You are an EMT and are called to the home of an 11 week old infant boy who has become listless and is having trouble breathing. The parents state that the infant has not been smiling lately, nor has he had other noticeable facial expressions in the last couple of days. The baby’s eyes are open when you arrive but he does not seem to be able to focus. You place your outstretched finger under his fingers and he is not able to grasp it. You lift his foot and it falls back down onto the mattress. The parents also […]
Ms X is a 76 year-old woman with breast cancer. She had a primary lumpectomy and recently completed her final chemotherapy treatment. She has had a poor appetite and lost 22 pounds since diagnosis. She was seen in her physician’s office earlier today with a complaint of malaise and low-grade fever. Her blood pressure on the non-operative arm was 90/50 and pulse was 110 and irregular. She has complained of intermittent diarrhea over the past few days. Upon ambulation, you note that she is a bit unsteady. She did not seek medical attention earlier because she knew she had an […]
A forty two year-old woman presents to the emergency department complaining of abdominal pain, nausea and vomiting. She notes she has had prior similar episodes which resolved spontaneously however the pain today has persisted for five hours and is much more severe. She appears uncomfortable and is clutching her abdomen. The pain is located in the right upper quadrant of her abdomen and radiates to her upper back. She describes the pain as dull and cramping. The patient’s vital signs are as follows: BP 148/96, P108, R18, T99.9. She has a history of hypertension and is overweight. On exam, you […]
What is your opinion of the US health care system? What is effective? What is ineffective? What are the strengths and weaknesses of the system? In your opinion, what should be the “end goal” of the US health care system? Are we, as a nation, achieving this goal?