A Cook County Hospital Emergency Medicine Blog for up-to-date medicine and more.
Figure 1. Index ECG.
A 60-year-old male with a past medical history of hypertension, coronary artery disease status post stenting of the left anterior descending (LAD) artery and right coronary artery (RCA) in 2023 presents to the emergency department (ED) with a chief complaint of left-sided chest pain that started one hour prior to arrival.
Michael Hohl, MD; Taylor Wahrenbrock, MD; Ari Edelheit, MD
Read More
Figure 1. Index ECG.
A 59-year-old female with past medical history of hypertension, type 2 diabetes mellitus, end-stage renal disease (ESRD) on hemodialysis (HD) presented to the emergency department (ED) with a request for routine HD (note: Cook County Hospital has a cohort of patients who routinely receive their HD via the emergency department rather than through an outpatient clinic). Initial vital signs were notable for hypertension but were otherwise unremarkable. The patient denied any symptoms, but reported that her last HD session was more than a week ago. The Renal service was consulted for HD and recommended obtaining labs given her missed HD sessions. The potassium level returned at 8.7 (not hemolyzed).
Alexandra Atkins, MD and Ari Edelheit, MD
Read More
Figure 1. Index ECG.
A 63-year-old male with a past medical history of epilepsy, hypertension, and papillary thyroid carcinoma s/p left hemithyroidectomy presents with nausea and vomiting. The patient reports that, around 2:00 AM, he woke up from his sleep and began sweating and vomiting. These symptoms have continued intermittently since then, and the patient presents with his wife around 5:00 PM. He reports epigastric discomfort but denies any fevers, chills, chest pain, palpitations, or shortness of breath.
Taylor Wahrenbrock, MD; Michael Hohl, MD; Ari Edelheit, MD
Read More