Sunday, January 31, 2010

What Is Abdominal Lower Left Pulse Help With A Diagnosis?

Help with a diagnosis? - what is abdominal lower left pulse

Doctor, your patient Theresa M., 39 She was taken to the emergency room after a car accident. It is very hard on the left chest. The pain is within 30 minutes is very strong and extends to the left shoulder. Now she is pale and anxious. She begins to breathe too fast and your hands are wet and blue. The doctor orders blood tests and has a tube, the needle of a bag of fluid in the arm. The doctor believes that your stomach area of IT, will it hurt and the doctor confirmed that it is a bit difficult. She is very worried. The doctor suspects that they have an emergency operation.
He suffered abdominal trauma in a car accident. In the emergency room, she said the pain in the left upper quadrant of the abdomen and vital signs are within normal limits. After 30 minutes, he said, the pain is intensifying and spreading to the left shoulder. She was pale, anxious, rapid breathing, and the hands are moist and cyanotic.
Measurements show that the pulse is now 90 and low bloo d pressure dropped to 80/55, 75/50, then a few minutes. While blood tests are done, she put on intravenous fluids and supplemental oxygen. Inspection of the abdomen revealed abdominal distention and rigidity.
The results of the first blood tests and monitoring of work after 30 minutes are:
RBC count 3.2 million/mm3
HCT 28
Hemoglobin 9 g / dl
MCV 87 mm3
MCH 28 pg
WBC 800/mm3
Platelet 200,000 / mm3

After all seen .... The following levels are low: red cells, hematocrit and hemoglobin.

Of course, in the school .. I would appreciate any help I can get. I'm not lazy, I googled everything, I decided to know, and I'm still at a loss.


Emilee K said...

A ruptured spleen is a medical emergency. If you have pain in the left upper abdomen or signs and symptoms of low blood pressure - such as dizziness, confusion, blurred vision or fainting - following an injury to seek emergency medical care.

EDIT: I think if they have a heart attack, which would have the prothrombin time is very typical of the cardiac blood work (cardiac enzymes)

Second diagnosis - Cardiac tamponade
Anxiety, agitation
Chest Pain
Radiation to the neck, shoulders, back or stomach
Sharp, stabbing
Worsens with deep breathing or coughing
Breathing problems
Complaints that are sometimes facilitated by upright or prevented.
Fainting, dizziness
Pale, gray or blue skin
Rapid breathing
Swelling of the abdomen or other areas
Other symptoms may be associated with this disease in combination:

Low blood pressure
Weak or absent pulse
Signs and tests:
No specific laboratoryLaboratory tests that diagnose tamponade. Echocardiography is the first choice for establishing the diagnosis.

Objective: Cardiac tamponade

May the blood pressure (pulsus paradoxus) if the person takes a deep breath
Breathing can quickly (faster than 12 breaths per minute for an adult)
The Heart May on 100 (normal is) from 60 to 100 beats per minute
Heart sounds low for the examination with a stethoscope
Neck veins can be extended straight (), but the blood pressure is low in May
The peripheral pulses may be weak or absent

Veronica Alicia said...

No doubt, she suffered a heart attack?

dumpling... said...

broken ribs and lung injury caused internal bleeding

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