A 75 year-old male with a past medical history of coronary artery disease, hypertension, and hyperlipidemia presents to the Emergency Department via EMS for concern of altered mental status. His wife is present at the bedside and states that he been becoming progressively more confused over the past 2 days. Prior to this episode, he …
Patient case This is a case involving a 34-year-old woman who has presented to the emergency department with a sudden and rapid onset of painless monocular vision loss. Last well known well was 2 hours ago. The patient's medical history includes hypertension, atrial fibrillation, hyperlipidemia, diabetes, lupus, and a history of tobacco use. She reported …
A 40-year-old male presents to the ED for headache and nausea following dialysis. He states that he normally has a headache at baseline at the back of his head but after this dialysis session, it became acutely worse and was associated with nausea, vomiting, and blurry vision. He has been compliant with his dialysis sessions …
Continue reading High Pressure Flooding! Posterior Reversible Encephalopathy Syndrome – A Case
Case: A 70 year-old female with a past medical history of CAD and Type 2 Diabetes presents to the ED with generalized weakness, fatigue, and confusion for the past week. Her caretaker denies any inciting events and notes a progressive decline in her health during this time. She checked the patient’s blood sugar at home …
A 35-year-old woman presents to the emergency department complaining of left lower tooth pain that radiates up her jaw. She states it has been ongoing for the past month and has been unable to see a dentist due to a long wait time. She has had multiple visits to the emergency department at night seeking …
Patient Case A 53-year-old male presents to the ICU as a transfer from outside hospital where he presented for low back pain that started after an injury at work. The patient is a mechanic and reports lifting a heavy vehicle door and hearing a pop in conjunction with acute onset pain in the low back …
History of Presenting Illness A 5-year-old boy was brought to the emergency department with severe abdominal pain, fever, vomiting, rebound tenderness, and guarding. His symptoms strongly indicated acute appendicitis. The pain began just a day ago, initially accompanied by fever and localized to the right lower quadrant. Considering the child's low-grade fever, vomiting, anorexia, and …
Introduction Central venous access is a cornerstone of medical resuscitation in a variety of scenarios. Three primary sites of central cannulation exist, and all three have perceived advantages and disadvantages. Of the three routes, a number of studies have shown benefit to subclavian as opposed to Internal Jugular (IJ) or femoral insertion, although this route …
Continue reading Central Venous Access: Which One is the Best
History of Presenting Illness An 81 year old male presented to the Emergency Department with chief complaint of low blood pressure and elevated blood sugars. This patient had a medical history significant for hypertension and hyperlipidemia. This patient is highly functional at his age up until about one week ago. He is able to ambulate …
A 26-year-old male is brought into your ED by police for aggressive and bizarre behavior. He has no history of acting this way, but he has been having some more minor behavior changes the past few weeks according to family. Being the astute EM doctor you are, you try and come up with an explanation …
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