06-02-2025
This is an Online E Log Book to discuss our patient's de-identified health data shared after taking hsi signed informed consent. Here we discuss our patient's problems through series of inputs from available global online community experts with an aim to solve those patient's clinical problems with collective current best evidence based inputs.
Afternoon ward 4:
79M with sudden slurring of speech and right hemiparesis followed by severe shortness of breath and altered sensorium, fever and atrial fibrillation along with pulmonary edema. Lumbar puncture CSF within normal limits. Serial chest X-rays shows reduction in the pulmonary edema although sensorium has progressed to coma.
Diabetes Hypertension 10 years.
His serial chest X-rays of 4,5,6 February showing resolution of his pulmonary edema.
PPM 1 - Good point. But no he wasn't.
I shall share his serial potassium trends today especially if diuretics for his pulmonary edema may have precipitated his hypokalemia and will check if there's a possible causal correlation to the development of his arrhythmia.
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