A 64-year-old male presents with nocturia and urinary freque…
A 64-year-old male presents with nocturia and urinary frequency with some hesitancy early in the mornings. He reports symptoms have been progressive over the past several months. He does not recall having any hematuria. He denies fever, chills, abdominal pain, rectal pain, or dysuria. What PSA finding is of concern for his age?
Read DetailsA 65 year old male with metastatic non-small cell lung cance…
A 65 year old male with metastatic non-small cell lung cancer is admitted to the hospital with complaints of lethargy, muscle weakness, and nausea. BMP: Na+ 130, K+ 3.5, BUN 25, Cr 1.1, Ca+ 13.9, Mg+ 1.7. What is the treatment of electrolyte issue?
Read DetailsA 52 y/o female presents to the Emergency Department with co…
A 52 y/o female presents to the Emergency Department with complaints of vomiting and diarrhea for 3 days and has been unable to tolerate PO fluids. Vital signs: heart rate 120 bpm, blood pressure 98/54, O2 sats 96% on room air, respiratory rate 28. The patient also reports muscle cramps and weakness since symptoms began. Laboratory data: Na+ 132, K+ 2.9, Mg+ 1.7, Ca+ 8.0 What is the treatment of choice for this patient?
Read DetailsA 57 year old presents to the emergency department with “not…
A 57 year old presents to the emergency department with “not feeling well for several weeks”. He reports progressive fatigue, joint pain, chest pain, and weight loss. He reports a low grade fever started yesterday. CBC: WBC 1.5K, RBC 3.0, H&H 9.0 & 27, Plt 85K. BMP: Na+ 133, K+ 3.5, BUN 30, Cr 1.5, Ca+ 9.5 You send a peripheral smear to pathology. The hospitalist follows up the next day, and circulating blasts are identified on the peripheral smear. What is the diagnosis?
Read DetailsA 22 year old African American female presents to the emerge…
A 22 year old African American female presents to the emergency department with severe generalized pain, fatigue, shortness of breath, nausea, and vomiting. She reports she has sickle cell anemia. Pertinent Labs: WBC 14K, H&H 7.8 & 20, Plt 150K, Na+ 132, K+ 3.2, BUN 24, Cr 1.2. Vitals: Temp 98.6F, Pulse 105, BP 110/60, O2 92% on room air. All of the following include management of acute sickle cell crisis except:
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