Annals of EMPresented by Maria Pak, MD HPI An 11-year-old boy with a PMH of asthma and allergic rhinitis, presents to ED with the chief complaint of right ear pain with drainage and a fever. Approximately five days prior to being seen in the ED, the patient had a runny nose and nasal congestion. These symptoms eventually [...]
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Presented by Devon Moore, MD Chief Complaint: She does not voice a specific chief complaint. She was brought in as a medical code to ED by ambulance from home for “not acting herself” History: This is a 59-year-old woman brought into the emergency department as a medical code from home by ambulance. According to family [...]
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Presented by Devon Moore, MD Chief Complaint: She does not voice a specific chief complaint. She was brought in as a medical code to ED by ambulance from home for “not acting herself” History: This is a 59-year-old woman brought into the emergency department as a medical code from home by ambulance. According to family [...]
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CASE Discussion This case unfolded in such a way that it really invoked critical thought and differentials in my mind. I worked with my attending and the tox consultant to “best guess” my way through his care—trying to make a diagnosis based on response to treatment. It was really interesting to me and I learned [...]
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History of Present Illness A 49-year-old male is brought by EMS as a medical code to resuscitation. He was apparently found by police lying in the street. EMS reports an initial rapid glucose of 32 mg/dL, which improved to 56 mg/dL with 1 amp of D50 and to 79 mg/dL following a second amp of [...]
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Presented by Jeff McMenomy, MD History of Present Illness: A 75-year-old woman is brought to the Emergency Department by EMS. Her family states the patient complained of gradually worsening generalized weakness and decreased responsiveness over the course of the previous week. They also state that she is “not being herself”. EMS noted the patient to [...]
Filed under: Intern Report | Tagged: altered mental status, cardiovascular, conduction disorder, confusion, hypotension, shock, signs and symptoms | 1 Comment »
History of Present Illness: A 75-year-old woman is brought to the Emergency Department by EMS. Her family states the patient complained of gradually worsening generalized weakness and decreased responsiveness over the course of the previous week. They also state that she is “not being herself”. EMS noted the patient to be minimally responsive, bradycardic, and [...]
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History A 34-year-old woman presents to the Emergency Department complaining of pain in her right side. The pain had a gradual onset over the last couple of days. She first noticed the pain while sitting and watching television. There is nothing that exacerbates the pain. Pain medication does not provide relief. Currently the pain is [...]
Filed under: Intern Report | Tagged: nausea, OB/GYN, ovarian torsion, pelvic pain, vomiting | 2 Comments »
History A 34-year-old woman presents to the Emergency Department complaining of pain in her right side. The pain had a gradual onset over the last couple of days. She first noticed the pain while sitting and watching television. There is nothing that exacerbates the pain. Pain medication does not provide relief. Currently the pain is [...]
Filed under: Intern Report | 2 Comments »
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