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    Course in The Wards

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    Juzzy Sulit
    The patient experienced worsening dyspnea, tachycardia, and a solid mass in the upper right hemithorax, indicative of a large pleural effusion. On the third day, the patient's sensorium declined, likely due to hypotension and decreased blood supply to the brain from tachycardia and blood loss from the pleural effusion. The pleural effusion worsened, causing further tachypnea, hypotension, and ultimately cardiorespiratory distress leading to the patient's death.

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    Course in The Wards

    Uploaded by

    Juzzy Sulit
    130 views2 pages
    The patient experienced worsening dyspnea, tachycardia, and a solid mass in the upper right hemithorax, indicative of a large pleural effusion. On the third day, the patient's sensorium declined, likely due to hypotension and decreased blood supply to the brain from tachycardia and blood loss from the pleural effusion. The pleural effusion worsened, causing further tachypnea, hypotension, and ultimately cardiorespiratory distress leading to the patient's death.

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    Course in the Wards

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    The patient experienced worsening dyspnea, tachycardia, and a solid mass in the upper right hemithorax, indicative of a large pleural effusion. On the third day, the patient's sensorium declined, likely due to hypotension and decreased blood supply to the brain from tachycardia and blood loss from the pleural effusion. The pleural effusion worsened, causing further tachypnea, hypotension, and ultimately cardiorespiratory distress leading to the patient's death.

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    130 views2 pages

    Course in The Wards

    Uploaded by

    Juzzy Sulit
    The patient experienced worsening dyspnea, tachycardia, and a solid mass in the upper right hemithorax, indicative of a large pleural effusion. On the third day, the patient's sensorium declined, likely due to hypotension and decreased blood supply to the brain from tachycardia and blood loss from the pleural effusion. The pleural effusion worsened, causing further tachypnea, hypotension, and ultimately cardiorespiratory distress leading to the patient's death.

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    COURSE IN THE WARDS Pertinent positives: 1st day: Dyspnea (32-40) -The most common symptom associated with

    pleural effusion and is related to distortion of the diaphragm and chest wall during respiration than to hypoxemia. - can be a symptom produced by the pleural effusion

    2nd day: Dyspnea and tachypnea

    The solid mass may in the upper right hemithorax may distort the chest wall during respiration, thus causing dyspnea

    - can be a symptom produced by the pleural effusion Decreased breath sounds on the right lung field Tachycardia (110) -a usual physical finding due to pleural effusion that exceeds 300ml (patient: 650cc) it may be reflected in symptoms such as syncope, palpitations, and dyspnea

    solid mass on the upper 2/3 of right hemithorax

    pleural effusion

    dyspnea

    tachycardia

    3rd day: Change in a condition in which a person experiences a change in their sensorium (dec. in perception due to conditions of or changes in the brain or sensorium and nervous system drowsiness) -one cause could be due to increase heart rate or tachycardia in response to hypotension (one of the most common causes of altered sensorium, since the heart pumps too fast, not enough blood is pumped out, which also means that the brain isnt receiving enough blood supply, and if there is dec. blood

    supply, there would also be decreased O2, leading to changes in sensorium.)

    - hypotension could also cause an outright symptom of altered sensorium since there is not enough blood supply going to the brain. Tachycardia -it may be reflected in symptoms such as syncope, palpitations, and dyspnea

    -reflex mechanism in response to hypotension (since the there is a dec. in BP, the heart will pump faster to compensate for the dec. in BP) The heart can speed up and contract more frequently and it can eject more blood with each contraction Hypotension -Moderate or severe bleeding can quickly deplete an individual's body of blood, leading to low blood pressure or orthostatic hypotension. (since the pleural effusion seen in the patient is bloody, there might be bleeding inside the chest wall that might have caused the dec. in BP) - can be a symptom produced by the pleural effusion

    Tachypnea and hypopnea

    Bleeding hypotension Reflex tachycardia

    Pleural effusion Tachypnea and hypopnea

    Change in sensorium

    CARDIORESPIRATORY DISTRESS DEATH

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