Dr.Baha Zaro Emergency Physician

09/01/2022

A 42-year-old man presents to a community ED with two hours of chest pain. His ECG shown in the picture. The nearest PCI-capable center is 4 hours away. Which of the following is an absolute contraindication for thrombolysis?

A. Ischemic stroke 7 months ago

B. Major head trauma 1 month ago

C. Major abdominal surgery 3 weeks ago

D. Systolic blood pressure >180 mmHg

04/03/2021

Did you receive patients like this during your shift ??

03/03/2021

20 yr old female who presented to the Emergency Department following an episode of chest pain. ❤. At review she was pain free and all vital signs were normal. Her serial ECG’s are below, there is ~30 mins between each ECG.

Whats your interpretation ?

03/03/2021

☘☘ Answer and explain ?

02/03/2021

22 years old come to the ER due to syncope
Blood pannel normal , bed side US normal
Whats your desicion admit or diacharge and why ??

02/03/2021

01/03/2021

52 years old presented to the emergency department with shortness of breath, hypotension, extended JVD

Bed side echo show
A collapsed right ventricle
Hyperdynamic heart
Large amount of fluid around the heart

Clinically the patient diagnosed with cardiac temponade
He pass an urgent pericardiocentesis

28/11/2020

D.D of Stridor

26/11/2020

A 52-year-old man with a history of hypertension and dyslipidemia presents to the ED with chest tightness and shortness of breath. His triage ECG is shown. Which of the following coronary arteries is most likely to be affected?

A Left anterior descending

B Left circumflex

C Left main

D Right

25/11/2020

A 64-year-old woman with breast cancer and bony metastases presents with nausea, vomiting, and generalized weakness is found to have an elevated calcium level. Which of the following is an indication for emergent hemodialysis? 🚑🚑

A Calcium level of 15

B Inability to tolerate oral fluids

C Multiple myeloma as the underlying malignancy

D Presence of congestive heart failure

22/04/2020

❤

07/04/2020

A 45-year-old woman presents to the ED for eye pain the day after forgetting to remove her contact lenses before going to sleep. Her visual acuity is normal. On fluorescein examination, a corneal abrasion is noted with significant uptake. In addition to discontinuing contact lenses until resolution, which of the following treatments is the most appropriate?

A. Artificial tears

B. Ciprofloxacin orally

C. Erythromycin drops

D. Ofloxacin ointment