Office Emergencies Unfolding Case Study
Description
Case Scenario:
Office Emergencies Unfolding Case Discussion
Discussions will be unfolding in nature with additional components of the case presented in a stepwise manner on different days to promote continual engagement throughout the week.
- A 68-year-old-female presents to the office with complaints of severe dizziness, lightheadedness, nausea, & fainting. She states she had bouts of dizziness over three days with increasing nausea to the point that she had a couple bouts of vomiting this morning. She reports that she fainted once as a result of her symptoms, but is unable to recall any details of the episode only what witnesses told her. She is currently being treated for hypertension with atenolol HCTZ. She occasionally uses Tylenol for joint stiffness and occasionally has a cocktail with friends.
- What additional historical (subjective) information is needed?
- Physical Exam
VS: BP supine 136/68 R, 138/88 L, HR 76; standing BP 134/86 R, 136/86 L, HR 78; RR 20, T 97.4 - Skin: pale, dry, turgor fair. Mucous membranes pink. No jaundice or bruising noted.
HEENT: eyes: EOMs intact, no AV nicking or hemorrhage, vision corrected with glasses OD 20/40 & OS 20/30. Ears: TMs gray with light reflex present. Rinne & weber test WNL. Neck: thyroid nonpalpable, no carotid bruits
CV: S1S2 RRR. No murmur, gallops, or rubs.
Lungs: CTA
Abdomen: soft NT BS x 4 quadrants. No HSM
Neuro: A&O x 3, CN II-VII & IX-XII intact. VIII diminished bilaterally to whisper test. No nystagmus. Motor function intact, gait intact, & muscle strength WNL.
Ext: Full Range Of Motion in all extremities, 2+ pulses, no edema. - Search entries or author Filter replies by unreadUnread Collapse replies
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