You are the junior resident working in the Critical Care and Trauma unit of the ED. You think to yourself that it’s a quiet day….then…EMS brings in a patient. The patient is a 67 year-old woman with history of type Read more…
A 5 year-old boy comes to the emergency department for asthma. He has recently had a sore throat and rhinorrhea that started 3 days ago. His mom has been giving him albuterol every 4 hours as prescribed but brought him Read more…
ECG: Sinus Bradycardia, Left Axis Deviation, Possible Trifascicular Block (Mobitz I, RBBB, LAFB) Great discussion of an interesting ECG. Let’s talk blocks! The Clinical Monster on this case did just that, and our Read more…
An 87-year-old male was brought in by EMS from a nursing home for altered mental status. As per nursing home’s staff, the patient has been less responsive since yesterday. No fever or change in medication was reported. You are not Read more…
To summarize the case, we have a 34-year-old male with no past medical history presenting with 3 days of intermittent epistaxis. The bleeding has mostly been light, but the current bleed has lasted approximately 20 minutes and is brisk. He Read more…
Case: 44 year-old female gets wheeled into the critical care area in respiratory distress. Through gasping breaths of inspiratory stridor, she says this started one hour ago while at home, mentioning she was getting “aggravated” with her husband. Her husband Read more…
Have you ever given a patient a shot of ketorolac just because it’s “something they couldn’t take at home?” How about the use of a “therapeutic X-ray?” Placebos have been used by healers since the advent of medicine, likely far Read more…
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, a missing tooth, and abrasions throughout his arms and legs. You ask him how he is feeling. He flashes a toothy smile, raises his fist (revealing a few small cuts), and replies, “You should take a look at the other guy.” (more…)
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 trouble Read more…
A 34 year-old male with no past medical history presents with 3 days of intermittent epistaxis. The bleeds have been light for the past few days consisting of mostly a few blood streaks on the tissue. This current bleed however, Read more…