male pt 83 years old having cancer bladder .. about a week ago, - TopicsExpress

male pt 83 years old having cancer bladder .. about a week ago, he fall down and broke his hip joint, ortho doctor preferred replacement for hip but asked for an EKG and ECHO first, echo revealed mild precordial effusion, LA thrombus, with ventricular dysfunction .. so he said he isnt a candidate for surgery .. was put in a cast with Tomas .. Creatinine by the way 3.85 .. Family complain of he is irritable, drowsy not respond very well to vocal orders .. by examintaion: bl pr : 170/90 temp: normal pupil: constricted not reactive to light withdraw his leg on babinski test pt isnt diabetic or hypertensive or hepatic or cardiac until Echo revealed the previous results what is your opinion?

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