A 32 year old female presents to the emergency department af…
A 32 year old female presents to the emergency department after being thrown from a horse. Chest x-ray reveals a “dropped lung”. A chest tube is inserted into the pleural space and blood collects into the chest tube container. What is the patient’s diagnosis?
Read DetailsA 56 year old male presents to the emergency department with…
A 56 year old male presents to the emergency department with complaints of sudden onset left sided weakness, slurred speech, and partial loss of sensation to his left arm/hand. Brain CT without contrast reveals no acute abnormality. Head & Neck CTA reveal a right MCA occlusion. EKG: Atrial fibrillation, heart rate 105. Glucose 120. Vital signs: temp 98.2F, pulse 105, BP 170/95, RR 22, O2 96% on room air. Home medications: Lisinopril 10mg daily, pantoprazole 40mg before breakfast. Last known well time 1.5 hours prior to arrival. True or False: This patient is a candidate for tissue plasminogen activator (t-PA).
Read DetailsA 65 year old male with a history of hypertension, diabetes,…
A 65 year old male with a history of hypertension, diabetes, and sleep apnea presents to the emergency department with sudden onset right sided weakness, slurred speech, and right sided facial droop. Last known well time is 1 hour prior to arrival. Glucose 198. Vitals: Temp 98.4F, Pulse 110, BP 175/95, RR 20, O2 98%. Head CT without contrast is negative for acute findings. Mediations: lisinopril 10mg daily, Spironolactone 25mg daily, Metformin 500mg BID. Based on the information provided, is this patient a candidate for tissue plasminogen activator (t-PA)?
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