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 right hand. The neurovascular exam is unremarkable. You obtain the Read more…
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 or antiplatelet agents. On Arrival, BP 160/90, HR: 110 regular, Read more…
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 straight to the cardiac cath lab. Coronary angiography before and Read more…
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 substernal and radiates to his left shoulder and back. Review Read more…
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 You note a non-toxic appearing girl in moderate distress due to Read more…
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 never been incarcerated, denies recent travel, has no known TB Read more…
Hey Clinical Monsters! Check out diverse pathology through real world clinical and radiologic images encountered on a day to day basis. Each month there are brand new posts with associated clinical vignettes based on real cases encountered in a busy urban ED. Both traumatic and medical life and limb-threatening emergencies Read more…
Transfusion of blood is a common practice in both emergency departments, hospital wards, ICUs, and peri-operative settings worldwide; in the ED, we transfuse different kinds of patients all the time including but not limited to the trauma patient and GI/vaginal bleeder in hemorrhagic shock, and the undifferentiated symptomatic and sometimes Read more…