A 75-year-old woman presented with the confused state. She underwent emergency femoral hernia repair 5 days before. The operation was straightforward and there were no complications from the surgery. Past Medical History (PMH): Osteoarthritis of her right knee, for which she is taking diclofenac. She is a non-smoker and drinks two units of alcohol per week. Physical Examination: She is disorientated with time, place and person. She is pale and tachypnoeic. Blood pressure - 90/70 mmHg.
Pulse rate -110/min. Chest examination-Chest is clear with oxygen saturation of 97 percent on air. On palpation of her abdomen, vague upper abdominal tenderness was noted. Bowel sounds are present, and the urinalysis is clear. The wound site is clean and there is no evidence of a hematoma. Electrocardiogram shows sinus tachycardia. How will you manage this patient? *This case is from Docplexus editorial…
