I AM A LOOKING TO GO

Why is this patient profoundly hypotensive?

Figure 1 Quiz of the Week A 70-year-old male is brought to the emergency department with subacute shortness of breath and fatigue. Upon searching her father’s home, his daughter reports she found his medication — a nearly empty bottle of metoprolol, 100 mg bid. She believes her father has coronary artery disease. On examination, the…

Do you recognize this triad?

Figure 1 Quiz of the Week A 25-year-old male presents to the emergency department with headache, retro-orbital pain, and diplopia when gazing to the right. He had visited an urgent care clinic with right ear pain two weeks earlier and had received a short course of antibiotics. After some initial improvement, he became increasingly unwell…