A 35-year-old man is brought to the emergency department fro…
A 35-year-old man is brought to the emergency department from a kitchen fire. The patient was cooking when boiling oil splashed on his exposed skin. His temperature is 99.7°F (37.6°C), blood pressure is 127/82 mmHg, pulse is 120/min, respirations are 12/min, and oxygen saturation is 98% on room air. He has dry, nontender, and circumferential burns over his arms bilaterally, burns over the anterior portion of his chest and abdomen . A 1L bolus of normal saline is administered and the patient is given morphine and his pulse is subsequently 80/min. A Foley catheter is placed which drains 10 mL of urine. What is his total burn surface area?
Read DetailsA 48-year-old man seeks medical attention because his friend…
A 48-year-old man seeks medical attention because his friends have remarked about changes in his appearance. His shoe size has increased from 9 to 11 over the past 5 years. His dental plate has also had to be remade three times in 6 years. Physical exam reveals: coarse physical features, an enlarged tongue, and enlarged hands and feet with spade like fingers. Lab reveals a fasting blood glucose of 180 mg/dl. An MRI reveals a large pituitary mass. What is the most probable cause of his condition?
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