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: emergency medicine
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 …
Dizziness or a HINTS of Something More
Case A mid 60s female patient was brought into the emergency department via ambulance after a motor vehicle accident that occurred 20 minutes prior in which she was the restrained driver. She has known past medical history of hypertension, hyperlipidemia, and obesity. The accident occurred on a residential street where the patient reportedly was driving …
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 …
Sympathetic Crashing Acute Pulmonary Edema (SCAPE)
Introduction: As medicine is ever changing, new diseases and symptomatology are being classified differently according to the etiology, presentation, clinical findings, and treatments of subsets of disease pathology. There have been various names throughout the continued advancement of medicine for acute pulmonary edema, but there have also been various clinical findings and differences in treatments …
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Approach to Nail Trauma
Intro: Distal digital trauma is common and often associated with cosmetic and functional disturbances.Underlying lacerations are often masked by gross deformities of the nail and hematomas.Crush and blunt force injuries are usually the mechanisms involved with nail deformities and underlying nailbed injuries.Treatment can often necessitate nail removal based on clinical judgement and suspicion of underlying …
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. …
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Eye Hate Puns but Eye Love Board Review.
38 year old female presents to the Emergency Department with reports of left eye pain, discomfort and haziness to her vision. Like the excellent physician that you are, you take a look at her eye. Is the eye red with a weird line on the front? Or does the patient have injected conjunctiva, a ciliary …
Everything you need to know about Pre-Eclampsia
31 year old female presents to the emergency department at 34 weeks pregnant with complaints of a headache. Upon examination the patient also notes she’s having blurred vision and is found to have a blood pressure of 150/90. The first differential on every emergency physician’s mind should be pre-eclampsia, but with this in mind, what …
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