Week 4 Disuccion FA
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School
CUNY Borough of Manhattan Community College *
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Course
240
Subject
Medicine
Date
Dec 6, 2023
Type
Pages
2
Uploaded by DoctorMooseMaster154
Talisha Wells
On the Job
Mary Ann, a medical assistant, works in a busy primary care office operated by two
physicians, Dr. Johnson and Dr. Laskar. It is Saturday, so the staff consists of just Mary
Ann, Dr. Johnson, and another medical assistant named Valerie. On Saturdays, the
office is only open until 1:00 p.m., but it is already 11:00 a.m. and the office has been
extremely busy. Valerie has not had time to do her morning checks yet, and the
reception room is full of crying children.
As Mary Ann is looking over the schedule, she hears a commotion out front, followed by
sudden quiet, and then Valerie’s call for help. When Mary Ann gets to the reception
room, there is a worried-looking man bent over a 35-year-old woman who is supine on
the floor. She appears to be awake, but her eyes are closed and she is grimacing. She
seems very short of breath. Her face is profusely diaphoretic and pale. “She had some
indigestion last night when she went to bed,” the man says, “and she did not sleep
much last night. This morning when she got up to go to the bathroom, she stated she
was very nauseated.”
When asked, the lady responds with her name and says she is having some really
sharp pain in her right lower abdomen. She points to it with one finger. Dr. Johnson is
notified immediately to further evaluate the woman. As instructed, Mary Ann and Valerie
help the woman into a wheelchair and wheel her into an examining room. She
immediately complains of dizziness and increased pain, and now her breathing
becomes extremely labored. She cannot seem to talk at all in response to questions.
Given her deteriorating state, what action should you take?
I should perform an emergency assessment of the patient by checking her airway, breathing,
and circulation. Obtain the patient's vital signs including oxygen saturation and immediately
manage any abnormal vital signs. In this patients case, ventilatory support may be an
immediate need.
What kind of additional information should you try to find out about her medical
history?
The kind of medical history information I would try to get is the history of the abdominal pain,
recent personal history surrounding genitourinary, gastroenterologic, gynecologic, and
pneumologic conditions history.
What should you do when EMS arrives at the office to transport the patient?
When EMS arrives the number one rule is to provide them with all details the patient has
provided them with about their condition.Give as much information as possible.
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