Results of appropriate studies and additional information gathering show the following:
Blood:
| Test (units) |
Result |
Results (SI Units) |
| Hemoglobin |
15.2 g/dL |
152 g/L |
| Hematocrit |
45.4% |
N/A |
| WBC count |
9700/mcL |
9.7 x 109/L |
|
|
|
- Serum chemistry profile: Normal
- ECG: Sinus rhythm; no signs of arrhythmia or ischemia
The patient’s family has now arrived at the hospital. They state that:
- Medical history: Osteoarthritis; intermittent, well-controlled asthma; no recent hospitalizations
- Surgical history: Tonsillectomy during childhood
- Medications: Albuterol inhaler as needed, OTC fish oil capsules, aspirin as needed
- Allergies: No known drug allergies
- Family history: Noncontributory
- Social history: Social drinker; no other recreational drug use, never smoked cigarettes or used tobacco. No recent travel. Is employed as an attorney, married with children.
Re-examination shows patient is now awake, alert, and complaining only of mild headache. Repeat temperature is 37° C. Repeat neurologic exam shows normal gait, balance, and motor function, but with subtle dysdiadochokinesia in the left upper extremity. Monitor has continued to show normal sinus rhythm in the 80s.