tag:blogger.com,1999:blog-7390143371399216733.post8218698527597685818..comments2022-02-21T12:55:26.030-08:00Comments on Heard in the OR: Dr. WriteDavid Gelber MDhttp://www.blogger.com/profile/09204825961979794522noreply@blogger.comBlogger4125tag:blogger.com,1999:blog-7390143371399216733.post-2951406495185343522010-08-03T17:40:47.908-07:002010-08-03T17:40:47.908-07:00Lower GI BleedingLower GI BleedingDavid Gelber MDhttps://www.blogger.com/profile/09204825961979794522noreply@blogger.comtag:blogger.com,1999:blog-7390143371399216733.post-28105511961553690252010-08-02T11:50:45.018-07:002010-08-02T11:50:45.018-07:00what is lgib?what is lgib?Anonymousnoreply@blogger.comtag:blogger.com,1999:blog-7390143371399216733.post-24152835546514488732010-08-01T21:14:14.039-07:002010-08-01T21:14:14.039-07:00pretty good, but you forgot HSM (hepatosplenomegal...pretty good, but you forgot HSM (hepatosplenomegaly), WNL probably really means "We never Looked"David Gelber MDhttps://www.blogger.com/profile/09204825961979794522noreply@blogger.comtag:blogger.com,1999:blog-7390143371399216733.post-48847156540935871042010-08-01T15:26:18.780-07:002010-08-01T15:26:18.780-07:00Chief Complaint: Shortness fo Breath and abdominal...Chief Complaint: Shortness fo Breath and abdominal pain<br />History of Present Ilness: 65 year old white male with history of congestive heart failure, coronary artery disease, Diabetes, hypertension, and systemic lupus erythematosis was admitted to B Medical Center complaining of chest pain, shortness of breath, left upper extremity edema and urinary tract infection for 7 days. Patient also complains of no bowel movement for one week. <br />patient also complains of abdominal pain and nausea and vomiting for two weeks. No flatus for three days.<br />Past Medical History: As in History of Present Illness.Positive for congestive heart failure, coronary artery disease, status post coronary artery bypass graft, bilateral inguinal hernia and open reduction with internal fixation of left hand. No known allergies.<br />Medications:See list<br />Family History: Non contributory<br />Social History: Smokes 2 packs per day for 30 years. No alcohol use<br />Review of Systems: See History of Present Illness<br />Physical Examination:<br />Vital signs stable, afebrile.<br />Head, eyes, ears, nose throat: Normocephalic, atraumatic, pupils equal round react to light and accommodation, extraocular motions intact<br />Neck: Nontender, no bruit<br />Pulmonary: Clear to percussion and auscultation<br />Cardiovascular: Regular rhythm, normal first and second heart sounds, without murmur or second and third heart sounds, negative jugular venous distension<br />Abdomen: Bowel sounds present, benign<br />Rectal: Within normal limits<br />Extremities: Without claudication or edema. Peripheral pulses intact.<br />Neurologic: No long tract signs.<br />Assessment and Plan: 65 year old white male with multiple medical problems. Plan computed tomography of abdomen and pelvis,chest xray, electrocardiogram, cardiac catheterization, Consult Cardiology, gastroenterology, pulmonary and critical care medicine services.<br /><br />It doesn't matter. No one reads them anyway. <br />What E&M can we use?<br />BR Gelber neurosurgeonAnonymousnoreply@blogger.com