Round 13 (Dizziness)

CAUTION: THESE NOTES CONTAIN SPOILERS!!!











Case Introduction











You are working at your local hospital when the next chart gets put in your rack. You groan. The chief complaint is dizziness..











Initial Vitals











* Temp 98.6* HR 109* RR 20* BP 105/69* O2 100%











Critical Actions











* Diagnose Upper GI Bleed* Initiate IV Proton Pump Inhibitor* Obtain Type and Screen* Admit Patient to the Hospital* Identify Medications That Increase Risk of Ulcer (If Prompted)











Final Diagnosis











Upper GI Bleed due to Peptic Ulcer











Tips and Tricks











If you get stuck in a case and don’t know what to do next. Identify all abnormal findings that you have been provided











Additional Reading











* Why You Should Never Ask “What Do You Mean By Dizzy?” (PubMed)