Dispatched to residence for sick person. Upon arrival patie | Figure 1

Paced_and_Confused

Registered Nurse

Dispatched to residence for sick person. Upon arrival patient is a 65yo/m found sitting outside home on steps. Family member states her uncle has not been acting normal over the last 5 days. She states he is lethargic and confused at times. She also states he has fallen around 8x over the last two days and is incontinent with dark foul smelling urine. At current time patient is A/Ox4, skin P/W/D however appears to be in pain. Patient states he has experienced shortness of breath over the last few days with sharp non-radiating LUQ abdominal pain. Initial o2 sat was 79% on RA. Auscultation revealed crackles bilaterally in lower lobes. Thoughts? Treatment?

Past medical history

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89+ y/o female brought in by EMS after a fall. Has fallen multiple times over the past year. GCS 15; pain in both knees 2/10. Pt states she didn't trip this time but suddenly fainted instead. Has had several episodes of lightheadedness/dizziness over the past 2 days though never fainted before. What does this EKG tell you (detailed interpretation)? Tx?

27yo/m calls 911 for minor chest pain on and off for the last few weeks. States today he’s experienced difficulty breathing. He states he’s had a minor temp for the last couple days. He denies any past medical hx. Patient is calm and in no obvious distress. Skin PWD. Ddx? EKG? Vitals RR-18 HR-130’s BP- WNL

Patient walks in with this atypical rash, which he states, appeared over last 2 days. He was taking analgesics for Rt. Side chest pain. No pustular lesions were seen.

83yo/m calls 911 for chest pain. Upon arrival, patient is found sitting upright in living room recliner. Patient is A/Ox4, skin P/W/D. Patient states he feels more weak than he usually does today. Patient has productive cough over the last week. Furthermore, he states that he experienced three episodes of chest pain when he got up to walk to the bathroom. Patient states he took 3 SL nitro for his chest pain with total relief. Patients denies SOB. Vitals Bp-160/90, HR (12 lead above), RR 24. Thoughts?

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?