Mollie hit Wafic in the RLE with a baseball bat. His physica…
Mollie hit Wafic in the RLE with a baseball bat. His physical exam is as follows: Neuro: GCS 15 Pulm: grossly CTA Cardiac: regular rate and rhythm Gi: soft non-tender + BS Extremities: +2 pulses L DP/PT. Absent pulse R DP/PT. Doppler pulse R popliteal. Cold R foot. Ian the nurse immediately contacts the provider with a concern for:
Read Details34F is admitted with weakness and malaise 90 days s/p gastri…
34F is admitted with weakness and malaise 90 days s/p gastric sleeve surgery. Her labs are as follows: Na+ 129 mEq/L (135 – 145 mEq/L) BUN 28 mg/dL (8 – 20 mg/dL) Creat 1.8 mg/dL (0.7 – 1.1 mg/dL) Hgb 16.4 g/dL (11 – 15 g/dL) Total Protein 4.1 g/dL (6 – 8 g/dL) Albumin 2.2 g/dL (3.4 – 5.4 g/dL) The patient asks the nurse why she’s feeling so unwell. The nurse suspects this patient is exhibiting which gastric sleeve complications?
Read Details49F with PMHx non-Hodgkin’s lymphoma and severe GERD is admi…
49F with PMHx non-Hodgkin’s lymphoma and severe GERD is admitted with multifactorial distributive (septic) and cardiogenic shock. Work-up reveals an EF of 13% by echocardiogram and vegetation on the mitral valve. Physical exam reveals: Neuro: atraumatic, PERRLA, + cough + gag, moves all extremities, + commands. Obvious dental erosion. Pulm: bilateral fine crackles and diminished bases Cardiac: regular rate and rhythm, no murmurs, rubs or gallops GI: soft, nontender, + bowel sounds Ext: +1 BLE pulses, +1 BLE pitting edema Common things being common, the nurse knows the most likely explanation for her shock is:
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