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NBME 17 Answers

nbme17/Block 4/Question#19 (reveal difficulty score)
A 35-year-old man who uses crack cocaine ...
Admit the patient to the hospital for possible myocardial ischemia ๐Ÿ” / ๐Ÿ“บ / ๐ŸŒณ / ๐Ÿ“–
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submitted by lucifer546(6)
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With the condition already acute you can't wait for C and D so it leaves us two others. We won't admit for cocaine detoxification simply because he took cocaine 6 hours ago and it takes 15 to 30 minutes for cocaines effect to wear off. So while we can argue the this ischemia has occurred due to his chronic cocaine use, we also have to see that it simply is not the present overdose that's causing his ischemia

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