FLOWCHART GROUP 6 by Christine Agustin https://padlet.com/agustinchristine/3qiaq6823kibbwyw en-us 2021-09-28 16:28:31 UTC 2025-03-31 18:17:30 UTC hello@padlet.com agustinchristine https://padlet.com/agustinchristine/3qiaq6823kibbwyw/wish/1775323511 2021-09-28 16:46:37 UTC https://padlet.com/agustinchristine/3qiaq6823kibbwyw/wish/1775323511 CASE SCENARIO agustinchristine https://padlet.com/agustinchristine/3qiaq6823kibbwyw/wish/1775330340 A 17 year-old male was visiting his cousins and friends in Angeles City, when he became a victim of a stabbing. This all began when the victim confronted an old friend about a personal conflict which occurred between them years ago. What started out as a verbal argument eventually resulted in physical violence. The victim sustained a single stab wound to the left chest in the mid axillary line, just below the level of the nipple. He was transported to the emergency department by his cousins and friends. He was noted to be awake and alert throughout the entire transport.
Past Medical History: Asthma
Family History: Non-significant
Medications: Inhalers as needed with no known drug allergy
Cardiac monitors, blood pressure-cuff and oxygen saturation probes were then placed on the patient.
Vital Signs: Temp- 37.3 C HR- 90 bpm RR- 25 bpm BP- 130/70 mmHg
Physical Assessment: 
Airway- patent airway as demonstrated by his ability to talk. 
Breathing- decreased breath sounds at the left base. Oxygen mask with 100% FiO2 was placed; & an oxygen saturation of 100% was obtained. 
Circulation – no active external bleeding. 
Deficits – neurological exam grossly intact. 
Exposure – the patient’s clothes were removed to thoroughly examine for other injuries.
Secondary survey:
  • HEENT: no lacerations, no hematomas, no fractures palpated
  • Neck: midline trachea, no jugular vein distention, no crepitus
  • Chest: clear on right, single stab wound to the left chest in the mid-axillary line in the 4th intercostal space, no crepitus, no bleeding, decreased breath sounds at the left base
  • Cardiac: regular rate and rhythm, normal S1 and S2
  • Abdomen: present bowel sounds, soft, non-tender, non-distended
  • Extremities: warm, present distal pulses
  • Neuro: awake, GCS 15, no focal deficits
Laboratory Test/ Procedures Done: Chest X-ray reveals left sided hemopneumothorax
Chest tube placement drained 300cc of blood. 
The surgical team performed a diagnostic laparoscopy in order to determine whether or not the diaphragm had been penetrated.

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