July 2007 - Posts

• Case of the Week - Case # 37

  A 54-year-old black female with a history of lupus presents to the ED with cough and pleuritic chest pain. Her vital signs are stable and she is afebrile.  On examination, you think you hear a pericardial rub.  You perform a focused echo and note the following... Take the Case Posted Jul 29 2007, 11:09 PM by Rob with no comments Filed under: Intermediate, Cardiac, CVP

• Case of the Week - Case # 36

  A 26-year-old male presents with RUQ pain and jaundice.  He denies hepatitis risk factors.  He appears comfortable on the cart and states that the pain is "never bad".  His vitals are stable and on exam the patient is icteric.  His abdominal exam reveals no organomegaly and he has mild midepigastric tenderness. Take the case Posted Jul 19 2007, 12:15 AM by Rob with no comments Filed under: RUQ, Intermediate

• Case of the Week - Case # 35

  54 y.o. male presents s/p accidental precordial stab wound with a box cutter at a construction site.  The patient's vitals are stable and he is in no acute distress.  The only wound you find on the patient is in the left precordial region over the left pectoralis muscle.  It is 1.0 cm in length and there is no active bleeding.  His cardiac and pulmonary exams are normal.  Upright chest radiograph at the bedside was unremarkable.  Due to your concern of possible cardiac injury, you perform a focused cardiac ultrasound. Take the Case Posted Jul 12 2007, 11:23 PM by Rob with no comments Filed under: Intermediate, Cardiac

• Case of the Week - Case # 34

  An 82-year-old male presents with dyspnea worsening over the past three days.  He has a history of prior MI, hypertension, renal insufficiency and type 2 DM.  He is from out of town and is just in town for a wedding.  He is on a boatload of medications and doesn't know anything else about his history.  You are concerned about CHF and you perform a bedside echocardiogram. Take the Case Posted Jul 07 2007, 09:00 PM by Rob with no comments Filed under: Intermediate, Cardiac