Podcast: Play in new window | Download
CAUTION: THESE NOTES CONTAIN SPOILERS!!
Case Introduction
You are working a shift at EM Clerkship General when you are handed the next chart, a 60 year old male presenting with high blood pressure.
Initial Vitals
- Temp 98.0F
- HR 90
- RR 18
- BP 220/120
- O2 98%
Critical Actions
- Perform thorough neurological exam (and find papilledema)
- Diagnose Hypertensive Emergency
- Start anti-hypertensive drip (usually Nicardipene)
- Recheck patient’s blood pressure after intervention
- Admit to ICU
Further Reading
Oh my goodness the progress Mike has made is incredible!!!!! Today’s episode/round had me reflecting on the growth!
Thank you to both of you, I love this podcast. It’s bittersweet to see Mike grow so much. I never want this podcast to stop! Maybe we can recruit the show a new resident if Mike continues to crush each case.
Thank you. Thank you.
I appreciate the kind words :). I still have so much to learn and I’m sure Zack will continue to find ways to throw me for a loop (like episode 22 with the resuscitative hysterotomy and neonatal resuscitation). Thanks for listening!