A doctor shares a patient encounter where a 60-year-old male came in with a complaint of a red and swollen foot. Despite the patient's extensive medical history, the doctor performed a thorough examination, including a review of systems and a physical exam, which revealed an irregular heartbeat. An EKG confirmed atrial fibrillation with a fast heart rate, and further review showed signs of a type 2 heart attack. The doctor called 911, and the patient was sent to the hospital for treatment. The doctor emphasizes the importance of considering the whole patient, not just the presenting complaint, and performing a thorough examination to avoid missing critical diagnoses. The rest of the video features the doctor opening mail from fans, including gifts and artwork.
Here are the key facts extracted from the text:
1. The patient is a mid-60-year-old male with a chief complaint of redness surrounding his right foot.
2. The patient has normal vital signs, including normal blood pressure and a pulse in the high 90s.
3. The patient has been taking antibiotics for the last 48 hours, but has not seen an improvement in the redness of his right foot.
4. The patient has an extensive list of medical conditions, including hypothyroidism, osteoporosis, diabetes (type 2), high cholesterol, and atrial fibrillation.
5. The patient is taking multiple medications for his conditions.
6. The doctor reviewed the patient's electronic health record before meeting with him.
7. The doctor asked the patient about any other complaints and performed a review of systems to assess the patient's overall health.
8. The patient reported feeling short of breath, which he attributed to pain and discomfort from his right leg.
9. The doctor listened to the patient's lungs and heard no abnormalities, but did hear an irregularly irregular rhythm when listening to the patient's heart.
10. The doctor suspected atrial fibrillation and ordered an EKG to confirm the diagnosis.
11. The EKG showed atrial fibrillation with a rapid ventricular response (RVR) and segments of ST depression, indicating that the heart was not getting enough blood.
12. The doctor diagnosed the patient with a type 2 myocardial infarction (heart attack).
13. The patient was sent to the emergency room for further treatment.
14. The patient was given IV medications to slow down his heart rate and reduce the damage to his heart muscle.
15. A cardiovascular doctor saw the patient and decided on a plan to increase the dosage of one medication and decrease the dosage of another.
16. The patient was scheduled to follow up with the cardiologist in one week.