20 Yards From The Finish Line - Page #3
 

Lab Studies:
Race Site
Finger Stick Blood Glucose – 266
 
In Emergency Department
ABG – pH 6.85, pCO2 85, pO2 76, HCO3 15, Sat 76% @ 1.00 FiO2
Lactate 14.7
WBC 8.1 w/ NL Diff, H/H 11.5/36, Plts 92, MCV 98
BMP – WNL except Corrected AGap to 23.75) & BG 211
LFT WNL except Albumin 1.7, AST 99, ALT 72
PT 24, INR 2.3 (Peak 4.8)
Troponin 0.03 (10.4), CK-MB 2.3 & 2.4% (25, 8.4%), BNP 123

Other Studies:
Race Site
Initial Rhythm on AED – Ventricular Fibrillation

In Emergency Department
Initial Rhythm – PEA (changed to AFib and then Sinus Tach after therapy below)

Transthoracic Echocardiogram – Hypokinetic Anterior Wall & Septum; otherwise hyperkinetic, normal wall motion & NL EF

Cardiac Catheterization – 95% stenosis at ostium of LAD, anomalous RCA at LMCA cusp, 50% stenosis of OM off Circumflex

Consultations:
Cardiology and Critical Care

Click here to continue. Challenge yourself by writing down a revised, working diagnosis before moving to the next slide.


NOTE: For more information, please contact the AMSSM, 11639 Earnshaw, Overland Park, KS 66210, (913) 327-1415.
 

© The American Medical Society for Sports Medicine
4000 W. 114th Street, Suite 100
Leawood, KS 66211
Phone: 913.327.1415


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