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In the last post, we saw how important old ECGs are in assessing the current ECG in a patient without atypical presentation (in this previous case, the patient had no chest pain, and the apparent inferior OMI did not have reciprocal ST depression in lead aVL). Here is that last post: A 90-something with acute stroke. She has no chest symptoms. What is the diagnosis?
One of the most hair-raising presentations to the emergency department (ED) can be massive hemoptysis with respiratory failure. While life-threatening hemoptysis represents a minority of hemoptysis cases seen in the ED, it is imperative we have an efficient and organized approach to management, as respiratory failure and death can occur rapidly. The definition of massive hemoptysis is variable across publications with expectorated blood volumes ranging from 100 to 1,000 mL per 24 hours, as thes
The University of Virginia (UVA) School of Medicine was founded in 1819 by Thomas Jefferson and is one of the oldest medical schools in the United States. In 1901, UVA opened its first hospital with 25 beds and three operating rooms. The medical center and undergraduate campus in Charlottesville still maintain the appearance of the original quaint colonial campus.
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