Patient GW (65 years old, weight 71 kg) presents to his GP a…
Patient GW (65 years old, weight 71 kg) presents to his GP and describes an episode which occurred the day before. During this episode, which lasted around 45 minutes, he experienced a weakness in his right arm and leg, felt dizzy and confused, and his speech was slurred. Past medical history: type 2 diabetes hypertension His blood pressure today is 148/92 mmHg. Based on this information, when should Patient GW have a transient ischaemic attack (TIA) assessment?
Read DetailsPatient CL (female, 44 years old, weight 63 kg) has been adm…
Patient CL (female, 44 years old, weight 63 kg) has been admitted to the surgical ward with acute abdominal pain and diagnosed with suspected appendicitis. She is nil by mouth prior to an appendectomy. Her current pain score is 9/10. Past medical history: Asthma Medication history: Salamol Easi-Breathe 100 micrograms/puff inhaler two puffs when required Which approach to pain management is MOST APPROPRIATE?
Read DetailsPatient KJ (male, 55 years old, weight 77 kg) is admitted to…
Patient KJ (male, 55 years old, weight 77 kg) is admitted to hospital following an episode of haematemesis. Past medical history: musculoskeletal back pain related to his occupation as a lorry driver Medication history: sometimes takes co-codamol for back pain which he buys from the pharmacy penicillin allergy Following endoscopy a diagnosis of major peptic ulcer bleeding is made. The ulcer is treated endoscopically and a test for H. pylori is POSITIVE. Which treatment plan is MOST APPROPRIATE?
Read DetailsPatient YP (75 years old, weight 68 kg) has type 1 diabetes…
Patient YP (75 years old, weight 68 kg) has type 1 diabetes mellitus and mild dementia. She was discharged from hospital three days ago following treatment of a urinary tract infection. She lives alone and usually has district nurses administering insulin. Upon investigation it is revealed that they were not informed of Patient YP’s discharge and therefore have not been visiting to administer her insulin. Today she is readmitted to hospital as her son has found her to be unwell. She is drowsy, more confused than usual, vomiting and her breath has a smell of ketones. She is diagnosed as having diabetic ketoacidosis (DKA). Which treatment should be started in the FIRST instance?
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