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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Have ABG Report. Can Any Online Doctor Help Me To Read It?

last wk i got a patient, a 30 years of male come to emergency with chief complain of pain abdomen, nausea vomiting for 10-12 hours. he was accompanied by few men,told to me that they were from a institute where drug addicts were being taken care for. the patient was heroin user for 2-3 yrs and stopped for last 20 days. not other disease was found by history, patient party was told that patient used to pretend for pain abdomen several times in recent past, they had consult doctors on those occasions but no abnormality was detected.on admission vitals are BP 130/74, HR 108, RR 22,E4M6V5, Upper abdominal tenderness on palpation .ABG shows a respiratory alkalosys, blood reports on admission Hb-13.5, TC- 7.5, Ur- 42, Cr- 1.7, CPK- 0000, CPK-MB 1200 LDH 786, USG shows no abnormality apart from mild fatty liver , Echo shows 65% EF with a good LV compliance, ECG failed to dect any abnormality, pain had cured with initial antispasmodic and fluid therapy. my q is whether I should go for ACS line management????
Fri, 5 Jul 2013
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  User's Response
Hi
First thing here is rule out the possibility of drug withdrawal syndrome, it seems acid peptic disease, gastritis must be there, in such situation wait and watch is the standard method applied, but under intensive care, patient can be manage empirically with PPI, parenterally with keeping good electrolyte balance, may get good result with benzodiazepine, ask for echo study, drug level in blood, urine test for dop, it is bit early to think about ACS. Thank for choosing HCM ,it is great owner to family of HCM, Good bye.
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Have ABG Report. Can Any Online Doctor Help Me To Read It?

Hi First thing here is rule out the possibility of drug withdrawal syndrome, it seems acid peptic disease, gastritis must be there, in such situation wait and watch is the standard method applied, but under intensive care, patient can be manage empirically with PPI, parenterally with keeping good electrolyte balance, may get good result with benzodiazepine, ask for echo study, drug level in blood, urine test for dop, it is bit early to think about ACS. Thank for choosing HCM ,it is great owner to family of HCM, Good bye.