Annals of EMCase Presentation by Dr. Bao Dang CC: “I think I’m having a miscarriage” HPI: A 23-year-old G3P1011 patient states that she took a home pregnancy test two weeks ago that was positive. Her last menstrual period was about 8 weeks ago. She has been having vaginal bleeding for 7 days. The bleeding started getting heavier [...]
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Case Presentation by Dr. Katie Dobratz CC: “I fell” HPI: Patient is a 49 yo male who states he fell off a ladder about 3 feet. He believes he landed on his left side, mostly on the left elbow and left side of his body and back. He states that his head hit last and he did [...]
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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. 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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Case Presentation by Dr. Cameron Kyle-Sidell CHIEF COMPLAINT(S): “My mother keeps throwing up” HISTORY OF PRESENT ILLNESS: This is an 84-year-old woman who was brought in by her daughter and granddaughter. They report that she’s been throwing up constantly for 3 days, approx 10 times per day. Unable to tolerate food or water. Reports having [...]
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What is the initial ED treatment of symptomatic carotid artery dissection? What is the reason? Initial treatment of symptomatic carotid artery dissection is unfractionated heparin, used to prevent thrombus formation on the injured endothelial surface and thereby to prevent embolization Thank you for participating in this week’s Question of the Week. Please check back soon [...]
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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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Congratulations to Dr. Allison Loynd, PGY-1 Emergency Medicine Resident at Detroit Receiving Hospital. Over the course of 5-months, Dr. Loynd’s perseverance kept her at the top of the leader board. After falling to second place mid-contest, Dr. Loynd stayed focused and swept the final six weeks with a string of correct answers. Dr. Loynd answered [...]
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