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Case 1: Shortness of Breath
Case 2
Post 1: Introduction Pt 1
Post 2: Introduction Pt 2
Post 3: Introduction Pt 3
Post 4: Bad Outcome Pt 1
Post 5: Bad Outcome Pt 2
Post 6: Legal Outcome
Post 7: Documentation Review
Post 8: Medical Review
Unfortunately, his symptoms continued, and he followed up in an Emergency Department 2 days later on 3/27/2014. He was still having cough and fever, now with neck stiffness and back pain. He had some urinary discomfort that improved. He had a metallic taste in his mouth and slight blurred vision.
The documentation also notes that he saw another physician in between the urgent care visit and this visit (documentation not a part of court records). As this was his third visit to a healthcare provider (at 3 different facilities) for this illness, a more thorough workup was done.
He was given normal saline, Tylenol, Dilaudid and Zofran. CXR, EKG, mono screen, CBC, electrolyte panel, LFTs, urine testing were all obtained and were overall reassuring. He had slight thrombocytopenia 61,000 and glucose of 245. The patient underwent LP under fluoroscopy and results did not show any acute abnormality. After review with an oncologist, he was diagnosed with viral meningitis, thrombocytopenia, hyperglycemia, and a follow-up appointment was established. He was discharged.
