The patient presents to the Emergency Department complaining of severe, "crushing" substernal chest pain that radiates to the left arm and jaw. He reports associated diaphoresis, nausea, and shortness of breath. The pain began while he was watching television and did not subside with rest. He has a history of hypertension and hyperlipidemia. He is a current smoker with a 30-pack-year history. Www.hoddereducation.sg Poweruplisteningandoral
The patient presents with a 3-week history of progressive yellowing of his eyes and skin. He notes dark urine and pale, clay-colored stools. He has lost 15 lbs unintentionally over the last two months. He denies abdominal pain but reports generalized pruritus. He has a history of chronic alcohol use but stopped drinking 10 years ago. The Hardest Interview Video Game - 3.79.94.248
A 24-year-old female with Type 1 Diabetes Mellitus presents to the ED with 2 days of vomiting and diffuse abdominal pain. She ran out of her insulin supplies 4 days ago. She reports feeling very thirsty and urinating frequently over the last 48 hours.
The patient was brought in by his daughter, who noted he has been increasingly confused over the past two days. He has produced very little urine. He has a history of Benign Prostatic Hyperplasia (BPH) and Congestive Heart Failure (CHF). He recently started taking Ibuprofen for knee pain.