Discuss your final diagnosis and the pathophysiology behind the diagnosis

You are tasked to a 43yo male who is complaining of severe chest discomfort, Shortness of breath, palpitations, feeling too hot and anxiety

Assessment

Alert middle aged man in mild respiratory distress, appears warm & sweaty with hand tremors, alert and oriented to person, time and place

RR 22, SpO2 94%, HR 145, BP 170/80, cap refill <2, T 38.8C, Pupils EARRL Size 4 anicteric

ECG – Atrial fibrillation

Heart – no murmurs,

Lungs – bibasilar rales

Abdo – soft non-tender

PMHx

Nil known allergies

aDepression, HT, Paroxysmal Atrial tachycardia

Medications – paroxetine, hydrochlorothiazide, amiodarone

Nil significant family history

Smokes, occasional EToH, denies recreational drug use

What do you know about the patient? What is the key information? What do you still need to find out?

Outline 3 provisional diagnoses.

Discuss your final diagnosis and the pathophysiology behind the diagnosis.

Discuss the implications for paramedic practice.

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