04.01.2023 - By Zack Olson, MD and Michael Estephan, MD
You are working at Clerkship General on an overnight shift when the next chart is handed to you. It’s a 35 year old male with a chief complaint of groin pain.
Initial Vitals:
BP: 150/90
HR: 107
RR: 20
O2: 99% (Room Air)
Temp: 98.0F
Critical Actions:
* Diagnose Ischemic/Low Flow Priapism
* Perform Penile Nerve Block
* Aspirate Blood and Irrigate with Saline
* Inject Intracavernous Phenylepherine
* Diagnose and Treat Ventricular Tachycardia