The Rational Clinical Examination
David L. Simel, Drummond Rennie
Hypovolemia, Adult
David L. Simel, Kenneth Goldberg, Ali Raja
Clinical Scenario
Topics Discussed:
hypovolemia
Excerpt:
"A 75-year-old man fell at home and was on the floor for 8 hours,
unable to ambulate. When his family checked on him, they brought
him immediately to the emergency department. You suspect a hip fracture,
but you are also concerned about intravascular volume depletion
and rhabdomyolysis. Although he cannot stand up, he can change position
from lying down to about a 45-degree angle before the hip begins
to hurt. His pulse increases 22/min when he sits at the
angle...."
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