A 35 year old male with no PMH presents for SOB. On arrival, the patient is in respiratory distress and is unable to provide any additional history to you. He is 80% on room air with a RR of 29. BP is 180/90, and HR is 125. Temp by axilla is 37.5. A portable CXR …
A 50-year-old female comes to the ED with a headache. The room is dark as I enter and she is holding her head with her hands. She reports that the pain started suddenly while driving and was instantly the worst headache she ever had. The pain hasn't changed at all. There was no trauma. She …
A 76 year old woman presents to the ED with progressive leg weakness. The patient states that for several days she’s been having trouble standing from a seated position, and has had multiple falls recently. PMH includes HTN, COPD, neuropathy and chronic hyponatremia (etiology not stated in records). The patient states that for years she has …
An 84 y.o f with no hx of heart or lung disease presents for altered mental status. Per care facility, the patient was in her normal state of health until the day of evaluation when they went to check on her and found her altered. EMS found her hypoxic to 70% and placed her on …
Often times when presenting a patient as an intern, we’ll feel that our attending is being a tad overzealous. Is it possible this man with back pain has an aortic dissection? Yes, it is. Is it out of the realm of possibilities? Just about. However here is a case that plays homage to the classic …
HPI: 28 YO Caucasian Female with DM type I & h/o right ovarian tumor s/p resection in 2012 presents with 4 days of sore throat. Patient originally visited urgent care 4 days ago, given Keflex and sent home. In the interim, patient has worsening symptoms of sore throat and increasing tender cervical lymphadenopathy R > L. …
A 69 y/o female presents via EMS with altered mental status. The patient is able to tell you her name, but can’t answer any other questions. Her husband states that she has cirrhosis and recently has been having increasing ascites as well as anorexia. She has not been compliant with her lactulose. On exam she …
EMS calls to let you know that they have a 7 year old male with an acute asthma exacerbation. They report that the child has increased work of breathing and is currently receiving a duoneb treatment. Five minutes later they arrive. The child appears uncomfortable, grey and tired on arrival. He has a respiratory rate …
Continue reading Pediatric Pearls – Case of the Month (September)
A 10 y.o f presented to the ED with a rash. The patient had a recent history of several days of tactile fevers as well as URI like symptoms per the mother that resolved, but then a rash began to develop. The rash was initially on the patient’s back but then began to spread diffusely …
On a bright sunny morning, a 55 y.o. male uncomfortably staggers into the ED. He is escorted by his cardiac rehab nurse who notifies the ER staff that the patient had a recent cardiac stent placed in the proximal LAD. The patient had chest pain earlier in the day at cardiac rehab that progressively became …
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