I saw a 19 year-old male, he had been in the ER a few days prior for malaise and viral symptoms. They had run labs on him there, and sent him home. Yet here he was in our office, 6 pounds lighter in only a few days. He didn't look good, poor kid, and he was slightly jaundiced. He complained of pain when I palpated his lower abdomen, but his liver didn't feel enlarged nor did he feel pain when I palpated it specifically. Still, I got a urine sample, which was maxed out in bilirubin and urobilinogen (i.e. definite liver infection). We sent him straight back to the ER, even though the mother said they had run hepatitis tests on him the last time. The Docs called us from the ER (which was considerate of them), to tell us he had been admitted.
Another one of our patients was also admitted to the hospital today. We had seen her a few times over the last month, with viral symptoms. We had even started her on antibiotics on her last visit, just to be careful. Whatever it was, she still worsened and needed in-patient care. In looking through her chart, I was glad to see that my notations had been written impeccably.
No comments:
Post a Comment