Case: A 52-year-old man with no reported PMH presents with 2 days of rapidly worsening shortness of breath that is worse when lying flat and with exertion. He endorses some vague chest pain that radiates to the neck and epigastric region.
His vitals: HR 120, BP 70/40, RR: 40, afebrile, SpO2 98% on RA
On exam he has clear lungs with obvious JVD, but no overt leg swelling or other signs of volume overload.
While the nurses get access, you consider the probe. Read on to find out what you see!
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You have a 66-year-old female history of hypertension and diabetes presenting at 0100 for a headache, history is hard to obtain as the patient is distressed due to the pain. Collateral from the daughter is that the patient woke her up from sleep about 1 hour prior to arrival complaining of a headache and inability to move her upper extremities, which has now resolved. The patient currently endorses 10/10 headache, has had headaches before, but is not similar to this.
Where do we go from here? Read on to find out!
Read MoreA 60 year old male with a past medical history of diabetes and tobacco use presented with epigastric pain, nausea, and vomiting. The patient was noted to have a significantly elevated blood glucose and an elevated potassium on a point-of-care chemistry at triage. The patient was immediately brought to the resuscitation team and an EKG (Figure 1) was performed:
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