A 32 year old female presents to the urgent care clinic with…
A 32 year old female presents to the urgent care clinic with complaints of pain and swelling to her left leg. She reports a history of Type I diabetes and neuropathy. A point of care glucose check reveals a glucose of 259. The patient denies any recent traumas, though states she worked in her yard for several hours 3 days ago. On exam you see the patient below. What is this patient’s most likely diagnosis?
Read DetailsPatient was found in mobile home, unresponsive. She presents…
Patient was found in mobile home, unresponsive. She presents to ER with confusion, irritability, heart rate 132 bpm, and headaches. She is a poor historian due to clinical condition. After stabilization, the family is updated on patient’s status. What report from family is concerning for environmental component of current patient status?
Read DetailsA 67 year old male presents to the emergency department with…
A 67 year old male presents to the emergency department with shortness of breath that has worsened over the last 3 weeks. He reports now he cannot lay flat at night, and becomes very fatigue with activity. Initial vital signs reveal an oxygen saturation of 87% on room air. The nurse applies 2L per nasal cannula and the patient’s oxygen saturation improves to 92%. His medical history includes hypertension, COPD, and sleep apnea. He reports non-compliance with his CPAP machine. The nurse practitioner orders a chest x-ray that reveals pulmonary edema. What is the most likely cause of the patient’s pulmonary edema?
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