Pretend that you are a medical student making rounds, and that you will be questioned by your attending physician regarding your work.
Pretend that you are a medical student making rounds, and that you will be questioned by your attending physician regarding your work.
Please read the case study below, research the symptoms presented and attempt to diagnose the patient. In this forum, please discuss your diagnosis and the support that you have found for your diagnosis. In otherwords, be able to defend your diagnosis.
Pretend that you are a medical student making rounds, and that you will be questioned by your attending physician regarding your work. Please read the case study below, research the symptoms presented and attempt to diagnose the patient. In this forum, please discuss your diagnosis and the support that you have found for your diagnosis. In otherwords, be able to defend your diagnosis.
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Please give your diagnosis, your support, and cite where you found your information.
Case Study:
One evening during a recent trip to Indonesia, Dr. Marshall Westwood sat down to a meal of puffer fish and rice. Within an hour of returning to his hotel room, Dr. Westwood felt numbness in his lips and tongue, which quickly spread to his face and neck. Before he could call the front desk, he began to feel pains in his stomach and throat, which produced feelings of nausea and eventually severe vomiting.
Fearing that he had eaten some bad fish for dinner, Dr. Westwood called a local hospital to describe his condition. The numbness in his lips and face made it almost impossible for him to communicate, but the hospital staff managed to at least understand the address he gave them and they sent an ambulance. As Dr. Westwood was rushed to the hospital, his breathing became increasingly labored.
The patient presented in the ED with diaphoresis, motor dysfunction, paresthesias, nausea, and an ascending paralysis that started in his legs and spread to the upper body, arms, face, and head. The patient was cyanotic and hypoventilating. Within 30 minutes of presenting in the ED, Dr. Westwood developed bradycardia with a BP of 90/50 mmHg. Atropine was administered in response to the bradycardia. Intravenous hydration, gastric lavage, and activated charcoal followed a presumptive diagnosis of tetrodotoxin poisoning that was based on the clinical presentation in the ED. Five hours after treatment, the following vital signs were noted:
BP 125/79 mmHg
HR 78 bpm
Oxygen saturation: 97% on room air
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