Inspira's Internal Medicine Resident Education Blog
Month: February 2020
A 45-year-old male with history of hypertension presents to the emergency department complaining of abrupt onset dizziness that occurred when he stood from a seated position, the dizziness was accompanied by nausea and lightheadedness as well as a brief period of blacking out when the patient fell backward into his chair. He has never experienced … Continue reading When do you need an echo when evaluating syncope?
A 72 y/o F being managed on the floor for sepsis due to a problematic urinary tract infection starts to complain of acute onset LUQ abdominal pain. She describes abdominal pain out of proportion to your physical exam, one that includes mild signs of distension without peritoneal signs. She now has occult blood in the … Continue reading How do you approach ischemic colitis?
A 42 year old female without history of cirrhosis or renal impairment presents with fatigue and slight yellowing of her skin. She denies any weight loss and shows no evidence of blood loss. Her labs show normocytic anemic with an elevated indirect bilirubin. Otherwise, her comprehensive metabolic panel is relatively unremarkable. Weakness. Jaundice. Anemia. Indirect Hyperbilirubinemia. … Continue reading How do you workup hemolytic anemia?
By now we should have all heard the news. The novel coronavirus, recently labeled by the WHO as COVID-19 (COrona VIrus Disease 2019), outbreak has caused more deaths than SARS and continues to have a growing incidence of infection in the US. In fact on January 30, 2020 the WHO declared the outbreak a public health emergency of international concern (PHEIC). … Continue reading Are you prepared to discuss the novel Coronavirus?
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