John Gower is a 78-year old Australian Aboriginal man who is living alone in Bagot Community. He was found collapsed at home by his grandson Simon; St John ambulance was called and he was transferred to the Emergency Department of Royal Darwin Hospital, Tiwi, NT.
He worked as a manual labourer, often smoking during outdoor work in Palmerston City Council, as he mainly worked alone. On presentation to the triage,
His clinical signs are:
Temperature: 40 degree Celsius
Pulse: 102 bpm
Respiratory rate: 26 breaths/minute
BP: 90/60 mmHg.
John is conscious at the Emergency Department, however confused to time. He has a past medical history of congestive heart failure and asthma. He requests to go to the toilet and you assist him onto a bedpan. He voids 80 ml of dark, cloudy concreted and highly offensive smelling urine. Flank pain is observed. The Emergency physician recommended moving John into inpatient ward in the NT Renal Department for further investigation and treatment.
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