George L. Higgins

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STUDY OBJECTIVE Sepsis protocols promote aggressive patient management, including invasive procedures. After the provision of point-of-care ultrasonographic markers of volume status and cardiac function, we seek to evaluate changes in emergency physician clinical decisionmaking and physician assessments about the clinical utility of the point-of-care(More)
progressing from high-level AV block through second-degree to first-degree heart block before complete resolution. 2 The AV node is most commonly involved, but any level of the conduction system can be affected. Clinical heart failure is observed in approximately 10% of patients, and dilated cardiomyopathy can be a long-term consequence of untreated Lyme(More)
A previously healthy 38-year-old woman, with no significant past medical history, presented to the emergency department with acute onset of weakness after outpatient sclerotherapy. She had two milliliters of 0.5% foamed tetradecylsulfate injected into right lower extremity varicose veins. Twenty minutes after completion of the procedure, she had acute onset(More)
An 81-year-old Caucasian woman presented to the emergency department (ED) complaining of right groin pain of one month's duration. She was able to bear weight but was finding it increasingly difficult to ambulate. She described a vague history of falling, prompting a prior negative work-up for hip fracture. In the ED, she was noted to be kyphotic, but(More)
A 22-year-old man presented to a rural Ugandan clinic with three months of progressive dyspnea. He described a non-productive cough and subjective fevers and chills. He appears mildly dyspneic but is in no acute distress. His has a temperature of 37.7°C, pulse of 112 beats per minute, respiratory rate of 22 breaths per minute, blood pressure of 105/50 mmHg(More)
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