Just did a strange U world question:
old lady, 2 month h/o fatigue and dyspnea on exertion. BP is 180/80, pulse 100, Resp is 21. There is a 2/6 systolic murmur in the 2nd left intercostal space. ON EKG sinus tachy with nonspecific ST-T changes. Hb 8.1 and MCV is 73
What's the next best step in the management of this patient?
a) Echo
b) Colonoscopy
Next step you would do a colonoscopy, since she is suffering from iron deficiency anemia secondary to GI bleeding.
But what I don't understand is if the lady has been bleeding for two months, why in the world is her BP so elevated. Shouldn't she be hypotensive from all the blood loss.
Surprising this issue is NOT addressed in their explanation.
old lady, 2 month h/o fatigue and dyspnea on exertion. BP is 180/80, pulse 100, Resp is 21. There is a 2/6 systolic murmur in the 2nd left intercostal space. ON EKG sinus tachy with nonspecific ST-T changes. Hb 8.1 and MCV is 73
What's the next best step in the management of this patient?
a) Echo
b) Colonoscopy
Next step you would do a colonoscopy, since she is suffering from iron deficiency anemia secondary to GI bleeding.
But what I don't understand is if the lady has been bleeding for two months, why in the world is her BP so elevated. Shouldn't she be hypotensive from all the blood loss.
Surprising this issue is NOT addressed in their explanation.