So Bored I Threw a Punch (Fight Bite)

A 25 year-old male is brought into the emergency room after an argument about whether Tom Brady is the “Greatest Of All Time” turned into fistacuffs. He is alert, oriented, slightly intoxicated, and has visible injuries including a black eye,…

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,…

Rhythm Nation: January 2016

Faithful Bloggers! Rhythm Nation returns for another installment of critical analysis of the ECGs seen at King’s County. Onwards! 87 year-old male, history of HTN, dyslipidemia, DM, Stage III CKD, Prostate cancer s/p radiation presents with syncope. Two weeks ago,…

So Bored I Worked Out (Rhabdomyolysis)

New year, new beginnings, and new resolve. A 31 year-old slightly overweight male visits the emergency department a week after New Years with a chief complaint of muscle soreness. He had recently attended a soulcycle session with his girlfriend as…

Patellar Dislocation and Reduction

Patellar Dislocation By: Juliana Jaramillo, MD PGY2 Case: 24 year-old female presents with right knee pain after slipping on ice. Her right leg got caught and twisted, and she felt as if something came out of place. She is unable…

Rhythm Nation: December 2016 Answer

Shout out to Dr. Blumenberg for correctly answering December’s case! ^_^ Here’s the original ECG in question: ECG: This is a regular narrow QRS-complex rhythm with a rate of approximately 36 bpm. The lack of discernable P waves preceding the…

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…

Abscess Obsession

You’re working a peds shift when a concerned pair of parents brings their three year old child in with a swollen, red, warm bump on his forearm. They first noticed it yesterday, and it has progressively gotten larger. He’s not…