Case 6-2011 — A 77 Year Old Man with Dyspnea, Weakness, and Diaphoresis  

Oleh:

Tsibris, Athe M.N. ; Shepard, Jo-Anne O. ; Zukerberg, Lawrence R.

Jenis: Article from Journal - ilmiah internasional
Dalam koleksi: The New England Journal of Medicine (keterangan: ada di Proquest) vol. 364 no. 08 (Feb. 2011), page 759-767.
Topik: Ischemic Cardiomyopathy

Ketersediaan

Perpustakaan FK Nomor Panggil: N08.K.2011.01 Non-tandon: 1 (dapat dipinjam: 0) Tandon: tidak ada

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Presentation of Case Dr. Gyanprakash A. Ketwaroo (Medicine): A 77-year-old man with a history of ischemic cardiomyopathy was admitted to this hospital in midspring because of increasing dyspnea, weakness, and diaphoresis. The patient had been in his usual state of health until 3 days before admission, when weakness, loss of appetite, fatigue, and diarrhea developed, followed by progressive shortness of breath. On the morning of admission, he awoke with dyspnea, which was worse when he was lying flat; he was unable to catch his breath or get out of bed. He was diaphoretic and felt nauseated and weak, with no chest pain, fever, or cough. The temperature was reportedly 37.8°C. His wife administered acetaminophen and called emergency medical services personnel. On their arrival, the patient's skin was cool and pale, he spoke in sentences of three or four words, and he used accessory respiratory muscles. The blood pressure was 160/90 mm Hg, the pulse 96 beats per minute, the respiratory rate 40 breaths per minute, and the oxygen saturation 90 to 91% while he was breathing ambient air. Basilar rales extended a third to half of the way up both lung fields, and the abdomen was distended. Oxygen (5 liters per minute) was administered by a nonrebreather mask, and oxygen saturation increased to 99%. He was taken to another hospital.

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