The main focus of today's class was the house case. If all house cases follow our first one, then a house case is when we are assigned someone with many symptoms, and we are supposed to try to figure out what he has.
House Case #1:
High School Senior
18 Years Old
Runs Cross Country
Symptoms:
Vomiting
Severe Headache
Exhaustion
Confusion
House Case #1:
High School Senior
18 Years Old
Runs Cross Country
Symptoms:
Vomiting
Severe Headache
Exhaustion
Confusion
Additional Helpful Information:
He is not on medications
The symptoms began after practice
The practice was in 104 degree weather
Drank 3 gallons of water during practice
Based on this information, my class and I made a list of possibilities.
- Heat Exhaustion
- Heat Stroke
- Type 2 Diabetes
- Dehydration
- Over Hydration
MRI and CAT scan-negative
CRC-normal and white blood cell numbers are normal
Blood Glucose level-normal
Serum/Blood Na levels 125 meq/L
Serum Osmolality - decreased
Urinalysis - Specific Gravity decreased <100mOsm/kg and Urine Na decreased to 15 meq/L
Blood Pressure slightly elevated
After ruling out most of our prior possibilities, a few classmates and I have decided that his situation is most likely over-hydration.
This was my first house case, and I actually kind of enjoyed it. It was pretty interesting trying to figure out what was wrong with this guy with such few information.
I'll be back. Next time on House:
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