Identify the Disorder

Identify the Disorder

A 19 y/o M was playing baseball and was accidentally hit in the eye with the ball.  The patient is reporting eye pain and slightly blurred vision.  On inspection in the ED his vision is 20/20 bilaterally, however this physical exam abnormality is appreciated.

Please identify the disorder seen in the attached picture.  What genetic disorder, seen with higher prevalence in African-Americans, would increase the risk of developing ischemic complications of the retina and optic nerve?  

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Inspirational Video

A quick bit of inspiration to brighten anyone's day.  One kind act ultimately inspires another! 

Must Watch! Humanity Restored.

A Must Watch! Humanity needs to be restored & let us all pray this becomes an encouragement to all. Amin.

Posted by Salha Zain on Sunday, September 15, 2013

Name the Abnormality

Name the Abnormality

A 45 y/o F with a pmh of gastric bypass surgery presents to the ED for evaluation of copious diarrhea x 3 days.  The patient appears weak, dehydrated, and sluggish.  During your ED evaluation the patient has an acute onset tonic-colonic seizure.  The patient is given ativan and is stabilized.  Finger stick is 98mg/dL, labs are drawn, results pending.  The patient then proceeds to have another seizure.  

What electrolyte abnormality could have contributed to the patient’s epileptic event? 

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What Should You Do?

What Should You Do?

42 y/o M is bibems for AMS.  The patient has signs of head trauma and will likely need a HCT.  The patient becomes lethargic, shows signs of respiratory distress and is safely intubated via RSI with pretreatment.  Tube placement is confirmed via ETCO2.  Although sick, the patients vs are normal.  The patient is tx to radiology where the HCT is negative for acute pathology.  Upon return to the ED, the patient begins to desaturate and becomes hemodynamically unstable. 

What should you do?  If the patient was an asthmatic, what should be your first action?

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Identify the Condition

Identify the Condition

A 66 y/o M with pmh of HTN presents to the ED for evaluation of acute onset right eye pain, blurred vision, nausea and vomiting.  The patient reports being in his usual state of health until he took a small dose of benadryl to help him sleep.  

Please identify this patient’s condition and comment on its management.  

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