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slightpressureok

Member Since 2002

Followers 32 Following 16

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Saturday Oct 05, 2002

Oct 4, 2002
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GAAAHHHH!!!!!

On the one morning of the week I could've slept late I was called into the clinic at 0415. Crap.

A 37 year-old Columbian soldier awakened by "electric-like" pain in all four limbs, followed by 10-15 seconds of a pounding heart sensation, now with a persistent throbbing retro-orbital headache. He's had the same thing happen once before, 2 weeks ago. My colleague, the Columbian doc, has begun a workup but now he's on leave and the patient's chart can't be located.

No previous medical history other than a gunshot wound to the chest 7 years ago. No meds, nutritional supplements, caffeine or alcohol abuse.

BP 135/75, HR 62, RR 10. Alert, NAD
Exam and EKG unremarkable.

PTSD? Pheochromocytoma? Hyperthyroidism? Seizure disorder?
VIEW 8 of 8 COMMENTS
grendel:
But would hyperthyroidism explain the "electric-like" pain? Does the patient have warm moist skin? Increase in frequency of bowel movements? Tender neck?

You got me man. . .

Good louck.
Oct 7, 2002
grendel:
And please don't send the headmistress ofter me for the "louck" misspell. I drove from Chicago for 30 hours straight and I'm a bit tired and likely to misspell things like "luck." d'oh! smile
Oct 7, 2002

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