pelvic fracture, which is confirmed by portable x-ray film done as pt is being resuscitated. His O2 sat is 99 on room air. Conservative treatment with sitz baths, stool softeners, stool bulking agents - surgery reserved for patients who don't respond to medical treatment or who have advanced-stage dz 18 yo college student brought to ED by concerned friends after he was unable to get out of bed. Presence of either/both: - eGFR 60 mL/min/m2 - kidney dz as defined by structural abnormalities or functional abnormalities other than low eGFR disorder characterized by normal anion gap metabolic acidosis hypokalemia. Current meds include albuterol fluticasone. Unstable 3rd degree heart block When patient is experiencing symptoms is becoming unstable due to a brady-arrhythmia - 2nd degree, type II, or 3rd degree heart block where atropine has not been effective Vagal maneuvers have not been effective for this patient. Paramedics report that he had been lying there for an indeterminate period of time. He has a ho copd DM treated with ipatropium, albuterol, metformin, respectively. A defect in the posterior wall of the inguinal canal Direct inguinal canal - protrude directly through defect in floor of inguinal cnala - felt along lateral aspect of examiner's finger when finger placed in external inguinal.