The presentation of an interesting case and then its conclusion and management.
Congrats to Sasi for winning this month’s CotM! Mona had the correct diagnosis in her differential but Sasi’s thorough explanation highlighted a lot of the important considerations we have to have when dealing with pediatric torticollis. In summary: 7 y/o boy with acquired torticollis x 2 weeks. Preceded by a Read more…
Ok ladies and gents, here is the final CotM for this academic year, why not marinate on a peds case. You are working in the peds emergency department when an ortho resident brings in a patient from his clinic for you to evaluate for torticollis. You are presented with a 7 y/o Read more…
This month’s winner is ablumbenberg with a very thorough answer. This case was a doozy and involved an extremely rare Emergency Department diagnosis. To Recap: We have a 64 lady with a history of problems with her blood’s “globes” who presents with AMS, new onset CHF, and neurologic deficits. Read more…
The Case A 64 year old female is brought in by her sister with a variety of chief complaints. 1. Blurry vision – acutely worse this morning. 2. Worsening shortness of breath, especially on exertion and on lying flat for 3 weeks. She has also developed bilateral lower extremity edema Read more…
Kudos to dzeccola for an accurate, succinct, and incredibly prompt answer to this clinical conundrum. To review: We have a 49 year old man with pain on/inability to flex the right hip with concomitant fever and weight loss. By Dr. Andrew Kopping and Dr. Read more…
The Case: A 49 year old man without any past medical history presents with R hip pain for 2 months. The pain is nonradiating, worse with flexion of the R hip, walking, or bending forward. Over the past month, he reports occasional night sweats, increased fatigue, 10lbs of unintentional Read more…
This month’s winner is the one and only ablumenberg, whose intimidatingly thorough answer frightened off all other contenders. Recap Older lady, many medical problems, here for epigastric discomfort now with acute decompensation as evidenced by her tachycardia and diaphoresis while in your imaginary ED. Read more…
A 58 year old woman with a long medical history – paroxysmal afib, not on anticoagulation, hyperthyroidism secondary to graves disease, and GERD who presents for the third ED visit in 1 month for epigastric pain. At her first visit, she improved after a GI cocktail, had a normal ECG/CXR/labs, and was Read more…
Congratulations to this month’s winners. Prizes will go to both dzeccola and edenkim for their excellent answers. Recap Oldish gentleman vomiting with epigastric/chest pain, low sat, decreased L side breath sounds, ill appearance. CXR shows a left sided pneumothorax with possibly some rightward mediastinal shift. By Dr. Read more…
CC: A 60 yo Abe Simpson (father of homer) with a past medical history of htn and anxiety presents to your ED for severe epigastric abdominal pain… HPI: While straining during a bowel movement earlier, the patient suddenly vomited – large volume, non-bloody, nonbilious. After vomiting, he had Read more…