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A 67-year old man arrives at the emergency department compla

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Angeline Azarcon

on 19 August 2013

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Transcript of A 67-year old man arrives at the emergency department compla

A 67-year old man arrives at the emergency department complaining of excessive bleeding from minor shaving cuts and bruising for no apparent reason. Although the signs are alarming to the patient, the intern on duty does not view them as particularly serious,upon taking the patient’s history; the intern learns that for the last 5years,the patient has been taking warfarin for atrial fibrillation. In addition, the patient has had asthma since childhood. About 3weeks ago the asthma symptoms were increasing in frequency and severity, prompting his Pulmonologist to prescribe oral Theophylline on top of the inhaled corticosteroid and beta adrenoceptor agonist that the patient was already taking. This new regimen seems to tie controlling the asthma well.
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