Vicki Parikh, MD
A 32 year old female G3P2002 at 25 weeks gestation presents to the ED with progressively worsening dyspnea associated with pleuritic chest pain. You are concerned that this patient has a pulmonary embolism. All of the following may be appropriate diagnostic studies for this patient with the exception of:
A 21 year old female presents to the ED with vaginal bleeding. She reports that a home pregnancy test was positive this morning. A beta hcg quant level is drawn and pending. On ultrasound you identify an extrauterine gestational sac without an IUP.
A 28 year old female G2P0010 at 9wga by LMP presents to the ED with nausea and vomiting for the past 3 weeks. She reports that since she found out she was pregnant she has felt nauseated nearly every day. She comes to the ED today because she has begun vomiting and is unable to eat or drink much for the past week.
A 19 year old female presents to the ED with abnormal vaginal discharge for 5 days. She is sexually active with a new male partner and does not consistently use protection. A pelvic exam reveals cervicitis. A vaginal GC swab is sent to the lab. Her urine hcg is negative. After discussing your concerns with the patient, she agrees to be empirically treated for GC infection today. She weighs 55 kg. What treatment regimen do you order?
During your overnight shift, a homeless patient presents to the Emergency Department with hand pain. It is below freezing outside tonight. Tissue rewarming has begun, and below is what you see on exam. What degree of frostbite does this patient most likely have?
A cardiac arrest arrives to the Emergency Department in January. During the resuscitation it is discovered that the patient is severely hypothermic, and rewarming is begun. A serum potassium results. Which potassium level would prompt you to terminate resuscitative efforts?
It’s early winter in your Emergency Department, and an intoxicated 45 yo male is found outside. You see the following finding on the EKG at triage and measure a core temp of 89F. Other EKG patterns associated with this diagnosis include all of the following except?
A 5 year old boy presents to the ED with epistaxis in the setting of a recent respiratory illness. On exam you note a diffuse petechial rash with scattered bruises and the child appears mildly fatigued. Her vital signs are normal. Her blood work reveals a normal WBC and Hgb however platelets are 9,000.