A 28-year-old obese woman comes into your ED complaining of 4 days of throbbing, global intermittent headache. It is more severe than previous headaches she has had. The headache is associated with retrobulbar pain and transient loss of vision lasting seconds. Read more…
The Case 50-year-old woman is brought in by EMS after intentional ingestion of her 500 mg extended release valproate in a suicide attempt approximately 40 minutes prior to arrival. She had recently filled her valproate prescription with 80 tablets and Read more…
In the spirit of “Making America Great Again,” I did what every great American citizen would do over the July 4th weekend – BBQ meats. As I was working the grill, I started daydreaming about those 8-hour shifts, but unfortunately Read more…
You’re working a busy shift in the peds ED among a seemingly endless cycle of various permutations of fevers, cough, abdominal pain, vomiting, diarrhea, when another kid pops up on the board: “vomiting, abdominal pain”. Fantastic. You go over to Read more…
You decide to take a break from the city and moonlight in a small rural hospital. You think you’ll be chilling for the night seeing urinary tract infections, or maybe you’ll finally see that snake bite you never thought you’d Read more…
It’s 2 AM and you’re about to walk out to get some coffee when the notification phone rings. The prehospital dispatcher informs you, “24-year-old male with two gunshot wounds to the abdomen, BP 70/P, HR 128, R 30, ETA 5 Read more…
What if you woke up in a hospital and found out your mortal enemy had surgically removed your face and glued it onto his own and now he was out in the world pretending to be you? Living your life, hanging with all Read more…
It’s Monday morning in the ED, and to your greatest surprise, it’s been quiet for a few hours. You are a bit too superstitious to say anything out loud, but you are pretty excited. In fact you are so excited, Read more…
Case: A 48-year-old man with no PMH presents via EMS with dyspnea and diarrhea worsening over 2-3 weeks. He has attempted to self-treat the diarrhea with loperamide. He also reports generalized weakness, swelling in both his legs, and palpitations. Read more…
A 54-year-old woman with history of gastric band surgery and 10 years of uncontrolled hypertension has had 4 weeks of progressively increasing abdominal girth, exertional dyspnea, and dependent edema. Today, the patient has dyspnea at rest with epigastric pain. Her Read more…
