How to Answer Phillips Year Female Questions (Complete Guide)
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Original Question
rs. Phillips is a 75-year-old female and well-known philanthropist. She was admitted two days ago after being difficult to arouse from a nap after having a breakfast meeting with friends. A CT scan revealed a chronic subdural hematoma. She recalls falling and hitting her head on the coffee table over two weeks ago. She has some old ecchymoses to her right temporal region from the fall. She is a 2-ppd smoker, drinks socially. She has not been to her PCP in over 10 years. She requires frequent orientation to place and time. She was initially lethargic on admission but now can hardly sleep at all. She is pleasant and can ambulate with assistance. She does have ataxia, tremors, and there is apparent mild left-sided hemiparesis, so her husband helps with feeding her. Her right pupil is slightly larger than the left pupil. Her breath sounds have crackles to the mid and lower lobes with a productive cough. O2 saturation is 92% on 2L nasal cannula, with a respiratory rate between 22 and 26. She has a nicotine patch to her left upper arm and requests cigarettes frequently. Heart sounds are normal, no peripheral edema, and cap refill is <3 mm. She is on telemetry and has been in sinus rhythm to sinus tachycardia with a rate of 80 - 110. Her BP is 130-180/80-90. We are treating her blood pressure with labetalol prn. I last gave that to her 2 hours ago. Abdomen is soft and flat with positive bowel sounds. She is cachectic in appearance. Last BM was yesterday. She doesn't have much of an
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