Paramagic14 Posted November 29, 2006 Share Posted November 29, 2006 what is the OPQRRST SAMPLE Hx and vitals signs along with Sp02, blood glucose,monitor,12 lead,pain scale(?/10) Link to comment Share on other sites More sharing options...
alpha23958 Posted November 29, 2006 Share Posted November 29, 2006 Recreational drug use? Link to comment Share on other sites More sharing options...
Shelbmedic Posted November 29, 2006 Share Posted November 29, 2006 are the blisters on his feet as well? What started first the blisters in his mouth or on his hands? I might also want to know what kind of work this guy does and what kind of chemicals he has been using at the job site. Link to comment Share on other sites More sharing options...
Shelbmedic Posted November 29, 2006 Share Posted November 29, 2006 Broke8026 I asked about vitals in my first post Link to comment Share on other sites More sharing options...
ERDoc Posted November 29, 2006 Share Posted November 29, 2006 Who said this guy had a fever? His temp was 99-100. This is normal diurnal variation in temp. A fever is anything 100.4 and over. People probably have not asked about vitals because we are still collecting the history. Something that might be helpful in this case is a picture. Is there anyway you can do this without giving the case away? Unfortunetly, when described with words a lot of rashes sound identical, but when you see them, well, a picture is worth 1,000 words. Link to comment Share on other sites More sharing options...
melangel16 Posted November 29, 2006 Share Posted November 29, 2006 chicken pox/shingles? Link to comment Share on other sites More sharing options...
Just Plain Ruff Posted November 29, 2006 Share Posted November 29, 2006 I think the above poster got it. after reading some more responses - I say Chicken pox Any childhood history of chicken pox? How sick did this guy eventually get? Link to comment Share on other sites More sharing options...
ERDoc Posted November 29, 2006 Share Posted November 29, 2006 I think the above poster got it. after reading some more responses - I say Chicken pox Any childhood history of chicken pox? How sick did this guy eventually get? Playing devil's advaocate, if you are thinking chicken pox, are you also thinking small pox? If not, why not? Link to comment Share on other sites More sharing options...
bassnmedic Posted November 29, 2006 Share Posted November 29, 2006 Does the patient have any of these blisters on his head? Link to comment Share on other sites More sharing options...
brock8024 Posted November 29, 2006 Author Share Posted November 29, 2006 Ok lets see the v/s are 86-90/50's, pulse in the 110's resp 12-18 and spo2 around 94%. Pt states he had chicken poxs as a kid. He tells you the only thing different is that he was taking the new med for his SZ and started getting this rash and blisters. He went to his doctor and thought it was some type of infection and put him on bactruim. there is some rash on his feet but not as much as the trunk and hands. The sores are in and around his mouth and he states that his food intake is a little less than normal due to the blisters. The rash areas remind you of a target or bulls eye in appearance. He also had some blisters that have ruptured during the sz and it the skin under is pink and reminds you of a 2 degree burn. Now I have given you alot of stuff. This will more than likely give it away. Brock Link to comment Share on other sites More sharing options...
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