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J.w a 60 year old man, has been a heavy alcohol drunker for the past 30 yes, he also has a hx of htn, hyperlipidemia, and a recent upper respiratory viral infection,  Jay only current medication is laxis, 40mg everywhere day. He presents with severe epigastric pain that radiates to his neck and worsens when lying down, his abdomen is distended and bowel sounds are hypocrite. J has respiratory 20, T 101.60 of, he us diaphoretix, and hypotension with bp of 78/58. Lab serum calcium is 6.1, serum amylase 955iul, Jay is transferred to icu.

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HEALTH SCIENCE
NURSING
NUR 612

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