Female, 76 years of age. Found by relatives in a poor condition. Mother, rushed into the fray, but into productive contact is not entered, that is, did not answer specific questions did not fulfill the command. Called the team “Ambulance” was diagnosed with a stroke and was brought to the RSC (regional vascular centre). In the emergency Department, the patient got up from the wheelchair, tried to leave, the questions are not answered, they fought with the medical staff. I had to fix. During the inspection of gross neurological symptoms (paralysis, etc . ) were identified. That is, already there are doubts about the stroke. Upon further inspection, it appears that BP (blood pressure) the patient 240/120 mmHg, that is very high. Urgently introduce KLO@Elin intravenously, put a drip of Magnesium sulfate, of course , prescribed and other drugs. After 30 minutes the patient comes into the mind, initiates conversation, asks where she is and how I got here. HELL 160/80 mm Hg further examined by a cardiologist, picked up the therapy of hypertension and was discharged. The patient had a hypertensive crisis, but not simple, but complicated. A complication was hypertensive encephalopathy, when a sharp rise in blood pressure swelling of the brain, which gave a psychotic reaction. Often these patients are in psychiatric or substance abuse office, sometimes a poison. With adequate antihypertensive and anti-edematous treatment, patients quickly come to life, but the moment of amnesia remains.
Know how much it costs to train for real, not on paper, doctor? Physician in every sense? How much for the time, energy, money? By the way, when young, when learning, do not imagine what will happen in the future. Enthusiasm warms. PS: Imagine that you have been saving for a house. Finally collected the […]
This patient has eclipsed all. With the first acquisition, it was not clear that he had mental problems. It arrived with the diagnosis of ” foreign body in the urethra “, a man 25-30 years old, decided to masturbate and to exacerbate feelings, put themselves into the channel handle. Don’t know what it is made, […]
Friend said as recently pumped its neighbor. It was on her birthday to friend, with his wife. Touched, clutched at his heart, passed out. Guests carried him into the bedroom, called an ambulance. She came surprisingly quickly, she was DOA. Nurse drove all the tries from the bed room and began to beat electroshock. The […]
5 in the morning. Very persistent banging at the door. So slow, knowing that in an hour get up for work. The husband, unfortunately, on duty. In the next room snores peacefully on the eve flew to visit my brother. – Open soon!!! Open, on the threshold stands a woman, catches the eye so annoying […]
came in here talking about that, what happened to professional doctors. They had gone nowhere. It was then suggested that the de, go to the end of meduniver a couple of good doctors, and the rest – so , nurses with diplomas. I graduated from med school and work in the specialty. Everyone who studied […]
Anonymously. Hello, I would like to tell your own story. I got sick daughter she is a 1. 3 on the next day immediately went to the hospital, our pediatrician looked at it, listened to it and said it was a common cold, prescribed-chamomile tea candles Viferon, antibiotics, to my complaint that the child has […]