23 yo female p/w one week h/o dyspnea with exertion and increasing lower extremity edema. Pt c/o intermittent episodes of atypical chest tightness and pressure that does not occur necessarily during rest or with exertion. Non-radiating. Does not occur with palpation, shortness of breath, nausea/vomtting or diaphoresis. Dyspnea not present at rest. Pt denies PND, fevers, cough or syncopal episodes. No recent long plane flights or car rides. Denies tobacco, alcohol or drugs. No recent changes in medication. Symptoms have been getting progressively worse over past one week. Pt now unable to climb stairs in apartment without resting mulitple times. Leg swelling is equal bilateral. No redness, warmth or pain. LMP one week ago. Her PE is significant for the following She is in NAD with normal vitals, well appearing, resting comfortably with mild b/l basilar crackles, no wheeze; has an audible murmer III/VI ASB and has b/l +1 pitting edema up to mid calf, no redness, warmth, negative homan’s sign. Below is her ECG. What is your diagnosis?
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Posted on 11/10/2009
What are EKG findings of a clinically significant PE?
Posted on 11/06/2009
What are the hallmark signs of acute closed angle glaucoma?
Posted on 10/29/2009
What are the clinical signs of organophosphate toxicity?
Posted on 10/22/2009
What is the classic ABG finding in a patient with ASA toxicity? Why would you find this?
Posted on 10/19/2009
A thoracostomy (chest tube) was performed for spontaneous pneumothorax.
To assess its function, the tube was grasped and rotated in place 180 degrees and let go. Subsequently, the tube spun back to it's original position. What are the implications of this maneuver?
Posted on 10/12/2009
Which of the following regarding spinal trauma is false?
A) Central cord syndrome is characterized by upper greater than lower extremity weakness.
B) Central cord syndrome results from a hyperflexion mechanism.
C) Tear drop fractures are unstable hyperextension injuries.
D) Spinal shock is characterized by hypotension, relative bradycardia and hypothermia.
Posted on 10/06/2009
What are the treatable causes of PEA arrest?
Posted on 09/29/2009
What are some distinguishing features of legionella pna?
Posted on 09/28/2009
What is the lifetime prevalence of AAA (Abdominal Aortic Aneuysm) among siblings of patients with the disease?
Posted on 09/13/2009
How is the ptosis from a third nerve palsy different from that resulting from Horner's Syndrome?
