Case 22 – History


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Case 22

Middle aged woman with psychiatric history


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Brief History

The patient was a middle-aged African American woman with history of psychiatric condition, obesity and recent weight loss.

The patient was transferred from her long-term residence to a hospital after an unspecified event in which she was found facedown.

Admission work-up included evaluation for a possible, unspecified respiratory issue.

She received medical management and was transferred to a rehabilitation center for possible, unspecified wound management.

The patient died under unknown circumstance in the rehabilitation center.

Limited history was available.


Next: External exam

Discussion Questions

1. Summarize the history.

2. The history is limited. If you were seeing the patient in the emergency room, brought in by paramedics, what initial work-up would you order? Why?