One of the golden girls (don’t worry, not Blanche) presents to your ER after a near syncopal episode. She reports generalized weakness, but denies all other complaints.
VS (scary): HR 136, RR 25, BP 70/30. The pulse ox won’t pick up.
She has clear lungs, normal heart sounds, no leg swelling, BUT LARGE JVD.
As usual most accurate/first answer to the following questions wins a special prize…
1. What are your top three differential diagnoses?
2. How are you going to work-up and treat this patient?
By Dr. Andrew Grock
The views expressed on this blog are the author's own and do not reflect the views of their employer. Please read our full disclaimer here. Any references to clinical cases refer to patients treated at a virtual hospital, Janus General Hospital.
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andygrock
- Resident Editor In Chief of blog.clinicalmonster.com.
- Co-Founder and Co-Director of the ALiEM AIR Executive Board - Check it out here: http://www.aliem.com/aliem-approved-instructional-resources-air-series/
- Resident at Kings County Hospital
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