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|Student Discussions: August 2016 to January 2017|
Asking the right questions
What questions will you ask when given the following pieces of information?
An elderly man having a permanent cardiac pacemaker and suffering from chronic kidney disease was admitted for a stroke with left hemiplegia
An 83 year old man with hypertension and gout underwent insertion of a permanent pacemaker 2 years ago. He now presented with chest pain, breathlessness, cough and purulent sputum. On examination his vital signs were normal, he was jaundiced and he had bilateral pedal edema. Crepitations were heard at the bases of the lungs and there was diminished air entry over the right lung
A 61 year old woman with rheumatoid arthritis whose ESR now is 103mm/hr
Dr Velayudhan Menon, MD
Clinical Associate Professor of Medicine
International Medical University, Malaysia