48 y/o M presents after dredging for clams off the coast of Long Island. He reports finding a metallic object in his net, then throwing it overboard. Over the next two hours he develops the following…. What’s the diagnosis?Read more
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5 y/o F presents to the ED feeling “uneasy.” She is noted to have a pulse of 140 and BP of 180/110 and is profusely sweating. She is on imipramine for bedwetting, no other PMH. Pupils are PERRL. Exam is otherwise unremarkable. CBC, BMP, UA are negative. When considering a toxidrome, what is your differential?Read more
47 y/o female PMH appendectomy presents with three days of worsening abdominal pain and constipation. Over the past day she has had persistent vomiting. She appears ill and has a diffusely tender abdomen. You quickly order labs and an obstructive series with upright chest XR with concern for a perforated viscus. To your surprise theRead more
52 y/o female with a PMH of HTN and HLD presents with mental status change over the past 12 hours. She is non-compliant with medications and her initial BP is 252/130. Physical exam shows pt is A&Ox1, with an otherwise normal neuro exam. Labs show some AKI on CKD, CT-Head is normal. You plan toRead more
75 y/o M with a past medical history of atrial fibrillation presents to the ED not feeling well for several days. He has some diarrhea but has continued to take his medications. He is mildly hypotensive. While IV access is established, you are shown his ECG…. Whats the problem with this ECG?Read more
51 y/o M with a hx of smoking and HTN presents with acute onset of chest pain…. Is this anteroseptal ischemia or posterior MI?Read more
You have just intubated a 65 year old woman with sudden respiratory failure. On arrival, she had a pulse but cool extremities. She was obtunded and agonal with SpO2 was in the high 70’s. After pre-oxygenating with BVM to 100%, the intubation went smoothly. You had a clear view of the cords and passed aRead more