UOTW #15

This is a 65 y/o WM who has a history of paroxysmal atrial fibrillation and CHF presents via EMS with lethargy, weakness and intermittent syncope.  The family found a mostly empty bottle of digoxin in his apartment.  Vitals: 24 75/25 6 99% RA.  You are handed the following 12 lead ECG by EMS: The decision is made […]

UOTW #14

This is a 36 year old female who presents with complaints of 1 month of gradually worsening dyspnea on exertion and dry cough ever since she had an uncomplicated vaginal delivery. No fevers, edema or chest pain.

UOTW #11

This patient is a 47 y/o female with a history of lupus who presents with complaints of shortness of breath, weakness and some pleuritic chest pain for 3 days.  BP 92/55 P 132 96%RA  What is the next intervention to improve this patient’s clinical status?

UOTW #7

This is an 27 y/o male who complains of 1 week of progressive DOE, fatigue, dry cough and subjective fevers. No chest pain. Vitals: 74/34 110 99.4 92% RA.  Chest X-ray read per radiology: bilateral pneumonia.

UOTW #2

This is a 52 year old female who presents with complaints of 3 days of weakness, nausea and vomiting. Denies chest pain or shortness of breath. Systolic blood pressure 72, Pulse 142.