What are your top three differentials for patient

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Reference no: EM133888658

Question: You have been called to admit an ER patient to the ICU. The patient is a 68-year-old male brought in by when he collapsed suddenly during a marathon around the 13th mile. Witnesses reported that the patient was seen staggering for a hundred yards before he fell onto the pavement. He then began dry heaving while on the ground and then lost consciousness. The Witnesses told EMS that the patient was unconscious for 5 minutes before they arrived. Paramedics started a peripheral IV and gave 500cc NS en route to the hospital. In the ER the patient is confused, agitated, and is starting to make incoherent statements but his speech remains clear. For example, "marathon mile 15 . . . policeman . . . paramedics." Then started talking about "green . . . shoes." Since you are unable obtain further information at this time, you examine the cart and find the information below:

Patient reports, "I was running in the marathon, started feeling hotter than usual and then I fell to the ground and I started vomiting. I don't remember anything after that until the ambulance people were standing over me."

The patient's daughter reports that the patient has a medical history of hypertension and is allergic to penicillin and morphine and denies any history of tobacco or drugs stating, "My dad is a health nut and has been since he was a major in the army."

What are your top three differentials for this patient with rationales?

What is your final admitting diagnosis with rationale? Hire Online Assignment help service for completing assignment!

What steps will you take to manage and stabilize this patient?

Provide a complete set of admission orders for this patient including necessary consults.

Reference no: EM133888658

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