22:30 hodin, jsme voláni od městské policie kterou zavolali sousedé, kteří dlouho pána neviděli. Výzva: DUŠNOST. Na místě krom MP pouze muž, 59 let, ležící na posteli, při vědomí, dezorientovaný.GCS: 4 – 5 – 4, TK 90/60, P 120, D 30, SPO2 96%, TT 39,5, Glykemie 7,0, EKG sinus, zornice izo, ++, neurologicky bez lateralizace, bez cyanozy, otoky DKK a sakra, po celém těle velké množství modřin, u úst zaschlé zbytky zvratků, kůže suchá, ikterická, šupinatá, postava kachektická, břicho bolestivé v pravém horním břišním kvadrantu. Na stole zbytky alkoholu. Z anamnézy toho více nezjistíme. Pracovní diagnoza, léčba a směřování pacienta.
V tomto případě šlo o jaterní selhání. Pravé hypochondrium na pohmat bolestivé. Na místě zajištěna I.V. linka, F1/1, transport ad. int. JIP.


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