(one liter of D25 or 10 ampules of D50) and there was insufficient time for central venous catheter placement. Moreover, the patient was awake and asymptomatic – able to tolerate oral intake. Juice boxes containing 15g of carbohydrates each were located and the patient drank 16-17 boxes ...
He notes occasional fatigue while at work but denies chest pain, shortness of breath, leg pain or changes in urination. A point-of-care ultrasound is performed showing decreased left ventricular ejection fraction. The patient was admitted for further evaluation and management of new-onset ...
Portal Venous Gas Gastrointestinal Bleeding Nausea and Vomiting Abdominal Pain Lactic Acidosis Biliary Duct Dilation Hepatic Abscess HPI: 42M with 1.5 weeks of fevers. Initially presented to ER 1wk ago and treated for possible otitis media, however follow-up ENT appointment showed no evidence of OM...
Observation: Best performed with patient standing and physician seated on a stool facing the patient Palpation: place hand over patient’s groin (see figure), with two fingers each superior and inferior to the inguinal ligament. Have the patient cough and feel for a palpable bulge or impulse. ...