Emergency medicine clinical tips and articles
Superior Vena Cava Syndrome
Superior Vena cava syndrome Chief Complaint: Facial Swelling HPI: Patient presents to the emergency department reporting several days of recurrent facial swelling. She states that when she wakes in the morning, starting 3 days ago, she has significant facial swelling. Yesterday there was some extension of the swelling down to her bilateral upper extremities and...
Superior Vena Cava Syndrome
Gesundheit!!!
Gesundheit!!! Chief Complaint: Headache HPI: 30-year-old female, G1 P0 5 weeks estimated by LMP, states at approximately 08:15 this morning was getting ready to go to work when she sneezed and immediately developed a severe 8 out of 10 headache. Shortly after, she vomited and had diplopia that lasted for 1 to 2 minutes. Diplopia...
Gesundheit!!!
When MCC Stands for Motorcycle Crash and Most Common Cause
When MCC stands for motorcycle crash and most common cause Chief Complaint: Left Arm Pain HPI: 27 y/o RHD female presented via EMS. Patient was a helmeted passenger on a motorcycle that was hit by a car immediately prior to EMS arrival. Upon EMS arrival, the patient was lying in the supine position with an...
When MCC Stands for Motorcycle Crash and Most Common Cause
Interesting Presentation of DKA
Interesting presentation of dka Chief Complaint: Abdominal Pain HPI: 41-year-old female presenting with reported elevated blood sugars in the 200s, 3 days of vomiting and diarrhea. She states that she vomited twice today without any blood. She states that about 2 weeks ago she was started on a new medication called Farxiga. She has no...
Interesting Presentation of DKA
Modified Valsalva Maneuver for SVT
Modified Valsalva Maneuver for SVT Chief Complaint: SVT HPI: Patient is a 49-year-old male with history of prior episodes of SVT and HTN. He stated that over the past 5 years he’s had approximately one episode every 6 months. He stated that a cardiologist instructed him that he should have an ablation that he likely...