Annals of EMCase Presentation by Dr. Meena Munshi CHIEF COMPLAINT: “I feel short of breath.” HISTORY OF PRESENT ILLNESS: 21-yo F with sickle cell anemia is brought into resuscitation from walk-in triage for tachycardia (HR 150s) with multiple complaints including: shortness of breath, dizzy/lightheadedness, cough with bright red blood-tinged sputum, and “bloody pee” Shortness of breath occurs [...]
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Case Presentation by Dr. Dan Seitz A middle aged African-American John Doe, presents as a medical code. On arrival the patient is actively seizing. According to EMS the patient has been seizing for approximately 40 minutes prehospital. After eight rounds of lorazepam pushes the patient continues to have seizure activity. The decision is made to [...]
Filed under: Intern Report | Tagged: seizure | Leave a Comment »
Case Presentation by Dr. Matt Steimle You are starting your shift at a small rural hospital with limited resources. At the start of your shift during transition of care, you receive sign out about a 63-year-old male who has chest pain, is undergoing a cardiac workup, and is admitted to his own internal medicine doctor [...]
Filed under: Intern Report | Tagged: chest pain, dizzy | Leave a Comment »
Case Presentation by Dr. Brandon Cheppa Chief Complaint: “My foot hurts” History of Present Illness: This is a 40 year old male with a one day history of sudden right foot pain. He states that last night he jumped over a fence and upon landing he had sudden onset of pain in his foot. [...]
Filed under: Intern Report | Tagged: Foot pain, Trauma | Leave a Comment »
Case Presentation by Dr. Claire Jensen CC: “I have a fever.” HPI: This is a 61 year-old Caucasian female with recently diagnosed squamous cell carcinoma of the base of the tongue who presents to the Emergency Department after noting a fever of 101.9° F at home approximately one hour ago. She is currently undergoing induction [...]
Filed under: Intern Report | Tagged: cancer, fever, neutropenia | Leave a Comment »
Case Presentation by Dr. Jessica Ruffino HPI: 25y/o female at 36 weeks GA presents to ED via EMS as a trauma code after MVA. Patient was a restrained driver, airbags were deployed. Patient states she was rear-ended while stopped at a traffic signal and hit the car in front of her. Other vehicle was driving [...]
Filed under: Intern Report | Tagged: pregnancy, pregnancy comp, Trauma | Leave a Comment »
Case Presentation by Dr. Adam Bartsoff CC: Right wrist pain HPI: A 52 year old female presents to the emergency department accompanied by her daughter with the chief complaint of right wrist pain. The patient states that approximately two hours ago she was walking down her basement stairs when she stumbled and fell the final [...]
Filed under: Intern Report | Tagged: upper extremity fracture, wrist pain, wrist x-ray | Leave a Comment »
Case Presentation by Dr. Shereaf Walid CHIEF COMPLAINT(S): Chest pain. HISTORY OF PRESENT ILLNESS: A 33-year-old obese African American female presents with right-sided pleuritic chest pain that started yesterday afternoon suddenly while she was walking at work. She works a clerical job where she sits down at a desk for the majority of the day; however, [...]
Filed under: Intern Report | Tagged: chest pain, pulmonary emboli, Well's criteria, Well's score | 2 Comments »
Case Presentation by Dr. Jamie Kenney HPI: 5 year old male presents to the ED complaining of a rash. According to his parents he recently returned home from visiting his grandparents in Tennessee and has been complaining of “not feeling well” for the 4 days. He has had a decreased appetite with nausea and vomited [...]
Filed under: Intern Report | Tagged: rash, rocky mountain spotted fever | Leave a Comment »
Case Presentation by Dr. Aimee Nefcy CHIEF COMPLAINT: “I feel so weak.” HISTORY OF PRESENT ILLNESS: This 20-year-old male comes into the emergency department brought in by his mother. She states that he was at St. John’s Hospital 1 week ago and he went there because he was having a hard time breathing associated with [...]
Filed under: Intern Report | Tagged: dermatomyositis, muscle weakness | Leave a Comment »
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