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- Dec 12, 2003
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For your viewing pleasure this morning, I present a 66 y/o female admitted with Shortness of Breath. Previous medical history of uncontrolled HTN, OSA non-compliant on CPAP, Remote hx of Ovarian Cancer s/p Chemo currently in Remission, and NIDDM. EKG on admission showed AFib with RVR and Echo showed Normal LV Fxn with a Moderate-Large Pericardial Effusion without evidence of Tamponade physiology. Currently BP range is SBP 150-180/80-100 in AFib. Pt weight is 217 kg for a robust BMI of 75. Cardiologist says she weighs too much to fit on the Cath lab table to do a Pericardialcentesis and would have to be transferred to another facility if CT surgery could not do a Pericardial Window. Physical exam showed MP 4 airway with very little discernible neck and landmarks could not be Palpated. Denies any previous surgeries. She is extremely anxious for this surgery
Ok residents/fellows, let's hear Concerns, plans, and most importantly reasoning.
Ok residents/fellows, let's hear Concerns, plans, and most importantly reasoning.