Posts in Critical Care
Posterior Reversible Encephalopathy Syndrome (PRES) in the Emergency Department

68-year-old male with history of hypertension, chronic kidney disease presenting from home with wife at bedside for confusion and shaking movements. Per wife, the patient is independent at baseline. He walks, drives and still works. Yesterday, he complained of a mild headache and this morning she noticed he seemed more confused, described as asking repetitive questions and wandering around the house. Prior to coming into the emergency department, the patient had a one-minute episode of full body shaking. This has never happened before. He has no history of seizure activity. The shaking resolved on its own and the patient was very tired afterwards while awaiting the ambulance. ..

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A Case of Near Syncope

A 69-year-old female with a history of hypertension presents to the ED with near syncope. She had been walking around Newport on a hot day with her family when she began to feel lightheaded. Her family noted that she appeared pale and diaphoretic. She did not lose consciousness but she continued to feel weak and was brought to the emergency department…

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ED Approach to Anemia

A 57-year-old female presents to the emergency department with fatigue and weakness that have been worsening over a period of several months. She has a past medical history of chronic daily alcohol use, coagulation disorder with increased INR, and anxiety. She does not like to see physicians and has not been to her primary care doctor in several years, but decided to come in today because her fatigue and weakness have become too severe…

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