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TA的每日心情 | 开心 2021-6-19 19:52 |
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签到天数: 1 天 连续签到: 1 天 [LV.1]初来乍到
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发表于 2016-10-7 10:54:16
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1.Fever unknow,r/omeningitis
2. chronic cystitis of urinary bladder underThickening of urinary bladder wall
3.Suspected meningitis
bief history
After admission, FUO was impressed, cause?. Abdominal CT showed no abscess formation, except chronic cystitis. Flumarin was used for pyuria condition. Conscious change was noted. Meningitis can;t be ruled out. A/B was shifted to ceftriaxone 2g q12h. Brain CT showed no hemorrhage. Nause/vomiting episode happened on 10/05. Dyspnea happened in the morning. CxR showed bilateral pneumonia, right > left. Aspiration was suspected. A/B was shifted to tapimycin. In addition, Tachycardia was noted despite IVF supplement. CV was coonsulted. Due to dyspnea, pending RF, she was transferred to ICU for further evaluation.
In the ICU the CV man suggested DAPT and combine PPI use, F/U enzyme again if marked elevated cardiac marker and refractory pulmonary edema, then discuss with families cath need.
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