What is sitting on my chest?
---
Ayer, nosotros encontramos un caso unico para los estudiantes guatamalteca (pero para nosotros gringos, hubo...come se dice "bread and butter"?). Un hombre que tiene setenta y cuatro aNos, vino al CEMI en las ocho y media horas de la noche; nosotros acabamos la cena (que fue arros y frijoles negros y guacamole). El hombre nos dijo que tenia mucho consado, palpitaciones de la corazon, y era muy debil por todo el semana pasada. Las sintomas empescieron de repento, y no hubo ninguna otra sintoma como nausea o vomitado o sudor. Haya o no haya dolor de cabeza y mareo. Sin embargo, el segia sentido las sintomas hasta ayer, cuando en la tarde, empiescO sentir como alguna cosa fue sentado en su pecho. La presiOn fue mas fuerte, y no sabe si algo ayudO o danO. Hubo paso al ambos brassos, pero no hubo paso al collo o mentOn. VinO con sus hermanos.
---
Sin embargo, nosotros tenemos muy emotionado por que el tenia "cosas muy interesante" (pero, lo siento ahora que tenemos emotionado por estas cosas). El tenia el lado de corazon de ciento y cuarente y era irregular. Tenia todavia la presiOn.
---
Nosotros eramos muy listos para este caso!. EmpiescO oxIgeno, pero no hallamos la aspirina! Entonces, yo requierdI que la aspirina fue proxima de microonda (no se por que). Dimos atenolol tambien, y ultimo (despues de una hora de hablar!) convencemos su parientes tomar el al hospital. Ojala que el hombre sea bien!
---
Durante de hora en que convenciamos su familia, nosotros gringos tenemos un discutada muy interesante...buscemos en el libro de Sabatine la criteria como "TIMI risk score"...el hombre tenio ses puntas, y si el viva en la populatione de Brigham y Mujeres hospital, el tenga en chance de morir de 16%...
---
Yo acabado encuentro que el hombre no revuelve al CEMI. Creo que muchas veces occure eso. Que lastima. :(
----------------------------------
Yesterday, we encountered a case unique for Guatemalan medical students (but for us gringos, it was...how do you say "bread and butter"?). A man who was seventy-four years old came to CEMI at 8.30 pm; we had just finished dinner (which was rice and black beans and guacamole). The man told us that he had profound fatigue, palpitations, and was very weak for the last week. These symptoms began suddenly, and there was no other symptom like nausea, vomiting, or sweating. There may or may not have been a headache and lightheadedness. Anyway, he continued to feel these symptoms until yesterday, when in the afternoon, he began to feel like something was sitting on his chest. The pressure was very great, and he did not know if anything helped or made it worse. It was passing toward both arms, but not to his neck or chin. He came with his brothers.
---
Anyway, we were really excited because he was a "really interesting case" (but now I feel bad that we were excited for this reason). He had a heartrate of 140 and it was irregular. He continued to have the pressure sensation.
---
We were ready for this case! He began on oxygen, but we could not find the aspirin! Then, I remembered that the aspirin was next to the microwave (I have no idea why). We gave him atenolol also, and finally (after ralking for a whole hour!) we convinced his relatives to take him to the hospital. I hope that he is okay!
---
During the hour that we were convincing the family, we had an interesting discussion among the gringos...we looked up in Sabatine the criteria for the TIMI risk score...that man had 6 points, and if he lived in the population that made up the study from the Brigham and Women's hospital, he would have a 16% mortality rate...
---
I just found out that that man did not return to the hospital. I believe that this happens a lot. It's a shame. :(
No comments:
Post a Comment