Chris’ rant # 171
There are always people that you meet that seem invincible, but once in a while you notice a crack in their armor and you realize that they are just as human as you but just have had a shit load more practice. Well today I admitted my first patient,
Pt is a 70yo AAM who ptc today for abd pain for the last 10 days. Pt states that the pain is constant stabbing pain that radiates to his back. Pt doesn’t remember anything that could have happened to his stomach. Pt does complain of chest pain that occurs about 2 times a week wit associated SOA and nausea, which is about the norm for him.
Pt does have a history of uncontrolled HTN, 2 months ago BP was 146/90, when he was on 4 HTN meds, and has been up to at least 190/95. Today pts BP was 104/65, checked by nurses and 95/60 when checked by Dr Reisz. And pt has not taken any of his meds in the last month.
That’s right a chronically uncontroled HTN pt came in on no meds and was hypotensive. He had a completely negative ROS, other then problems listed above. he has had normal bowl movements, no blood in stool, normal diet, and best of all the guy was completely ok. He was talking and seemed fine except for his abdominal pain.
After we admitted him I asked Dr Reisz what he thought was wrong and he said "either he was cured of his HTN within the last month or... I don’t know" I said, "what could it be" he said, " I don’t know"
That’s all I just thought it was intresting
Pt is a 70yo AAM who ptc today for abd pain for the last 10 days. Pt states that the pain is constant stabbing pain that radiates to his back. Pt doesn’t remember anything that could have happened to his stomach. Pt does complain of chest pain that occurs about 2 times a week wit associated SOA and nausea, which is about the norm for him.
Pt does have a history of uncontrolled HTN, 2 months ago BP was 146/90, when he was on 4 HTN meds, and has been up to at least 190/95. Today pts BP was 104/65, checked by nurses and 95/60 when checked by Dr Reisz. And pt has not taken any of his meds in the last month.
That’s right a chronically uncontroled HTN pt came in on no meds and was hypotensive. He had a completely negative ROS, other then problems listed above. he has had normal bowl movements, no blood in stool, normal diet, and best of all the guy was completely ok. He was talking and seemed fine except for his abdominal pain.
After we admitted him I asked Dr Reisz what he thought was wrong and he said "either he was cured of his HTN within the last month or... I don’t know" I said, "what could it be" he said, " I don’t know"
That’s all I just thought it was intresting
posted by Christopher W. Edwards @ 5:22 PM
1 Comments:
At 7:42 AM,
Sarah said…
Hmmm. That is very interesting. Wonder whose service he went on (Keith or Danielle or MRod or someone else). If Dr. R doesn't know what's causing it, I sure am not going to. Haha. :)
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