What's the Diagnosis? By Dr. Loran Hatch
A 75 yo M presents to the ED after a mechanical fall w/ L facial pain and swelling.
A 75 yo M presents to the ED after a mechanical fall w/ L facial pain and swelling.
A 69-year-old male with PMH of HTN, DM presents to the ED for chief complaint of vomiting. On evaluation, he states he “does not feel so good.” VS are BP 173/99, HR 74, Temp 97.1, RR 22, SpO2 99% on RA. You connect him to the monitor and see a wide rhythm. STAT EKG shows the rhythm below. What do you do next?
A 62 yo M presents to the ED with 1 week of abdominal distension with associated nausea and vomiting. He has had only 2 small bowel movements in the last week. He denies abdominal pain. On exam, his abdomen is distended and rigid. An obstruction series is obtained and shown below. What's the diagnosis? (scroll down for answer)
Answer: Xray showing multiple air-fluid levels, concerning for obstruction
65 yo female presents with right ankle pain
A patient with PMH of HTN and DM presents to the ED with chest pain. What is the interpretation of the ECG?
80 yo M presents to the ED w/ 1 week of intermittent epigastric pain w/ nausea and vomiting.
Pediatric Elbow XR basics ...
47 yo M with history of HTN, HLD, morbid obesity presenting via EMS with altered mental status, found to be hypoglycemic with blood glucose in the 30’s prior to arrival.
Back to basics ... Stats ...
Question: Given the recent studies showing the advantages of early norepinephrine in sepsis, should we titrate more aggressively to a higher MAP vs the standard 65-70?
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