sudden death in youth
TRANSCRIPT
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Morning Report
January 10, 2014
Stefanie Ames, MD PGY2
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CASE PRESENTATION
Youre in the PICU hen you !et a nea"mit#$
11 year o%" ma%e ho &o%%a'se" at a so&&er
!amePrior to e(ent, 'atient &om'%aine" of hea"a&he
an" ha" 1 e'iso"e of emesis &ausin! him toha(e to sit out$
)e ent *a&+ into the !ame an" as runnin!hen he !ra**e" his stoma&h, starte" (omitin!an" &o%%a'se"$
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Events prior to admission
Un&%e untraine"- !a(e . min CP/
MS arri(e" an" 'atient in ($fi*,sho&+e" 1 then ent into PA
Pro(i"e" CP/ an" !i(en e'i 2
S'ontaneous return of &ir&u%ation after
1. minutes of CP/ ransferre" to PC) PICU for further
e(a%uation
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PMH
Past me"i&a% history
Pre(ious%y hea%thy
Me"i&ations
3&&asiona% y%eno%
Immuniations
U' to "ate, 'er 'arents
A%%er!ies
56DA
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FMH
7ami%y me"i&a% history
5o fami%y history of si!nifi&ant i%%nessin&%u"in! heart "isease, neuro%o!i&a%
&on"itions, SIDS or su""en "eath
So&ia% history
S'anish s'ea+in!$ 8ery a&ti(e &hi%"
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ROS
Patient as i%% ith (ira% i%%ness onemonth a!o
5o re&ent shortness of *reath, rash or"e&rease" eer&ise to%eran&e, nosyn&o'e or seiures
)a" history of &hest 'ain aa+in! himfrom s%ee' at ni!ht o&&asiona%%y
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Physical Exam
9:$1 )/ 19. // 2;
SIM8 40? 7i32, / 22, 8 900 PP ; PS ;
Genera%@ Intu*ate", unres'onsi(e
)5@ 5CA, 'u'i%s 2 mm an" rea&ti(e
C8@ ta&hy&ar"i& ithout murmur or !a%%o'$5orma% S1, S2$ 5orma% femora% 'u%ses, Ca'
refi%% 9s /es'@ CA