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[Gnumed-devel] Number of Active Problems before death is a certainty.
From: |
Richard Terry |
Subject: |
[Gnumed-devel] Number of Active Problems before death is a certainty. |
Date: |
Thu, 10 Mar 2005 19:55:56 +1100 |
User-agent: |
KMail/1.5.4 |
Just out of interest, how many currently active significan health problems do
you reckon a patient can have and still be alive??
I do ask this for a reason, as I muck round with the ergonomics of screen
design.
I trawled my database and found up to 20 are not uncommon in chronically ill
patients, with the record being 27 just prior to death. You may disagree with
the apparent duplication of some of the things on my problem list (eg
different sites of his vascular disease) but they were all there for a reason
eg the lumbar back pain was a chronic pain managment problems, and the
various vascular diseases needed different time scale follow up. The second
list is a still alive grossly obese lady who just survied a massive pulmonary
embolus, with the clot on a Chest CT extending from main pulmnary artery into
both right and left pulmonary arteries!!
======================
Patient1 (dead now - not surprising
======================
Renal stones
lumbar back pain
recurrent urinary tract infections
Contrast Dye Allergy
Cervical spine pain
Chronic pancreatitis
glomerulonephritis
chronic renal failure
Reflux Eosophagitis
gout
cerebrovascular insufficiency -TIA's
Peripheral Vascular Disease
colonic polyps
emphysema
Internal Carotid Artery stenosis
hypertension
ischaemic heart disease
hypercholesterolaemia
abdominal aortic aneurysm
Night cramps in legs
Vertigo
NIDDM
iliac artery stenosis
renal colic
Renal artery stenosis
acute on chronic renal failure
Haemodialysis
===================
Patient 2
===================
hypertension
low back pains
NIDDM
hypercholesterolaemia
irritable bowel syndrome
Cervical spine pain
Bladder incontinence
carpal tunnel syndrome
ulcerative oesophagitis
gout
heart failure
anaemia of chronic disease
renal failure
Internal Carotid Artery stenosis
Iron deficiency anaemia (acute)
Warfarinised
osteoporosis
raised PTH + Vit D deficienc y
Fosamax started
Regards
Richard
- [Gnumed-devel] Number of Active Problems before death is a certainty.,
Richard Terry <=