Remove Dehydration Remove EKG/ECG Remove Radiology
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Medical Malpractice Insights: A Rare Presentation – Groin pain? Nec fasc? Diabetes? Appendicitis?

EMDocs

EKG shows atrial fibrillation with a rate of 169. She had no persistent vomiting, was not dehydrated and had no fever. Her R anterior thigh, knee and posterior calf are tender, swollen and ecchymotic. Lab shows WBC of 26,000, 59% polys plus 26% bands, and more immature cells. Glucose is 490, CO2 8, and pH 7.26 with 3+ urinary ketones.

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Episode 30 - Emergency Department Management of Patients With Complications of Bariatric Surgery

EB Medicine

Consider IV access and early IV fluids in those at risk for dehydration and intra-abdominal infections. Jeff: Tachycardic patients should make you concerned for hypovolemia 2/2 dehydration, sepsis, leaks, and blood loss. Nachi: Check an EKG immediately after arrival for any patient that may be concerning for ACS.