The Medicine Team Is Still Rounding
Crushing chest pain radiating to the jaw, ST elevations on ECG. First pill you have him chew.
What is aspirin?
Pain that started around the belly button and marched down to the right lower quadrant.
What is appendicitis?
Any woman of reproductive age walks in with abdominal pain. This test comes first, every single time.
What is a pregnancy test?
A toddler with a barking, seal-like cough and noisy breathing at 2am.
What is croup?
Two weeks of low mood, no interest in anything, no sleep, and plenty of guilt. First-line drug class.
What are SSRIs?
No symptoms at all, but an A1c of 7.1% on two separate draws.
What is diabetes?
RUQ pain after fried catfish, fever, and a positive Murphy sign. First imaging test.
What is an ultrasound?
30 weeks pregnant with painless bright red bleeding. Whatever you do, don't do this.
What is a digital cervical exam?
Three weeks old, projectile non-bilious vomiting, and an olive you can feel in the belly.
What is pyloric stenosis?
Three days after starting haloperidol: 104 degrees, stiff as a board, sky-high CK.
What is neuroleptic malignant syndrome?
Small cell lung cancer, sodium of 118, and she looks completely euvolemic.
What is SIADH?
Hypotensive after a car wreck with a distended belly. This bedside study happens before he leaves the bay.
What is a FAST exam?
34 weeks, blood pressure 164/112, pounding headache, protein in the urine. Hang this drug.
What is magnesium sulfate?
Five days of fever, cracked red lips, strawberry tongue, red eyes, and a rash.
What is Kawasaki disease?
Confused, ataxic, and can't move his eyes right. He has a long alcohol history, give this before the glucose.
What is thiamine?
Glucose 560, pH 7.08, fruity breath. This comes before the insulin drip.
What are IV fluids?
Prior abdominal surgery, crampy pain, bilious vomiting, air-fluid levels on X-ray. The culprit.
What are adhesions?
Bleeding heavily thirty minutes after delivery, and the uterus feels like a beanbag.
What is uterine atony?
Cola-colored urine, puffy eyes, and high blood pressure two weeks after strep throat.
What is post-strep glomerulonephritis?
Stable on lithium for years until her doctor added a thiazide. Now she has a tremor and confusion.
What is lithium toxicity?
New atrial fibrillation in a 72-year-old with diabetes and hypertension. The one decision that saves her life.
What is starting anticoagulation?
An 80-year-old in atrial fibrillation is screaming in pain, but her belly is soft. Lactate of 5.
What is mesenteric ischemia?
33 weeks, seatbelt injury in a car wreck, now bleeding with a rock-hard, tender uterus.
What is placental abruption?
A 9-month-old draws his knees up in waves of pain, then passes currant jelly stool.
What is intussusception?
On an SSRI, just started tramadol. Now agitated, febrile, hyperreflexic, with clonus in the ankles.
What is serotonin syndrome?