Patient Encounter Part 1

JT is a 65-year-old male admitted to the emergency department (ED) after a 3-day history of severe vomiting and diarrhea. The patient's wife states that a "stomach virus" causing vomiting and diarrhea has been recently affecting several family members. JT is weak and confused, his breathing is labored, and he is losing consciousness. The initial diagnosis by the ED team is hypovolemic shock. A physical exam is being performed and blood samples are being sent to the laboratory.

What type of hypovolemic shock does JThave and what is the cause?

What signs and symptoms would you expect to see in this patient with hypovolemic shock?

What laboratory abnormalities might be expected in this patient? What are the first nonpharmacologic steps in treating the patient?

Anxiety and Depression 101

Anxiety and Depression 101

Everything you ever wanted to know about. We have been discussing depression and anxiety and how different information that is out on the market only seems to target one particular cure for these two common conditions that seem to walk hand in hand.

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