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Medical Quiz: What is this condition?

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Mike 03 Donating Member (1000+ posts) Send PM | Profile | Ignore Sat Mar-28-09 06:19 PM
Original message
Medical Quiz: What is this condition?
Edited on Sat Mar-28-09 06:27 PM by Mike 03
One of my past-times is doing the sample tests at medical school websites. Perverse as it sounds, it keeps me distracted and occupied when I get restless. Usually I can find out what the answer is by a little bit of research or Google, but this one puzzled me, and it was not on line but on a radio program, but I didn't hear the diagnosis.

1. A fifty-something female who had suffered a pulmonary embolism a year ago.
2. Since then has been on blood thinning medication (Warfarin? Heparin?)
3. Recently fell and received an injury of some kind
4. Doctor was worried it might "go into the blood" and put her on oral antibiotics (?) This sounded strange to me, but this is what she explained to the doc.

5. Oral antibiotics failed and she is currently being given a series of IV antibiotic infusions.

That is all I heard or recall of her situation.

That is the set up for the hypothetical situation, and I can't find out what the answer is. What is wrong with her?

Is this sepsis or septicemia, or something like that?

Is it a serious condition?

Is the prognosis for this patient good, ambiguous, or poor?

Thanks for indulging my fascination with these medical questions, which keep my brain active, I suppose. Some people do crossword puzzles, I look for medical questions.

ON EDIT:

I don't know if this is relevant or not but she said she was obese. Non smoker.

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Rising Phoenix Donating Member (1000+ posts) Send PM | Profile | Ignore Sat Mar-28-09 07:02 PM
Response to Original message
1. I would say sepis
brought on by internal bleeding of some kind, a vein where she fell perhaps from the heperin. important: did she take asprin or IB for the pain of the fall, could make it worse, why the antibiotics didn't work.
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Mike 03 Donating Member (1000+ posts) Send PM | Profile | Ignore Sat Mar-28-09 07:25 PM
Response to Reply #1
3. Thank you for the serious response.
Edited on Sat Mar-28-09 07:26 PM by Mike 03
Your comment rings some bells that I may have heard that it's not a good idea to mix any of the NSAIDs with the Heparin.

Thank you very much. If I find out the answer, I will post it here.

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Rising Phoenix Donating Member (1000+ posts) Send PM | Profile | Ignore Sat Mar-28-09 09:24 PM
Response to Reply #3
6. thanks
I'm interested to know. I love that medical stuff......I'm not a doctor.....I"m just sick a lot.....hehe
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rug Donating Member (1000+ posts) Send PM | Profile | Ignore Sat Mar-28-09 07:04 PM
Response to Original message
2. She's clumsy.
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SPKrazy Donating Member (1000+ posts) Send PM | Profile | Ignore Sat Mar-28-09 07:56 PM
Response to Original message
4. sepsis most likely
yes it is serious

fell, cut didn't heal and protect her from bacteria

infection

could be cellulitis, not enough info to know
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w8liftinglady Donating Member (1000+ posts) Send PM | Profile | Ignore Sat Mar-28-09 09:08 PM
Response to Original message
5. sounds like she had a hematoma that became infected
people on coumadin have to really watch their blood levels.
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