You are caring for an intubated and sedated patient in the I…
You are caring for an intubated and sedated patient in the ICU who normally takes 100 mcg of Synthroid at home for a history of hypothyroidism. You notice that her thyroid replacement has not been ordered. Which of the following intravenous (IV) doses of L-thyroxine would be most appropriate to order?
Read DetailsA 52-year-old woman presents with amenorrhea and weight gain…
A 52-year-old woman presents with amenorrhea and weight gain (particularly around her abdomen and upper back). Physical exam reveals dark red striae on her abdomen, scattered ecchymoses over her forearms, and thick dark hair on her face. Her blood pressure is 170/88 mmHg. Based on her symptoms and physical exam, what is the most likely diagnosis?
Read DetailsYou are the AGACNP in the surgical ICU caring for a male pat…
You are the AGACNP in the surgical ICU caring for a male patient who underwent emergent repair of a ruptured abdominal aortic aneurysm over 3 weeks ago. He has had a prolonged and complicated postoperative course, including respiratory failure and delirium. The delirium workup included a urine culture, which was positive for Escherichia coli and treated with a 10-day course of trimethoprim-sulfamethoxazole. The antibiotic course finished 3 days ago. He is now extubated, mentally clear, and making slow but forward progress. You are called by the bedside RN to evaluate a new rash. There is a diffuse erythematous maculopapular rash over his upper anterior chest. His arms, stomach, back, and legs are unaffected. He reports a raw burning sensation over the affected area. You note separation of the skin when applying lateral traction. What is the most likely diagnosis?
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