THIS IS AN ONLINE E LOG BOOK TO DISCUSS OUR PATIENT'S DE-IDENTIFIED HEALTH DATA SHARED AFTER TAKING HER 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 THIS PATIENT'S CLINICAL PROBLEMS WITH COLLECTIVE CURRENT BEST EVIDENCE BASED INPUTS.
[4.41 pm, 19/12/2025] PPM 1: Summary: This is a record of a common viral fever also presenting with vestibular neuronitis like symptoms who had a second peak of fever due to a common nosocomial iatrogenic inflammation that is often confused with sepsis worsening and leads to overtreatment with antibiotics escalation when the actual management needs to focus on stopping iv and removing the lines.
Handwritten history on admission attached
[4.44 pm, 19/12/2025] PPM 1: After admission the same night post vomitings her BP fell gradually to 70/50 and then bounced back from 60/50 on iv fluids alone. @PPM3 @PPM4 @44FPA
[4.51 pm, 19/12/2025] PPM 1: However after two days of admission she developed another fever spike!
[4.53 pm, 19/12/2025] PPM 1: And then more spikes yesterday with a swollen left forearm that clinched the diagnosis. Before that she received antibiotics escalation when none were necessary in the first place!
Left iv line swelling
[4.54 pm, 19/12/2025] PPM 1: Diagnosis:
Viral labyrinthitis complicated by hypovolemia due to vomiting and later iv line thrombophlebitis
[4.57 pm, 19/12/2025] PPM 1: Over-testing and overtreatment due to medical uncertainty
No comments:
Post a Comment