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  • RNH 51TH WSD

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    Ridho Rahmatiqoh
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    The patient, a 51-year-old female, presented with dyspnea that had been experienced for 1 week. Her medical history included breast cancer and diabetes. On examination, she had tachypnea, clear lung sounds except in the left chest area, and a chest X-ray showed pleural effusion on the left side. Laboratory tests showed anemia, high blood sugar, and electrolyte abnormalities. The working diagnosis was stage 4 breast cancer that had spread to the left and right pleura. Emergency management included IV fluids, antibiotics, analgesics, correcting electrolyte levels, and preparing for left chest tube insertion and further treatment.

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    The patient, a 51-year-old female, presented with dyspnea that had been experienced for 1 week. Her medical history included breast cancer and diabetes. On examination, she had tachypnea, clear lung sounds except in the left chest area, and a chest X-ray showed pleural effusion on the left side. Laboratory tests showed anemia, high blood sugar, and electrolyte abnormalities. The working diagnosis was stage 4 breast cancer that had spread to the left and right pleura. Emergency management included IV fluids, antibiotics, analgesics, correcting electrolyte levels, and preparing for left chest tube insertion and further treatment.

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    © All Rights Reserved
    Download as PPTX, PDF, TXT or read online from Scribd
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    6 views11 pages

    RNH 51TH WSD

    Uploaded by

    Ridho Rahmatiqoh
    The patient, a 51-year-old female, presented with dyspnea that had been experienced for 1 week. Her medical history included breast cancer and diabetes. On examination, she had tachypnea, clear lung sounds except in the left chest area, and a chest X-ray showed pleural effusion on the left side. Laboratory tests showed anemia, high blood sugar, and electrolyte abnormalities. The working diagnosis was stage 4 breast cancer that had spread to the left and right pleura. Emergency management included IV fluids, antibiotics, analgesics, correcting electrolyte levels, and preparing for left chest tube insertion and further treatment.

    Copyright:

    © All Rights Reserved
    Download as PPTX, PDF, TXT or read online from Scribd
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    of 11

    MORNING CONFERENCE

    13 February 2017
    RNH/FM/51YO
    • Chief Complaint : Dyspnoe
    It has been experienced by the patient since 1
    weeks. Cough (+), Vomiting (-), nausea (-),
    history of fever (-), defecate (+) N. Micturition
    (+) N. history of previous surgery : sectio
    caesaria 3 times.
    • Drug History : Insulin Novorapid and Levemir

    • Medical History : Breast Cancer (L) + DM


    Tipe 2
    Present State:
    Awareness : Compos Mentis
    Blood Pressure : 120/80 mmHg
    HR : 90x/i
    RR : 30x/i
    Temp : 36.5oc
    Generalized State
    Head and neck : No abnormality was found
    Chest :In localized state
    Abdomen : No abnormality was
    foundGenitalia : Female, no abnormality was
    found
    Extremitas : No abnormality was found
    Localized State
    Chest :
    I : Simetric,
    P : Sterm Fremitus Low
    P : Sonor Shortened
    A : Respiratory sound : Vesikuler
    Clinical photos
    Laboratory

    •Hb/Leu/PLT/Erit : 12,7/24.86/256/3,92
    •Ur/Cr : 64 /0,87
    • Na /K/CL : 112/5,4/92
    •Random blood sugar level : 372
    Chest X-ray
    Working diagnose

    (L) Breast Ca T4cN3M1 Pleura kontralateral + (L)


    Efusi pleura
    Management in Emergency Room :
    • Fasting
    • IVFD crystaloid
    • inj. Antibiotic
    • inj. Analgetic
    • inj. Antipyretic
    • Natrium Correction
    •Prepare for (L) chest tube insertion + WSD
    THANK YOU

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