1 / 10

34-Year-Old Male with Hypertension Presenting After Loss of Consciousness During Basketball

A 34-year-old male with a history of hypertension presented to the emergency department after experiencing a loss of consciousness while playing basketball. Upon arrival, he was unresponsive but later woke up without chest pain, drug use, or respiratory distress. He has not been compliant with his HCTZ medication. Physical examination revealed a stable patient with slightly elevated blood pressure and normal findings in lungs and other systems. Lab results indicated mild renal impairment and elevated cardiac enzymes. Management options are being considered.

nadine
Télécharger la présentation

34-Year-Old Male with Hypertension Presenting After Loss of Consciousness During Basketball

An Image/Link below is provided (as is) to download presentation Download Policy: Content on the Website is provided to you AS IS for your information and personal use and may not be sold / licensed / shared on other websites without getting consent from its author. Content is provided to you AS IS for your information and personal use only. Download presentation by click this link. While downloading, if for some reason you are not able to download a presentation, the publisher may have deleted the file from their server. During download, if you can't get a presentation, the file might be deleted by the publisher.

E N D

Presentation Transcript

  1. Clinical Conference 5/18/07

  2. 34 y.o. with h/o HTN, presented to Christ ED after LOC while playing basketball. Upon arrival....unresponsive…and found to have…

  3. After he woke up… ROS: denied CP, denied drug use, no SOB, no LH, no Dizzines, no orthopnea, no PND. No polyuria Meds: prescribed HCTZ, but reports has not taken recently PMHx: HTN; no CAD, no HL, no DM FH: no early CAD, no SCD SH: no tob, occ EtOH, no IVDU

  4. Physical Exam: BP 145/70, P 90, T 98.6, Pulse ox 96% RA GEN: groggy, healthy appearing Neck: supple, no JVD, nl carotid volumes and upstroke CV: RRR, nl s1, s2, no s3, +s4; no m/r/g; quiet precordium, non-displaced PMI Lungs: CTAB anteriorly GI: soft, NT, ND Ext: no edema, 2+ distal pulses

  5. EKG after cardioversion

  6. Right sided EKG

  7. Posterior EKG

  8. 4/15/07 at 1735 Labs: Na 137 K 2.1 Cl 100 CO2 20 BUN 13 Cr 1.6 Mg 2.1 Ca 8.7 Phos 2.4 WBC 8 Hgb 14.2 HCT 44.1 PLT 266 INR 1.0 What to do next? CK 173 CK-MB 2.0 Trop 0.09 BNP 150 Next set of cardiac enzymes 4/16/07 at 1500 CK 491 CK-MB 28.5 Trop 7.31

More Related