What is the diagnosis for this patient?

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shroomysoup

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and what drug/other recommendations would you give her?

A 19 year old white female was brought to the emergency department by her mother. She recently (two months ago) suffered a miscarriage and her boyfriend of three years left her three weeks ago because "he didn't love her anymore without the baby." Her mother found her in the bathroom, approximately an hour ago, vomiting, with two empty medication bottles next to the sink.The mother thinks both bottles were about half full prior to this incident and has brought the bottles to the ED. The bottles are a Bayer® 325mg Safety Coated aspirin bottle (100 tablet size), and a 12 ounce Pepto-Bismol® bottle. Upon further questioning of KR, she revealed she had ingested the medications about 3 hours before her mother found her. An orogastric tube was placed and lavage was performed until lavage fluid was clear, after which 50g of activated charcoal and 50 grams of sorbitol were given.
 
umm there are a number of diagnoses. Depression only being the first... or am i missing the trick :S
 
can't rule out psoriasis.
 
She's bulimic. Poor nutrition due to vomiting equals miscarriage. Pepto is used to coat her stomach after the spells of vomiting. The aspirin helps with her headaches, because she's hypoglycemic.
 
What teenage guy wants a baby?
 
The one who loved that poor girl before she had a miscarriage.

See...usually it happens the other way around. Girl gets pregnant and guy flips out and leaves her.

This patient case would make for a good afterschool special.
 
She just bought herself a 5150 - a 72 hour hold in the hospital for an attempted suicide.

Doesn't matter if it was intentional or not - she gets to see a psychiatrist. I'd have no recommendations until her MD got the diagnosis.

I would imagine the blood work & tox screen which was drawn will be used to define exactly what she took. That would then direct the next set of treatments. Her kidneys definitely took a hit with the salicylates in the asa & pepto, but the 3 hold days will allow them to be assessed. If her INR is too far out of whack, she might need treatment, but you didn't mention active bleeding.

Gotta agree - there is always the lupus & psoriasis possibilities.....🙄
 
Broken heart disease.

Get her dr. Love
 
People on this board are joking around again. I like it.

I call prinzmetal angina. Epic was on the right trail, the heart just hurts so much. Epic, can you give me some free coffee and hold me?😍
 
My diagnosis: BAAAAAAAAAAAAAAD BABYSITTING!

drhibbert.jpg
 
People on this board are joking around again. I like it.

I call prinzmetal angina. Epic was on the right trail, the heart just hurts so much. Epic, can you give me some free coffee and hold me?😍

Only if you're whisper to me in French...:meanie:
 
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