52 year old female with ESRD is transferred from an outside hospital for “possible sepsis.” Patient is somnolent in bed, vitals are BP 75/60, HR 62, RR 24, Temp 98.6. Your medical student on his ultrasound rotation does an echo, sees a pericardial effusion and is concerned for tamponade. What findings do you point out […]
This patient is a 31 year old female with a history of AIDS who presents with shortness of breath, cough and fever. Vitals: 120/80 95 19 102.5 91%RA.
This is a 50 year old female who presents with sudden onset retrosternal chest pain that began just after she heard of her sister’s death. Pain has been continuous for 2 hours, it is a dull ache. Vitals stable. Initial and 2 hour ECGs/troponins are shown, along with a bedside echocardiogram.
This patient is a 61 year old female with a history of hypertension and diabetes who presents with 3 weeks of intermittent exertional left sided chest pain. The pain is dull, non-pleuritic, always comes on when walking around and resolves with rest. +shortness of breath. Vitals: 95/50 125 22 98.6 97% RA. What diagnosis is […]
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. […]