Discuss the implications for paramedic practice.

Pathophysiology of the genito-urinary & renal systems
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You are tasked to a 53 yo male with increasing shortness of breath

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Patient is pale cool, clammy, looking fatigued and unwell, Dizzy

RR 28, SpO2 95%, BP 180/110, HR 75, Cap refill >3 secs,


Eyes, Pale conjunctiva, pupils EARRL size 2 sluggish, peri-orbital oedema

Lungs – bibasilar crepitations,

Normal heart sounds

Abdo distended, extremities pitting oedema to the sacrum,


Nil allergies

End stage renal disease on haemodialysis x 3/week, HT, Diabetes, Hyperlipidaemia, Coronary artery disease, asthma

Medications – lisonopril, glargine, novorapid (Sliding scale), aspirin, simvastatin, salbutamol, breo, hydrocortisone cream,

FHx – HT, diabetes, CAD

Social history – smoker, occasional EToH, no recreational drugs


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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