Michael Posted August 7, 2006 Share Posted August 7, 2006 So, Brock, what's happening with our patient? I've been worrying about her... (I know, I know, I get too attached). Link to comment Share on other sites More sharing options...
hammerpcp Posted August 7, 2006 Share Posted August 7, 2006 So, Brock, what's happening with our patient? I've been worrying about her... (I know, I know, I get too attached). Michael you're so sensitive. :bunny: I know what happened! I picked up this lady last week. Her dizziness and disequilibrium has been ongoing for 50 years. She has Menieres disease. Did I win? Link to comment Share on other sites More sharing options...
Michael Posted August 7, 2006 Share Posted August 7, 2006 I picked up this lady last week. Perhaps too rapidly? Link to comment Share on other sites More sharing options...
8151 Posted August 7, 2006 Share Posted August 7, 2006 I'd cancel on her. Link to comment Share on other sites More sharing options...
hammerpcp Posted August 7, 2006 Share Posted August 7, 2006 Perhaps too rapidly? No. The pick-up was good........It was the drop that hurt her. Link to comment Share on other sites More sharing options...
brock8024 Posted August 7, 2006 Author Share Posted August 7, 2006 Ok I am going to answer everything. Sorry I was off this weekend and was spending time with the family. LMP - 2 weeks ago -STD's? None that she is aware of. -Fibromyalga? No past medical hx. -Psych hx? None -Pt.s weight? Pt is 5'7 and 200lbs. Link to comment Share on other sites More sharing options...
brock8024 Posted August 7, 2006 Author Share Posted August 7, 2006 PMH - pt had a Angiography this morning -Rx - HCTZ -LOI -Approx 1400 today -LMP & Para/garvida 2wks, 2 live normal births 15 years ago. -Alchohol?/drugs? occasional drinker and smoker -Prior events - was sitting on couch with husband and started to feel funny. -N/v/d - No N/V/D -S/S of CVA? pt does have some numbness on the right side of body. and some blurred vison -Possible previous trauma? Just the Angiography this morning. -Remove the pt. from the husband- why would u do this? Link to comment Share on other sites More sharing options...
Michael Posted August 7, 2006 Share Posted August 7, 2006 Remove the pt. from the husband- why would u do this? To learn whether she answers questions differently in his absence. Link to comment Share on other sites More sharing options...
NREMT-Basic Posted August 7, 2006 Share Posted August 7, 2006 This patient had a angiogram prior to ems contact (same morning if I am reading right)..she is complaining of not feeling well but cant quite describe how and she has unilateral weekness and numbness. All classic presentations of a TIA. This patient could well have experienced a dislodged clot and be experiencing an ischemic attack. High flow o2 with out nasal adjunct airway unless necessary (in case the attending should wish to use an anti-thrombolytic) and C3 transport. Link to comment Share on other sites More sharing options...
hammerpcp Posted August 7, 2006 Share Posted August 7, 2006 This patient had a angiogram prior to ems contact (same morning if I am reading right)..she is complaining of not feeling well but cant quite describe how and she has unilateral weekness and numbness. All classic presentations of a TIA. This patient could well have experienced a dislodged clot and be experiencing an ischemic attack. High flow o2 with out nasal adjunct airway unless necessary (in case the attending should wish to use an anti-thrombolytic) and C3 transport. How do you know if it's a TIA if she is still symptomatic? or are NREMT's trained in psychic readings? Link to comment Share on other sites More sharing options...
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