John Cafaro MD
A 40 year old male with history of Marfan's Syndrome comes in with sudden onset shortness of breath preceded by tearing chest pain. He is tachycardic to 120, blood pressure is 80/40, patient is tachypneic with increased work of breathing. CXR is consistent with widened mediastinum and pulmonary edema and stat bedside ECHO is concerning for acute aortic regurgitation secondary to aortic insufficiency. Cardiothoracic surgery is consulted. What two medical modalities are contraindicated in this patient?
A. Beta Blocker and Intra-Aortic Balloon Pump
A 70-year-old woman presents after falling forward, causing her neck to bend backwards and hyperextend. She complains of burning sensation in both hands and weakness in his arms after a fall. Physical examination reveals 4/5 strength in both arms but otherwise no neurological deficits.
A 60-year-old male presents with fever, dry cough, headache, nausea, vomiting and diarrhea. He saw his primary care physician who prescribed him Amoxicillin for which he has been taking for 4 days but feeling worse. Labs show a Sodium of 130 and mild transaminitis, other labs are within normal limits. What is the most likely diagnosis?