UOTW #65

This 56 year old smoker with a history of HIV and anal cancer presents with complaints of 1 month of gradual onset severe shortness of breath, much worse for the past week. Vitals: 82/46 130 98.6F 30 75%RA.

UOTW #64

A 73 year old female presents with sudden onset of midsternal chest pain and shortness of breath. The pain is worse with deep respiration and does not radiate. The patient appears to be in severe pain and is diaphoretic.  BP 82/45 P 74 O2 sat 95% RA.

UOTW #62

This patient is a 56 year old male smoker who presents with sudden onset of left sided chest pain and shortness of breath.

UOTW #61

Your resident presents a case to you: this patient is a 24 year old female with a positive pregnancy test at home and right pelvic pain, mild vaginal bleeding. Your resident shows you the following image. What is the diagnosis?

UOTW #59

This is a critically ill 59 year old diabetic male who presents with severe altered mental status and a fever of 103.4F. You intubate the patient upon arrival because he does not appear to be protecting his airway. Vitals show a systolic blood pressure of 60/40. You obtain the following ultrasound of the neck vessels. […]