Annals of EMCase Presentation by Dr. Adnan Sabic CC: Shortness of breath HPI: 52 year old male presents to the ED with four weeks of SOB and right sided chest pain. His symptoms have gradually progressed in severity and were worse with exertion. These symptoms started several days after he fell against a counter and struck his [...]
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Case Presentation by Dr. Vit Kraushaar A 38 year old African American female presents to the ED with a chief complaint of shortness of breath. She began feeling ill 3 days ago with cough, myalgias, severe chills, fever and progressively worsening shortness of breath. This morning she coughed up some blood streaked sputum, which prompted [...]
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Case Presentation by Dr. Andrew Klutman CC: “My chest hurts and the left side of my body is tingling and numb” HPI: 82 yo female was otherwise normal until 10am this morning when her family stated that she kind of passed out. She did not hit her head as she was sitting on the couch. When [...]
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Case Presentation by Dr. Tim Scott CC: Fatigue HPI: 19yo W M with no PMH presents to the ED with complaint of fatigue. He states that over approximately the last 6 months he has noticed that he has decreased energy that has gotten progressively worse. He is single, lives with a room-mate and is employed. [...]
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Case Presentation by Dr. Erin Murphy CC: Snakebite HPI: A 9yo male from Washington Township, MI presents to the Emergency Department via EMS after sustaining an apparent snakebite to his left lower extremity approximately 25 minutes ago. His mother states that he had been playing in the backyard barefooted when he came running inside yelling for [...]
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Case Presentation by Dr. Megan Dougherty A 43 year old female with a history of IVDU presents to the ED via EMS with a four day history of progressive left upper extremity swelling and pain with subjective fevers. The patient had a history of a fall off a ladder while she was at work 2 [...]
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Case Presentation by Dr. Craig Sharkey CC: Motorcycle crash HPI: A 34yo female presents as a trauma code 2 after a motorcycle crash. She was traveling approximately 45 mph, not wearing a helmet, when a car turned in [...]
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Case Presentation by Dr. Frankie Civitarese 57 year old female with a history of COPD, DM, HTN, mitral stenosis presented with shortness of breath and was made a medical code for severe dyspnea and hypoxia. After initial evaluation and attempts at stabilization she required intubation. ROS: Unable to be obtained. PMH: DM type 2, HTN, [...]
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Answers 1) B 2) D 3) D Discussion: The woman above presents with signs and symptoms suggestive of Cocaine Levamisole Toxicity. Levamisole is a broad spectrum antihelmintic used in the de-worming of primarily sheep and cattle. It has been used in increasing frequency over the last decade as an adulterant or “cutting” agent in cocaine [...]
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Case Presentation by Dr. Kristi Maso A 54-year-old woman brought in by EMS presents to the ED with a 2-day history of a painful, enlarging rash over her face, ears, and extremities (rash shown below). She states the rash started on her left ear and has been spreading to her face and patches of [...]
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