This is way more invasive than you need to be at this point, but OK, it gets done. Clean coronaries.
Ok uhh
CT of the chest both with and without contrast
OH ok
Start patient on anticoagulation therapy (Ones I know are like heparin?)
Made me think of one of the bizarre critical patients I had a few years ago
High speed rollover MVC, patient self extricated.
Upon pt contact, pt relates drug use (non-specific, GCS 14). Skins pale, moist, tachy @ ~120 with BP 110/80.
Physical exam finds no life threatening hemorrhage... pt c/o being thirsty and loses consciousness as HR drops from 120s to 35, remains at 35 for 15 seconds and jumps back up to 120s. Patient experiences repeated brief episodes of severe bradycardia
what life threats should You be looking for? And what pathologies could be causing this?
This one's kinda cool - because what causes reflexive hypotension/bradycardia and may or may not be trauma?
Your dx tools are your hands, eyes, and a trusty stethoscope. Your thumb is on the plunger of a preloaded atropine syringe. Do you give the med? What are two reasons why atropine might be considered
Honestly, what is the point of this?Hey, is anyone out there? May I have a case
(I am 16 go easy on me)
Thyroid storm?CBC and Chem-7 are normal. TSH undetectable.
I knew it was some type of endocrine problem, I just was not sure which oneNeurological exam notable for hyperreflexivity and biceps strength iv/v. Ultrasound shows diffuse goiter with hypervascularization.
This isn't an emergency, but you're on the right track. Thyroid storm is life-threatening and she would present with acute illness. She has Graves' Disease. You can start her on a medication called methimazole, which inhibits the synthesis of thyroid hormone.