ccs- A/c cholecystitis - skype

[ArchivalUser]

pulse ox
oxygen
iv access
iv normal saline
npo
cardiac monitor
bp monitoe
ekg 12 leads

physical exam

abg
cbc
bmp
ua
esr
urine beta hcg if female
serum amylase
serum lipase
abd xray
lft
pt
ptt
blood culture
urine culture
cxr
iv morphine
abd usg

move the clock forward

iv ampicillin
iv gentamycin
iv metronidazole

ADMIT TO WARD

bed rest
urine out put
cbc
bmp
ua
esr

pneumatic compression
vitals every 4 hrs

interval history

discontinue iv everything if better
change to oral amox
oral metrondazole
no smoking
no alcohol
safe sex
seat belt use
regular exercise
reassurance
medication complaince
low fat diet
contraception counselling
no illegal drug use


review in 10 days

anything more to add please

[ArchivalUser]

DC oxygen, pulse oxy if pt gets better.
overall you are doing very welll on ccs, very thorough and logic approach.
do you order ua and esr in almost all the cases?