- Joined
- Oct 20, 2003
- Messages
- 6,040
- Reaction score
- 21
80ish yo female, increasing diffuse abdominal pain x 1 day now constant. +nausea. 180s/60s, 60, 100% RA
BKA secondary to 'poor circulation
'abdominal surgery' secondary to adhesions
PE remarkable for soft belly with diffuse severe abd pain. Heme pos brown stool. became more 'peritoneal' as the hour went on...
CXR: neg for free air. no PNA
EKG: severe LVH. 1mm st depressions anterior lateral.. unchanged
CT with IV contrast: one area of regional enteritis. No AMI, no obstruction, no diverticulitis
This peanut of a lady (maybe 90 lbs) was eating through 24 mg of MSO4 and still her belly is killing her.
WBC 13
Lactate 3.0
Trop 0.03
LFTs nl
Lipase 18
CPK nl
Signed her out and she was still in pain and was screening her into the ICU. Been driving me crazy all day.....
any other ideas?
BKA secondary to 'poor circulation
'abdominal surgery' secondary to adhesions
PE remarkable for soft belly with diffuse severe abd pain. Heme pos brown stool. became more 'peritoneal' as the hour went on...
CXR: neg for free air. no PNA
EKG: severe LVH. 1mm st depressions anterior lateral.. unchanged
CT with IV contrast: one area of regional enteritis. No AMI, no obstruction, no diverticulitis
This peanut of a lady (maybe 90 lbs) was eating through 24 mg of MSO4 and still her belly is killing her.
WBC 13
Lactate 3.0
Trop 0.03
LFTs nl
Lipase 18
CPK nl
Signed her out and she was still in pain and was screening her into the ICU. Been driving me crazy all day.....