Author: Karen

EM Resident PGYII

Don’t Clam Up: Emergent Thoracotomy

    29 year-old male arrives as a trauma notification. EMS states patient had a single gunshot wound to the mid-chest with vitals as follows: HR 120, BP 90/50, RR 22, SpO2 95%. The patient is mumbling incoherently with spontaneous…

Black and Blue and Red All Over

  A 72 year-old female presents to your ED for excruciating, “10/10” left leg pain. Patient states that the pain awoke her from sleep two days ago, but she never went to the ED because she hates doctors. She states she’s having…

Bored and Toxic

  A 21 year-old male presents to your ED with complaints of fever, rash, and generalized malaise. His triage vitals are HR 112, BP 95/55, RR 22, POx 98%, T 102.3F. When you go into the room to exam him,…

Bored and Waiting for Santa

  It’s Christmas Eve, and you walk in to the ED wishing for a silent night. You get settled in, and you see “Clause, Santa- 1746yo M wrist pain” show up on your board. Apparently, Rudolph found his way into…

Dr. Wilhelm Frederick von Ludwig

  46 year-old female with diabetes presents for sore throat and facial swelling for the past 3 – 4 days. Patient states she’s been experiencing difficulty with chewing due to pain. The patient also endorses tactile fevers. On exam, you notice multiple…

Itsy Bitsy Spider

A 34 year-old male with no medical problems presents to the emergency department with a bug bite. He states he was cleaning out his attic when he felt a pinch on his right arm. He saw a spider on his…

Skateboarding Shenanigans

A 20 year-old man with no PMH presents to the ED after skateboarding injury. He states he was skateboarding around a construction site when he felt a sharp object cut the back of his right leg. Vitals are within normal…