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EM Clerkship

Round 23 (High Blood Pressure)

EM Clerkship

Zack Olson, MD and Michael Estephan, MD

Education, Courses, Health & Fitness, Medicine

5795 Ratings

🗓️ 1 July 2021

⏱️ 33 minutes

🧾️ Download transcript

Summary

CAUTION: THESE NOTES CONTAIN SPOILERS!! Case Introduction You are working a shift at EM Clerkship General when you are handed the next chart, a 60 year old male presenting with high blood pressure. Initial Vitals Temp 98.0F HR 90 RR 18 BP 220/120 O2 98% Critical Actions Perform thorough neurological exam (and find papilledema) Diagnose […]

Transcript

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0:00.0

Hello, residents. My name is Zach Olson. I'm joined today by Mike Estefan, and thank you for downloading this month's episode of the EM Clerkship Podcast.

0:10.0

This episode is sponsored by Pearson Rabbit's Insurance. We will talk more about Pearson Rabbit's after our case.

0:16.9

Today is round number 23 of the game, and Mike will need to perform today's case in real

0:22.5

ABEM oral boards format. He has 15 minutes to complete the case, and he has no idea what the

0:27.9

case is ahead of time. These cases were created by me. They're not derived from actual ABM cases

0:32.8

that I had, and they are not real patients. Mike, take out a piece of paper and a pencil.

0:37.9

Place the paper sideways in front of you.

0:39.4

Put the human body on the left side of it

0:40.9

and let me know when you are ready.

0:43.0

Let's do this, my friend.

0:44.5

All right, let me get my clock ready.

0:46.2

Dr. Estefan, this will be a single patient encounter.

0:49.9

You'll have 15 minutes to complete the case.

0:52.1

Before we begin, do you have any questions?

0:54.4

I do not.

0:55.3

Let's do it.

0:56.4

All right, let's begin.

0:59.4

Dr. Estefan, you are working at Clerkship General Hospital,

1:02.6

and the next chart gets put in your rack.

1:04.9

Chief complaint, high blood pressure.

1:06.7

Okay.

1:07.6

I walk into the room.

...

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