Main menu:

Google


Intractable Vomiting

History of Present Illness:

A woman in her 20’s presents to the UCC for 5 days of vomiting multiple times per day.  She has a mild headache and tweaked her back at the gym about a week ago but now that is better.  She denies abdominal pain, fever, diarrhea or any other complaints.

Vital Signs & Physical Exam:

Vital signs are normal as is the physical exam

Initial Diagnostic Testing:

  • Labs: WBC 9.6, platelets 131, Cr 1.3, BUN 25, UA 3-5 RBC, 0-2 WBC, few bacteria, protein 100, CRP and sed rate normal
  • Imaging: a CT scan is done

QUESTIONS:

  1. What does the case image show?  
  2. What should you do next?  
  3. Want a 1-minute consult/tutorial on this case? 
  4. Want to know what happened with this patient?

SCROLL DOWN FOR ANSWERS & 1-MINUTE CONSULT

 

<<<<<<<<<<<<<<<<<<<< ADVERTISEMENT & SPACER >>>>>>>>>>>>>>>>>>>>

******************************************************************************

THE EMERGENCY MEDICINE POCKETBOOK TRIFECTA

Tarascan Emergency Department Quick Reference Guide     

                             

Get one of our publications, all designed specifically for Emergency Care Providers:

*****************************************************************************

<<<<<<<<<<<<<<<<<<<<<<<<< END SPACER >>>>>>>>>>>>>>>>>>>>>>>>>

ANSWERS:

  1. What does the case image show?  The image shows bilateral pyelonephritis
  2. What should you do next?  Culture urine, repeat all labs, IV fluids and ABX, consider admission
  3. Want a 1-minute consult/tutorial on this case?  See yellow area from sample page below.
  4. Want to know what happened with this patient?  See case conclusion below tutorial page.

1-Minute EM Consult on the topic for this case from the Emergency Medicine 1-minute Consult Pocketbook

CLICK HERE TO LEAR MORE ABOUT THIS BOOK

CASE CONCLUSION: Admitted to the hospital

:
Google
 
Web www.edinsight.com