A 31-year-old female presents with a history of recurrent ep…
A 31-year-old female presents with a history of recurrent episodes of severe throbbing headache. The headaches are aggravated by noise and stress and last for several hours. Sometimes the patient notices flashing lights just prior to her headache, and is very sensitive to light while having headache pain. The patient has found no relief with aspirin, ibuprofen, or acetaminophen with her current headache. Which type or classification of medication is most appropriate for her current, acute, headache pain?
Read Details98. You obtain PFTs for your patient with a past medical his…
98. You obtain PFTs for your patient with a past medical history of CAD, DMII, Emphysema HTN who continues to smoke with a 1 pack/day history of smoking for 30 years. What would you expect to see on the PFTs for this patient?
Read DetailsA 40-year-old man with a history of uncontrolled diabetes pr…
A 40-year-old man with a history of uncontrolled diabetes presents to the clinic for his yearly follow-up. His recent laboratory tests show sodium 132 mEq/L (normal 136–145 mEq/L), creatinine 1.4 mg/dL, GFR 55 mL/min/1.73 m2, and glucose 450 mg/dL. His urinalysis is positive for glucose. He is asymptomatic. Which of the following is high priority and next step in his management?
Read Details93. A 70-year-old male with past medical history of mild-mod…
93. A 70-year-old male with past medical history of mild-moderate mitral regurgitation and moderate-severe tricuspid regurgitation, COPD, and secondary pulmonary hypertension presents to the Emergency Department with a fever and new cough. Vitals on presentation are notable for a blood pressure of 80/43, temperature of 38.7°C, and oxygen saturation of 80% on room air, which improves modestly with 6 L oxygen by nasal cannula. Chest radiograph shows multifocal airspace opacities suggestive of pneumonia, but not pulmonary edema. He is transferred to the ICU for intubation. Examination is also notable for cool extremities with +1 symmetric lower extremity edema. In determining whether to administer fluids to this patient to augment his mean arterial pressure, which of the following techniques would be LEAST helpful?
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