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 …
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 …
19-month-old female presents to the ED for evaluation of shortness of breath and wheezing, seen in walk in clinic just prior to arrival and noted to be 87% on room air. She has been eating and drinking slightly less but has had adequate urine output and has had no noted fevers at home. In arrival …
As ED doctors, we’re often handed EKGs every few minutes. Our minds initially will always go to ST elevations and possible myocardial infarctions. With this in mind however, what are the other, lesser seen variants that are equally as dangerous and also warrant immediate catheterization? Hyper-acute T waves Before starting to discuss STEMI equivalents, let’s …
http://momontheblock.com/ 26-year-old multiparous female approximately 25 weeks gravid presents to the Emergency Room with palpitations. Patient reports that this feels similar to an episode she had during her first pregnancy that resolved after 18 mg of Adenosine. Patient states she was watching television on the couch when symptoms began. Patient reports feeling some mild chest …
Continue reading Case of the Month: Management of Atrial Tachyarrhythmia in Pregnancy
Photo by Pixabay on Pexels.com It is important to develop a consistent method to read ECG's as an EM physician. This method should be thorough, but able to be completed rapidly. Without a structure, it is much more likely to miss a critical finding on the ECG. I have tried multiple different methods, each with …
A 54 y.o male with a history of CAD and stents in the past presents for CP. Per pt, for the last two days he has been having mid sternal exertional cp radiating down his left arm, relieved by rest. Tonight the cp came on without exertion and has been persistent since. It does not …
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 …
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, …
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 …
AOMC FOAMed 
You must be logged in to post a comment.