A Cook County Hospital Emergency Medicine Blog for up-to-date medicine and more.
Figure 1. Index EKG
A 57-year-old female with hypertension and diabetes presented with chest pain for the past 3 days with acute change in severity 1-2 hours prior to arrival. A triage EKG was obtained (Figure 1) and the patient was brought to the resuscitation bay.
Michael Hohl MD and Ari Edelheit MD
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Figure 1. Index EKG
A 61-year-old male with a history of asthma and opioid use disorder presented to the emergency department with acute worsening of shortness of breath, chest pain and cough associated with blood tinged sputum for two weeks. The patient also endorsed chronic heroin use; last use was 1 bag of heroin around 24 hours prior to presentation. The patient denied use of anticoagulation, prior DVT or PE, travel, recent surgery, or known cancer history. The patient's initial EKG (Figure 1) is shown below (0224).
Veronica Gonzalez MD, Michael Hohl MD, Erica Dolph MD, Abish Kharel MD, & Ari Edelheit MD
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We start this Wednesday’s Pharm and Cheese off with something unappetizing: emesis. You’re rounding on Red Team and meet a patient with a history of cholangiocarcinoma on chemotherapy who isn’t tolerating PO pending a CT scan. He has normal vitals and a benign exam, but he tells you that for the past two weeks he’s had intractable emesis, even when not eating or drinking. He initially thought it was just from chemo, but his last round was 3 weeks ago and he hasn’t improved.
Samson Frendo MD and Eric Leser MD
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