56 y/o female rushed to the ER due to loss of consciousness, | Figure 1

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56 y/o female rushed to the ER due to loss of consciousness, patient has type 2 DM insulin-requiring. You don't get to see this in a radiograph on a daily basis.


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Case Summaries

Case 1

65 year's old male with 10 year's hx of DM type 2 on Rx metformin tab 500mg 1x2 and insulin 5 unite. presented with painless laceration injury which was happened buy trauma to the edge of a chair. RBS:407mg/dl BP:140/85 distal pulse was palpable with positive pin pric sensation of both feet maegment: Debridement, primary suture meropemin vial 1x3 for 5 days change to Amoxicalve tab 1x3 for 7 days. with wound debridement each day any father points will be appreciated.

Case 2

Dispatched to 74 y/o Female SOB. Arrived to find pt in a CHF crisis. No c/o chest pain. Hx of hypertension, and diabetes and no other. Pt only takes insulin and hypertension meds. New onset of left bundle branch block. Admitted for Non-STEMI. What do you think from this?

Case 4

89 y old female hypertension with candesartan syncope at admission heart rate 25/ min gcs 15 EKG Heart block 3 TEE TAKO TSUBO.

Case 5

A 52-year-old man presented with a 20-minute history of chest pain radiating to the left shoulder and neck, associated with dyspnea and diaphoresis. He had a history of hypertension, long-term smoking, and a sedentary lifestyle. On physical examination, bibasilar crackles were noted on lung auscultation. An electrocardiogram (ECG) was performed in the primary care setting, and the patient was promptly referred to the emergency department.

Case 6

A 28-year-old woman presented with a 3-day history of intense pruritus over the lower back. She reported no recent travel or exposure to new environments. She cares for a small kennel with approximately eight dogs rescued from the streets. Physical examination revealed multiple small vesicles, some clustered and others scattered, predominantly involving the lumbar region and the left gluteal area.

Case 7

A 4-month-old male infant presented with skin lesions localized to the chin for the past 3 days. Physical examination revealed multiple small pustules with surrounding inflammatory signs on the chin, along with a few scattered papules on the chest.

Case 8

Patient in late teens presenting after a collapse, no chest pain, no previous cardiac history, no history of sudden death in family, are there any features in this ekg that would warrant further work-up or is this just a pediatric ekg?