Laboratory tests were notable for leukocytosis and creatine kinase above the threshold for detection. Radiology preliminary interpretation of non-contrast head imaging was normal. A lumbar puncture was performed
Given the patient’s modest leukocytosis (with neutrophil predominance), and tachycardia, the concern for sepsis was increased though the source remained unclear. Prominent possibilities included a skin and soft-tissue infection vs. less likely intra-abdominal source though the patient’s physical ...
Leukocytosis ↑Total serum bilirubin ↑INR ↑Creatinine associated with poor prognosis Other studies: Screening for infection: PNA, UTI, SBP Abdominal US to evaluate hepatic abscess, HCC, extrahepatic biliary obstruction Management of Alcoholic Hepatitis: 1,2 Grading Severity: Maddrey’s discriminant func...
Unique symptoms compared to traditional cannabinoids: psychosis, seizure, diaphoresis Hallucinogenic amphetamines (ecstasy, MDMA) Increased serotonergic activity Management: supportive care (IVF, cooling for hyperthermia), benzodiazepines Gamma-hydroxybutyrate (GHB) ...
27 year-old female with no medical history presenting with neck swelling. She describes one month of progressive enlargement of a left-sided neck mass, and in the past two weeks has noted a new right-sided neck mass. This has been associated with worsening dysphagia to solids, describing a ...
The patient administered an insulin dose sufficient to dispose of 250g of carbohydrates with an impending peak action within minutes. The required dose of parenteral dextrose would require potentially-toxic1,2solution concentrations (one liter of D25 or 10 ampules of D50) and there was insufficient...
Pediatric Foreign Body Ingestion Acute Urinary Retention Hypotension Pediatric Emergencies Portal Venous Gas Abdominal Pain Ectopic Pregnancy Volvulus Alcoholic Hepatitis Elevated Hemidiaphragm Nausea and Vomiting Small Bowel Obstruction Abdominal Wall Hernias ...