McGoo
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Got a call for assistance from the police at a home address. They had attended a welfare call, as a man hadn't shown up for work, work called the house, his housemate found him asleep in his bed and couldn't wake him up.
We arrive to find a nice house that is messy in a bachelor-pad kind of way, not dirty though, and nothing to suggest drugs or alcohol abuse. The housemate of the patient works away and doesn't know the patient that well, he only knows that he has a medical condition he takes mess for.
We see the patient supine on his bed, snoring resps at an unremarkable rate, but snoring of the sort that suggests obstruction. The patient won't take an OPA, but accepts an NPA. GCS of 6 (e1, v1, m4), one pupil Reactive and the other fixed and dilated, pulse 65-ish and regular, BP 140/68, afebrile to touch, SpO2 90% on room air.
We look at the meds and find corticosteroids, warfarin, and a proton pump inhibitor. Medical history is ?lupus. Patient is normally fit and well.
Worked it out yet?
We arrive to find a nice house that is messy in a bachelor-pad kind of way, not dirty though, and nothing to suggest drugs or alcohol abuse. The housemate of the patient works away and doesn't know the patient that well, he only knows that he has a medical condition he takes mess for.
We see the patient supine on his bed, snoring resps at an unremarkable rate, but snoring of the sort that suggests obstruction. The patient won't take an OPA, but accepts an NPA. GCS of 6 (e1, v1, m4), one pupil Reactive and the other fixed and dilated, pulse 65-ish and regular, BP 140/68, afebrile to touch, SpO2 90% on room air.
We look at the meds and find corticosteroids, warfarin, and a proton pump inhibitor. Medical history is ?lupus. Patient is normally fit and well.
Worked it out yet?