Emergency medicine clinical tips and articles
Should have ordered in
should have ordered in Chief Complaint: Hand Burn HPI: 23-year-old right hand dominant male presenting to the emergency department for a burn to the left hand which he sustained...
Pneumatosis Intestinalis
pneumatosis intestinalis Chief Complaint: Generalized Weakness HPI: 55-year-old male with a past medical history of hypertension, diabetes mellitus type II, hypothyroidism and testicular cancer in remission presents to the...
Oh, You Weren’t Just Waving at Me?
Erect sHoulder Chief Complaint: Shoulder Pain HPI: 63 year old female presents after falling while walking down the stairs outside. She notes it was icy on the steps and...
If the Patient Gets Stuck, Know Where to Turn
If the patient gets stuck, know where to turn Chief Complaint: Left hand pain and swelling HPI: 73 year-old right hand dominant female presents about 6 hours after accidentally...
Silent, Scentless and Deadly
Silent, Scentless and Deadly Chief Complaint: Headache HPI: A family consisting of a 22-year-old female, 27- year-old male and 10 month-old male presenting to the emergency department by EMS...
Calcium Burns
Calcium burns Chief Complaint: Calcium Burns HPI: 46 year old male with past medical history of ESRD on HD, hypertension, congestive heart failure and secondary hyperparathyroidism underwent a subtotal...
Lithium Overdose: The Tale of a Light Metal and its Skinny Therapeutic Index
Lithium Overdose: The tale of a light metal and its skinny therapeutic index Chief Complaint: Lithium Overdose HPI: Patient is a 39-year-old male with a past medical history of...
Seeking Pleasure, Suffering Pain
Seeking Pleasure, Suffering Pain Chief Complaint: Abdominal Pain HPI: 21-year-old male presenting to the emergency department after placing a glass mason jar in his rectum 3 days ago, this...
A Rare Package Delivery
A Rare Package Delivery Chief Complaint: Can we get a doctor? HPI: 37-year-old female presents to the ED. Triage nurse announces on the overhead paging system for a doctor...
Coronavirus Testing
Coronavirus Testing Chief Complaint: SOB HPI: 43 year-old male anesthesiologist presents to the ED with increasing shortness of breath, tachycardia and lethargy. Patient reports alternating positive and negative COVID...
A Typical Case of the Pandemic
a typical case of the pandemic Chief Complaint: Altered Mental Status HPI: 69-year-old male with history of diabetes brought in by his son to the emergency department with altered...
TCA Overdose
tca OVERDOSE DISCUSSION: Background: Tricyclic antidepressants (TCA) were introduced in the 1950s to treat depression, but are now more commonly used as migraine prophylaxis and in the treatment of...
Just the Flu?
Just the Flu? Chief Complaint: Seizure HPI: Patient is a 13 month old M presenting to the ED via EMS following a tonic clonic seizure that per EMS, began...
Completely Disassociated
Completely disassociated Chief Complaint: Syncope HPI: An 82-year-old male with a history of bradycardia, HTN and HLD arrives in the emergency department via EMS with altered mental status, pacer...
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...
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...
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...
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...
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...
The Silent Killer Strikes
the silent killer strikes Chief Complaint: Stroke Alert HPI: 68 year old female with past medical history of coronary artery disease status post stent, hypertension, hypothyroidism, hyperlipidemia is brought...