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  • December 2008 Challenge

    64-year-old male presents with inability to urinate. He resides in a nursing home and the nurses were unable to pass a foley catheter. On arrival his vitals are: BP 88/42, HR 124, RR 24, T 38.4. Nursing places a foley in the ED which results in some urine via the foley but the patient complains of severe pain. You perform a pelvic ultrasound to assess foley catheter placement......
    Posted Dec 24 2008, 03:28 PM by Rob with | with no comments
  • April 2008 Challenge

    48-year-old Amish female transferred via lifeflight after an auto vs. buggy accident. The patient is intubated at the scene for a GCS 6. Her vitals on arrival are as follows: BP-84/50, HR 142, RR- 20 (bagged) and PO-100%. On examination, she has multiple bruises noted on her torso and extremities. Her pelvis is unstable and she has a closed right femur fracture. After initial stabilization you perform a FAST exam. The pericardial, perisplenic and pelvic windows were negative. On the perihepatic window you note the following......
    Posted Apr 20 2008, 06:55 AM by Rob with | with 2 comment(s)
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