LucidResq
Forum Deputy Chief
- 2,031
- 3
- 0
I have a case study assignment for class that’s confusing the hell out of me:
56 y/o male at work – secretary calls 911 because of how awful he looks. Awake, alert, oriented. Skin is ashen, diaphoretic and cold. Chief complaint is dizziness and nausea, also c/o not feeling well for several days with flu-like symptoms: achy, indigestion, no energy or appetite.
Pt was diagnosed with adult-onset diabetes 6 months ago and has hypertension and ulcers. Taking gilipizide, cimetidine, and atenolol; compliant.
Glucometer reads “high”… had toast and tea for breakfast.
Denies any pain, vomiting, diarrhea, or fever.
HR 66, BP 74/40, RR 18 – lung sounds faint in bases, clear in upper lobes
So the only things I can think of are left-side heart failure and diabetic ketoacidosis, but neither of them really makes complete sense or explains all of his s/s. Am I going down the right path? Is there something I’m missing?
Thanks in advance for any help.
56 y/o male at work – secretary calls 911 because of how awful he looks. Awake, alert, oriented. Skin is ashen, diaphoretic and cold. Chief complaint is dizziness and nausea, also c/o not feeling well for several days with flu-like symptoms: achy, indigestion, no energy or appetite.
Pt was diagnosed with adult-onset diabetes 6 months ago and has hypertension and ulcers. Taking gilipizide, cimetidine, and atenolol; compliant.
Glucometer reads “high”… had toast and tea for breakfast.
Denies any pain, vomiting, diarrhea, or fever.
HR 66, BP 74/40, RR 18 – lung sounds faint in bases, clear in upper lobes
So the only things I can think of are left-side heart failure and diabetic ketoacidosis, but neither of them really makes complete sense or explains all of his s/s. Am I going down the right path? Is there something I’m missing?
Thanks in advance for any help.