UOTW #70

A 60 year old female presents with painful right neck swelling. She has a past medical history of alcoholic hepatic cirrhosis. Her vitals signs are within normal limits. On examination she has a mass in the right submandibular area. It is tender to palpation, but smooth with no fluctuance. The following images are obtained of the swollen mass.


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UOTW #69

The patient is a 32 year old male who has a history of IV drug use, presents as a transfer from an outside hospital (OSH) for sepsis. Was taken to the OSH with bouts of lethargy/AMS mixed with episodes of combativeness. Noted to be febrile, hypotensive. Given 5L NS and a dose of vancomycin PTA. On exam you hear a blowing diastolic murmur. What is the diagnosis and most appropriate management for this patient?


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UOTW #68

A 56 year old male is brought in by paramedics complaining of generalized abdominal pain and distension. He is 1 week status-post operative colonic resection and anastomosis. His vitals are a temperature of 38.5C, pulse of 115, blood pressure of 95/65, respiratory rate of 32, and saturations of 94% on room air. Bedside ultrasound shows the following:


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UOTW #67

27 year old female brought in by ambulance after a high speed MVC. Vitals show a BP of 80 systolic and a heart rate of 140. There is evidence of significant chest trauma. Abdominal FAST is negative for free fluid. A subcostal view shows the following image:


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