THE CASE: In a fictitious urban hospital a 28-year-old female, no pmhx, recently dx with “asthma”, presents with exertional shortness of breath for three months and an accompanying 40lb weight loss. Review of systems is negative for anxiety, wheezing, cough, chest pain, fevers, chills, night sweats, PE risk factors, recent Read more…
During your snotty/barfy/whiny evening shift at a made-up-HIPPA-compliant hospital, an 11-month-old child is brought to the ED by his parents for excessive crying. The child spends his days at “Jerks-are-Us Daycare” while his parents are working for “the man.” The child is usually able to pull-to-stand but today he lays Read more…
A 73-year-old female presents in Fast Track (of Andy’s stupid fictitious hospital) with one week of back pain, worse at night. The patient is independent with all ADLs. No recent injury, no fever. The patient does report decreased appetite. Exam shows bony tenderness of thoracolumbar spine. What do you do? Read more…
Cardiac Tamponade and Pericardiocentesis Summary by Dr. Kaycie Corburn Presented by Dr. Sally Bogoch The Case: 60 yo M PMH metastatic lung cancer, HTN, DM, former smoker presents to the ED with acute onset shortness of breath. Vitals in triage revealed tachypnea and tachycardia. Initial work-up revealed low voltage on EKG, Read more…
A 76-year-old male with gout, osteoarthritis, diabetes, renal failure on dialysis, and CAD presents with right knee pain for 3 days. He is really mad that the knee pain has prevented him from walking to the coffee shop for the last two days to be grumpy with the other grumpy Read more…
What are the indications for surgical management of a hemothorax?
EM-CCM Summary, 9/2/2014- The Sick Asthmatic. Presented by Dr. Elizabeth Abram The Case (As usual, this is a fictitious patient seen at a fictitious hospital called Janus General. Don’t believe me? I’m on staff there – see): 25 year old female with URI and asthma exacerbation. In the ED, the Read more…
A 22-month-old boy presents to the ED with his parents following 4 days of vomiting and diarrhea. The parents report that the child has not been playful and has had decreased wet diapers. The mother reports that the child is drinking small amounts, but is vomiting 4-5 times per day. Read more…
Presented by Dr. Nataisia Terry Summary by Dr. Kaycie Corburn The Case: 72 yo M PMH HTN and GERD presents to the ED with 1d h/o difficulty urinating and back pain. Basic labs showed thrombocytopenia. Non contrast CT showed bony sclerosis through out the vertebral bodies and splenomegaly. EKG showed Read more…
A brand-new CCT senior is notified by EMS triage, the attending, the bat phone, his junior, the nurse, the PCA and the stocking people that he should probably intubate his patient- the 38-year-old patient with sickle cell disease with ESRD on hemodialysis who presents weird and vomiting and is found Read more…