Best Clinical Guide for Your Family and Your Doctor
The Helper in Critical Health Situations
by
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Clinical Scenario One Mr. A. is a forty-five-year-old male. He was brought to the emergency department of the community hospital after his wife called 911. His hands and legs had been shaking, and he was not responding to verbal commands. When the emergency team arrived, they confirmed he was having seizure. He was given intravenous Ativan by the team. He has a history of heavy alcohol use. He drinks beer and vodka. He has been abusing alcohol most of his life. His wife said that he had not had alcohol for two days because he was trying to stop drinking. He had lost his job recently due to alcohol use. He had been reporting late to work. On physical examination in the emergency department, he has tachycardia (irregular heartbeat) and diaphoresis (excessive sweating). His face was flushed. He was awake but confused. He was hallucinating, seeing spiders and objects. He had tremors of both upper extremities. What should you do? A. He is withdrawing from alcohol. He needs to be admitted to the hospital for intravenous Ativan, thiamine, and alcohol withdrawal protocol. He is sick. B. He is malingering (intentional deceptive behavior). It is not a medical problem. C. He has alcohol withdrawal. He needs to resume alcohol use immediately. The correct answer is A. He has alcohol withdrawal signs. This is a serious medical condition. He should be admitted to the hospital for treatment. Options B and C are wrong. He tried to quit, but he needs help to do it safely because his body is addicted and dependent on alcohol. It is safe to get treatment in the hospital. Resuming his alcohol use will result in more harm. It is unsafe to leave the hospital in his current medical condition.
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About the Book
This is a quick guide to help for medical and non-medical personnel at the point of need in hospitals, clinics, and home settings. It has clinical case scenarios, questions, and answers. It includes a plan of action based on differential diagnoses at the point of need to help guide you during critical moments. This powerful medical reference note reminds doctors of the different diagnoses to consider and a plan for acute situations when a life is danger or the doctor is alone. When it is nighttime and there are no support specialists, or there is no time to open a large medical book or search the Internet, he still needs to act to save a life. This family health protection guide teaches how to understand when our beloved spouse, grandparents, children, or friends are not feeling well and how we can help them. It explains the causes of common health problems such as chest pain, headaches, slurred speech, and difficulty breathing. It offers helpful lifesaving actions. The book encourages healthy living advice, such as regular exercise, healthy diet, alcohol and smoking cessation, age appropriate vaccinations, mammograms, and other important health topics.
About the Author
Onyechela Ogbonna, MD is a medical doctor with great clinical experience. He is board certified in internal medicine. He completed medical training at the Mount Sinai School of Medicine in Queens, New York. Award Winner, Mount Sinai School of Medicine Research Day, on Clinical Presentation His current clinical duty includes direct care to thousands of patients and supervising medical residents, students, nurses, physician assistants, and APRNs. He does medical consultations in the emergency department for management of complex conditions. He advises patients and their families on health-related issues. He is a hospital physician based in Hartford Hospital, a major referral hospital in Hartford, Connecticut.