Vicki Parikh, MD
A 60 year old male with a history of CHF s/p LVAD presents to the ED with fatigue. You are called to triage because although he is awake and speaking, the RN can’t find a pulse or obtain a blood pressure. You auscultate a hum over the device. What do you do?
A 50 yo female with a history of gout and seizures presents to the ED with malaise. On exam you notice an erythematous, confluent, macular rash seen below as well as significant facial edema. Lymphadenopathy is present. VS are as follows: T 100.F HR 105 BP 150/85 SpO2 99% RR 18.
30 year old male with past medical history of asthma p/w rash onset one week ago. Rash has been worsening throughout the past week. It was initially isolated to the upper extremities but now has spread to the legs as well. It is described as “itchy”. Patient has not tried any medication for symptoms.
55 year old female presenting with left knee pain after a fall. Patient appears intoxicated and states she tripped and fell. No preceding symptoms or head trauma. Pain is 5/10. She has not been able to ambulate since the incident. On exam the patient is neurovascularly intact.