commit f3aba1bcf2dfc8462f460e5e50e24aa94cc74da7
parent 4bab25bc2ffc08b1e9bffc8c39bd89101ca95616
Author: Beau Hilton <beau.hilton@vumc.org>
Date: Thu, 12 Aug 2021 11:55:15 -0500
morning report formatting
Diffstat:
1 file changed, 12 insertions(+), 8 deletions(-)
diff --git a/learn/2021-08-12-morning-report.md b/learn/2021-08-12-morning-report.md
@@ -1,6 +1,7 @@
# nausea, vomiting, fever, and a fall
67F with T2DM (well-controlled w/o insulin), hypoTh, asthma, presented after 3d n/v, with lightheadedness, weakness, low-grade fever, and a fall.
+
Denies hitting head.
At baseline previously.
@@ -38,24 +39,27 @@ tachycardic, tachypneic, fairly warm, AOxSelf, still following commands
# Data
-WBC 2.4, Hgb 10.7, Plt 28
-COVID -ve
-Bicarb 12, Cr 1.7
-Bili 2.8, D bili 2.3
-ALK/AST/ALT elevated
-7.3/33
-LA 4.5
+- WBC 2.4, Hgb 10.7, Plt 28
+- COVID -ve
+- Bicarb 12, Cr 1.7
+- Bili 2.8, D bili 2.3
+- ALK/AST/ALT elevated
+- 7.3/33
+- LA 4.5
# ... went to huddle, missed a bunch...
-# Dx:
+# Dx
Ehrlichiosis! Tx w doxy.
Time to diagnosis is delayed in pts who require ICU admission (Kuriakose 2020, JAMA Network Open, e202577)
# Pearls
+
For RMSF, no need to send w/u unless clear geographic exposure.
+
Send Ehrlichia/anaplasmosis PCR, smear, consider babesia.
+
Lyme: should have travelled north of the Mason-Dixon line, not endemic to TN.