Postural hypotension and confusing chemistries.
Postural hypotension and confusing chemistries.
复制标题
体位性低血压和令人困惑的化学反应。
DOI：
10.1080/21548331.1986.11706545
复制
发表时间：
1986
期刊：
影响因子：
--
通讯作者：
Kopelman,RI
中科院分区：
文献类型：
--
作者：
Kassirer,JP;Kopelman,RI
A 55-year-old woman who had immigrated to the United States from Hong Kong three months earlier presented at the emergency room with anorexia, nausea, and light-headedness. She spoke very little English. Before a translator arrived, the house officer did a cursory examination and found that the patient had postural hypotension and that she appeared to be dehydrated. The physician ordered several laboratory tests and observed the patient closely.The woman appears to be moderately ill. We have two areas of concern: First, what is the nature of the acute illness, and what therapeutic measures should be initiated before we arrive at a diagnosis? Second, how should we proceed to determine the cause of the underlying problem? I would start an intravenous infusion after blood is drawn for initial laboratory tests and begin to hydrate the patient. I need more of her history and a more detailed physical examination. On the basis of the available data. I do not know whether the patient has a cardiovascular problem, an infection, a metabolic abnormality, or some other disorder.
