How to understand entropy:
Imagine solving a rubix cube. But you can only do randomly determined moves. Most of the time the Rubix cube is scrambled, but if you wait long enough it will be solved. This is also how entropy works. It also implies why the most often stated law (everything will decay) is wrong.
A: You hear stridor, you see swelling of tung and lip and possible face. No CWK trauma
B: You hear wheezing, low saturation, tachypnea, cyanosis
C: Red, Fast capillary refill, weak pulsations in case in shock
Tachycardia, hypotension
No signs of bleeding
D: If extremely bad: low EMV
E: Exanthema, hives
Treatment:
Call anesthesiologist and intensivist to standy for emergency intubation
Combivent inhalation
Max Infusion of salt water
Presenting symptoms: thoracic pain radiating between scapulae
Medical History Risk factors:
Clinical history: acute ripping or tearing sensation in the thorax or abdomin, with pain radiating to the back. 10% of patients do not have complaints! People are dyspnoiec and can have neurological symptoms (loss of muscle function).
Medical examination:
Laboratory examination:
Radiological examination:
Differential diagnosis: ACS, PE, CVA, pericarditis, pancreatitis, oesofagus rupture and more
Treatment:
Always suspect a Dissection when you find a patient with cardial symtpoms and neurological symptoms.
Thus you get pushed towards earth, i.e. you feel gravity
A writing place. 