Thursday, 9 June 2016

CASE WRITING

78 year old man feeling non-specifically unwell for a few days, 1 day of headache and intermittently confused
— PMH: Nil known, takes low dose aspirin daily bought OTC

Observations

A – Patent, self-maintaining
B – RR 18, SpO2 97% in air
C – HR 80, BP 214/128
D – GCS 15/15
E – Temp 37.1, BM 7.6

Clinical Findings

  • Intermittently confused
  • Vomiting
  • Severe hypertension

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