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.
Traditions. Knowledge. Progress – Convention. Knowledge. Development! Do you know whose slogan? First MSMU n. a. I. M. Sechenov, who was and remains the driver of our medicine. It is not only cultivate the personnel for the hospitals and clinics in the city, but still have the Institute of electronic med. education to improve the […]
Shoe covers (by Alexander Bessonov) Now, imagine the living man himself, his family, children. Day off. You need to go to the store, bought all the products. The car did not take, decided to take a walk. Bought a lot of things. Happy comes with two huge bags in different hands, and suddenly sneezes. And […]
– 3дравствуй, Alex. The doctor entered the room and smiled warmly to the patient. “Hello,” happy young man sitting on the edge of the bed, what might your name be? Where is uncle nick? – Nikolai Ivanovich today. My name is Gregory Pavlovich. He asked me today to replace it and to talk to you. […]
About patients… Worked in DC from Kardiologicheskom dispensary. Patients are always plenty. turn. preventive dropper. a month in advance… People are different.. and brawlers. and adequate.. however. as in any branch. any hospital)But… we got super rowdy.. scribbled complaints.. cursing. mother. interjected. in General spoil the workers ‘ everyday life how could I savebase went… […]
And I, if I may, I want to speak on the topic of mode of operation of the different institutions. In my case medical. Terribly sick of the fact that some specialists just don’t get caught because they operate on a standard schedule — on weekdays from 9 to 6 (and sometimes up to five). […]
Back with calling 2 hours a night. Successfully cured a child with abdominal pain. Ruled out appendicitis. The standard diagnosis of “Intestinal colic”. Beautiful summer night, the silence… the Mood is great… Going in the new “fast” listening “colleague” Rosenbaum.. Passing by the Park. See is a police car next to two cops. Slow us […]