Hi all,
Yesterday, I was in charge on our high-risk ob floor. A post-partum patient who had a c-section the day previous came back from the postpartum floor. Apparently, after having been up and about, foley out, been to the nursery to see baby, etc. the patient started complaining at about 1545 of blurry vision. She was a mild preeclamptic who had had a c-section under general anesthesia. Labs were drawn and were normal. She then said that she couldn't see colors, then lost vision altogether. They took her down for CT which was normal. (This pt is 17 yrs old). Then she came over to L&D. Neurology came up, said her pupils were reactive, did all kinds of bedside neuro exam. I got IV going, drew labs, tox screen, (neg), and she was thrashing around and mumbling incoherently. We put her in four-point restraints, at which time she calmed a little bit. Then the neuro guy said her pupils weren't reactive anymore. Her pulse was fluctuating from 60's to 100's up to 200 at one point. Pressure 170/95.
Now she's in the unit intubated and the neuro says maybe she had a stroke of the hippocampus and the pons, or maybe it's atypical preeclampsia, or maybe who knows. Nobody knows what's wrong with this chick. The family, of course, is hysterical.
Anybody heard of anything like this??? Everyone here is baffled. MRI showed diffuse infarcts as far as I could find out.
It was the wierdest thing I think I've ever seen.
Lisa
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