4th Year EM-IM Resident at SUNY Downstate/Kings County Hospital
So the two-headed clinical beast known simply as Selby/Tepler demolished this case with excellent wit and management. In summary, a 69 y/o F presented with fevers, nausea/vomiting, and L eye discharge. She was ultimately found to be tachycardic, with a heart murmur, and thrombocytopenia and elevated troponins on bloodwork. Ocular exam Read more…
The academic year is coming to a close but there is always time for a thought-provoking case, no? Try your hand at the following patient presentation to join the COtM hall of champions: —– The patient is a 69 year-old woman with past medical history of HTN and HLD presenting with Read more…
Dr. Blumenberg responded with a very good differential and plan for the COtM which netted him the correct answer. Take a look at his answer for great management plans and continue reading below for more information about the correct diagnosis. Click HERE to see the original case. This patient Read more…
It’s getting hot so cool off with another brain-crunching case, presented by the industrious COtM crew: The patient is a 47 year-old man with PMHx of CAD s/p CABG in 2014, HTN, dyslipidemia, and hypothyroidism who presents with chest tightness and shortness of breath x 1 day. He woke up Read more…
Dr. Kim gets the win by default with his response. So how do we go about approaching this patient? In summary: 38 year-old man h/o EtOH abuse with acute epigastric pain and blood-tinged vomiting. Blood testing show the start of liver dysfunction (elevated INR), anemia, thrombocytopenia, and elevated lactate. Read more…
If your NCAA bracket is already busted, here is your first chance this spring to win yet another COtM. Take a look at the situation below: A 38 year-old man with a history of EtOH abuse presents with epigastric pain x 3 days. Pain began 3 days ago after drinking 10 Read more…
Eden Kim gets the nod for last month’s COtM answer not only for getting the correct diagnosis, but also expanding his discussion with a very solid differential diagnosis list. Congrats Dr. Kim! Here is a one-line summary of the case: 52 year-old, undomiciled man with 1 month fatigue, nonpalpable Read more…
We have ourselves yet another fresh mystery case yearning to be milked of its knowledge, so take a gander and see if you know what’s going on: A 52 year-old undomiciled man comes to your ED complaining of 1 month of decreased appetite and fatigue. He says he constantly Read more…
Dr. Tu is our winner this month in identifying the key diagnostic challenge this month: Searching for a Cause for Rhabdomyolysis. How did his differential stack up? Read further to find out. In summary, a 42 year-old man presents with symptoms and blood test results consistent with rhabdomyolysis without an obvious inciting Read more…
Check out the first COtM of 2016 and get your brains kick-started in the new year: A 42 year-old man presents to the emergency department with persistent leg pain, vomiting, shortness of breath and tea-colored urine. One week prior to admission, he began to experience diffuse pain in the back and his Read more…