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A Comprehensive Guide to Surgical Clerking

Mind The Bleep

Unless you’re documenting something hilarious, please keep it brief and to the point. History of Presenting Complaint In this section use SOCRATES to document the pain. Drugs/Allergies When documenting drugs – try to get the dose and frequency (this can be found on Summary Care Records from the GP if you have access).

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ECG Blog #366 — Diltiazem didn't work.

Ken Grauer, MD

Applying the Above to Today's Case: In addition to being Covid-positive — the patient in today's case had longstanding COPD. He was wheezing, and required supplemental oxygen. Microvascular dysfunction — cardiac vasculitis — intravascular thrombosis.

EKG/ECG 195
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Case Report: Coronary Vasospasm-Induced Cardiac Arrest

ACEP Now

A 45-year-old male with a history of chronic obstructive pulmonary disease (COPD), asthma, amphetamine and tetrahydrocannabinol (THC) use, and coronary vasospasm presented to triage with chest pain. Cardiac arrest secondary to myocardial ischemia from coronary vasospasm is well documented.

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An elderly male with acute altered mental status and huge ST Elevation

Dr. Smith's ECG Blog

A man in his 90s with a history of HTN, CKD, COPD, and OSA presented to the emergency department after being found unresponsive at home. The providers documented concern for ST elevation in the precordial and lateral leads as well as a concern for hyperkalemic T waves in the setting of succinylcholine administration. ng/mL and 0.10

EKG/ECG 116
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A Comprehensive Guide to Surgical Clerking

Mind The Bleep

Unless you’re documenting something hilarious, please keep it brief and to the point. History of Presenting Complaint In this section use SOCRATES to document the pain. Drugs/Allergies When documenting drugs – try to get the dose and frequency (this can be found on Summary Care Records from the GP if you have access).

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Friday Reflection 24: I Would Rather Go Back in Time

Sensible Medicine

He had COPD and depended on home oxygen. ” I documented those words in my progress note that day. I have to think that treatment could have made her life better if not longer. I wonder if I am now better equipped to counsel her. Could I have convinced him not to get treated? KS was a man in his early 80s.

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Are these Wellens' waves?

Dr. Smith's ECG Blog

This clinical information followed: "The patient had a COPD exacerbation with a prehospital SpO2 of 60%. Many patients with acute COPD exacerbations present with a similar heart rate. Finally — Note that the S1Q3T3 pattern is missing in ECG #2 , despite documentation of a massive PE. This is NOT Wellens. Is the patient hypoxic?

EKG/ECG 52