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 …
Tag: Case of the Month
A Case of Appendicitis
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 …
Lyme Carditis
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 …
Tetralogy of Fallot; A Case Report
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 …
Case of the Month: The paralyzed 26 year old.
26 year old male of filipino descent presents with diffuse motor weakness that was present upon waking this morning at 0400. Patient reports he was of normal health and asymptomatic last night and in the preceding days. Patient denied recent infectious symptoms such as diarrhea, cough, congestion, fevers, chills, urinary changes, rashes or insect bites. …
Continue reading Case of the Month: The paralyzed 26 year old.
Case of the Month: Retinal Detachment
42 year old female presents to Emergency Department with a chief complaint of vision changes. Patient states that has has been having vision changes in her right eye starting two weeks prior. She denies injury to the eye and recent infections and does not use contact lenses. Patient also states it first started out as …
Ultrasound Case of the Month – August
A 56 y.o m with a hx of HTN and tobacco use presents for chest pain. The patient states that today while mowing his lawn he started getting midsternal chest pain. He has never had this before. It is not pleuritic or positional, and it radiates to his jaw and L arm. EMS arrived and …
Case of the Month – June
A 70 y.o female with T2DM, HTN, CKD, CHF, Hypothyroidism presents via ambulance from home for AMS. Report via EMS is the patient was febrile at home yesterday, and family called EMS this morning due to patient speaking to people in the corner of the room that were not actually there. The patient was found …
Case of the Month – March
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 …
EKG Case of the Month – March
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, …
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