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CPC 4

A 60 year-old female. Multiple risk factors for coronary artery disease on dialysisPresents with hypoglycemiaElevated troponin ASA, heparin, BB, TNGProbable UTI - gatifloxacinLarge pericardial effusionAsystolic cardiac arrest and dies. Timeline of Events. 12/10 ED, hyperkalemia, Hct 44%, s

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CPC 4

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    1. CPC #4 Edward K. Kasper, M.D. Chief of Clinical Cardiology Johns Hopkins Hospital

    2. A 60 year-old female Multiple risk factors for coronary artery disease on dialysis Presents with hypoglycemia Elevated troponin ASA, heparin, BB, TNG Probable UTI - gatifloxacin Large pericardial effusion Asystolic cardiac arrest and dies

    3. Timeline of Events 12/10 ED, hyperkalemia, Hct 44%, started on gatifloxacin 12/11 Medicine, BB, ASA, Heparin, nitrates, dialyzed, Hct 35% 12/12 Dialysis, echo - large pericardial effusion, no tamponade 12/13 Water bottle heart on CXR, asystolic at 5 AM

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