Patient from Nursing home presents unresponsive. Patient ha | Figure 1

Patient from Nursing home presents unresponsive. Patient had spontaneous respiratory function with a really deep snore. Absolutely No reaction to pain or sternal rub. Hemodynamically stable but hypertensive 180s/100s. Directly taken to CT which showed massive right hemisphere bleeding.

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A 20 year old patient received in the ER with severe head injury. After the patient was stabilised CT scan was performed which showed massive intracranial bleed.

extensive bleed with a 14 mm shift. History of noncompliant HTN and ETOH. Patient herniated and was pronounced with brain death. #Intensive-care #neurology

patient fell while drinking with family. post fall, patient complaining of headache and increased confusion. patient reported he “had a head thing about 10 years ago”. turns out patient had a craniotomy and never went back to have his bone flap placed! patient ended up being on unit for 3 weeks requiring two surgeries to remove blood and necrotic brain tissue. on trach mask and was most responsive from 0800-1300 so therapies focused around that time frame. transferred to higher acuity SNF. last update from Neurosurgery team was that patient having longer wakeful periods and participating in therapy. in another month, will come back to have implant placed at original craniotomy site!

Massive intraparenchymal bleed with midline ahift and cerebral edema. Patient suddenly collapsed after complaining of severe headache and dizzyness. Initial BP 241/118 and given IV Labetolol 25mg. GCS 2T/15 and pupils were already fixed and dilated. Unfortunately bad prognosis for this patient = (

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?