Department Chair, Dr. Chansky, gives a lecture on Acid-Base Disturbances

A 48-year-old female presents to the ED with generalized fatigue. Patient has a past medical history of HTN, HLD, Crohn’s Disease. She admits to some nausea, vomiting, and dizziness. Vital signs: T 98.3F, HR 73, BP 70/50, RR 18, Pulse Ox 100% on room air. Blood glucose is 35. Exam is unremarkable.

A 48-year-old female presents to the ED with generalized fatigue. Patient has a past medical history of HTN, HLD, Crohn’s Disease.

A 53 year old reported daily ETOH use presents via EMS for seizure at home. As you approach the stretcher you wrack your brain for the right treatment algorithm, realizing that this patient may die without the correct medications....

62 year old female PMHx HTN and DM presents to the ED with two weeks of worsening left leg swelling. Pain is 8/10 and described as “achy”. Worse with ambulation. Tried tylenol with no relief. Vital signs are within normal limits.

You’re working in the ED on a warm spring day and a 22 year-old female is brought in by EMS for respiratory distress. She has a past medical history of asthma and depression.

A 44 yo male who works as a construction worker presents with 2 days of lower back pain. Having seen literally hundreds of cases of benign musculoskeletal pain in the last year, you are pretty sure you can handle one more. But is there danger lurking behind this well appearing patient with normal vitals? Well, yes of course. Otherwise we wouldn't be covering it on EM Daily....

A patient comes into the ED with a high fever, shortness of breath, mild headache, diarrhea, and general malaise. It’s 2021… so naturally, the ‘COVID alarms’ start sounding in our heads. But if it were that simple, we probably wouldn't be posting about it, would we?

A 57 year old female presents with bilateral lower extremity erythema, pain, and swelling. Bilateral cellulitis you say? (Somewhere a dematologist just screamed into a pillow) Surely not! But what else could this be? Read on to expand your differential for bilateral red legs!

A healthy 30 yo male p/w cc of generalized weakness and pain for several hours. But generalized weakness and pain can be about 2 million things! you bemoan internally as you sign up for the patient. Hang on, what's this? Admitted previously for severe, unexplained hypokalemia? The plot has thickened....