Month: January 2015

UOTW #35

The patient is a 73 year old female with a history of remote aortic aneurysm repair who presents with complaints of dizziness, near syncope and a fall one hour PTA.  The patient has mild dementia and is unable to give further history.

UOTW #34

67 yo nursing home patient presents with altered mental status. Vitals signs are as follows: BP 92/78, HR: 115, RR: 35, O2 sat: 89%. Patient is moaning and uncooperative with the physical exam. On auscultation, you are unable to appreciate any overt lobular rales or wheezing. You think you feel a distended bladder in the […]

UOTW #33

The patient is a 65 y/o female who presents from home with severe shortness of breath, weakness and confusion per EMS.  Family is enroute, EMS has no further history at this time.  Vitals: 78/30, 140, 28, 82% RA, 99.6F.  What is the diagnosis and treatment?

UOTW #32

The patient is a 39 y/o female with a h/o lupus who is post-op day #7 status-post renal transplant.  The patient complains of abdominal pain with gross hematuria for several days. Upon arrival, the patient’s initial vitals were a BP of 137/59 and a pulse of 91.  Examination showed cold extremities, moderate diffuse abdominal tenderness/distension and a pale tongue. I-stat […]