Question

Case Scenario You are the nurse working in the emergency department of Sheridan College Hospital. Your patient is Neela Sukanth, a 65 -year-old individual, who presented to triage via ambulance following a syncopal episode at home. Their partner, Inesh, informs you that Neela recently had surgery for a ruptured appendix. Past Medical history is significant for Beta-Thalassemia minor; stable angina diagnosed 3 years ago; and Diabetes Mellitus Type 2, managed with Metformin. Neela states that she "can't seem to catch her breath" and that she has had a headache for a few days that isn't relieved by Tylenol. Inesh notes that Neela has been sleeping a lot recently, and seems very weak, and always cold, even if wearing a sweater.

Answer 1

Neela Sukanth's symptoms may point to various conditions including post-operative complications, anemia, or cardiac issues, necessitating a comprehensive medical evaluation including physical examination and diagnostic testing.

Step-by-step explanation:

Given Neela Sukanth's symptoms of shortness of breath, headaches not relieved by Tylenol, increased sleepiness, weakness, and persistent coldness, differential diagnoses could include complications from their recent surgery like infection, anemia (especially considering their Beta-Thalassemia minor condition), or even heart-related issues given their stable angina history.

The fact that Neela has Type 2 Diabetes and is treated with Metformin also adds complexity to their condition, as diabetes can affect many different systems of the body and could contribute to their symptoms. It is crucial to perform a thorough physical examination, including checking for signs of infection, anemia, or cardiac distress.

Furthermore, labs and diagnostic tests such as a complete blood count (CBC) for anemia, blood glucose levels, cardiac enzymes, and possibly imaging studies to evaluate Neela's respiratory and cardiovascular systems are warranted to identify the underlying cause of her symptoms.