Source: http://hopkinsilc.org

Continue with a question in hypertension.

Your first patient of today’s clinic is Penny Pingleton, a 33-year-old woman who presents with a 3 day history of rhinorrhea, cough and sore throat. Her six-year-old son has similar symptoms. Mrs. Pingleton’s past medical history is otherwise unremarkable. Medications include pseudoephedrine for the past three days, as well as oral contraceptives. Family history is notable for hypertension in both parents and diabetes in her father.

On physical examination, Mrs. Pingleton appears well. VS: T37.4 P80 R12 BP132/84. HEENT examination is normal; clear mucus is noted in the posterior pharynx. There is no adenopathy. Chest exam reveals clear lungs, and cardiovascular examination is normal. The remainder of the exam is unremarkable.

You diagnose the patient with a viral URI, and then turn your attention to her blood pressure. Which ONE of the following statements is true?

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A federal program that increases the physician workforce in underserved areas has been reauthorized for another three years under a bill signed just days before the program was set to expire.

Source: AMA wire

Basics: http://lifeinthefastlane.com/ecg-library/basics/

http://www.youtube.com/user/ECGDoc

http://www.learntheheart.com/

Mnemonics: http://www.cardionotebook.com/content/ecg-mnemonics

Cases: http://ecg.bidmc.harvard.edu/maven/mavenmain.asp

More complicated strips: Please contribute some websites in the comments section.

http://hqmeded-ecg.blogspot.com/

http://ekgumem.tumblr.com/

EKG mnemonic: http://goo.gl/PcZ9H

Know the answer? Post it below! Don’t forget to check back tomorrow for an update with the correct answer and explanation.

A 54-year-old woman presents to the emergency department because of severe pain between her shoulder blades of 6 minutes’ duration. She states that she vomited on the way to the hospital. Her hands are clammy and she appears very anxious. An ECG from triage is shown in the image. The patient is given a medication that rapidly relieves her pain.

What is the mechanism of action of this medication?

A. Suppression of prostaglandin and thromboxane production
B. Inhibition of the sodium/potassium adenosinetriphosphatase pump and increase in the atrioventricular node refractory period
C. Venodilation and coronary artery vasodilation
D. Inhibition of transmembrane influx of calcium ions into myocardial cells
E. Inhibition of angiotensin-converting enzyme
F. Inhibition of active chloride reabsorption at the early distal tubule via the sodium-chloride co-transporter

Source: http://firstaidteam.com/

This is the first one: http://prezi.com/o_p7hheqflvr/rr-1/

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http://www2.kumc.edu/pharmacy/guidelines/Renal%20Dosing%20Protocol.pdf