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Salient Features

Lucero, Lee, Macalintal , Magallanes , Maningas , Ombao , and Pacifico. Clinical Integration: Emergency Medicine. Salient Features. Subjective. 30 yo F CC: acute diarrhea (bloody watery stools) HPI “feeling hot” Persistent choking sensation Unrelieved by drinking water

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Salient Features

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  1. Lucero, Lee, Macalintal, Magallanes, Maningas, Ombao, and Pacifico Clinical Integration: Emergency Medicine Salient Features

  2. Subjective • 30 yo F • CC: acute diarrhea (bloody watery stools) HPI • “feeling hot” • Persistent choking sensation • Unrelieved by drinking water (+) nausea, vomiting (+) crampy abdominal pain (+) pallor, feeling faint

  3. Review of Systems (-) skin lesions, pruritus (-) eye redness, itchiness, discharges and lacrimation (+) nasal stuffiness (+) slight dyspnea (-) wheezing

  4. Past Medical History (+) asthma • Rx: salbutamol inhaler (+) allergy to peanuts (+) atopy • 1 yr PTA: appendectomy OB-GYN History • delayed menstruation

  5. Objective • awake, confused, and stretcher-borne • hypotensive • Weak extremitiy pulses • tachycardic, tachypneic, and afebrile (+) flushed skin (-) rashes (+) pale palpebral conjunctiva (+) watery nasal discharge (-)FB inside the oropharynx

  6. Objective (+) bilaterally decreased breath sounds (+) appendectomy scar (+) hyperactive bowel sounds (+) slight lower abdominal tenderness (+) reddish stool on DE

  7. Neurologic Examination • awake but confused • GCS is 12

  8. Salient Features (+) acute diarrhea • “feeling hot” • Persistent choking sensation (+) nausea, vomiting (+) crampy abdominal pain (+) pallor, feeling faint (-) skin lesions, pruritus (-) eye redness, itchiness, discharges and lacrimation (+) nasal stuffiness (+) slight dyspnea (-) wheezing (+) asthma (+) allergy to peanuts (+) atopy • 1 yr PTA: appendectomy • delayed menstruation upon consult • awake, confused, and stretcher-borne • Hypotensive, tachycardic, tachypneic, and afebrile (+) flushed skin (-) rashes (+) pale palpebral conjunctiva (+) watery nasal discharge (-)FB inside the oropharynx (+) bilaterally decreased breath sounds (+) appendectomy scar (+) hyperactive bowel sounds (+) slight lower abdominal tenderness (+) reddish stool on DE • awake but confused • GCS is 12

  9. Thank you! 

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