Posts by Matt Hare

Topic: Cardiac Arrest – the Underlying Condition Scenario: 19 y/o female brought to ED by ambulance accompanied by boyfriend The patient is found on presentation to the ED to be nonverbal, does not open eyes and has no motor responses Boyfriend reports to ED physician that patient ingested a large amount of heroin and was…

Topic: Complex Pneumonia Scenario: 82 yr. old female admitted from her skilled nursing facility with complaints of chest pain, SOB and cough with yellow mucus. Hx of COPD, on continuous O2 at 2L with recent hospital discharge for exacerbation, CVA with dysphagia. Assessment, patient noted with wheezing, rhonchi with mild dyspnea. VS: temp 99.2, HR…

Topic: Traumatic Rhabdomyolysis with Acute Kidney Injury due to Acute Tubular Necrosis Scenario: 50 year old female admitted after a motor vehicle accident where she was the restrained driver Patient with abdominal pain, nausea, tachycardia, muscle pain Patient sustained a fractured fibula/tibia of right leg Fractured ulna left arm Multiple contusions and abrasions Creatinine on…

Topic: Non-infectious SIRS with organ dysfunction Scenario: 65 year old male admitted with history of alcohol abuse and HTN Patient presents with abdominal pain and vomiting for 4 days Vital signs in ED: 160/90, HR 120, RR 24, T101.7F Labs: WBC 18.0, Lactic Acid 2.6 on admit, repeat in 24 hrs. 2.0, Blood Glucose 250…

Topic: Brain Compression Scenario: 80 y/o m presents with c/o left sided weakness, limping, recent slurring of speech, and lethargy. Recent rollover MVC while out of the country – No CT/MRI head completed at that time. CT head reads – Large R SDH with approx. 1.3 cm midline shift and subfalcine herniation and impending transtentorial…