HYPERTENSION, HYPERTHERMIA, PRODUCTIVE COUGH
Abstract
Dr. Luís Felipe Mallmann – (Residente do Serviço de Medicina Interna- HCPA/UFRGS): Uma mulher branca de 67 anos veio à Emergência do HCPA no dia 24/02/2002 com queixa de dor nas costas contínua, com início há aproximadamente 18 h, acompanhada de febre, calafrios e tosse com expectoração esbranquiçada. Relatava ter tido febre e ser portadora de hipertensão arterial sistêmica (HAS), sem tratamento, e uso de fumo. O exame físico mostrou estado geral regular, sensório deprimido, TA= 130/80 mmHg, temperatura axilar= 36,2 o C e saturação de 02 = 95%, em ar ambiente. A ausculta pulmonar mostrou murmúrio vesicular uniformemente diminuído, roncos difusos e estertores crepitantes na base direita. A punhopercussão lombar foi dolorosa à direita. Os exames laboratoriais estão descritos nas tabelas 1, 2 e 3.
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