A 47 yr old woman, h/o HTN and Diabetes type II, presents to Mirebalais complaining of 1 month of dull epigastric pain.
Vitals on presentation: BP 95/72, FC 180, FR 28, O2 sat 97% on Room Air
A 17 yr old female presents to the HUM ED with acute onset left sided weakness approximately 6 hours prior to arrival. On exam, she was found to have a left sided facial droop, left arm and left leg weakness (able to walk but does so with significant limp). Her overall examination was consistent with an acute stroke.
An EKG was performed and is attached. What does this EKG suggest and what other bedside test should it prompt you to perform?
This ultrasound performed by R3 Family Medicine Resident Dr. DM of HSN demonstrates SEVERE hydronephrosis. This patient came through clinic and had minimal to no pain suggesting this was likely a chronic process. When estimating the degree of hydronephrosis, a general estimate based on the appearance of the renal pelvis is sufficient – there is no such thing as “40% hydronephrosis” or other exact numbers. A patient can have “mild” or “moderate” or “mild to moderate” or in the case of our patient, “severe” hydronephrosis.
A woman presents to Mirebalais with shortness of breath and generalized weakness. On presentation, patient is dyspneic with bilateral crackles and lower extremity edema.
I have also attached a short video of her monitored rhythm.
This ultrasound performed yesterday by Dr. MC nicely demonstrates a left sided plural effusion.