glycosylated Hb = 8.6 .... pt complaint about coagulated jel | Figure 1

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glycosylated Hb = 8.6 .... pt complaint about coagulated jelly like whitish urine ..pt is on insulin treatment.. what's the reason of increased Blood in urine ? and posssibl treatmnt along with blood sugar control ?


Had a 70 y/o male pt yest vomiting bright red blood. Hx showed pt was treated for esophageal varices two wks prior and drank alcohol in excess last night. Approx 300 mL bright red blood is noted in the trash can, another 300 mL ended in one of our emises bags, unknown amount had been flushed. Pt was pale, diaphoretic, and cold. 1k warm LRs was administered, 2grams of TXA, 4 MG IF Zofran, and warm blankets with increased ambient temp in the ambulance. The pt went from a systolic in the 60s to low 100. My question is, I know how txa works but what are the effects once it's out of the system? Are there clotting issues to follow? Is there special long term treatment required? TIA

Pt is on aspirin, ABX, and cholesterol medications and no hx of HTN or DM. Brother w/ DVT, other brother w/ blood clotting disorder, mother w/ kidney failure, father w/ DM. What’s high on the differential for this?

65 year old male presented to Emergency department with complaints of #Dysuria as well as blood in urine. MANY clots noted in first sample. Awaiting CT results.

Blood clot from a 73F nose. Dark part was still inside the nose and the rest was hanging out! Minimal bleeding upon removal. Pt. not on blood thinners.

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.

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.

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.

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?