Patient Reference
Decided to make this as an aid to the doctors so you don't have to go looking up the individual apps. Added some helpful medical information as well.
Name: Feliciano Vargas
Age: 20
Gender: Male
Medical history:- Diagnosed with ADHD in childhood and placed on medication for this disorder (ADHD is usually treated with a stimulant such as methylphenidate (Ritalin) or atomoxetine.) Was taken off of this medication as it seemed to exacerbate his symptoms.
Current illness:- Undiagnosed. Symptoms include chronic cough, fainting (syncope), shortness of breath (dyspnea), severe chest pain and irregular heartbeat (arrhythmia.)
- Admitted upon fainting preceded by lightheadedness and chest pain.
- Roderich's notes: Fainting, lightheadedness, and chest pain are directly related to a heartbeat that is too slow or too fast. Tests will likely show a lower blood pressure as a result of this irregularity. An ECG run over a 24-hour period is recommended in order to determine the type of arrhythmia. Basic blood tests should also be run, including a CBC to check for increased numbers of white blood cells (indicative of infection) and tests that check for thyroid, liver and renal function. Patient should be monitored carefully for signs of swelling or fluid buildup in the lungs, indicative of heart failure.
Name: Gilbert Beilschmidt
Age: 26
Gender: Male
Medical history:- Presents with oculocutaneous albinism. Has retinal damage and exhibits hyperopia (farsightedness) as a result of lack of pigment in the eyes.
- Lived for a few years with a heavy smoker and has a possible history of recreational drug use.
Current illness:- Diagnosed as severe chronic obstructive pulmonary disease (COPD.) COPD is most commonly caused by exposure to cigarette smoke. Symptoms present include rapid breathing (tachypnea), wheezing and crackling sounds heard in the lungs through use of a stethoscope, long exhalations coupled with quick inhalations, and chronic cough and sputum production.
- Admitted upon fainting due to hypoxia.
- Roderich’s notes: COPD is not curable but can be treated via medications like bronchodilators (which relax smooth muscle around the airways) and corticosteroids (which reduce inflammation in the airways.) Supplemental oxygen is also given in more acute cases. Nutrition should also be monitored, as being underweight or overweight can worsen symptoms.
Name: Magnús Haraldsson
Age: 17
Gender: Male
Medical history:- No outstanding incidents or conditions.
Current illness:- Diagnosed as acute leukemia. Symptoms exhibited include fatigue, malaise, weakness, bone and joint pains, weight loss, vomiting (emesis), frequent infections and fever.
- Sought treatment for symptoms; admitted to hospital after blood tests (likely a CBC followed by a bone marrow biopsy) confirmed a diagnosis.
- Roderich’s notes: Early on, leukemia is characterized by a number of non-specific, often flu-like symptoms, including malaise and fever. Fever, vomiting and infections are the result of separate illnesses that are facilitated by the suppressed immune system of the patient. Treatment for leukemia is chemotherapy with the drugs in question depending on the type. Radiation therapy may also be employed to treat particularly affected areas or to prepare for a bone marrow transplant. Antibacterial and antiviral drugs should be considered for the treatment of additional infections, provided they do not interfere with the action of drugs previously taken.
Name: Arthur Kirkland
Age: 22
Gender: Male
Medical history:- History of alcohol abuse with no symptomatic manifestation but possible liver damage
Current illness:- Diagnosed with head trauma and broken arm caused by car accident. Symptoms of head trauma include dizziness and headache, indicating concussion.
- Admitted to hospital shortly after the accident.
- Roderich’s notes: Most concussions resolve themselves within weeks. Acetaminophen is recommended to reduce headache without much risk of complications. Plenty of sleep and avoidance of alcohol and drugs not approved by a doctor are also recommended. If a CT scan has not already been performed, it should to check for other forms of brain injury. Depending on the severity of the fracture, a broken arm may be treated by basic analgesics or a narcotic for pain. Surgery may be needed to stabilize the bone. A splint or cast should be worn to facilitate proper healing.
Name: Ivan Braginski
Age: 23
Gender: Male
Medical history:- History of alcoholism, with possible associated liver damage
Current illness:- Diagnosed with concussion, broken leg and multiple rib fractures resulting from a car accident. Concussion presents with dizziness, headaches, fatigue and memory problems.
- Admitted to hospital shortly after the accident.
- Roderich’s notes: Concussions normally resolve themselves without treatment. Acetaminophen may be used to reduce headache and plenty of sleep is recommended. While memory, attention problems and a brief loss of consciousness may occur, longer bouts of unconsciousness, convulsions or increased mental disorientation can indicate worsening brain injury and should be watched for. Rib fractures will require surgery to reposition the bones and a CT scan will show whether pulmonary laceration or contusion occurred. Mechanical ventilation may be required. A broken leg will require an analgesic or narcotic for pain relief and a splint or cast.
Name: Mathias Sørenson
Age: 20
Gender: Male
Medical history:- Frequent alcohol use and history of physical violence, possibly resulting in internal and/or external damage.
Current illness:- Diagnosed with three leg fractures as a result of a biking accident. Symptoms include severe pain and obvious deformity.
- Admitted to hospital following the accident.
- Roderich’s notes: In such a complex fracture, surgery is likely required to realign the bones. Preventative antibiotics may be used prior to or after an involved surgery. A cast or external frame may be employed to hold the bones together and removed after six to eight weeks. A narcotic such as codeine will be needed to treat the pain and will need to be gradually discontinued to reduce the chances of addiction. Use of acetaminophen, ibuprofen or a combination of such milder analgesics may follow for lingering pain.
Name: William Green
Age: 21
Gender: Male
Medical history:- Persistent, worsening symptoms of tiredness and motor disturbances since teenage years. No history of head trauma.
Current illness:- Diagnosed with narcolepsy, two broken legs, a broken arm and fractured ribs. Physical injuries follow a car accident; narcolepsy symptoms of excessive daytime sleepiness (EDS) and losses of muscle tone (cataplexy) were present beforehand.
- Admitted directly following car accident.
- Roderich’s notes: Narcolepsy is a neurological sleep disorder whose exact cause is unknown, but is thought to be genetic and brought on by an auto-immune response to proteins that control appetite and sleep patterns. EDS can be treated with stimulants or atomoxetine, a norepinephrine reuptake inhibitor. Cataplexy is frequently treated with antidepressants. Another option is Xyrem, a narcolepsy-specific drug that addresses both symptoms. Short daytime naps coupled with medication can also help in management of narcolepsy. The broken legs and arm may need surgery to re-align and casts or splints to assist proper healing. Rib fractures will require surgery. Analgesics such as acetaminophen, ibuprofen, or narcotics can help in pain management.
