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Board Review #1


Patient is a 47-year-old female presenting to the emergency department due to shaking, altered mental status, and nausea/vomiting. She has a past medical history of bipolar disorder. Family member at bedside states that she was vomiting 2 days ago and took 15-20 extra of her bipolar medication as the patient was concerned she had vomited up all of her medication. Her nausea and vomiting has continued to worsen over the next few days. On examination patient has hypereflexia, slurred speech, confusion and muscle twitching. Blood work is significant for a Creatinine: 1.96, WBC: 17.0 and a negative UDS.


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Author: Sarah Rubin, PGY4 EM

Residency: Jefferson Northeast

Commenti

This site was made by residents for residents in the spirit of physician wellness! It was initially conceived by Sarah Rubin D.O. PGY-4, Greg Fischer D.O. PGY-2, and Andrew Lee D.O. PGY-3, members of the Jefferson Health Northeast Wellness Committee, as an entry into the Wellness “Shark Tank” Competition that took place at the Philadelphia Citywide EM Resident Wellness Day conference in February 2019. The idea was graciously chosen by the judges to receive a stipend to help turn the idea into reality. We feel that ideas for physician wellness are something to be shared between all residents and all programs. This site is intended to bring Philadelphia’s EM residency programs together by providing a resource in which to share ways to be well. We have all experienced the competitive nature of medical school and residency; this often pits us against each other. It is time to end the segregation and to come together in the name of wellness.

Website created in 2019 by Kelsey Jordan.

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