1 / 22

Brugada

Brugada. Group 6 Ateneo School of Medicine and Public Health. HISTORY. MS 25 years old Male Filipino Roman Catholic Pasig City Informant: Self Reliability: Very Good. General Data. Loss of consciousness. Chief Complaint. 30 minutes PTA Riding a motorcycle with companion

cera
Download Presentation

Brugada

An Image/Link below is provided (as is) to download presentation Download Policy: Content on the Website is provided to you AS IS for your information and personal use and may not be sold / licensed / shared on other websites without getting consent from its author. Content is provided to you AS IS for your information and personal use only. Download presentation by click this link. While downloading, if for some reason you are not able to download a presentation, the publisher may have deleted the file from their server. During download, if you can't get a presentation, the file might be deleted by the publisher.

E N D

Presentation Transcript

  1. Brugada Group 6 Ateneo School of Medicine and Public Health

  2. HISTORY

  3. MS 25 years old Male Filipino Roman Catholic Pasig City Informant: Self Reliability: Very Good General Data

  4. Loss of consciousness Chief Complaint

  5. 30 minutes PTA Riding a motorcycle with companion Chest discomfort described as tightness, diffuse, non-radiating, 6/10 severity with associated dyspnea lasting 30 seconds Stopped bike on sidewalk where vision dimmed Loss of consciousness lasting 2 minutes No headache, vomiting, dizziness, weakness, numbness No stiffening of extremities or drooling History of Present Illness

  6. 28 minutes PTA Pt regained consciousness, was diaphoretic Chest pains continued Was picked by a serendepititiously located RedCross van and rushed to TMC History of Present Illness

  7. General (-) Fever, (-) Weight changes, (-) Fatigue Musculoskeletal/Dermatologic (-) Itching, (-) Muscle/joint pains, (-) Rashes HEENT (-) Vision/hearing problems, (-) Epistaxis/gum bleed, Respiratory (-) Hemoptysis, (-) Cough, (-) Wheezing Review of Systems

  8. Cardiovascular (-) Orthopnea, (-)PND Gastrointestinal (-) N/V, (-) Dysphagia, (-) Heartburn, (-) Change in bowel habits, (-) Rectal bleed, (-) Jaundice Genitourinary (-) Nocturia, Dysuria, Frequency, Hematuria Endocrine (-) Heat intolerance, (-) Polyuria, (-) Excess thirst, (-) Cold intolerance Review of Systems

  9. Nonspecific abnormal ECG, 2008 For pre employment Initially diagnosis unrecalled ECG repeated which turned out normal Head trauma, January 2010 Sustained while lifting machinery Causing bleeding, necessitating stitches No loss of consciousness, vomiting, or neurological sequelae Past Medical History

  10. (+) Asthma, father's side (+) Hypertension, father's side (+) Myocardial infarction, father's side (+) DM, mother’s side (+) Stroke, mother’s side (+) Leukemia, mother's side (-) PTB, Kidney Disease Family History

  11. College graduate Systems developer Cohabiting, no children Current smoker (2 pack years) Occasional alcohol beverage drinker (3 / month max 3 bottles) No history of illicit drug use Personal/Social History

  12. PHYSICAL EXAMINATION

  13. General Alert, coherent Height 166 cm, Weight 68 kg, BMI 24.7 Vital Signs BP 110/80, HR 88, RR 19,T 37.1 C Skin pink, no rashes/scars/lesions Physical Examination

  14. HEENT Normocephalic Anicteric sclerae, Pink palpebral conjunctivae Moist pink lips, pink buccal mucosa (-) Nasal discharge, (-) facial tenderness (-) TPC, (-) CLAD, non distended neck veins Physical Examination

  15. Respiratory Symmetric chest expansion Resonant chest wall (-) Rales, rhonchi, wheezes Cardiovascular PMI 5th ICS LMCL Normal rate, regular rhythm Distinct S1 and S2, (-) Murmurs Physical Examination

  16. Abdominal Flat abdomen Normoactive bowel sounds Tympanitic on percussion No tenderness on light and deep palpation No organomegaly Extremities Full and equal pulses CRT <2s , no cyanosis Physical Examination

  17. Neurologic Cranial Nerves intact Motor 5/5 on upper and lower extremities Sensory - no deficits Physical Examination

  18. CBC Electrolytes Thyroid Function Tests CKMB, CKMM, CK Total PT, PTT Creatinine, Uric acid, Lipid Profile CBG: 97 Diagnostics

  19. PEFR Measurements

  20. Complete Blood Count

  21. Blood Chemistry

  22. Blood Chemistry

More Related