Annals of EMGlobal Fever… Being covered 24/7 by news networks is the latest health scare…swine flu. The World Health Organization (WHO) has declared it a phase 4 pandemic alert (confirmed person-to-person spread of a new influenza virus able to cause “community-level” outbreaks”). As I watch the news to try and understand what is going on, I’m given [...]
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Presented by Mondeep Narewal, MD HPI: A 55-year-old man presents to the ED for progressive shortness of breath. His past medical history is significant for congestive heart failure, chronic obstructive pulmonary disease, diabetes hypothyroidism, and kidney failure. Only a limited history could be obtained as the patient is short of breath. He states that he [...]
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Sorry about the long silence. As you’ll see from this installment, I’ve been occupied. Hope this (long) post makes up for it. – Sullydog The Rapid Care clinic hasn’t opened yet, and the acute care mods are beginning to feel like the protracted combat sequence at the end of Children of Men. Yet another patient [...]
Filed under: Incision and Drainage | 5 Comments »
Presented by Rob Klever, MD HPI 15 year-old female with a past medical history for asthma, who presents to the ED for a headache, myalagias and anorexia of two days duration. She states that her headache is constant, located bilaterally frontal and of aching quality, relieved by laying down, worsened with movement and has intermittent [...]
Filed under: Intern Report | Tagged: hematologic disorders, thrombocytopenia | 1 Comment »
Presented by Rob Klever, MD HPI 15 year-old female with a past medical history for asthma, who presents to the ED for a headache, myalagias and anorexia of two days duration. She states that her headache is constant, located bilaterally frontal and of aching quality, relieved by laying down, worsened with movement and has intermittent [...]
Filed under: Intern Report | 1 Comment »
Presented by Richard Gordon, MD CC “My chest hurts” HPI 30 year old AAM presents to ED with 2 day history of worsening sharp chest pain located over the anterior/lateral right ribs. Patient states the pain is 8/10 in intensity, non-radiating, and exacerbated with deep breathing/coughing. No obvious alleviating factors. Patient has never experienced this [...]
Filed under: Intern Report | Tagged: hematologic disorders, sickle cell disease | Leave a Comment »
Presented by Richard Gordon, MD CC “My chest hurts” HPI 30 year old AAM presents to ED with 2 day history of worsening sharp chest pain located over the anterior/lateral right ribs. Patient states the pain is 8/10 in intensity, non-radiating, and exacerbated with deep breathing/coughing. No obvious alleviating factors. Patient has never experienced this [...]
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Presented by Kyle Perry, MD Chief Complaint: “He’s limping.” History of Present Illness: A 13 year-old male presents to the emergency department with his parents who say that he has been limping over the past few months and it is progressively getting worse. He says he limps because he is having pain in his left [...]
Filed under: Intern Report | Tagged: joint abnormalities, juvenile arthritis, musculoskeletal disorders, sliiped capital femoral epiphysis | Leave a Comment »
Presented by Kyle Perry, MD Chief Complaint: “He’s limping.” History of Present Illness: A 13 year-old male presents to the emergency department with his parents who say that he has been limping over the past few months and it is progressively getting worse. He says he limps because he is having pain in his left [...]
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Presented 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 [...]
Filed under: Intern Report | Tagged: fever, HEENT, mastoiditis, signs and symptoms | Leave a Comment »
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