Stuff You Need, In Your Pocket
National Nurses’ week starts this Monday. Don’t forget to show your appreciation. Food works great, but it’s not too late to order medical pocketbooks as gifts. Until May 12th, for every 4 books you order I’ll throw in a 5th book free! That’s 20% off.
ERPocketBooks.com is a website designed for health-care providers to enhance their education and patient care. GotSafety.ORG is a website designed for the public to learn how to avoid the most common injuries and illnesses that land people in the nation’s ER’s. Both websites include free content as well as information on a number of books which are available for purchase.
Our medical mysteries of the month contain valuable educational images. Proper consent was obtained for all of the images from patients who were happy to be able to contribute to the medical education process. Their contributions may one day help other people they will never know.
In this spirit, read on…
A 72 year old female is referred to cardiology for clearance to undergo eye surgery. During her review of symptoms she mentions that she occassionally gets 5-10 minutes of epigastric pain after meals which is always releived by Pepto-Bismol. Below is her EKG taken in the office while she is pain free. She is sent to the ER for further evaluation. A repeat EKG is unchanged and cardiac enzymes are negative. Can she be cleared for surgery or should you recommend a stress-test first?
For the answer CLICK HERE or link below.
A 47 year old man presented to the ED with left eye irritation that had been present for about two weeks. He denies trauma, headache, discharge and vomiting but does have some degree of photophobia and slightly blurred vision that seems to clear when he blinks. On exam you note injection without discharge. Look closely at the image. What type of conjunctivitis does he have? For Answer, click here, or link below.
A 68 year-old female with a history of diabetes, renal disease and pacemaker placement for heart block presents with 36 hours of weakness, near syncope and occasional vomiting. On exam she is afebrile with a pulse of 126 and a blood pressure of 81/53. She appears adequately hydrated and has clear lungs and a non-focal exam. Her labs are unremarkable except for a positive UA. Her EKG is shown below. How would you initiate treatment?
Click here for the full case and ANSWER:
If the answer link above does not work, try clicking here. For Safety Tips click here)
