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
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Influenza A is frequently a big culprit of respiratory illness during the winter months. Inevitably, the question often arrives from consultants, attendings, or colleagues at sign-out, “Did they get Tamiflu?” This is often met with a variety of responses and debates regarding its efficacy at times. However, what does the literature actually say regarding the use of Tamiflu?
Kathryn McGregor, MD and Eric Leser, MD
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A 72-year-old male with a past medical history of hypertension, type 2 diabetes, hyperlipidemia, atrial fibrillation, coronary artery disease (CAD) with triple-vessel disease, heart failure with a known ejection fraction (EF) of approximately 30%, chronic mesenteric ischemia, and liver cirrhosis presents to the emergency department (ED) with complaint of bilateral lower extremity swelling.
Michael Hohl, MD
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