What's your diagnosis? - page 4
OK, 56 year old woman presents with weakness, diaphoresis, nausea, diarrhea, and Dyspnea at rest. BP 140/80, pulse thready 80, RR 28, lungs clear, temp 98. Onset of symptoms 20 minutes ago. History,... Read More
Jun 25, '02Joined: Dec '01; Posts: 3,165; Likes: 59thanks for the f/u note, hoolahan; i was really wondering.
Jun 25, '02Occupation: RN Joined: May '02; Posts: 1,897; Likes: 2Renee,
How silly of me to assume that you are constipated when you are having those vagal stimulations.. What was I thinking? Let me know what the MD says when you go to your next visit. I'd be curious! Take care, Gilda
Jun 25, '02Joined: Sep '01; Posts: 16,606; Likes: 680Peeps and Hoolihan...thanks for the concern. I had to laugh though, Hoolihan, when you said "thanks for sharing your bowel problem....that is TMI for me to know...." :chuckle
Yeah, that would be me...tell it all annie...
I share because I care...if by sharing my personal drama and or personal health issues with others causes another to learn something they didn't know before, then I have helped another individual to add to their knowledge...for which I am always grateful to learn from others sharing about themselves, too. :kiss
Peeps...the vagal stimuli thing isn't all that clear to me yet...just what the doctor told me about them usually putting people out of the Army who have it, but I am constantly researching information about it so I can learn as much as I can about it. If you come across anything that will help me learn more about it, please share it with me. It's quite scary when it happens because it comes on rather suddenly...it really does make me feel like I want to die when I have one of those attacks with the bowel. I'll find a website that medically addresses this issue, then I will post it, but so far, I haven't come across anything. I'll keep you posted though.
Jun 26, '02Occupation: RN Specialty: ER, PACU, OR ; Joined: Dec '98; Posts: 2,120; Likes: 28i remember my parents saying, "when you sit around and discuss your bowel habits, you are getting old."
Jun 26, '02Joined: Sep '01; Posts: 16,606; Likes: 680UHHHHHHHHH...RICK....I AM OLD...so your folks didn't lie to you, son!
Jun 26, '02Occupation: Worrywort Joined: Jul '01; Posts: 1,349; Likes: 16Thanks for being the "specimen of the day" Cheerful.
Vagal stimulation is affected by different factors if I remember from Anatomy II. CCK release from the gall bladder, stretch receptors in the intestinal wall, but yours affects a response "upstream". Other systems not associated with digestion?
Much more so than Life-span............and not at all connected with it................that's what makes it the most interesting.
Well.....back to the salt mines!
Jun 26, '02Occupation: ER RN Joined: Mar '02; Posts: 183; Likes: 3As an ER nurse, we look at the symptoms and rule out the worst case scenario and work down from there. I have seen O2 ordered for a person who wasn't haveing SOB but if they are even suspected of having a cardiac diagnosis, it decreases the load on the heart. Therefore, I don't understand DC'ing the O2. Right off the bat, EKG (even before the Doc peaks in), PULSE OX, considered the 5th vital sign in our ER, CBC, LYTES, Enzymes, Coags, CXR and go from there.
I would be interested in knowing results.
Jun 26, '02Occupation: Quality Nurse & Home Health Nurse Joined: Dec '99; Posts: 3,786; Likes: 129MI was ruled out too, so I don't know what the heck it was. I am starting to think it was like Renee's vagal thing, or maybe GB??
If she calls me after the follow up visit, I'll let you know.
Jun 27, '02Occupation: Worrywort Joined: Jul '01; Posts: 1,349; Likes: 16Oh yes, do tell.
I'll stay subscribed to the thread.