I'm wondering if there would be any interest in a "case study" that would take a patient from presentation and through treatment. There would not be any right/wrong - just an exchange and hopefully an opportunity to improve all of our abilities to critically think and be able to work through patient complaints, history and interpret the data. Also, we can look at treatment - so anyone up for it??
Brief example:
You are working in adult ED triage 74 year old female patient presents ambulatory with minimal assistance to the ED at 1500 c/o fever and feeling bad. Patient has 2 very concerned daughters and this is the 4th ED visit this week - (the other visits were at other ER's - but, the family volunteers that they were idiots working in the other ED's --- so we came here instead). Pt does not appear in acute distress.
Patient is alert but confused. (Family states this is near normal for her).
Vital Signs:
BP 104/64 HR 104 RR 22 SaO2 95% on RA Oral Temp 100.6F
History:
Hypertension
AMI 3 years earlier - placed 2 stents.
GI bleed 5 years ago -required 6 unit transfusion
NIDDM
GERD
Osteo-Arthritis/Chronic Pain
Hysterectomy at age 43
Basal cell carcinoma removed 2 years ago
Medications:
NKDA (does "break out" from adhesive tape)
Lisinopril
Atenolol
Prilosec
Plavix
Baby ASA
Duragesic Patch
Metformin
Now what? How do you proceed? Questions?
Anyone interested in participating in case studies?
If anyone is interested, I'll start another scenario next week. I'll make it so I post something new every other day until we either save or kill the patient. I won't leave you all high and dry. And when my scenario is done, someone else can do one. Whatta you all think?
If anyone is interested, I'll start another scenario next week. I'll make it so I post something new every other day until we either save or kill the patient. I won't leave you all high and dry. And when my scenario is done, someone else can do one. Whatta you all think?
Babs0512
846 Posts
If anyone is interested, I'll start another scenario next week. I'll make it so I post something new every other day until we either save or kill the patient. I won't leave you all high and dry. And when my scenario is done, someone else can do one. Whatta you all think?
Blessings