> This is a multi-part message in MIME format.
>
> ------=_NextPart_000_0015_01C27F6C.93A64C60
> Content-Type: text/plain;
> charset="iso-8859-1"
> Content-Transfer-Encoding: quoted-printable
>
> Hi all
> We received the call as a 24 year old female with pains in joints,
> aches =
> in limb muscles and inability to move limbs.
>
> O/E the patient was lying on the floor in a prone position with legs
> and =
> arms stretched out. Movement was good in all limbs but there was an =
> unwillingness for the patient to move them - probably due to the pain.
>
> We discussed recent PMH and it appears that the patient had recently =
> been placed on Beta Blockers 3/52. Last week an ambulance had been =
> called on 999 as the patient was unable to access the GP services in =
> time frame the patient wanted. The paramedics diagnosed flu and
> referred =
> to GP for follow up.
> GP called and gave a different Beta Blocker and also prescribed =
> Diazepam.
>
> I was vaguely aware that the symptoms the patient was experiencing
> could =
> have been a side effect of the Beta Blockers but also recalled that =
> Raynauds Syndrome had similar S&S. We took the patient into the local =
> A&E dept and handed over with the working diagnosis of B-Blockade side =
> effects.
>
> Can Beta Blockers induce true Raynauds Syndrome or is it just =
> coincidence that the S&S are similar.?
> Is it possible to make a differential diagnosis in the field?
> Other than base line observations and making patient comfortable - is =
> there any other supportive prehospital treament that one could have =
> considered.=20
>
>
> thanks
> Mike Bjarkoy
Why was she on beta blockers, Mike? Could it have been for panic attacks and that is what she had (haven't looked her up)? I'm
afriad it doesn't sound at all like Raynaud's.
Best wishes,
Rowley Cottingham
[log in to unmask]
http://www.emergencyunit.com
|