A 24 y.o m presents with several months of swelling over the elbow area. The patient noticed non painful swelling over the inner aspect of his elbow several months ago, but he never saw a physician. The swelling has not increased, however over the last two days it has become painful. He has not noticed …
A 3 year old male presents to the emergency room with a fever. His parents state that the fever has been present for 5 days and is associated with rash, lymphadenopathy, erythema of the lips, and “pink eye.” A case presentation such as this one is obviously pointing towards Kawasaki disease, however many cases presenting …
72yo female with recent diagnosis Bullous pemphigoid, HLD presenting complaining of a week of rapid HR in 90s, palpitations, higher than normal BP, and cold blue fingers, toes and blue tint to lips. In triage patient was found to be 89 on RA and placed on 2 L NC rises to 95% other vitals are …
An 85 y.o f with a hx of DM and HTN presents with chest pain that awoke her from sleep at 5am. She described the pain as substernal with some mild radiation to the back. It was associated with nausea and lightheadedness. On exam, the patient appeared to be in moderate distress from her pain, …
A 75 y.o m with a PMH of long term smoking presents for abdominal pain. On arrival, the patient is hypertensive and has a pulsatile mass on abdominal exam. He has no known medical issues as he does not like to see doctors and has not seen one in over 10 years. Besides the pulsatile …
A 31 year old female with a PMH significant for epilepsy and intellectual disability presents to the ED via EMS due to continuous seizure activity. EMS reports that the patient was having tonic-clonic seizures for 30 minutes prior to their arrival—family did not feel comfortable administering her abortive antiepileptic medications as they only had Ativan …
An 88 y.o f arrives to the ED for an eye injury. She reports that she had a fall at home hitting her left eye directly on the bed post. She now complains of severe pain and swelling in her left eye. On physical examination, she has severe periorbital swelling and has a laceration likely involving the lacrimal …
A 62 year old female with a history of multiple abdominal surgeries presents for abdominal pain. She states she has had increasing abdominal pain and distension over the last 2 days. Over the last 24 hours, she has noticed she has stopped passing gas and has had many episodes of bilious emesis. On exam, her …
A 34 year old male with a medical history of hypertension, hyperlipidemia and chronic liver injury secondary to alcohol abuse presented to the emergency department with diffuse abdominal pain and more than 30 episodes of vomiting over the past 12 hours. The patient admitted to increased alcohol intake over the past two days, however stated …
A 64 y.o patient with a history of ALS presents to the ED with shortness of breath. On exam, he is alert but appears to be taking shallow respirations. He has a history of chronic diaphragmatic weakness secondary to his ALS and is on NIPPV at night. His saturation is 94% on room air. You …
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