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Clinical Integration: Emergency Medicine Lucero, Lee, Macalintal, Magallanes, Maningas, Ombao, and Pacifico.

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Presentation on theme: "Clinical Integration: Emergency Medicine Lucero, Lee, Macalintal, Magallanes, Maningas, Ombao, and Pacifico."— Presentation transcript:

1 Clinical Integration: Emergency Medicine Lucero, Lee, Macalintal, Magallanes, Maningas, Ombao, and Pacifico

2 Subjective  30 yo F  CC: acute diarrhea (bloody watery stools) HPI  “feeling hot”  Persistent choking sensation  Unrelieved by drinking water (+) nausea, vomiting (+) crampy abdominal pain (+) pallor, feeling faint

3 Review of Systems (-) skin lesions, pruritus (-) eye redness, itchiness, discharges and lacrimation (+) nasal stuffiness (+) slight dyspnea (-) wheezing

4 Past Medical History (+) asthma  Rx: salbutamol inhaler (+) allergy to peanuts (+) atopy  1 yr PTA: appendectomy OB-GYN History  delayed menstruation

5 Objective  awake, confused, and stretcher-borne  hypotensive  Weak extremitiy pulses  tachycardic, tachypneic, and afebrile (+) flushed skin (-) rashes (+) pale palpebral conjunctiva (+) watery nasal discharge (-)FB inside the oropharynx

6 Objective (+) bilaterally decreased breath sounds (+) appendectomy scar (+) hyperactive bowel sounds (+) slight lower abdominal tenderness (+) reddish stool on DE

7 Neurologic Examination  awake but confused  GCS is 12

8 Salient Features (+) acute diarrhea  “feeling hot”  Persistent choking sensation (+) nausea, vomiting (+) crampy abdominal pain (+) pallor, feeling faint (-) skin lesions, pruritus (-) eye redness, itchiness, discharges and lacrimation (+) nasal stuffiness (+) slight dyspnea (-) wheezing (+) asthma (+) allergy to peanuts (+) atopy  1 yr PTA: appendectomy  delayed menstruation upon consult  awake, confused, and stretcher- borne  Hypotensive, tachycardic, tachypneic, and afebrile (+) flushed skin (-) rashes (+) pale palpebral conjunctiva (+) watery nasal discharge (-)FB inside the oropharynx (+) bilaterally decreased breath sounds (+) appendectomy scar (+) hyperactive bowel sounds (+) slight lower abdominal tenderness (+) reddish stool on DE  awake but confused  GCS is 12

9 Thank you!


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