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The latest Messages 26
2021-11-23 20:10:13
32 voters96 views17:10
2021-11-23 20:09:03
A 32-year-old woman comes to the emergency department due to severe headache, nausea, and vomiting for the past several hours. The headache is pounding and localized to the left side. She also describes bright spots in her vision prior to headache onset. The patient has had similar episodes occasionally since adolescence. Physical examination shows normal pupils and fundi, but the patient has discomfort to bright light. There is no facial droop, extremity weakness, or sensory loss. The patient is treated with metoclopramide and diphenhydramine.
100 views17:09
2021-11-23 08:08:01
98 voters289 views05:08
2021-11-23 08:07:03
A 34-year-old man begins treatment with combination chemotherapy for Hodgkin lymphoma. Shortly thereafter, he experiences severe vomiting and requires intravenous fluid supplementation.
283 views05:07
2021-11-22 20:06:01
37 voters183 views17:06
2021-11-22 20:05:08
a motor vehicle collision. On arrival, the patient is comatose and has a Glasgow Coma Scale score of 3. His blood pressure is 110/70 mm Hg, and pulse is 114/min. Pupils are miotic, equal, and reactive to light. Ecchymosis is present behind the ear, but the remainder of the trauma survey is unremarkable. Rapidsequence intubation is performed, and the patient is mechanically ventilated. A noncontrast head CT scan demonstrates bifrontal contusions and a basilar skull fracture. One day later, a repeat head CT scan reveals diffuse cerebral edema. The ventilator respiratory rate is adjusted to achieve a PaC02 level of 26-30 mm Hg.
187 views17:05
2021-11-22 08:03:01
36 voters125 views05:03
2021-11-22 08:03:01
A 4-day-old premature infant in the neonatal intensive care unit becomes hypotonic and less responsive. She was delivered vaginally at 30 weeks gestation, and her birth weight was 1,200 g (2 lb 10 oz). Physical examination shows a lethargic infant with weak and high-pitched crying, prominent scalp veins, and tense fontanelles. Cranial ultrasound reveals blood in the lateral ventricles.
127 views05:03
2021-11-21 20:02:02
85 voters293 views17:02
2021-11-21 20:02:01
A 32-year-old man undergoes evaluation for episodes of paroxysmal supraventricular tachycardia. An electrophysiology study reveals focal atrial tachycardia that originates in the crista terminalis of the right atrium. Radiofrequency ablation is planned to destroy the ectopic focus and treat the arrhythmia.
285 views17:02
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