Point-of-care ultrasound (POCUS) has been an integral part of patient evaluation in the Emergency Department. It has been used increasingly for the evaluation of critically ill and trauma patients. We report a case of 60-year-old male patient who presented to the Emergency department with flank pain and urinary symptoms suggesting pyelonephritis with unrecordable blood pressure indicating potential septic shock, but the absence of bilateral radial pulses triggered the use of POCUS which reveal bilateral radial artery occlusion.
COVID-19 is a multisystemic infectious disease that primarily affects the respiratory system. However, the involvement of extra-pulmonary systems has also been reported. We report a 25-year-old female patient who visited the emergency department with a four-day history of severe burning epigastric pain associated with vomiting. The patient was later diagnosed with severe acute pancreatitis with concomitant severe COVID-19 based on clinical, biochemical, and imaging findings. The patient was managed with antibiotics, anticoagulation, and ventilatory support. Despite aggressive treatment efforts, the patient sustained cardiac arrest in the setting of refractory hypoxemia and passed away on day three of her hospitalization.
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