Insanely busy day on call with rapid-fire admissions:
Admission #1: An affable 80-year-old man from a nearby island, s/p hip replacement surgery, on coumadin with a subtherapeutic INR and a right pulmonary embolus. We increase his coumadin, start him on lovenox and run off to...
Admission #2: A 53-year-old attorney recently recovered from a sprained ankle, admitted for chest pain and shortness of breath, found to have small bilateral pulmonary emboli. Really! Lovenox, anyone? Let's throw in some coumadin and a little oxygen by nasal cannula before we head toward...
Admission #3: A 27-year-old G1P0 who is 7 weeks pregnant with a cough and some swelling in her left calf. Are you kidding me?? She, too, has small bilateral pulmonary emboli in addition to a DVT in the left popliteal vein. More lovenox! (but coumadin is verboten, being a teratogen and all...)
I could horrify you with more sordid tales of admissions for pulmonary emboli, but let's quit while we're ahead, shall we?
No comments:
Post a Comment