Annals of EMquizzER Winners: Sam Lee Brian Junnila Daniel Seitz Shereaf Walid Bindu Vanapalli Richard Gordon Katie Ohlendorf Marjan Siadat Brian Kern Kyle Perry Claire Jensen Maria Pak Bao Dang Devon Moore Rob Klever Last Week’s Question Answer The answer is c The treatment for sepsis has evolved [...]
Filed under: quizzER | Tagged: fever, sepsis | Leave a Comment »
An 81-year-old woman is brought to the ED by her children who state that the patient is acting more tired than usual, has had fever for the last two days, and is more confused. Ordinarily, the patient is high functioning: she is ambulatory, cooks for herself, and walks on a treadmill 30 minutes a day. [...]
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quizzER Winners: David Mishkin Marjan Siadat Ryan Phillips Allison Loynd Julie Nguyen Maria Pak HVSH CRNAs Devon Moore Maria Pak Brian Kern Richard Gordon Rob Klever Last Week’s Question The answer is c. Spinal abscesses are most commonly found in immunocompromised patients, IV drug users, and the elderly.Signs and symptoms of [...]
Filed under: quizzER | Tagged: back pain, fever, intraspinal abscess, nervous system, signs and symptoms | 1 Comment »
A 43-year-old man, who currently uses drugs intravenously, presents to the emergency department (ED) with 2 weeks of fever, back pain, and progressive weakness in his arms bilaterally. He reports having a cough with whitish sputum. He denies any history of recent trauma. His blood pressure (BP) is 130/75 mm Hg, heart rate (HR) is [...]
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quizzER Winners: Eric Tosh Allison Loynd Marjan Siadat Julie Nguyen Maria Pak Gloria Kuhn Brian Kern Richard Gordon Rob Klever Last Week’s Question The answer is d. The most useful diagnostic test obtainable in a suspected CO poisoning is a COHb level. Normal levels range from 0 to 5%, as CO is [...]
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A 43-year-old woman presents to the ED in the state of Michigan with a 1-week history of intermittent headache, nausea, and fatigue. She was seen at her private doctor’s office 1-week ago along with her husband and children, who also have similar symptoms. They were diagnosed with a viral syndrome and told to increase their [...]
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quizzER Winners: Sam Lee Bindu Vanapali Rob Klever Marjan Siadat Devon Moore Chris Guyer Brian Kern Dave Mishkin Julie Nguyen Dave Daigle Last Week’s Question The answer is D. This is a case of erythema infectiosum or Fifth’s Disease. Infection by Parvovirus B19 produces this pattern of [...]
Filed under: quizzER | Tagged: cutaneous, erythema infectiosum, fever | Leave a Comment »
Pediatrics A 3-year-old African American boy with a history of sickle cell disease presents to the ED after he developed a low-grade fever, runny nose, and an erythematous discoloration of both cheeks. His vital signs are heart rate 110 beats per minute, respiratory rate of 24 breaths per minute, and pulse oximetry of 98% on [...]
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quizzER Winners: Chris Guyer Allison Loynd Rob Klever Sam Lee Scott Ottolini Brian Kern Marjan Siadat Julie Nguyen Maria Pak Devon Moore Dave Mishkin Richard Gordon Brian McMichael Last Week’s Question The answer is B. The diagnosis of conversion disorder is made by fulfilling the following five criteria: • A symptom is expressed as [...]
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Psychosocial A 23-year-old woman is brought to the ED for vision loss in her left eye that began shortly after waking up in the morning. She states that she is very depressed since her father was diagnosed with terminal cancer. She was supposed to visit her father today in the hospital but is now in [...]
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