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 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 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 …
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 …
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. …
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 …
A 70 year old female presents for hypoxia and altered mental status. On arrival she is tachycardic to 120, febrile to 38.5, hypoxic to 86% on room air, and is normotensive. She appears ill and confused. She has diffuse rhonchi throughout all lung fields. She has no significant past medical history. A workup is obtained …
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