea could be accounted for as a simple side effect of antibiotic use. *Puzzlement* Wendy CO EMT-B Glad I have intrigued so many of you. House stays spotless cleaned once a week but the cleaner makes sure that adequate ventilation is being used at all times during the cleaning process to filter out the fumes and she cleans up all residues. I have the answer to this, but am not ready to give it just yet. I would like to see what else is coming down the pipes. What does his nasal mucosa look like. No trail marks noted? (including feet) Im still not ready to rule out drug abuse Has the house had any recent work done.(cleaning of course) was this because of some kind of plumping or recent water damage? any petechiae? Normal nasal and mucous membranes. No track marks noted. No recent work done. The mother always wants her house clean so she has someone come in and clean it for her. No petechiae. Sorry. This sure sounds like the red as a beet, mad as a hatter, dry as a bone, hot as a hare syndrome. Does sound like it but not giving any clues just yet. I inserted my foot in my mouth. He did have abnormal lab values. His T3 and T4 are elevated. I apologize for the mistake. Link to comment Share on other sites More sharing options...
Kiwiology Posted April 16, 2012 Share Posted April 16, 2012 If it's not Kuru or the Diabeetus I say he is possessed and needs to be exorcised stat Link to comment Share on other sites More sharing options...
Eydawn Posted April 16, 2012 Share Posted April 16, 2012 Ok then... any exopthalmos? He's got a thyroid storm of some sort occurring. Could have been triggered by any number of things... boyo needs some Lugol's and supportive care at this point. Fluids, cooling, quiet environment, punt to higher level provider than me... It would explain the increased metabolism (can't get full), hyperthermia, flushed skin, agitation, and diarrhea. Wendy CO EMT-B Link to comment Share on other sites More sharing options...
Kiwiology Posted April 16, 2012 Share Posted April 16, 2012 He's got a thyroid storm of some sort occurring That is my actual medical thought too Although possession by the devil is still a distinct possibility Link to comment Share on other sites More sharing options...
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