Saturday, July 17, 2010

79 Yr Old Patient Presents With

pain on scale of 9, underneath breast bone
nausea
EKG is negative (3x)
breathing is difficult
blood work is fine
borderline diabetic
no ulcer
not a panic/anxiety attack

Diagnosis?

Tomorrow - and no Pacs, you may not play.

9 comments:

Slamdunk said...

I guess this is yet another example of where my liberal arts degree fails me.

K said...

diabetic ketoacidosis

A Doc 2 Be said...

SD - haha! Me too -

K - no :)

Beth said...

I'd say either indigestion or a heart attack.

But I've got a liberal arts degree too, so I'm not good.

A Doc 2 Be said...

EKG being negative means no heart attack :)

Indigestion was ruled out when the Pepcid did not work :)

Keep trying!! Great guesses!

Beth said...

Okay. How about an asthma attack? That can make your chest hurt and feel nauseous.

Liana said...

Pancreatitis? Biliary colic? Aortic dissection?

Liana said...

Or pericarditis?

Are we allowed to ask questions? What does the CXR show? What are the vitals?

Mommy Attorney said...

Aortic rupture