A 76 year old woman presents to the ED with progressive leg weakness. The patient states that for several days she’s been having trouble standing from a seated position, and has had multiple falls recently. PMH includes HTN, COPD, neuropathy and chronic hyponatremia (etiology not stated in records). The patient states that for years she has …
A 69 y/o female presents via EMS with altered mental status. The patient is able to tell you her name, but can’t answer any other questions. Her husband states that she has cirrhosis and recently has been having increasing ascites as well as anorexia. She has not been compliant with her lactulose. On exam she …
Dyspnea and syncope are common complaints seen in the ED. Most of us would not hesitate to add acute coronary syndrome or pulmonary embolism to the differential, but pulmonary hypertension with right heart failure is a differential frequently left off of that list. Although not as common as some of the other causes of dyspnea, missing …
AOMC FOAMed 
You must be logged in to post a comment.