 |
 |
24 year old local woman brought to Emergency Unit by husband who had come home from work in the afternoon to find her lying on the floor confused and very restless. Been doubly incontinent . Last seen by husband that morning as she left the house to take children to school. Has 5 week old baby, normal delivery. No known other medical Hx, no known drug or alcohol abuse. O/E Restless++ Not talking, moaning. Fights off any touch. Bruises (?24+ hrs old) on both upper arms and sides of head and ear lobes. Not petechial. No neck stiffness. Pulse 125, BP 119/70, resps 24, Temp 37.0; Cap refill <2 secs. BM 6.4 Pupils 5mm react to light equally. Bloods, ECG, Xray or CT scan unobtainable without violent struggle/sedation so decide to wait and see. What should I have done?