65 y/o M. Pt underwent elective L4-S1 decompression and fusi | Figure 1
RNLK
Registered Nurse
Case Summary: 65 y/o M. Pt underwent elective L4-S1 decompression and fusion osteotomy with interventional cage. ST elevation noted intra-operatively and post-operatively with initial trop of 0.21. Pt asymptomatic. Loaded with ASA and ticagralor. Heparin 5000 U IV x 1. Repeat trop 1.23 then 15 hours later 29.22. Patient suffered AKI intra-operatively which is now resolved. Pt sent to another hospital for PCI and 3 stents then returned to primary hospital. Patient stable and remains asymptomatic.
Trending Cases
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.