Oh yeah i didn't understand the win condition for this game. Since there are no scum, we just vote based on our feelings and try to be the last doctor remaining?
Yes i understand that this is just the medical part, but i was asking about the rules in the full version of the game.
Question for patient: Have you traveled somewhere in the last 3 months?
Crap I had a long post and it's not easy to do this stuff on my phone. I'll just do a recap.
Antihero - spinal tap results indicate damaged cns.
Dierfire - patient got back from grovery store than played fetch with the neighbor dog. Then the seizure happened
Karnos - the patient said he had a bug bite . You searched and found a bug bite on his penis
Masquerade - pain all over from the seizure. It's about a 5.
Charloux - your patent collapses because of abother seizure. Cuddy reams you. You are now hated and it takes one less vote to terminate you.
Tth - eeg indicates low electrical activity.
Matt - cmp indicates the same blood tests from the former one. Since this one now shows liver and kidney, the liver tests is normal. However, his kidneys are heavily damaged.
You also can't check his neurological test now. That would be two actions.
Silver dancer - the home search results in finding samples of dust sludge and clutter. The walls are cracked and the carpet is torn.
More results incoming
Dierfire - neurological tests are poor. Results indicate him losing motor functions
In post 58, KuroiXHF wrote:Dierfire - patient got back from grovery store than played fetch with the neighbor dog.
Then the seizure happened
Ha ha, I was hoping for a little more detail than that! Anyway, since we've now witnessed the patient have a second seizure, I assume that we can confirm the presence of seizure activity, that the patient lost consciousness, and so on?
Also, a question about mechanics: when a patient is started on medications (for example, the benzodiazepine mentioned in the initial presentation), are we to assume that the patient remains on those medications until discontinued?
i still kinda' think it's meningitis and the fucked up kidney is just the result of sepsis maybe (?)
it's simple enough where it passes the "everyone's heard of it" test. the spinal tap came up positive (for ... something apparently) and youve got all the neurological symptoms.
no report of a headache when asked about pain...
take patient's temperature
The distance between insanity and genius is measured only by success.
He's not hypotensive, so if it's sepsis then at least it isn't septic shock yet.
I forgot that we were supposed to be looking for "things that we might have heard of before" (I spent a good half hour reading about porphyria). Currently I'm thinking about heavy metal poisoning.
If there's blood in the urine and heavily damaged kidneys it could be a glomerular nephritis. The urinalysis should have included a sediment, if it's glomerular nephritis there could be dysmorphic RBC casts possibly in the urine. Mod, what did the sediment show? If the patient has hematuria we need a renal biopsy performed as well as a kidney ultrasound.
I don't understand the CNS results
I feel like someone with heavily damaged kidneys would show high nitrogen levels. If creatinine levels in the blood are normal that's a sign this was acute kidney damage though
Considering this patient is going into kidney failure with decreased cognitive function we need to start them on dialysis
In post 67, Antihero wrote:it's simple enough where it passes the "everyone's heard of it" test. the spinal tap came up positive (for ... something apparently) and youve got all the neurological symptoms.
Yea Idk what to think of the spinal tap without knowing exactly what's wrong. But he's afebrile, his respiratory rate and BP are normal, and his blood tests didn't show elevated neutrophils or WBCs so idk how likely it is to be sepsis.
I've been thinking a while and I'm gonna order an ultrasound of the abdomen.
I can't think of a kidney condition that also causes the brain to swell so I'm thinking we're dealing with poisoning here indeed (who knows what kind of stuff the guy touches when he;s going through those garage sales) so maybe someone else can order a tox-screen for heavy metals?
I want to do the ultrasound first because it's not that invasive and will exclude several things that could be wrong with the kidneys. I;ll order the toxscreen next period if nobody else does it this period.
I also keep coming back to the wife, the way his place looks makes it unlikely a wife is in the picture imo. And why can;t she know?
Ok questions to the patient:
Sir, we'd like to call your wife for some background information. How can we reach her? (I'm assuming he says no, don't call her)
Next I ask why he doesn't want his wife to know, has something happened, confront him with his home situation.
- assume the anti seizure was just to stop the seizure. He has since been off.
- matt p, this is where my lack of medical research comes in. Assume the blood test simply indicate a lack of kidney function.
