Monday, 27 September 2010

any doc online?give a hand!oblige! healing measures & differential diagnosis of this forgiving. see details below>

Female;BP: 75mmHg by palpitation,pulse:52/min, temp:86 F, RR:8/min, heavy drinker but stopped at lowest 1 mo ago;cold & wet,no alcohol breath;+ response to throbbing;no shivering; pupils: 6 mm,reactive; intact extraocular movements,normal cranial bottle tests, non-attendance of stretch symmetrical reflexes except Achilles, “hung up”gastrocnemius reflex,bilateral plantar extension;usual chest except heart rate,mildly tender abdomen,no bowel sounds,unremarkable rectal exam,hematest unenthusiastic stool;Hct 30%, WBC 2800/mm3, platelets 100,00/mm3, ABG pH 7.30, PCO2 30 mmHg, Na 140 mEq/L, Cl 100 mEq/L, HCO3 18 mEq/L, K 5 mEq/L, normal BUN & glucose; SGOT 250 IU, LD 505 IU, AMS 350 IU,common bili,tot protain, Ca, P; abnormal ECG; next to typical hypothermic s/s atrial fib, bradycardia, proloned P-R interval, intraventricular conduction defect, J or Osburn whirl; normal skull chest abdominal Xrays Is this a request for information on you homework or case study? Why aren't you surrounded by the library at school or next to a study group?
Meningitis
Intox (coul be other stuff)
Sepsis (dont know F, I use C, could be even if nbormal though)
Hypoglykemia
internal hemorrage (esp in oesophagus)
Cerebral vascular Insult
By the mode, the most common purpose for AF, in younger associates at least, is chronic alcohol consumption, so it may not be due to hypothermia.
Herpes
Be carefull some doctors may make available bad info on purp to school you a lesson you really should do your own homework your not going to learn anything this agency !
how about t hyroid function oral exam . it could be myxedema coma
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