You've tried your normal asthma treatment pathway, and the patient looks worse... What's next?

You are in the midst of caring for a 62 year-old male who is tachycardic with HR 120, BP 88/42, T 101.2 oF, RR 26, and SpO2 98%. He was brought in by EMS for fever and myalgias, and with one look at his vital signs, he triggered the protocol for SIRS. Your initial exam showed similar vital signs...

A 42 year-old female with poorly controlled type II diabetes presents with several days of fatigue, headache, fever to 102F, and sinus pressure. She does not regularly check her blood glucose, with her last check at 320. Initial vital signs show a blood pressure of 155/92, heart rate of 92, oxygen ...

The airways that even the experts at airway cringe at a little. The ones you pee your pants over. The ones you hear in myths and legends. These airways, my friends, are where heroes are made.

An update on the cause, pathophysiology, diagnosis, and management of Lemierre's syndrome

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In the febrile HIV patient, there are many diagnostic dilemmas and potential life-threatening disease processes which make the diagnosis and treatment difficult. When approaching these patients, it is useful to separate complications into organ systems and then try to estimate the patient's immune status if it is not known.