Author: ray

Temper Tantrums Gone Wrong!!!

A 25 year-old male presents with swelling and pain to the hand. He just had a temper tantrum at home and punched his wall. You examine his hand and find significant point tenderness and swelling over the 5th metacarpal bone of his…

More than just a fracture!

A 55 year-old morbidly obese female was brought in by EMS after a mechanical fall at home. She sustained the above distal tib-fib fracture while attempting to stand up. No LOC reported, and she is not taking any blood thinners…

The Widow Maker

A 54 year-old male smoker is brought in by EMS with acute-onset, substernal chest pain. Vitals: BP 110/88, HR: 90. He is diaphoretic. The rest of his physical exam is unremarkable. A stat ECG reveals the following: The patient is taken…

A Ripping Pain

A 67 year-old male with history of hypertension, diabetes mellitus type II, dyslipidemia presents to the emergency department with 1 hour of severe chest discomfort that started while he was watching the evening news at home. The chest discomfort is…

An Ultrasound from the Peds Side!

A 12 year-old female with no PMHx presents to the pediatric ED with acute-onset crampy and sharp left-sided pelvic pain. The pain started 3-4 hours earlier, associated with nausea but no vomiting or diarrhea. VS: HR 102, BP 110/86, T: 99.4…

An Asymmetric Chest X-ray

A 65 year-old male presents with a worsening productive cough, shortness of breath, general malaise, and subjective fevers and chills for the past week. His PMHx includes HTN, CAD, and DM. He has a 30 pack-year smoking history. He has…