4.9 of 11 Ratings
A 45-year-old male is brought into the emergency room by emergency medical services due to a stab wound in the chest. The wound is located superior and medial to the left nipple. Upon entry, the patient appears alert and is conversational, but soon becomes confused and loses consciousness. The patient's blood pressure is 80/40 mmHg, pulse 110/min, respirations 26/min, and temperature 97.0 deg F (36.1 deg C). On exam, the patient has distended neck veins with distant heart sounds. What is the next best step to increase this patient's survival?
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A 36-year-old female with a history of end stage renal disease secondary to poorly controlled type I diabetes on peritoneal dialysis presents to her nephrologist's office with chest pain, shortness of breath, and extreme fatigue. She has a history of inadequate dialysis due to poor compliance. In the office, the patient's vitals are BP: 94/58; HR: 90; RR: 20; T: 98.0 F. EKG is shown below (Figure A). The patient is immediately taken to the emergency department. What is the most likely diagnosis?
ST elevation MI
Non-ST elevation MI
A 23-year-old female with a history of systemic lupus erythematous presents with 1 week of chest pain and shortness of breath. Exam is notable for increased respiratory rate, mild hypotension, and muffled heart sounds. Chest radiography is performed and the results are seen in figure F. Which of the following electrocardiograms would you expect to see in this patient?