scubanurse Posted May 19, 2015 Share Posted May 19, 2015 What does her abdomen present on exam, Bowel sounds? What is the provider finding on the neuro exam? Acting appropriate for the age, etc? Link to comment Share on other sites More sharing options...
Just Plain Ruff Posted May 20, 2015 Author Share Posted May 20, 2015 The patient appears pale. She displays stupor alternating with irritability. The abdomen is soft and nontender, and bowel sounds are positive She has left-sided hemiparesis and parasthesia in upper and lower limbs She has a diminished grip in the left side, she fails all your stroke tests. Link to comment Share on other sites More sharing options...
ERDoc Posted May 20, 2015 Share Posted May 20, 2015 (edited) Has she been running any fevers? Any vomiting? Has she c/o any pain in the last few days? Have they noticed any bruising or unusual rashes? Any bleeding? Has she been around anyone else that has been sick? Is she on any medications? Has she been exposed to any new foods? Has she ever been vaccinated? Is there any family history? What part of Africa is she from? Vitals? Pupils? Do you feel any masses in her abdomen? Is she protecting her airway? Does she resist any of your exam maneuvers? EDIT: I went back and read a few posts after posting this and found the answers to some of my questions. Edited May 20, 2015 by ERDoc Link to comment Share on other sites More sharing options...
Just Plain Ruff Posted May 20, 2015 Author Share Posted May 20, 2015 (edited) Has she been running any fevers? Yes Any vomiting? Yes Has she c/o any pain in the last few days? Yes - headache Have they noticed any bruising or unusual rashes? Milid rash Any bleeding? None Has she been around anyone else that has been sick? None Is she on any medications? Vitamin for low iron Has she been exposed to any new foods? No Has she ever been vaccinated? Full series of vaccines and she didn't catch the autism Is there any family history? Yes brother died of sids What part of Africa is she from? Kenya Vitals? Previous post Pupils? Unequal on left Do you feel any masses in her abdomen? soft non tender Is she protecting her airway? Yes Does she resist any of your exam maneuvers? Yes somewh Now is the time you might want to think about where you want to transport her to. Edited May 20, 2015 by Ruffmeister Paramedic Link to comment Share on other sites More sharing options...
ERDoc Posted May 20, 2015 Share Posted May 20, 2015 Has she been running any fevers? Yes How high, when did it start Any vomiting? Yes Diarrhea? Did it start before or after the headache? Has she c/o any pain in the last few days? Yes - headache Where in the head? What does it feel like? When did she first notice it? Is it worse any certain time of day? Have they noticed any bruising or unusual rashes? Milid rash What does it look like? Any bleeding? None Has she been around anyone else that has been sick? None Is she on any medications? Vitamin for low iron Is she taking the right amount? Have they changed the dose recently? Has she been exposed to any new foods? No Has she ever been vaccinated? Full series of vaccines and she didn't catch the autism not YET!!! Is there any family history? Yes brother died of sids SIDS according to who? What part of Africa is she from? Kenya Vitals? Previous post Pupils? Unequal on left Unequal how? Do you feel any masses in her abdomen? soft non tender Is she protecting her airway? Yes Does she resist any of your exam maneuvers? Yes somewh Now is the time you might want to think about where you want to transport her to. Link to comment Share on other sites More sharing options...
Just Plain Ruff Posted May 20, 2015 Author Share Posted May 20, 2015 (edited) You know the answer and I'm running out of stuff to add until someone decides to transport. I have all these labs. I might even be able to post a picture or two but I've never been very successful at that so don't expect much out of that. But seriously, this is a good case. People need to participate. In your career if you work in an area with a population of these kids you might see up to 30 percent of these kids have this and up to 11% of these kids will actually suffer from the actual end result of this case. I'll post the link to the actual case with all the supporting documentation for you to actually learn a lot more out of this one. Edited May 20, 2015 by Ruffmeister Paramedic Link to comment Share on other sites More sharing options...
ERDoc Posted May 20, 2015 Share Posted May 20, 2015 Ebola with a side of gastroherpagonosyphiltusis Link to comment Share on other sites More sharing options...
Just Plain Ruff Posted May 20, 2015 Author Share Posted May 20, 2015 Dammit Doc, why ruin it for the ff-medics Link to comment Share on other sites More sharing options...
MCSOU Posted May 20, 2015 Share Posted May 20, 2015 Now that we have a decent physical down we can launch a bird and start driving for a meet. Lab values? Link to comment Share on other sites More sharing options...
ERDoc Posted May 21, 2015 Share Posted May 21, 2015 Now that we have a decent physical down we can launch a bird and start driving for a meet. Lab values? What labs do you want? Link to comment Share on other sites More sharing options...
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