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The importance of the timeline

Posted on October 03, 2008

On sit down rounds yesterday morning, the team told me about a gentleman with severe achalasia. Because of the achalasia he had a G-tube in place for 15 years. As they told the story he came in for vomiting and was found to have a left lower lobe pneumonia. They worried that the patient had an aspiration pneumonia.At the bedside I questioned the patient:db: When did you first get sick this time? pt: Sunday I got sick db: What was bothering you first? pt: I got hot and started sweating. My wife had to wipe my brow. db: How bad were the sweats? pt: I was sweating all day. I had...

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pneumonia