Heather is a 2-year-old girl diagnosed with thalassemia major. She has a prominent mandible and wide-spaced upper teeth from the overgrowth of bone marrow centers. Her skin is bronze from the number of (64) transfusions she has received in her short lifetime. Joey is a 4-year-old boy seen at the same clinic. He is diagnosed […]

An 18-month-old infant with a dilated cardiomyopathy undergoes heart transplantation, receiving a heart from a 3-year-old child twice his weight. The early posttransplant recovery goes well, and he weans from cardiac pressor agents and is extubated. He has a mediastinal drainage tube in place. As the respiratory therapist, you are called because the chest radiograph […]

A 30-year-old, G1P1001, previously healthy woman presents 4 weeks after her cesarean section for a postpartum examination. Her labor was complicated by fetal bradycardia requiring emergent cesarean section. The patient complains of difficulty breastfeeding, for which she feels quite guilty. She also complains of fatigue, which she attributes to not eating much due to loss […]

Ms. Johnson, a 52-year-old woman, was diagnosed with stage III breast cancer and scheduled to undergo High Emetic Risk Chemotherapy (HEC) consisting of a combination of doxorubicin and cyclophosphamide. Given the high emetic potential of this chemotherapy regimen, the oncology team prescribed a triple therapy antiemetic regimen: 5-HT3 RA Steroid NK1 RA. Despite the triple […]

A 65-year-old man with treatment-resistant depression presents to the clinic for follow-up. He has taken multiple medications with no improvement in symptoms. He also complains of not having the time or motivation to do anything because of his excessive sleep and severe headaches. Protriptyline is prescribed. Which of the following ECG changes is most likely […]