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Does anyone remember this?

Nurses   (2,687 Views | 15 Replies)

mercyteapot has 20 years experience as a BSN, RN and specializes in Dev. Disabilities, Health Disparities.

21,986 Profile Views; 2,756 Posts

When I first joined allnurses, last September, there were threads where the OP would describe a patient's presentation, list symptoms, etc People who replied theorized on what the dx might be. It took me a while to activate my membership, and I've never seen one of those threads again.

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renerian is a BSN, RN and specializes in MS Home Health.

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I do remember that.

renerian

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257 Posts; 3,483 Profile Views

Wasn't there then. But why wouldn't you know what the dx was if you were a nurse?

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2,904 Posts; 18,331 Profile Views

You wouldn't necessarily know, because so many signs and symptoms can mean multiple things.

I remember them though. Didn't Gwenith post a lot of them? Me and my faulty memory.

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424 Posts; 5,912 Profile Views

-54 yr old female

-presents to ER w/ complaint of facial/tongue swelling. No pain. Afebrile. B/P 130/78

pulse-100,strong and regular.Resps 20,even & unlabored. Appears anxious.

-states she just woke up like that; was fine before she went to bed last night.

-no history or evidence of bug bite.

-Medical History:

NIDDM

HTN

-Medications:

Glipizide

Lisinopril

What is going on here?

(Is this anything like you were thinking?)

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9 Posts; 1,030 Profile Views

Angioedema as a side effect of ACE inhibitor Lisinopril? I like these "case studies", too.

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mercyteapot has 20 years experience as a BSN, RN and specializes in Dev. Disabilities, Health Disparities.

2,756 Posts; 21,986 Profile Views

-54 yr old female

-presents to ER w/ complaint of facial/tongue swelling. No pain. Afebrile. B/P 130/78

pulse-100,strong and regular.Resps 20,even & unlabored. Appears anxious.

-states she just woke up like that; was fine before she went to bed last night.

-no history or evidence of bug bite.

-Medical History:

NIDDM

HTN

-Medications:

Glipizide

Lisinopril

What is going on here?

(Is this anything like you were thinking?)

Yes, exactly!!!

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424 Posts; 5,912 Profile Views

I've had 2 of these cases recently. One lost her airway and we bagged her reaalllly hard for awhile, along with steriods, etc. and she was okay, but really scarey!

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flashpoint has 23 years experience.

1 Article; 1,327 Posts; 14,758 Profile Views

Here's one that stumped us...

32 y/o female

S/S

Abdominal pain, starts just below ribs on both sides, similar to menstrual cramps but pain unrealted to cycle...

Pain starts after eating starchy foods like bread...

Pain radiates to back a little below the axillary level...

Vitals T-100.8 P-108 R-16 B/P-150/100...

CBC, Chem-20, Amylase, Lipase, UA all WNL...

Negative gall bladder ultrasound, HIDA scan WNL - EF "high side of normal"

Medical History - T&A @ age 13, vaginal delivery @ age 20, C-section x2 @ age 22 and 27...

Family History - Father with diabetes, Mother with pancreatic pseudocysts, sister with Raynaud's

No allergies...

Meds - Lexapro 10 mg daily

No pain relief with GI cocktail, no relief with Morphine 10 mg, no relief with Demerol 50 mg, good pain relief with Toradol 15 mg IM...

Negative EGD

Negative colonoscopy

That's about all I can remember...patient was in ER several times and we never saw her after she was refered to a surgeon...

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Audreyfay has 31 years experience and specializes in Everything but psych!.

754 Posts; 6,708 Profile Views

I looked for the other thread. No can find. Maybe someone else can. I remember the thread. It was quite interesting reading the other posts as well. Sorry I couldn't help more!

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1 Article; 2,334 Posts; 19,177 Profile Views

Here's one that stumped us...

32 y/o female

S/S

Abdominal pain, starts just below ribs on both sides, similar to menstrual cramps but pain unrealted to cycle...

Pain starts after eating starchy foods like bread...

Pain radiates to back a little below the axillary level...

Vitals T-100.8 P-108 R-16 B/P-150/100...

CBC, Chem-20, Amylase, Lipase, UA all WNL...

Negative gall bladder ultrasound, HIDA scan WNL - EF "high side of normal"

Medical History - T&A @ age 13, vaginal delivery @ age 20, C-section x2 @ age 22 and 27...

Family History - Father with diabetes, Mother with pancreatic pseudocysts, sister with Raynaud's

No allergies...

Meds - Lexapro 10 mg daily

No pain relief with GI cocktail, no relief with Morphine 10 mg, no relief with Demerol 50 mg, good pain relief with Toradol 15 mg IM...

Negative EGD

Negative colonoscopy

That's about all I can remember...patient was in ER several times and we never saw her after she was refered to a surgeon...

My guess is abdominal migraine-vs-pancreatic spasms.

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