Altered LOC

[MariB]

Encephalitis

I am still leaning neuro.

The low grade fever could just be from the damage to the brain. Anything from tumor to aneurism

[scubanurse]

Mari got it! Check out hepatic encephalopathy

[MariB]

Yay! I got one!

[1EMT-P]

I was interested in her CBC, also if they had done a Sed Rate. Infections & Toxins were at the top of my list.

[ERDoc]

I know we have figured this out but I'd like to know CMP and ammonia levels. LP results would be nice too, if one was done.

[rock_shoes]

Does your patient have a medic alert? Do you have any PMHX? Does she have an meds with her? What's her Pulse Ox on room air? I agree with the c-collar, long spine board, IV of NS & Oxygen. I would also like to know about her lung sounds. I would also like to know what her labs were like, including ABG if she had one.

Based on what evidence? You have no visible or palpable trauma without any discernable traumatic mechanism. The damage we do in EMS by putting patients in non-required spinal precautions is obscene.

Edited July 21, 2013 by rock_shoes

[scubanurse]

Ill give you the labs I have left from my care plan...

Hgb 9.5

Hct 31.6

McV 84.2

McH 25.2

Mchc 30.0

Plt 73000

K 3.7

Na 136

Cl 105

Ca 7.3

Mg 1.1

Ph 2.8

Alt 35

Ast 33

Bun 6

Creatinine 0.6

Pt 21.6

Inr 1.88

Trop 0.02

Bgl 90

Ammonia 100mcmol/L

[MariB]

The only lab I understand is Wbc! And I don't see that! Lok

[scubanurse]

WBC was wnl

[MariB]

OK