Female patient in early 70s, complains of sudden appearance | Figure 1

forderit

Emergency Medicine

Female patient in early 70s, complains of sudden appearance of a ‘blood shot’. Known to be hypertensive, but BP is within range. No systemic concerns identified and vital signs are within limits. The patient is not anticoagulated and not taking antiplatelets. Visual assessment is normal. How would you address her concern? How likely is this condition to recur?

Why you should join Figure 1

Similar cases

Roll-over MVA. Patient peripheral sensation intact. Vitals within normal limits while in ED. Patient on lovenox and Coumadin. Bleed present within column. What is a very large concern with a patient in this condition (other than quadriplegia)?

27 years old Male patient presented to the ER complaining of dizziness and fatigue. After taking a short history, his symptoms began after he swallowed 3 pills of a drug that is used to relax muscles. On examination; HR 45, BP 89/50, pupils are dilated, otherwise everything is OK, and ECG showed sinus Bradycardia. After taking further history I concluded that the drug the patient took was Orphenadrine. How would you treat this patient? This is my 1st case, I hope it will be helpful.

While Blood (Packed Red cells) Transfusion to a Multigravida pregnancy with Hemoglobin of 6 grams/dl, near term, half of blood was transfused, patient started with sudden onset of labour pains & patient delivers the baby within 6 hours. Why there was no proper stages of labour? No rash, no rigors, no jaundice, no changes in pulse or blood pressures or SPO2. What is the reason? How blood transfusion precipitates the labour pains?

hospice patient with new bruise/blood blister developing on arm. Caregiver unsure how or when it happened. Size is increasing. Patient recently discontinued off of anticoagulant. Non painful.

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?