terça-feira, 1 de novembro de 2016

5. The Supervising Physician


A 28-years-old woman is admitted to Saint Howell´s ER with severe abdominal pain. She had been seen 24 hours earlier by the an ER physician. A blood sample had been taken and a CT showed no abdominal, pelvic or thorax lesions. She was sent home. She got worse during the night and was brought back by her mother next morning. A second colleague reviewed the blood results and said there was only an unspecific elevation of white blood cells. 

The patient and her mother are sent to see Dr. Tom Bardino. Later, Bardino goes to see the supervising physician telling him the patient has retroperitoneal panniculitis. He looks at him suspiciously only to hear Bardino emphasizing that if treated accordingly she should be fit within the next 24 hours. The patient was kept in the observation room for 24 hours and was given IV fluids and anti-inflammatory medication. After improving considerably the patient is sent home with a prescription and told to see her family physician after some days.

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