March 2008 - Posts

• Case of the Week - Case # 69

  A 44-year-old male presents with right leg pain of two days duration. Review the ultrasound of the right thigh (groin to adductor canal) and answer the following questions... Take the Case Posted Mar 30 2008, 07:18 PM by Rob with no comments Filed under: Intermediate, DVT

• Case of the Week - Case # 68

  Elderly male presents from the nursing with fever and cloudy urine.  His vitals are as follows:  BP 100/48, P 128, R 30, T 39.4.  The patient has never been seen before at your institution but the transfer sheet reports that the patient has a history of CHF.  The patient has already received 2 liters of IV fluids.  Do you give more fluids? Take the Case Posted Mar 21 2008, 03:27 PM by Rob with no comments Filed under: Intermediate, Cardiac, CVP

• Case of the Week - Case # 67

  An elderly male presents with chest pain. The patient has history of lung cancer. On examination, his heart tones are muffled and you are asked to scan the patient for a possible pericardial effusion/tamponade. Take the Case  Posted Mar 12 2008, 04:52 PM by Rob with no comments Filed under: Intermediate, Cardiac

• Case of the Week - Case # 66

  An 87-year-old female nursing home resident presents to the ED hypotensive after a fall.  The patient has a history of organic brain syndrome, a fib on coumadin, hypertension, coronary artery disease, hypothyroidism and gout.  The patient is nonverbal.  Her vitals signs are as follows: BP 62/40, HR 108, RR 26 and PO of 95%.  Her physical examination reveals multiple abrasions and a large ecchymotic region in the left flank and left lateral thorax.  You perform a FAST exam to evaluate her for the hypotension.  Her pericardial window reveals no evidence of pericardal effusion or tamponade.  Her perihepatic and pelvic windows were negative.  You note the following on her perisplenic window... Take the Case Posted Mar 04 2008, 04:57 PM by Rob with no comments Filed under: FAST, Advanced, trauma