Ms. Keller Case Study – Medical Science Assignment Help

Assignment Task

Task 

Case Study Breakdown

Ms. Keller is a 29-year-old computational engineer presenting to ED at 0900hrs. She woke up feeling unwell this morning. 

• Had diarrhea x7 episodes, 
• vomiting x2, 
• constantly nauseated, 
• lower abdominal crampy pain. 
• Fevers for the last 5 days. 
• Had a laparoscopic procedure for endometriosis 7 days ago.
• Had 2 cans of Bourbon yesterday. Denies any dysuria (pain/burning when peeing), urinary frequency, or cough. 
• Appears unwell. 
• Pleasantly confused (thinks she is 42 years old)
• Poor historian (difficulty remembering own medical history) due to confusion

Past Medical History: Type I DM, Previous ICU admissions for DKA, Endometriosis

Fully vaccinated against COVID

Diagnosis: 
Moderate DKA (diabetic ketoacidosis) with a septic foci Possible post-op infection?

• A MET call was activated at 1230hrs.

Highly concentrated – the body is trying to expel acidic components fast and it is therefore taking a lot of water and fluids out too.

Questions:
Explain the high priority clinical manifestations that have resulted in the escalation to MET call using a primary survey format (A-G) 
• BP 86/62 mmHg
• HR 46 bpm (clinical review)
• Temperature 39.8?C (clinical review)
• Glucose – Hi (critically high)
• Ketones – 3 (<0>

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