Mother was in the ER

[Brian_nelson]

My mother went to the E.R. the other day with dizziness, headache, palpitations, tiredness, etc. Her blood pressure was high, and then dropped very low.

We also found a nodule on her lung.

Can someone help me figure out what all of these results mean, and are they in optimal ranges? She is 50, just quit smoking, has CODP and MVP(mild).

Her results from the E.R.:

Discharge Diagnosis: Near syncope
Discharge Diagnosis: Lung nodule
Final: Dizziness and giddiness
Final: Syncope and collapse
Final: Dizziness and giddiness
Final: Solitary pulmonary nodule
Final: Abnormal electrocardiogram [ECG] [EKG]
Discharge Diagnosis: Vertigo
Discharge Disposition: HR

Reason for Visit:
DIZZINESS,FATIGUE,HEADACHE,PALPIPTATIONS

Vital Signs:
8/15/16
Temperature Oral 98.3 DegF (Normal is 96.4-99.1 DegF)
Heart Rate 59 bpm (Normal is 60-100 bpm)
Heart Rate 62 bpm (Normal is 60-100 bpm)
Heart Rate 65 bpm (Normal is 60-100 bpm)
HR/Rhythm Sinus bradycardia
HR/Rhythm Normal sinus rhythm
Resp Rate Spontaneous 16 br/min (Normal is 14-20 br/min)
Resp Rate Spontaneous 16 br/min (Normal is 14-20 br/min)
Resp Rate Spontaneous 16 br/min (Normal is 14-20 br/min)
Blood Pressure 151/74 mmHg (Normal is 90-140/60-90 mmHg)
Blood Pressure 162/83 mmHg (Normal is 90-140/60-90 mmHg)
Blood Pressure 104/72 mmHg (Normal is 90-140/60-90 mmHg)
NIBP Site Right arm
Vital Signs Position Sitting
Body Mass Index 25.2996 kg/m2

Known Problem List:
Anemia | COPD | MVP (mitral valve prolapse)

Allergies, Adverse Reactions, Alerts:
No Known Medication Allergies

Medications:
No Known Medications

Results:

8/15/16
WBC 8.02 _X10^3/uL (Normal is 4.00-11.00 _X10^3/uL)
RBC 4.19 _X10^6/uL (Normal is 3.80-5.30 _X10^6/uL)
Hemoglobin 13.5 g/dL (Normal is 11.5-15.3 g/dL)
Hematocrit 40.5 % (Normal is 34.0-45.0 %)
MCV 96.7 fl (Normal is 78.0-100.0 fl)
MCH 32.2 pg (Normal is 26.0-34.0 pg)
MCHC 33.3 g/dL (Normal is 31.0-37.0 g/dL)
Platelet 200 _X10^3/uL (Normal is 140-400 _X10^3/uL)
MPV 10.5 fl (Normal is 9.4-12.3 fl)
RDW 12.9 % (Normal is 10.8-14.2 %)
Neut % 64.8 % (Normal is 37.0-80.0 %)
Lymph % 24.7 % (Normal is 20.0-45.0 %)
Mono % 6.9 % (Normal is 1.0-13.0 %)
Eos % 2.0 % (Normal is 0.0-6.0 %)
Baso % 1.0 % (Normal is 0.0-2.0 %)
IG% 0.6 % (Normal is 0.0-1.0 %)
Neut Abs 5.20 _X10^3/uL (Normal is 1.80-7.70 _X10^3/uL)
Lymph Abs 1.98 _X10^3/uL (Normal is 1.00-4.80 _X10^3/uL)
Mono Abs 0.55 _X10^3/uL (Normal is 0.10-1.00 _X10^3/uL)
Eos Abs 0.16 _X10^3/uL (Normal is 0.00-0.70 _X10^3/uL)
Baso Abs 0.08 _X10^3/uL (Normal is 0.00-0.30 _X10^3/uL)
IG Abs 0.05 _X10^3/uL (Normal is 0.00-0.11 _X10^3/uL)
Sodium Lvl 138 mmol/L (Normal is 136-145 mmol/L)
Potassium Lvl 4.2 mmol/L (Normal is 3.5-5.1 mmol/L)
Hemolysis None
Chloride 104 mmol/L (Normal is 98-107 mmol/L)
CO2 26 mmol/L (Normal is 22-29 mmol/L)
Anion Gap 8 (Normal is 5-14)
Glucose Lvl 92 mg/dL (Normal is 70-105 mg/dL)
BUN 11 mg/dL (Normal is 9-20 mg/dL)
Creatinine 0.7 mg/dL (Normal is 0.6-1.1 mg/dL)
eGFR (African American) >60 mL/min/1.73m2 (Normal is >=60 mL/min/1.73m2)
eGFR( NonAfrican American) >60 mL/min/1.73m2 (Normal is >=60 mL/min/1.73m2)
Calcium Lvl 9.5 mg/dL (Normal is 8.4-10.2 mg/dL)
Albumin Lvl 3.9 g/dL (Normal is 3.5-5.0 g/dL)
Total Protein 6.6 g/dL (Normal is 6.4-8.3 g/dL)
A/G Ratio 1.4 (Normal is 1.0-2.0)
Alk Phos 58 units/L (Normal is 40-150 units/L)
AST 14 units/L (Normal is 5-34 units/L)
ALT 9 units/L (Normal is 0-55 units/L)
Bili Total 0.5 mg/dL (Normal is 0.2-1.2 mg/dL)

Diagnosis:

Vertigo (ICD10-CM R42, Discharge, Medical)
Near syncope (ICD10-CM R55, Discharge, Medical)
Lung nodule (ICD10-CM R91.1, Discharge, Medical)

Condition: Improved.
Disposition: Discharged: to home.





Thanks everyone!

[MichelleP_3811]

I am not a doctor so I can't really say if these results say anything but it mostly seems like she has some blood pressure issues and should get her nodule further checked out.  I would follow up with her regular doctor about the nodule.  It could be what is affecting her breathing.