Cardiovascular System


{"ops":[{"insert":{"image":"\/storage\/case-images\/cs\/M50_F1.jpg"}},{"insert":"\n\n"},{"insert":"This is your first day in this hospital, and things are tougher than you expected.\r\n\r\n\u0022How much longer does my mother have to wait?\u0022, a patient\u0027s daughter approaches you, with an angry look. \u0022We\u0027ve been here for two hours now, she\u0027s old, and we\u0027re all tired!\u0022.\n\n\u0022Well, I\u0027ve been here for ten hours and you don\u0027t see me complaining\u0022 you want to say, but refrain from doing so.\r\n\r\n\u0022I\u0027ll be with you as soon as the lab results come out, ok?\u0022 you politely say instead.\n"}]}


{"ops":[{"insert":{"image":"\/storage\/case-images\/cs\/M50_F2.jpg"}},{"insert":"\n\n"},{"insert":"\u0022Be a doctor they said. It\u0027s a great life, they said\u0022, you think as you through the hallway.\n\nSuddenly, the alarm rings. You run to the emergency room, where you find an unresponsive woman being brought in by the paramedics.\r\n\r\n\u0022A bystander found her unresponsive on the street and called 911. No one saw her collapse. According to her papers, she is 66 years old, and her name is Christina Anderson.\u0022\n"}]}


{"ops":[{"insert":{"image":"\/storage\/case-images\/cs\/M50_F3.jpg"}},{"insert":"\n\n"},{"insert":"The patient is placed on a bed by the EMT\u0027s and is now being monitored.\r\n\r\nYou look at the monitor, which displays an irregularly irregular rhythm, with absent P waves and irregular and narrow QRS complexes.\n"}]}


{"ops":[{"insert":{"image":"\/storage\/case-images\/cs\/M50_F2.jpg"}},{"insert":"\n\n"},{"insert":"Her blood pressure is 72\/50 mmHg, heart rate is 182 bpm and saturation is 100% on 15L\/min oxygen.\r\n\r\nShe is still unconscious but you detect a faint pulse. You quickly auscultate her and notice irregular heart sounds and clear lung fields.\n\nOut of the corner of your eye, you note that the head of the department, Dr. Stuart, is on the ER floor, intently observing your actions.\n"}]}